LATEST QUESTIONS AND
ANSWERS WITH RATIONALES
Correct Answer repeated below each question’s answer choices.
,The nurse is assisting a patient who has been admitted with severe abdominal pain. Suddenly,
the patient vomits a large amount of emesis that looks similar to coffee grounds. Which action
by the nurse is a priority?
Ask the patient about the timing of the last meal.
Offer the patient sips of water to prevent dehydration.
Monitor the patient for any further episodes of nausea and vomiting.
Notify the primary health care provider about the patient's condition.
Notify the primary health care provider about the patient's condition.
Vomitus with a "coffee ground" appearance is related to gastric bleeding, in which blood
changes to dark brown as a result of its interaction with hydrochloric acid. The primary health
care provider needs to be notified immediately about this change in the patient's condition.
Asking the patient about the timing of the last meal and monitoring the patient are appropriate,
but not the priority. The nurse should not offer water just in case the patient may have to have a
diagnostic study that requires nothing by mouth (NPO) status.
Which term is used to refer to involuntary or accidental urine loss?
Dysuria
Intermittency
Incontinence
,Postvoid dribbling
Incontinence
Involuntary or accidental urine loss or leakage is referred to as incontinence. Dysuria refers to
painful or difficult urination. Intermittency is the interruption of the urinary stream while
voiding. Postvoid dribbling is urine loss after completion of voiding.
Which condition is a common manifestation associated with protein deficiency?
Paresthesia
Hypotension
Hair thinning
Peripheral neuropathy
Hair thinning
Hair thinning and muscle wasting are common manifestations associated with protein
deficiency because a strand of hair or muscle is composed mostly of protein. Paresthesia is a
manifestation associated with cobalamin deficiency. Hypotension is a manifestation associated
with dehydration. Peripheral neuropathy is also associated with cobalamin deficiency.
, In a patient admitted with cellulitis of the left foot, which clinical manifestation would the nurse
expect to find on assessment of the left foot?
Erythema and swelling
Pallor and poor turgor
Cyanosis and coolness
Edema and brown skin discoloration
Erythema and swelling
Cellulitis is a diffuse, acute inflammation of the skin. It is characterized by erythematous,
swelling, heat, and tenderness in the affected area. These changes accompany the processes of
inflammation and infection.
When assessing a patient with benign prostatic hyperplasia (BPH), the nurse evaluates possible
complications of urinary obstruction. Which are the most appropriate conditions that the nurse
should consider? Select all that apply.
Bladder calculi
Cardiac disorders
Digestive problems
ANSWERS WITH RATIONALES
Correct Answer repeated below each question’s answer choices.
,The nurse is assisting a patient who has been admitted with severe abdominal pain. Suddenly,
the patient vomits a large amount of emesis that looks similar to coffee grounds. Which action
by the nurse is a priority?
Ask the patient about the timing of the last meal.
Offer the patient sips of water to prevent dehydration.
Monitor the patient for any further episodes of nausea and vomiting.
Notify the primary health care provider about the patient's condition.
Notify the primary health care provider about the patient's condition.
Vomitus with a "coffee ground" appearance is related to gastric bleeding, in which blood
changes to dark brown as a result of its interaction with hydrochloric acid. The primary health
care provider needs to be notified immediately about this change in the patient's condition.
Asking the patient about the timing of the last meal and monitoring the patient are appropriate,
but not the priority. The nurse should not offer water just in case the patient may have to have a
diagnostic study that requires nothing by mouth (NPO) status.
Which term is used to refer to involuntary or accidental urine loss?
Dysuria
Intermittency
Incontinence
,Postvoid dribbling
Incontinence
Involuntary or accidental urine loss or leakage is referred to as incontinence. Dysuria refers to
painful or difficult urination. Intermittency is the interruption of the urinary stream while
voiding. Postvoid dribbling is urine loss after completion of voiding.
Which condition is a common manifestation associated with protein deficiency?
Paresthesia
Hypotension
Hair thinning
Peripheral neuropathy
Hair thinning
Hair thinning and muscle wasting are common manifestations associated with protein
deficiency because a strand of hair or muscle is composed mostly of protein. Paresthesia is a
manifestation associated with cobalamin deficiency. Hypotension is a manifestation associated
with dehydration. Peripheral neuropathy is also associated with cobalamin deficiency.
, In a patient admitted with cellulitis of the left foot, which clinical manifestation would the nurse
expect to find on assessment of the left foot?
Erythema and swelling
Pallor and poor turgor
Cyanosis and coolness
Edema and brown skin discoloration
Erythema and swelling
Cellulitis is a diffuse, acute inflammation of the skin. It is characterized by erythematous,
swelling, heat, and tenderness in the affected area. These changes accompany the processes of
inflammation and infection.
When assessing a patient with benign prostatic hyperplasia (BPH), the nurse evaluates possible
complications of urinary obstruction. Which are the most appropriate conditions that the nurse
should consider? Select all that apply.
Bladder calculi
Cardiac disorders
Digestive problems
