2
MCA1 Exam 3 Questions With || || || || ||
Answers ||
A patient with a history of peptic ulcer disease has presented to the
|| || || || || || || || || || || || ||
emergency department with severe abdominal pain and a rigid, boardlike
|| || || || || || || || || ||
abdomen. The health care provider suspects a perforated ulcer. Which
|| || || || || || || || || ||
interventions should the nurse anticipate? || || || ||
||
Providing IV fluids and inserting a nasogastric (NG) tube
|| || || || || || || ||
Administering oral bicarbonate and testing the patient's gastric pH level
|| || || || || || || || ||
Performing a fecal occult blood test and administering IV calcium gluconate
|| || || || || || || || || ||
Starting parenteral nutrition and placing the patient in a high-Fowler's
|| || || || || || || || || ||
position - CORRECT ANSWER(S)✔✔Providing IV fluids and inserting a
|| || || || || || || || ||
nasogastric (NG) tube || ||
A perforated peptic ulcer requires IV replacement of fluid losses and
|| || || || || || || || || || ||
continued gastric aspiration by NG tube. Nothing is given by mouth, and
|| || || || || || || || || || || ||
gastric pH testing is not a priority. Calcium gluconate is not a medication
|| || || || || || || || || || || || ||
directly relevant to the patient's suspected diagnosis, and parenteral nutrition
|| || || || || || || || || ||
is not a priority in the short term.
|| || || || || || ||
, 2
After administration of a dose of metoclopramide, which patient assessment
|| || || || || || || || || ||
finding would show the medication was effective?
|| || || || || ||
||
Decreased blood pressure || ||
Absence of muscle tremors || || ||
Relief of nausea and vomiting
|| || || ||
No further episodes of diarrhea - CORRECT ANSWER(S)✔✔Relief of nausea
|| || || || || || || || || ||
and vomiting
||
Metoclopramide is classified as a prokinetic and antiemetic medication. If it is
|| || || || || || || || || || ||
effective, the patient's nausea and vomiting should resolve. Metoclopramide
|| || || || || || || || || ||
does not affect blood pressure, muscle tremors, or diarrhea.
|| || || || || || || ||
The nurse determines a patient has experienced the beneficial effects of
|| || || || || || || || || || ||
therapy with famotidine when which symptom is relieved?
|| || || || || || ||
||
Nausea
Belching
Epigastric pain ||
, 2
Difficulty swallowing - CORRECT ANSWER(S)✔✔Epigastric pain
|| || || || ||
Famotidine is an H2-receptor antagonist that inhibits parietal cell output of
|| || || || || || || || || || ||
HCl acid and minimizes damage to gastric mucosa related to hyperacidity,
|| || || || || || || || || || ||
thus relieving epigastric pain. It is not indicated for nausea, belching, and
|| || || || || || || || || || || ||
dysphagia.
The nurse is teaching a group of college students how to prevent food
|| || || || || || || || || || || || ||
poisoning. Which comment shows an understanding of foodborne illness
|| || || || || || || || ||
protection?
||
"Eating raw cookie dough from the package is a great snack when you do not
|| || || || || || || || || || || || || || ||
have time to bake."
|| || ||
"Since we only have one cutting board, we can cut up chicken and salad
|| || || || || || || || || || || || || ||
vegetables at the same time." || || || ||
"To save refrigerator space, leftover food can be kept on the counter if it is in
|| || || || || || || || || || || || || || || ||
sealed containers." ||
"When the cafeteria gave me a pink hamburger, I sent it back and asked for a
|| || || || || || || || || || || || || || || ||
new bun and clean plate." - CORRECT ANSWER(S)✔✔When the cafeteria
|| || || || || || || || || ||
gave me a pink hamburger, I sent it back and asked for a new bun and clean
|| || || || || || || || || || || || || || || || ||
plate."
The student who did not accept the pink hamburger and asked for a new bun
|| || || || || || || || || || || || || || ||
and clean plate understood that the pink meat may not have reached 160°F
|| || || || || || || || || || || || ||
, 2
and could be contaminated with bacteria. Improperly storing cooked foods,
|| || || || || || || || || ||
eating raw cookie dough from a refrigerated package, and only using one
|| || || || || || || || || || || ||
cutting board without washing it with hot soapy water between the chicken
|| || || || || || || || || || || ||
and salad vegetables could all lead to food poisoning from contamination.
|| || || || || || || || || ||
The nurse is caring for a patient treated with IV fluid therapy for severe
|| || || || || || || || || || || || || ||
vomiting. As the patient recovers and begins to tolerate oral intake, which
|| || || || || || || || || || || ||
food choice would be most appropriate?
|| || || || ||
||
Iced tea ||
Dry toast
||
Hot coffee
||
Plain yogurt - CORRECT ANSWER(S)✔✔Dry toast
|| || || || ||
Dry toast or crackers may alleviate the feeling of nausea and prevent further
|| || || || || || || || || || || || ||
vomiting. Water is the initial fluid of choice. Extremely hot or cold liquids and
|| || || || || || || || || || || || ||
fatty foods are generally not well tolerated.
|| || || || || || ||
The nurse teaches senior citizens at a community center how to prevent food
|| || || || || || || || || || || || ||
poisoning at social events. Which community member statement reflects
|| || || || || || || || ||
accurate understanding? ||
||
"Pasteurized juices and milk are safe to drink." || || || || || || ||
MCA1 Exam 3 Questions With || || || || ||
Answers ||
A patient with a history of peptic ulcer disease has presented to the
|| || || || || || || || || || || || ||
emergency department with severe abdominal pain and a rigid, boardlike
|| || || || || || || || || ||
abdomen. The health care provider suspects a perforated ulcer. Which
|| || || || || || || || || ||
interventions should the nurse anticipate? || || || ||
||
Providing IV fluids and inserting a nasogastric (NG) tube
|| || || || || || || ||
Administering oral bicarbonate and testing the patient's gastric pH level
|| || || || || || || || ||
Performing a fecal occult blood test and administering IV calcium gluconate
|| || || || || || || || || ||
Starting parenteral nutrition and placing the patient in a high-Fowler's
|| || || || || || || || || ||
position - CORRECT ANSWER(S)✔✔Providing IV fluids and inserting a
|| || || || || || || || ||
nasogastric (NG) tube || ||
A perforated peptic ulcer requires IV replacement of fluid losses and
|| || || || || || || || || || ||
continued gastric aspiration by NG tube. Nothing is given by mouth, and
|| || || || || || || || || || || ||
gastric pH testing is not a priority. Calcium gluconate is not a medication
|| || || || || || || || || || || || ||
directly relevant to the patient's suspected diagnosis, and parenteral nutrition
|| || || || || || || || || ||
is not a priority in the short term.
|| || || || || || ||
, 2
After administration of a dose of metoclopramide, which patient assessment
|| || || || || || || || || ||
finding would show the medication was effective?
|| || || || || ||
||
Decreased blood pressure || ||
Absence of muscle tremors || || ||
Relief of nausea and vomiting
|| || || ||
No further episodes of diarrhea - CORRECT ANSWER(S)✔✔Relief of nausea
|| || || || || || || || || ||
and vomiting
||
Metoclopramide is classified as a prokinetic and antiemetic medication. If it is
|| || || || || || || || || || ||
effective, the patient's nausea and vomiting should resolve. Metoclopramide
|| || || || || || || || || ||
does not affect blood pressure, muscle tremors, or diarrhea.
|| || || || || || || ||
The nurse determines a patient has experienced the beneficial effects of
|| || || || || || || || || || ||
therapy with famotidine when which symptom is relieved?
|| || || || || || ||
||
Nausea
Belching
Epigastric pain ||
, 2
Difficulty swallowing - CORRECT ANSWER(S)✔✔Epigastric pain
|| || || || ||
Famotidine is an H2-receptor antagonist that inhibits parietal cell output of
|| || || || || || || || || || ||
HCl acid and minimizes damage to gastric mucosa related to hyperacidity,
|| || || || || || || || || || ||
thus relieving epigastric pain. It is not indicated for nausea, belching, and
|| || || || || || || || || || || ||
dysphagia.
The nurse is teaching a group of college students how to prevent food
|| || || || || || || || || || || || ||
poisoning. Which comment shows an understanding of foodborne illness
|| || || || || || || || ||
protection?
||
"Eating raw cookie dough from the package is a great snack when you do not
|| || || || || || || || || || || || || || ||
have time to bake."
|| || ||
"Since we only have one cutting board, we can cut up chicken and salad
|| || || || || || || || || || || || || ||
vegetables at the same time." || || || ||
"To save refrigerator space, leftover food can be kept on the counter if it is in
|| || || || || || || || || || || || || || || ||
sealed containers." ||
"When the cafeteria gave me a pink hamburger, I sent it back and asked for a
|| || || || || || || || || || || || || || || ||
new bun and clean plate." - CORRECT ANSWER(S)✔✔When the cafeteria
|| || || || || || || || || ||
gave me a pink hamburger, I sent it back and asked for a new bun and clean
|| || || || || || || || || || || || || || || || ||
plate."
The student who did not accept the pink hamburger and asked for a new bun
|| || || || || || || || || || || || || || ||
and clean plate understood that the pink meat may not have reached 160°F
|| || || || || || || || || || || || ||
, 2
and could be contaminated with bacteria. Improperly storing cooked foods,
|| || || || || || || || || ||
eating raw cookie dough from a refrigerated package, and only using one
|| || || || || || || || || || || ||
cutting board without washing it with hot soapy water between the chicken
|| || || || || || || || || || || ||
and salad vegetables could all lead to food poisoning from contamination.
|| || || || || || || || || ||
The nurse is caring for a patient treated with IV fluid therapy for severe
|| || || || || || || || || || || || || ||
vomiting. As the patient recovers and begins to tolerate oral intake, which
|| || || || || || || || || || || ||
food choice would be most appropriate?
|| || || || ||
||
Iced tea ||
Dry toast
||
Hot coffee
||
Plain yogurt - CORRECT ANSWER(S)✔✔Dry toast
|| || || || ||
Dry toast or crackers may alleviate the feeling of nausea and prevent further
|| || || || || || || || || || || || ||
vomiting. Water is the initial fluid of choice. Extremely hot or cold liquids and
|| || || || || || || || || || || || ||
fatty foods are generally not well tolerated.
|| || || || || || ||
The nurse teaches senior citizens at a community center how to prevent food
|| || || || || || || || || || || || ||
poisoning at social events. Which community member statement reflects
|| || || || || || || || ||
accurate understanding? ||
||
"Pasteurized juices and milk are safe to drink." || || || || || || ||
