510 exam 4 Final Test Questions And
All Correct Answers 2025-2026
Updated.
A 53-year-old male patient with deep partial-thickness burns from a chemical spill in the
workplace experiences severe pain followed by nausea during dressing changes. Which action
will be most useful in decreasing the patient's nausea? - Answer Administer the prescribed
morphine sulfate before dressing changes.
Which item should the nurse offer to the patient who is to restart oral intake after being NPO
due to nausea and vomiting? - Answer Dish of lemon gelatin
A 38-year old woman receiving chemotherapy for breast cancer develops a Candida albicansoral
infection. The nurse will anticipate the need for - Answer administration of nystatin
(Mycostatin) tablets.
Which finding in the mouth of a patient who uses smokeless tobacco is suggestive of oral
cancer? - Answer Red, velvety patches on the buccal mucosa
Which information will the nurse include when teaching adults to decrease the risk for cancers
of the tongue and buccal mucosa? - Answer Avoid use of cigarettes and smokeless tobacco.
A 46-year-old female with gastroesophageal reflux disease (GERD) is experiencing increasing
discomfort. Which patient statement indicates that additional teaching about GERD is needed? -
Answer "I eat small meals during the day and have a bedtime snack."
A 68-year-old male patient with a stroke is unconscious and unresponsive to stimuli. After
learning that the patient has a history of gastroesophageal reflux disease (GERD), the nurse will
plan to do frequent assessments of the patient's - Answer breath sounds.
The nurse explaining esomeprazole (Nexium) to a patient with recurring heartburn describes
that the medication - Answer treats gastroesophageal reflux disease by decreasing stomach
acid production.
Which patient choice for a snack 2 hours before bedtime indicates that the nurse's teaching
about gastroesophageal reflux disease (GERD) has been effective? - Answer Cherry gelatin
,A 58-year-old woman who recently has been diagnosed with esophageal cancer tells the nurse,
"I do not feel ready to die yet." Which response by the nurse is most appropriate? - Answer
"Having this new diagnosis must be very hard for you."
Which information will the nurse include for a patient with newly diagnosed gastroesophageal
reflux disease (GERD)? - Answer "Keep the head of your bed elevated on blocks."
Which nursing action should be included in the postoperative plan of care for a patient after a
laparoscopic esophagectomy? - Answer Elevate the head of the bed to at least 30 degrees.
When a 72-year-old patient is diagnosed with achalasia, the nurse will teach the patient that -
Answer treatment may include endoscopic procedures.
A 50-year-old man vomiting blood-streaked fluid is admitted to the hospital with acute gastritis.
To determine possible risk factors for gastritis, the nurse will ask the patient about - Answer
use of nonsteroidal anti-inflammatory drugs (NSAIDs).
The nurse determines that teaching regarding cobalamin injections has been effective when the
patient with chronic atrophic gastritis states which of the following? - Answer "The cobalamin
injections will prevent me from becoming anemic."
Which medications will the nurse teach the patient about whose peptic ulcer disease is
associated with Helicobacter pylori? - Answer Amoxicillin (Amoxil), clarithromycin (Biaxin), and
omeprazole (Prilosec)
Which action should the nurse in the emergency department anticipate for a 23-year-old
patient who has had several episodes of bloody diarrhea? - Answer Obtain a stool specimen
for culture.
The nurse will anticipate preparing a 71-year-old female patient who is vomiting "coffee-
ground" emesis for - Answer endoscopy
A 57-year-old man with Escherichia coli O157:H7 food poisoning is admitted to the hospital with
bloody diarrhea and dehydration. Which order will the nurse question? - Answer Administer
loperamide (Imodium) after each stool.
, A family member of a 28-year-old patient who has suffered massive abdominal trauma in an
automobile accident asks the nurse why the patient is receiving famotidine (Pepcid). The nurse
will explain that the medication will - Answer inhibit development of stress ulcers.
A 68-year-old patient with a bleeding duodenal ulcer has a nasogastric (NG) tube in place, and
the health care provider orders 30 mL of aluminum hydroxide/magnesium hydroxide (Maalox)
to be instilled through the tube every hour. To evaluate the effectiveness of this treatment, the
nurse - Answer periodically aspirates and tests gastric pH.
A 44-year-old man admitted with a peptic ulcer has a nasogastric (NG) tube in place. When the
patient develops sudden, severe upper abdominal pain, diaphoresis, and a firm abdomen,
which action should the nurse take? - Answer Check the vital signs.
A 50-year-old patient who underwent a gastroduodenostomy (Billroth I) earlier today complains
of increasing abdominal pain. The patient has no bowel sounds and 200 mL of bright red
nasogastric (NG) drainage in the last hour. The highest priority action by the nurse is to - Answer
contact the surgeon.
Which patient statement indicates that the nurse's teaching following a gastroduodenostomy
has been effective? - Answer "Vitamin supplements may prevent anemia."
At his first postoperative checkup appointment after a gastrojejunostomy (Billroth II), a patient
report that dizziness, weakness, and palpitations occur about 20 minutes after each meal. The
nurse will teach the patient to - Answer lie down for about 30 minutes after eating.
A 62-year-old man patient who requires daily use of a nonsteroidal anti-inflammatory drug
(NSAID) for the management of severe rheumatoid arthritis has recently developed melena. The
nurse will anticipate teaching the patient about - Answer misoprostol (Cytotec) to protect the
gastrointestinal (GI) mucosa.
The health care provider prescribes antacids and sucralfate (Carafate) for treatment of a
patient's peptic ulcer. The nurse will teach the patient to take - Answer antacids after meals
and sucralfate 30 minutes before meals.
Which information about dietary management should the nurse include when teaching a
patient with peptic ulcer disease (PUD)? - Answer "Avoid foods that cause pain after you eat
them."
All Correct Answers 2025-2026
Updated.
A 53-year-old male patient with deep partial-thickness burns from a chemical spill in the
workplace experiences severe pain followed by nausea during dressing changes. Which action
will be most useful in decreasing the patient's nausea? - Answer Administer the prescribed
morphine sulfate before dressing changes.
Which item should the nurse offer to the patient who is to restart oral intake after being NPO
due to nausea and vomiting? - Answer Dish of lemon gelatin
A 38-year old woman receiving chemotherapy for breast cancer develops a Candida albicansoral
infection. The nurse will anticipate the need for - Answer administration of nystatin
(Mycostatin) tablets.
Which finding in the mouth of a patient who uses smokeless tobacco is suggestive of oral
cancer? - Answer Red, velvety patches on the buccal mucosa
Which information will the nurse include when teaching adults to decrease the risk for cancers
of the tongue and buccal mucosa? - Answer Avoid use of cigarettes and smokeless tobacco.
A 46-year-old female with gastroesophageal reflux disease (GERD) is experiencing increasing
discomfort. Which patient statement indicates that additional teaching about GERD is needed? -
Answer "I eat small meals during the day and have a bedtime snack."
A 68-year-old male patient with a stroke is unconscious and unresponsive to stimuli. After
learning that the patient has a history of gastroesophageal reflux disease (GERD), the nurse will
plan to do frequent assessments of the patient's - Answer breath sounds.
The nurse explaining esomeprazole (Nexium) to a patient with recurring heartburn describes
that the medication - Answer treats gastroesophageal reflux disease by decreasing stomach
acid production.
Which patient choice for a snack 2 hours before bedtime indicates that the nurse's teaching
about gastroesophageal reflux disease (GERD) has been effective? - Answer Cherry gelatin
,A 58-year-old woman who recently has been diagnosed with esophageal cancer tells the nurse,
"I do not feel ready to die yet." Which response by the nurse is most appropriate? - Answer
"Having this new diagnosis must be very hard for you."
Which information will the nurse include for a patient with newly diagnosed gastroesophageal
reflux disease (GERD)? - Answer "Keep the head of your bed elevated on blocks."
Which nursing action should be included in the postoperative plan of care for a patient after a
laparoscopic esophagectomy? - Answer Elevate the head of the bed to at least 30 degrees.
When a 72-year-old patient is diagnosed with achalasia, the nurse will teach the patient that -
Answer treatment may include endoscopic procedures.
A 50-year-old man vomiting blood-streaked fluid is admitted to the hospital with acute gastritis.
To determine possible risk factors for gastritis, the nurse will ask the patient about - Answer
use of nonsteroidal anti-inflammatory drugs (NSAIDs).
The nurse determines that teaching regarding cobalamin injections has been effective when the
patient with chronic atrophic gastritis states which of the following? - Answer "The cobalamin
injections will prevent me from becoming anemic."
Which medications will the nurse teach the patient about whose peptic ulcer disease is
associated with Helicobacter pylori? - Answer Amoxicillin (Amoxil), clarithromycin (Biaxin), and
omeprazole (Prilosec)
Which action should the nurse in the emergency department anticipate for a 23-year-old
patient who has had several episodes of bloody diarrhea? - Answer Obtain a stool specimen
for culture.
The nurse will anticipate preparing a 71-year-old female patient who is vomiting "coffee-
ground" emesis for - Answer endoscopy
A 57-year-old man with Escherichia coli O157:H7 food poisoning is admitted to the hospital with
bloody diarrhea and dehydration. Which order will the nurse question? - Answer Administer
loperamide (Imodium) after each stool.
, A family member of a 28-year-old patient who has suffered massive abdominal trauma in an
automobile accident asks the nurse why the patient is receiving famotidine (Pepcid). The nurse
will explain that the medication will - Answer inhibit development of stress ulcers.
A 68-year-old patient with a bleeding duodenal ulcer has a nasogastric (NG) tube in place, and
the health care provider orders 30 mL of aluminum hydroxide/magnesium hydroxide (Maalox)
to be instilled through the tube every hour. To evaluate the effectiveness of this treatment, the
nurse - Answer periodically aspirates and tests gastric pH.
A 44-year-old man admitted with a peptic ulcer has a nasogastric (NG) tube in place. When the
patient develops sudden, severe upper abdominal pain, diaphoresis, and a firm abdomen,
which action should the nurse take? - Answer Check the vital signs.
A 50-year-old patient who underwent a gastroduodenostomy (Billroth I) earlier today complains
of increasing abdominal pain. The patient has no bowel sounds and 200 mL of bright red
nasogastric (NG) drainage in the last hour. The highest priority action by the nurse is to - Answer
contact the surgeon.
Which patient statement indicates that the nurse's teaching following a gastroduodenostomy
has been effective? - Answer "Vitamin supplements may prevent anemia."
At his first postoperative checkup appointment after a gastrojejunostomy (Billroth II), a patient
report that dizziness, weakness, and palpitations occur about 20 minutes after each meal. The
nurse will teach the patient to - Answer lie down for about 30 minutes after eating.
A 62-year-old man patient who requires daily use of a nonsteroidal anti-inflammatory drug
(NSAID) for the management of severe rheumatoid arthritis has recently developed melena. The
nurse will anticipate teaching the patient about - Answer misoprostol (Cytotec) to protect the
gastrointestinal (GI) mucosa.
The health care provider prescribes antacids and sucralfate (Carafate) for treatment of a
patient's peptic ulcer. The nurse will teach the patient to take - Answer antacids after meals
and sucralfate 30 minutes before meals.
Which information about dietary management should the nurse include when teaching a
patient with peptic ulcer disease (PUD)? - Answer "Avoid foods that cause pain after you eat
them."
