NUR 257 Final exam with correct answers
A patient is not have daily bowel movements and has begun taking
a laxative for this problem. What should the nurse educate the
patient about regarding laxative use?
A. When taking the laxatives, plenty of fluid should be taken as
well.
B. The laxatives should be taken no more than 3 times a week or
laxative addiction will result.
C. Laxatives should not be routinely taken due to destruction of
nerve endings in the colon.
D. Laxatives should never be the first response for the treatment of
constipation; natural methods should be employed first. -
CORRECT ANSWERS ✔✔D. Laxatives should not be routinely
taken due to destruction of nerve endings in the colon.
A client with an infection in the area between the internal and
external sphincters. In which chronic disease is this condition
commonly seen?
,A. Crohn's Disease
B. diverticulosis
C. ulcerative colitis
D. irritable bowel syndrome - CORRECT ANSWERS ✔✔A. Crohn's
Disease
The nurse is caring for a patient who has had an appendectomy.
What is the best position for the nurse to maintain the patient in
after surgery?
A. Prone
B. Sims' left lateral
C. High Fowler's
D. Supine with the head of the bed elevated 15 degrees - CORRECT
ANSWERS ✔✔C. High Fowler's
A curse caring for a client with small-bowel obstruction should
plan to implement which nursing interventions first?
A. Administering pain medication
B. Obtaining a blood sample for laboratory studies
,C. Preparing to insert a nasogastric (NG) tube
D. Administering I.V. fluids - CORRECT ANSWERS ✔✔D.
Administering I.V. fluids
A client has been experiencing lower GI difficulties that have
increased in severity, and the gastroenterologist is concerned that
the client's bowel is not functioning properly. What function of the
lower GI tract is most likely to be affected by the client's disorder?
A. water and electrolyte absorption
B. protein digestion
C. fat digestion
D. All options are correct - CORRECT ANSWERS ✔✔A. water and
electrolyte absorption
The nurse observes the physician palpating the abdomen of a client
that is suspected of having acute appendicitis. When the abdomen
is pressed in the left lower quadrant the client complains of pain on
the right side. What does the nurse understand this assessment
technique is referred to?
, A. Referred pain
B. Rebound pain
C. Rovsing sign
D. Cremasteric reflex - CORRECT ANSWERS ✔✔C. Rovsing sign
A positive Rovsing's sign is indicative of appendicitis. A nurse
knows to assess for this indicator by palpating the:
A. Right lower quadrant
B. Left lower quadrant
C. Right upper quadrant
D. Left upper quadrant - CORRECT ANSWERS ✔✔B. Left lower
quadrant
Which type of diarrhea is caused by increased production of water
and electrolytes by the intestinal mucosa and their secretion into
the intestinal lumen?
A. Osmotic diarrhea
B. Secretory diarrhea
C. Mixed diarrhea
A patient is not have daily bowel movements and has begun taking
a laxative for this problem. What should the nurse educate the
patient about regarding laxative use?
A. When taking the laxatives, plenty of fluid should be taken as
well.
B. The laxatives should be taken no more than 3 times a week or
laxative addiction will result.
C. Laxatives should not be routinely taken due to destruction of
nerve endings in the colon.
D. Laxatives should never be the first response for the treatment of
constipation; natural methods should be employed first. -
CORRECT ANSWERS ✔✔D. Laxatives should not be routinely
taken due to destruction of nerve endings in the colon.
A client with an infection in the area between the internal and
external sphincters. In which chronic disease is this condition
commonly seen?
,A. Crohn's Disease
B. diverticulosis
C. ulcerative colitis
D. irritable bowel syndrome - CORRECT ANSWERS ✔✔A. Crohn's
Disease
The nurse is caring for a patient who has had an appendectomy.
What is the best position for the nurse to maintain the patient in
after surgery?
A. Prone
B. Sims' left lateral
C. High Fowler's
D. Supine with the head of the bed elevated 15 degrees - CORRECT
ANSWERS ✔✔C. High Fowler's
A curse caring for a client with small-bowel obstruction should
plan to implement which nursing interventions first?
A. Administering pain medication
B. Obtaining a blood sample for laboratory studies
,C. Preparing to insert a nasogastric (NG) tube
D. Administering I.V. fluids - CORRECT ANSWERS ✔✔D.
Administering I.V. fluids
A client has been experiencing lower GI difficulties that have
increased in severity, and the gastroenterologist is concerned that
the client's bowel is not functioning properly. What function of the
lower GI tract is most likely to be affected by the client's disorder?
A. water and electrolyte absorption
B. protein digestion
C. fat digestion
D. All options are correct - CORRECT ANSWERS ✔✔A. water and
electrolyte absorption
The nurse observes the physician palpating the abdomen of a client
that is suspected of having acute appendicitis. When the abdomen
is pressed in the left lower quadrant the client complains of pain on
the right side. What does the nurse understand this assessment
technique is referred to?
, A. Referred pain
B. Rebound pain
C. Rovsing sign
D. Cremasteric reflex - CORRECT ANSWERS ✔✔C. Rovsing sign
A positive Rovsing's sign is indicative of appendicitis. A nurse
knows to assess for this indicator by palpating the:
A. Right lower quadrant
B. Left lower quadrant
C. Right upper quadrant
D. Left upper quadrant - CORRECT ANSWERS ✔✔B. Left lower
quadrant
Which type of diarrhea is caused by increased production of water
and electrolytes by the intestinal mucosa and their secretion into
the intestinal lumen?
A. Osmotic diarrhea
B. Secretory diarrhea
C. Mixed diarrhea
