COMPLETE 200 ACTUAL QUESTIONS AND CORRECT
DETAILED ANSWERS/ GRADED A+
A nurse is caring for a client who underwent a subtotal gastrectomy. To manage
dumping syndrome, the nurse should advise the client to:
a) restrict fluid intake to 1 qt (1,000 ml)/day.
b) drink liquids only between meals.
c) don't drink liquids 2 hours before meals.
d) drink liquids only with meals. - Correct Answer - B
A patient who has undergone colostomy surgery is experiencing constipation. Which of
the following interventions should a nurse consider for such a patient?
a) Instruct the patient to keep a record of food intake
b) Instruct the patient to avoid prune or apple juice
c) Suggest fluid intake of at least 2 L per day
d) Assist the patient regarding the correct diet or to minimize food intake - Correct
Answer - C
A client is admitted with a diagnosis of acute appendicitis. When assessing the
abdomen, the nurse would expect to find rebound tenderness at which location?
a) Left lower quadrant
b) Left upper quadrant
c) Right upper quadrant
d) Right lower quadrant - Correct Answer - D
Which outcome indicates effective client teaching to prevent constipation?
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,a) The client reports engaging in a regular exercise regimen.
b) The client limits water intake to three glasses per day.
c) The client verbalizes consumption of low-fiber foods.
d) The client maintains a sedentary lifestyle. - Correct Answer - A
Patients diagnosed with esophageal varices are at risk for hemorrhagic shock. Which of
the following is a sign of potential hypovolemia?
a) Hypotension
b) Bradycardia
c) Warm moist skin
d) Polyuria - Correct Answer - A
The nurse is assessing a client with a bleeding gastric ulcer. When examining the
client's stool, which of the following characteristics would the nurse be most likely to
find?
a) Green color and texture
b) Black and tarry appearance
c) Clay-like quality
d) Bright red blood in stool - Correct Answer - B
After teaching a group of students about the various organs of the upper gastrointestinal
tract and possible disorders, the instructor determines that the teaching was successful
when the students identify which of the following structures as possibly being affected?
a) Large intestine
b) Ileum
c) Stomach
d) Liver - Correct Answer - C
A nurse is caring for a client with active upper GI bleeding. What is the appropriate diet
for this client during the first 24 hours after admission?
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,a) Skim milk
b) Nothing by mouth
c) Regular diet
d) Clear liquids - Correct Answer - B
A nurse manager of a med surge unit is assigning care responsibilities for the oncoming
shift. A client is waiting transfer back to the unit from the PACU following thoracic
surgery. To which staff member should the nurse assign the client?
A. Charge nurse
B. RN
C. LVN
D. AP - Correct Answer - B
A nurse offers pain meds to a client who is postop prior to ambulation. The nurse
understands that this aspect of care delivery is an example of which of the following
ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Beneficience - Correct Answer - D
A nurse is instructing a group of nursing students about the responsibilities involved with
organ donation and procurement. When the nurse explains that all clients waiting for a
kidney transplant have to meet the same qualifications, the students should understand
that this aspect of care delivery is an example of which ethical principle
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence - Correct Answer - C
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, A nurse questions a med prescription as too extreme and light of the clients advanced
age and unstable status. The nurse understands that this action is an example of which
ethical principle
A. Fidelity
B. Autonomy
C. Justice
D. Nonmalificence - Correct Answer – D
A nurse is caring for a client receiving IV fluids. During a routine check, the nurse
determines that the client has developed phlebitis and removes the IV catheter. Which
of the following actions should the nurse take next?
a) place a warm compress over the IV site
b) record the findings in the client's chart
c) notify the client's primary care provider
d) prepare to insert a new IV catheter - Correct Answer - A
A nurse is caring for a client who has dementia. Which of the following interventions
should the nurse take to minimize the risk for injury for this client?
a) use a bed exit alarm system
b) raise 4 side rails while client is in bed
c) apply one soft wrist restraint
d) dim the lights in the client's room - Correct Answer - A
A nurse is implementing a plan of care for a client who is at risk for falls. Which of the
following is an appropriate nursing action?
a) implement a regular toileting schedule
b) encourage the client to wear athletic socks when ambulating
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