Rasmussen College MDC 4 Exam
Rasmussen College MDC 4 Exam 2
Verified Questions and Answers with
Detailed Rationales |
100% Verified Answers (50 Qs - 6 or 7
SATA; 3 or 4 Dose Calc;-Trinity)
1. The student nurse studying stomach disorders learns that the risk factors for acute gastritis
include which of the following? (Select all that apply.)
a. Alcohol
b. Caffeine
c. Corticosteroids
d. Fruit juice
e. Nonsteroidal anti-inflammatory drugs (NSAIDs) - Answer ✓✓ANS: A, B, C, E
Risk factors for acute gastritis include alcohol, caffeine, corticosteroids, and chronic NSAID
use. Fruit juice is not a risk factor, although in some people it does cause distress.
2. A client has a gastrointestinal hemorrhage and is prescribed two units of packed red blood
cells. What actions should the nurse perform prior to hanging the blood? (Select all that
apply.)
a. Ask a second nurse to double-check the blood.
b. Prime the IV tubing with normal saline.
c. Prime the IV tubing with dextrose in water.
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, Rasmussen College MDC 4 Exam
d. Take and record a set of vital signs.
e. Teach the client about reaction manifestations. - Answer ✓✓ANS: A, B, D, E
Prior to starting a blood transfusion, the nurse asks another nurse to double-check the blood
(and client identity), primes the IV tubing with normal saline, takes and records a baseline set
of vital signs, and teaches the client about manifestations to report. The IV tubing is not
primed with dextrose in water.
3. The student nurse learns about risk factors for gastric cancer. Which factors does this
include? (Select all that apply.)
a. Achlorhydria
b. Chronic atrophic gastritis
c. Helicobacter pylori infection
d. Iron deficiency anemia
e. Pernicious anemia - Answer ✓✓ANS: A, B, C, E
Achlorhydria, chronic atrophic gastritis, H. pylori infection, and pernicious anemia are all risk
factors for developing gastric cancer. Iron deficiency anemia is not a risk factor.
4. A client has dumping syndrome. What menu selections indicate the client understands the
correct diet to manage this condition? (Select all that apply.)
a. Canned unsweetened apricots
b. Coffee cake
c. Milk shake
d. Potato soup
e. Steamed broccoli - Answer ✓✓ANS: A, D
Canned apricots and potato soup are appropriate selections as they are part of a high-protein,
high-fat, low- to moderate-carbohydrate diet. Coffee cake and other sweets must be avoided.
Milk products and sweet drinks such as shakes must be avoided. Gas-forming foods such as
broccoli must also be avoided.
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, Rasmussen College MDC 4 Exam
5. A nurse working with a client who has possible gastritis assesses the client's
gastrointestinal system. Which findings indicate a chronic condition as opposed to acute
gastritis? (Select all that apply.)
a. Anorexia
b. Dyspepsia
c. Intolerance of fatty foods
d. Pernicious anemia
e. Nausea and vomitingANS: C, D
Intolerance of fatty or spicy foods and pernicious anemia are signs of chronic gastritis.
Anorexia and nausea/vomiting can be seen in both conditions. Dyspepsia is seen in acute
gastritis. - Answer ✓✓ANS: C, D
Intolerance of fatty or spicy foods and pernicious anemia are signs of chronic gastritis.
Anorexia and nausea/vomiting can be seen in both conditions. Dyspepsia is seen in acute
gastritis.
6. A client who had a partial gastrectomy has several expected nutritional problems. What
actions by the nurse are best to promote better nutrition? (Select all that apply.)
a. Administer vitamin B12 injections.
b. Ask the provider about folic acid replacement.
c. Educate the client on enteral feedings.
d. Obtain consent for total parenteral nutrition.
e. Provide iron supplements for the client. - Answer ✓✓ANS: A, B, E
After gastrectomy, clients are at high risk for anemia due to vitamin B12 deficiency, folic acid
deficiency, or iron deficiency. The nurse should provide supplements for all these nutrients.
The client does not need enteral feeding or total parenteral nutrition.
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, Rasmussen College MDC 4 Exam
7. A nurse is preparing to administer pantoprazole (Protonix) intravenously. What actions by
the nurse are most appropriate? (Select all that apply.)
a. Administer the drug through a separate IV line.
b. Infuse pantoprazole using an IV pump.
c. Keep the drug in its original brown bag.
d. Take vital signs frequently during infusion.
e. Use an in-line IV filter when infusing. - Answer ✓✓ANS: A, B, E
When infusing pantoprazole, use a separate IV line, a pump, and an in-line filter. A brown
wrapper and frequent vital signs are not needed.
5. A nurse cares for a client who has been diagnosed with a small bowel obstruction. Which
assessment findings should the nurse correlate with this diagnosis? (Select all that apply.)
a. Serum potassium of 2.8 mEq/L
b. Loss of 15 pounds without dieting
c. Abdominal pain in upper quadrants
d. Low-pitched bowel sounds
e. Serum sodium of 121 mEq/L - Answer ✓✓ANS: A, C, E
Small bowel obstructions often lead to severe fluid and electrolyte imbalances. The client is
hypokalemic (normal range is 3.5 to 5.0 mEq/L) and hyponatremic (normal range is 136 to 145
mEq/L). Abdominal pain across the upper quadrants is associated with small bowel
obstruction. Dramatic weight loss without dieting followed by bowel obstruction leads to the
probable development of colon cancer. High-pitched sounds may be noted with small bowel
obstructions.
6. A nurse assesses a male client with an abdominal hernia. Which abdominal hernias are
correctly paired with their physiologic processes? (Select all that apply.)
a. Indirect inguinal hernia - An enlarged plug of fat eventually pulls the peritoneum and often
the bladder into a sac
A+ 4
Rasmussen College MDC 4 Exam 2
Verified Questions and Answers with
Detailed Rationales |
100% Verified Answers (50 Qs - 6 or 7
SATA; 3 or 4 Dose Calc;-Trinity)
1. The student nurse studying stomach disorders learns that the risk factors for acute gastritis
include which of the following? (Select all that apply.)
a. Alcohol
b. Caffeine
c. Corticosteroids
d. Fruit juice
e. Nonsteroidal anti-inflammatory drugs (NSAIDs) - Answer ✓✓ANS: A, B, C, E
Risk factors for acute gastritis include alcohol, caffeine, corticosteroids, and chronic NSAID
use. Fruit juice is not a risk factor, although in some people it does cause distress.
2. A client has a gastrointestinal hemorrhage and is prescribed two units of packed red blood
cells. What actions should the nurse perform prior to hanging the blood? (Select all that
apply.)
a. Ask a second nurse to double-check the blood.
b. Prime the IV tubing with normal saline.
c. Prime the IV tubing with dextrose in water.
A+ 1
, Rasmussen College MDC 4 Exam
d. Take and record a set of vital signs.
e. Teach the client about reaction manifestations. - Answer ✓✓ANS: A, B, D, E
Prior to starting a blood transfusion, the nurse asks another nurse to double-check the blood
(and client identity), primes the IV tubing with normal saline, takes and records a baseline set
of vital signs, and teaches the client about manifestations to report. The IV tubing is not
primed with dextrose in water.
3. The student nurse learns about risk factors for gastric cancer. Which factors does this
include? (Select all that apply.)
a. Achlorhydria
b. Chronic atrophic gastritis
c. Helicobacter pylori infection
d. Iron deficiency anemia
e. Pernicious anemia - Answer ✓✓ANS: A, B, C, E
Achlorhydria, chronic atrophic gastritis, H. pylori infection, and pernicious anemia are all risk
factors for developing gastric cancer. Iron deficiency anemia is not a risk factor.
4. A client has dumping syndrome. What menu selections indicate the client understands the
correct diet to manage this condition? (Select all that apply.)
a. Canned unsweetened apricots
b. Coffee cake
c. Milk shake
d. Potato soup
e. Steamed broccoli - Answer ✓✓ANS: A, D
Canned apricots and potato soup are appropriate selections as they are part of a high-protein,
high-fat, low- to moderate-carbohydrate diet. Coffee cake and other sweets must be avoided.
Milk products and sweet drinks such as shakes must be avoided. Gas-forming foods such as
broccoli must also be avoided.
A+ 2
, Rasmussen College MDC 4 Exam
5. A nurse working with a client who has possible gastritis assesses the client's
gastrointestinal system. Which findings indicate a chronic condition as opposed to acute
gastritis? (Select all that apply.)
a. Anorexia
b. Dyspepsia
c. Intolerance of fatty foods
d. Pernicious anemia
e. Nausea and vomitingANS: C, D
Intolerance of fatty or spicy foods and pernicious anemia are signs of chronic gastritis.
Anorexia and nausea/vomiting can be seen in both conditions. Dyspepsia is seen in acute
gastritis. - Answer ✓✓ANS: C, D
Intolerance of fatty or spicy foods and pernicious anemia are signs of chronic gastritis.
Anorexia and nausea/vomiting can be seen in both conditions. Dyspepsia is seen in acute
gastritis.
6. A client who had a partial gastrectomy has several expected nutritional problems. What
actions by the nurse are best to promote better nutrition? (Select all that apply.)
a. Administer vitamin B12 injections.
b. Ask the provider about folic acid replacement.
c. Educate the client on enteral feedings.
d. Obtain consent for total parenteral nutrition.
e. Provide iron supplements for the client. - Answer ✓✓ANS: A, B, E
After gastrectomy, clients are at high risk for anemia due to vitamin B12 deficiency, folic acid
deficiency, or iron deficiency. The nurse should provide supplements for all these nutrients.
The client does not need enteral feeding or total parenteral nutrition.
A+ 3
, Rasmussen College MDC 4 Exam
7. A nurse is preparing to administer pantoprazole (Protonix) intravenously. What actions by
the nurse are most appropriate? (Select all that apply.)
a. Administer the drug through a separate IV line.
b. Infuse pantoprazole using an IV pump.
c. Keep the drug in its original brown bag.
d. Take vital signs frequently during infusion.
e. Use an in-line IV filter when infusing. - Answer ✓✓ANS: A, B, E
When infusing pantoprazole, use a separate IV line, a pump, and an in-line filter. A brown
wrapper and frequent vital signs are not needed.
5. A nurse cares for a client who has been diagnosed with a small bowel obstruction. Which
assessment findings should the nurse correlate with this diagnosis? (Select all that apply.)
a. Serum potassium of 2.8 mEq/L
b. Loss of 15 pounds without dieting
c. Abdominal pain in upper quadrants
d. Low-pitched bowel sounds
e. Serum sodium of 121 mEq/L - Answer ✓✓ANS: A, C, E
Small bowel obstructions often lead to severe fluid and electrolyte imbalances. The client is
hypokalemic (normal range is 3.5 to 5.0 mEq/L) and hyponatremic (normal range is 136 to 145
mEq/L). Abdominal pain across the upper quadrants is associated with small bowel
obstruction. Dramatic weight loss without dieting followed by bowel obstruction leads to the
probable development of colon cancer. High-pitched sounds may be noted with small bowel
obstructions.
6. A nurse assesses a male client with an abdominal hernia. Which abdominal hernias are
correctly paired with their physiologic processes? (Select all that apply.)
a. Indirect inguinal hernia - An enlarged plug of fat eventually pulls the peritoneum and often
the bladder into a sac
A+ 4
