A4u client has come to the orthopedic clinic for a follow-up appointment 6 weeks
after fracturing his ankle Diagnostic imaging reveals that bone union is not taking
place. What factor may have contributed to this complication?
A. Inadequate immobilization
2. A client with gastroesophageal reflux disease (GERD) has a diagnosis of Barrett
esophagus
with minor cell changes. What principle should be integrated into the client's
subsequent care?
A. The client will be monitored closely to detect malignant changes.
3. A staff educator is reviewing the causes of gastroesophageal reflux disease
(GERD) with new staff nurses. What area of the Gl tract should the educator identify
as the cause of reduced pressure associated with GERD?
Pyloric sphincter
B. Lower esophageal sphincter
4. A client with GED has undergone diagnostic testing and it has been determined
that increasing the pace of gastric emptying may help alleviate symptoms. The
nurse should anticipate that the client may be prescribed what drug?
A. Metoclopramide
5. A nurse is caring for a client who just has been diagnosed with a peptic ulcer.
When teaching the client about his new diagnosis, how should the nurse best
describe it?
Inflammation of the lining of the stomach
B. Erosion of the lining of the stomach or intestine
6. A client with a diagnosis of peptic ulcer disease has just been prescribed
omeprazole. How should the nurse best 0/1 describe this medication's therapeutic
action?
"This medication will inhibit the synthesis of stomach acid."
7. A nurse is completing a health history on a client whose diagnosis is chronic
gastritis. Which of the data should the nurse consider most significantly related to
the etiology of the client's health problem?
C. Smokes one pack of cigarettes daily.
8. A nurse is assessing a client who has peptic ulcer disease. The client requests
more information about the typical causes of Helicobacter pylori infection. What
would it be appropriate for the nurse to instruct the client?
b. Infection typically occurs due to ingestion of contaminated food and water.
, 9. A client who experienced an upper GI bleed due to gastritis has had the bleeding
controlled and the client's condition is now stable. For the next several hours, the
nurse caring for this client should assess for what signs and symptoms of
recurrence?
A.Tachycardia, hypotension, and tachypnea
10. A client with peptic ulcer disease has been prescribed sucralfate. What health
education should the nurse provide to this client?
A. Take the medication 2 hours before or after other medications
11. A nurse is providing client education for a client with peptic ulcer disease
secondary to chronic nonsteroidal anti-inflammatory drug (NSAID) use. The client
has recently been prescribed misoprostol. What would the nurse be most accurate
in informing the client about the drug?
C. It protects the stomach's lining
12. The nurse is assessing a client who had an ileostomy created three days ago for
the treatment of irritable bowel disease. The nurse observes that the client's stoma
is bright red and there are scant amounts of blood on the stoma. What is the nurse's
best action?
B.Document these expected assessment findings
C.Apply barrier ointment to the stoma as prescribed
13. A client's screening colonoscopy revealed the presence of numerous polyps in
the large bowel. What principle should guide the subsequent treatment of this
client's health problem?
C.The client's polyps constitute a risk factor for cancer.
14. A nurse is planning discharge teaching for a 21-year-old client with a new
diagnosis of ulcerative colitis. When planning family assessment, the nurse should
recognize that which of the following factors will likely have the greatest impact on
the client's coping after discharge?
C. The family's ability to provide emotional support
15. A nurse is providing care for a client who has a diagnosis of irritable bowel
syndrome (IBS). When planning this client's care, the nurse should collaborate with
the client and prioritize what goal?
A. Client will accurately identify foods that trigger symptoms.
16. A client's health history is suggestive of inflammatory bowel disease. which of
the following would suggest Crohn's disease, rather that ulcerative colitis, as the
cause of the client's signs and symptoms?
C. An absence of blood in stool
after fracturing his ankle Diagnostic imaging reveals that bone union is not taking
place. What factor may have contributed to this complication?
A. Inadequate immobilization
2. A client with gastroesophageal reflux disease (GERD) has a diagnosis of Barrett
esophagus
with minor cell changes. What principle should be integrated into the client's
subsequent care?
A. The client will be monitored closely to detect malignant changes.
3. A staff educator is reviewing the causes of gastroesophageal reflux disease
(GERD) with new staff nurses. What area of the Gl tract should the educator identify
as the cause of reduced pressure associated with GERD?
Pyloric sphincter
B. Lower esophageal sphincter
4. A client with GED has undergone diagnostic testing and it has been determined
that increasing the pace of gastric emptying may help alleviate symptoms. The
nurse should anticipate that the client may be prescribed what drug?
A. Metoclopramide
5. A nurse is caring for a client who just has been diagnosed with a peptic ulcer.
When teaching the client about his new diagnosis, how should the nurse best
describe it?
Inflammation of the lining of the stomach
B. Erosion of the lining of the stomach or intestine
6. A client with a diagnosis of peptic ulcer disease has just been prescribed
omeprazole. How should the nurse best 0/1 describe this medication's therapeutic
action?
"This medication will inhibit the synthesis of stomach acid."
7. A nurse is completing a health history on a client whose diagnosis is chronic
gastritis. Which of the data should the nurse consider most significantly related to
the etiology of the client's health problem?
C. Smokes one pack of cigarettes daily.
8. A nurse is assessing a client who has peptic ulcer disease. The client requests
more information about the typical causes of Helicobacter pylori infection. What
would it be appropriate for the nurse to instruct the client?
b. Infection typically occurs due to ingestion of contaminated food and water.
, 9. A client who experienced an upper GI bleed due to gastritis has had the bleeding
controlled and the client's condition is now stable. For the next several hours, the
nurse caring for this client should assess for what signs and symptoms of
recurrence?
A.Tachycardia, hypotension, and tachypnea
10. A client with peptic ulcer disease has been prescribed sucralfate. What health
education should the nurse provide to this client?
A. Take the medication 2 hours before or after other medications
11. A nurse is providing client education for a client with peptic ulcer disease
secondary to chronic nonsteroidal anti-inflammatory drug (NSAID) use. The client
has recently been prescribed misoprostol. What would the nurse be most accurate
in informing the client about the drug?
C. It protects the stomach's lining
12. The nurse is assessing a client who had an ileostomy created three days ago for
the treatment of irritable bowel disease. The nurse observes that the client's stoma
is bright red and there are scant amounts of blood on the stoma. What is the nurse's
best action?
B.Document these expected assessment findings
C.Apply barrier ointment to the stoma as prescribed
13. A client's screening colonoscopy revealed the presence of numerous polyps in
the large bowel. What principle should guide the subsequent treatment of this
client's health problem?
C.The client's polyps constitute a risk factor for cancer.
14. A nurse is planning discharge teaching for a 21-year-old client with a new
diagnosis of ulcerative colitis. When planning family assessment, the nurse should
recognize that which of the following factors will likely have the greatest impact on
the client's coping after discharge?
C. The family's ability to provide emotional support
15. A nurse is providing care for a client who has a diagnosis of irritable bowel
syndrome (IBS). When planning this client's care, the nurse should collaborate with
the client and prioritize what goal?
A. Client will accurately identify foods that trigger symptoms.
16. A client's health history is suggestive of inflammatory bowel disease. which of
the following would suggest Crohn's disease, rather that ulcerative colitis, as the
cause of the client's signs and symptoms?
C. An absence of blood in stool
