NUR 257 FINAL EXAM WITH CORRECT
ANSWERS 2025
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
A. Crohn'swith an infection in the area between the internal and external
Disease
sphincters.
B. In which chronic disease is this condition commonly seen?
diverticulosis
C. ulcerative colitis
D. irritable bowel ( correct answers ) A. Crohn's
syndrome 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 ( correct answers ) C.
degrees Fowler's High
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
A.
leftReferred pain
lower quadrant the client complains of pain on the right side. What does
B.
theRebound pain
nurse understand this assessment technique is referred to?
C. Rovsing sign
D. Cremasteric ( correct answers ) C.
reflex 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 ( correct answers ) B. Left lower
C. Right upper quadrant
quadrant
Which type of diarrhea is caused by increased production of water and
D. Left upperby the intestinal mucosa and their secretion into the intestinal
electrolytes
lumen?
quadrant
A. Osmotic
diarrhea
B. Secretory
diarrhea ( correct answers ) B. Secretory
C. Mixed diarrhea diarrhea
Which is the most prominent signs of inflammatory bowel disease?
D. Diarrheal
disease
A. Abdominal distention and constipation
B. Intermittent pain and diarrhea
C. Hyperactive bowel sounds and constipation
D.Increased peristalsis and diarrhea ( correct answers )
B. Intermittent pain and diarrhea
Clients with irritable bowel disease (IBS) are at significantly increased
risk for which condition?
, A. Osteoporosi
s
B. DVT
C. Hypotensio ( correct answers ) A.
n Osteoporosis
D. Pneumonia
When planning care for a client with a small-bowel obstruction, the
nurse should consider the primary goal to be:
A. reporting pain relief
B. maintaining body weight.
C. maintaining fluid balance
D.reestablishing a normal bowel ( correct answers ) C.
pattern balance maintaining fluid
A client is recently diagnosed with Crohn's disease and is beginning
treatment. What the first-line treatment does the nurse expect that the
client will be placed on to decrease the inflammatory response?
A. Ciprofloxaci
n
B. Methotrexat
e ( correct answers ) D.
C. Azathroprin Sulfasalazine
During
e assessment of a client for a malabsorption disorder, the nurse notes
a history of abdominal pain and weight loss, marked steatorrhea,
D. Sulfasalazin
azotorrhea,
e and frequent glucose intolerance. Based on these clinical
features, what diagnosis will the nurse suspect?
A. Lactose intolerance
B. Celiac disease
C. Pancreatic insufficiency
D. Ileal dysfunction ( correct answers ) C. Pancreatic insufficiency
The nurse is assisting a client to drain his continent ileostomy (Kock pouch).
The nurse should insert the catheter how far through the nipple/valve?
A. 2
in.
B. 3 in
C. 4 ( correct answers ) A. 2
in. in.
D. 5 symptoms of perforation might the nurse observe in a client with
What
an in.
intestinal obstruction? (select all that apply).
A. Sudden, sustained abdominal pain
B. abdominal distention
C. sudden drop in body temperature
ANSWERS 2025
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
A. Crohn'swith an infection in the area between the internal and external
Disease
sphincters.
B. In which chronic disease is this condition commonly seen?
diverticulosis
C. ulcerative colitis
D. irritable bowel ( correct answers ) A. Crohn's
syndrome 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 ( correct answers ) C.
degrees Fowler's High
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
A.
leftReferred pain
lower quadrant the client complains of pain on the right side. What does
B.
theRebound pain
nurse understand this assessment technique is referred to?
C. Rovsing sign
D. Cremasteric ( correct answers ) C.
reflex 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 ( correct answers ) B. Left lower
C. Right upper quadrant
quadrant
Which type of diarrhea is caused by increased production of water and
D. Left upperby the intestinal mucosa and their secretion into the intestinal
electrolytes
lumen?
quadrant
A. Osmotic
diarrhea
B. Secretory
diarrhea ( correct answers ) B. Secretory
C. Mixed diarrhea diarrhea
Which is the most prominent signs of inflammatory bowel disease?
D. Diarrheal
disease
A. Abdominal distention and constipation
B. Intermittent pain and diarrhea
C. Hyperactive bowel sounds and constipation
D.Increased peristalsis and diarrhea ( correct answers )
B. Intermittent pain and diarrhea
Clients with irritable bowel disease (IBS) are at significantly increased
risk for which condition?
, A. Osteoporosi
s
B. DVT
C. Hypotensio ( correct answers ) A.
n Osteoporosis
D. Pneumonia
When planning care for a client with a small-bowel obstruction, the
nurse should consider the primary goal to be:
A. reporting pain relief
B. maintaining body weight.
C. maintaining fluid balance
D.reestablishing a normal bowel ( correct answers ) C.
pattern balance maintaining fluid
A client is recently diagnosed with Crohn's disease and is beginning
treatment. What the first-line treatment does the nurse expect that the
client will be placed on to decrease the inflammatory response?
A. Ciprofloxaci
n
B. Methotrexat
e ( correct answers ) D.
C. Azathroprin Sulfasalazine
During
e assessment of a client for a malabsorption disorder, the nurse notes
a history of abdominal pain and weight loss, marked steatorrhea,
D. Sulfasalazin
azotorrhea,
e and frequent glucose intolerance. Based on these clinical
features, what diagnosis will the nurse suspect?
A. Lactose intolerance
B. Celiac disease
C. Pancreatic insufficiency
D. Ileal dysfunction ( correct answers ) C. Pancreatic insufficiency
The nurse is assisting a client to drain his continent ileostomy (Kock pouch).
The nurse should insert the catheter how far through the nipple/valve?
A. 2
in.
B. 3 in
C. 4 ( correct answers ) A. 2
in. in.
D. 5 symptoms of perforation might the nurse observe in a client with
What
an in.
intestinal obstruction? (select all that apply).
A. Sudden, sustained abdominal pain
B. abdominal distention
C. sudden drop in body temperature
