Med Surg Exam 3 Complete study guide Galen College of Nursing
NUR 242 MS Exam 3 Questions with Correct Answers
100% Verified Graded A+
1. During the assessment of a patient with acute abdominal pain, the nurse should
a. perform deep palpation before auscultation.
b. obtain blood pressure and pulse rate to determine hypervolemic changes..
c. auscultate bowel sounds because hyperactive bowel sounds suggest par- alytic ileus.
d. Measure body temperature because an elevated temperature may indicate an
inflammatory or infectious process.
Answer: d. Measure body temperature because an elevated temperature may indicate an
inflammatory or infectious process.
2. The nurse would increase the comfort of the patient with appendicitis by
a. having the patient lie prone.
b. flexing the patient's right knee.
c. sitting the patient upright in a char.
d. turn the patient onto his or her left side.
Answer: b. flexing the patient's right knee.
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,3. In planning care for the patient with Crohn's disease, the nurse recognizes that a major
difference between ulcerative colitis and Crohn's is that Crohn's disease
a. frequently results in toxic megacolon.
b. causes fewer nutritional deficiencies than does ulcerative colitis.
c. often recurs after surgery, whereas ulcerative colitis is curable with a colectomy.
d. Is manifested by rectal bleeding and anemia more frequently than is ulcer- ative colitis.
Answer: c. often recurs after surgery, whereas ulcerative colitis is curable with a colectomy.
4. The nurse performs a detailed assessment of the abdomen of a patient with a possible
bowel obstruction, knowing that a manifestation of an obstruction in the large intestine is
(select all that apply)
a. a largely distended abdomen.
b. Diarrhea that is loose or liquid.
c. persistent, colicky abdominal pain.
d. profuse vomiting that relieves abdominal pain.
Answer: a, c
5. A patient with metastatic colorectal cancer is scheduled for both chemotherapy and
radiation therapy. Patient teaching regarding these ther- apies for this patient would
include an explanation that
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,a. Chemotherapy can be used to cure colorectal cancer.
b radiation is routinely used as adjuvant therapy following surgery.
c. both chemotherapy and radiation can be used a palliative treatments.
d. the patient should expect few if any side effects from chemotherapeutic agents.
Answer: c
6. The nurse explains to the patient undergoing ostomy surgery that the procedure
that maintains the most normal functioning of the bowel is
a. a sigmoid colostomy
b. a transverse colostomy
c. a descending colostomy
d. an ascending colostomy
Answer: a. a sigmoid colostomy
7. In contrast to diverticulitis, the patient with diverticulosis
a. has no rectal bleeding
b. often has no symptoms
c. has localized cramping pain
d. frequently develops peritonitis
Answer: b. often has no symptoms
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, 8. "The nurse is caring for a patient in the emergency department with com- plaints of
acute abdominal pain, nausea, and vomiting. When the nurse pal- pates the patient's left
lower abdominal quadrant, the patient complains of pain in the right lower quadrant.The
nurse will document this as which of the following diagnostic signs of appendicitis?
"a. Rovsing sign
b. referred pain
c. Chvostek's sign
d. rebound tenderness correct
answer
A"
Answer: Answer A
In patients with suspected appendicitis, Rovsing sign may be elicited by palpation of the left
lower quadrant, causing pain to be felt in the right lower quadrant.
9. Which of the following position should the client with appendicitis assume to relieve
pain ?
A. Prone
B. Sitting
C. Supine
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NUR 242 MS Exam 3 Questions with Correct Answers
100% Verified Graded A+
1. During the assessment of a patient with acute abdominal pain, the nurse should
a. perform deep palpation before auscultation.
b. obtain blood pressure and pulse rate to determine hypervolemic changes..
c. auscultate bowel sounds because hyperactive bowel sounds suggest par- alytic ileus.
d. Measure body temperature because an elevated temperature may indicate an
inflammatory or infectious process.
Answer: d. Measure body temperature because an elevated temperature may indicate an
inflammatory or infectious process.
2. The nurse would increase the comfort of the patient with appendicitis by
a. having the patient lie prone.
b. flexing the patient's right knee.
c. sitting the patient upright in a char.
d. turn the patient onto his or her left side.
Answer: b. flexing the patient's right knee.
1/
175
,3. In planning care for the patient with Crohn's disease, the nurse recognizes that a major
difference between ulcerative colitis and Crohn's is that Crohn's disease
a. frequently results in toxic megacolon.
b. causes fewer nutritional deficiencies than does ulcerative colitis.
c. often recurs after surgery, whereas ulcerative colitis is curable with a colectomy.
d. Is manifested by rectal bleeding and anemia more frequently than is ulcer- ative colitis.
Answer: c. often recurs after surgery, whereas ulcerative colitis is curable with a colectomy.
4. The nurse performs a detailed assessment of the abdomen of a patient with a possible
bowel obstruction, knowing that a manifestation of an obstruction in the large intestine is
(select all that apply)
a. a largely distended abdomen.
b. Diarrhea that is loose or liquid.
c. persistent, colicky abdominal pain.
d. profuse vomiting that relieves abdominal pain.
Answer: a, c
5. A patient with metastatic colorectal cancer is scheduled for both chemotherapy and
radiation therapy. Patient teaching regarding these ther- apies for this patient would
include an explanation that
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175
,a. Chemotherapy can be used to cure colorectal cancer.
b radiation is routinely used as adjuvant therapy following surgery.
c. both chemotherapy and radiation can be used a palliative treatments.
d. the patient should expect few if any side effects from chemotherapeutic agents.
Answer: c
6. The nurse explains to the patient undergoing ostomy surgery that the procedure
that maintains the most normal functioning of the bowel is
a. a sigmoid colostomy
b. a transverse colostomy
c. a descending colostomy
d. an ascending colostomy
Answer: a. a sigmoid colostomy
7. In contrast to diverticulitis, the patient with diverticulosis
a. has no rectal bleeding
b. often has no symptoms
c. has localized cramping pain
d. frequently develops peritonitis
Answer: b. often has no symptoms
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175
, 8. "The nurse is caring for a patient in the emergency department with com- plaints of
acute abdominal pain, nausea, and vomiting. When the nurse pal- pates the patient's left
lower abdominal quadrant, the patient complains of pain in the right lower quadrant.The
nurse will document this as which of the following diagnostic signs of appendicitis?
"a. Rovsing sign
b. referred pain
c. Chvostek's sign
d. rebound tenderness correct
answer
A"
Answer: Answer A
In patients with suspected appendicitis, Rovsing sign may be elicited by palpation of the left
lower quadrant, causing pain to be felt in the right lower quadrant.
9. Which of the following position should the client with appendicitis assume to relieve
pain ?
A. Prone
B. Sitting
C. Supine
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175
