NURS 212 Exam 4 Questions With Complete Solutions
A 29 year old patient has an acute episode of ulcerative colitis.
What diagnostic test confirms this diagnosis?
A. Barium Swallow.
B. Stool examination
C. Gastric analysis
D. Sigmoidoscopy Correct Answers D. Sigmoidoscopy
Rationale: Direct visualization
A client is admitted to the hospital with viral hepatitis,
complaining of "no appetite" and "losing my taste for food."
What instruction should the nurse give the client to provide
adequate nutrition?
A. Select foods high in fat.
B. Increase intake of fluids, including juices.
C. Eat a good supper when anorexia is not severe.
D. Eat less often, preferably only three large meals a day.
Correct Answers B. Increase intake of fluids, including juices.
Rationale: When there is no appetite, patients can find it easier
to drink fluids. By drinking juice, patients can still intake
calories even without eating.
A patient has a severe exacerbation of ulcerative colitis. Long-
term medications will probably include:
A. Antacids
,B. Antibiotics.
C. Corticosteroids
D. Histamine2-receptor blockers Correct Answers C.
Corticosteroids
Rationale: Fight inflammation
A patient who should be routinely evaluated for peptic ulcer
disease is one who is:
A. taking 6 to 8 tablets of acetaminophen per day.
B. being treated with high-dose nonsteroidal anti-inflammatory
drug (NSAID) for arthritis
C. experiencing chronic diarrhea
D. routinely drinking alcoholic beverages Correct Answers B.
being treated with high-dose nonsteroidal anti-inflammatory
drug (NSAID) for arthritis
A patient with chronic alcohol abuse is admitted with liver
failure. You closely monitor the patient's blood pressure because
of which change that is associated with the liver failure?
A. Hypoalbuminemia
B. Increased capillary permeability
C. Abnormal peripheral vasodilation
D. Excess rennin release from the kidneys Correct Answers A.
Hypoalbuminemia
A patient with chronic gastritis would likely be tested for:
A. Helicobacter pylori.
, B. occult blood
C. lymphocytes
D. herpes simplex Correct Answers A. Helicobacter pylori
Rationale: This is a common pathogen
A patient with Crohn's disease is admitted after 4 days of
diarrhea. Which of the following urine specific gravity values do
you expect to find in this patient?
A. 1.005
B. 1.011
C. 1.020
D. 1.030 Correct Answers D. 1.030
Rationale: Normal range is 1.002-1.030. The higher the number,
the more dehydration is present.
Age range for appendicitis? Correct Answers 10-19 y/o
An urgent surgical consult is indicated for the patient with acute
abdominal pain and:
A. Vomiting
B. CVA tenderness
C. Absent bowel sounds
D. Hyperactive bowel sounds Correct Answers C. Absent
bowel sounds
Rationale: This is considered an emergency
A 29 year old patient has an acute episode of ulcerative colitis.
What diagnostic test confirms this diagnosis?
A. Barium Swallow.
B. Stool examination
C. Gastric analysis
D. Sigmoidoscopy Correct Answers D. Sigmoidoscopy
Rationale: Direct visualization
A client is admitted to the hospital with viral hepatitis,
complaining of "no appetite" and "losing my taste for food."
What instruction should the nurse give the client to provide
adequate nutrition?
A. Select foods high in fat.
B. Increase intake of fluids, including juices.
C. Eat a good supper when anorexia is not severe.
D. Eat less often, preferably only three large meals a day.
Correct Answers B. Increase intake of fluids, including juices.
Rationale: When there is no appetite, patients can find it easier
to drink fluids. By drinking juice, patients can still intake
calories even without eating.
A patient has a severe exacerbation of ulcerative colitis. Long-
term medications will probably include:
A. Antacids
,B. Antibiotics.
C. Corticosteroids
D. Histamine2-receptor blockers Correct Answers C.
Corticosteroids
Rationale: Fight inflammation
A patient who should be routinely evaluated for peptic ulcer
disease is one who is:
A. taking 6 to 8 tablets of acetaminophen per day.
B. being treated with high-dose nonsteroidal anti-inflammatory
drug (NSAID) for arthritis
C. experiencing chronic diarrhea
D. routinely drinking alcoholic beverages Correct Answers B.
being treated with high-dose nonsteroidal anti-inflammatory
drug (NSAID) for arthritis
A patient with chronic alcohol abuse is admitted with liver
failure. You closely monitor the patient's blood pressure because
of which change that is associated with the liver failure?
A. Hypoalbuminemia
B. Increased capillary permeability
C. Abnormal peripheral vasodilation
D. Excess rennin release from the kidneys Correct Answers A.
Hypoalbuminemia
A patient with chronic gastritis would likely be tested for:
A. Helicobacter pylori.
, B. occult blood
C. lymphocytes
D. herpes simplex Correct Answers A. Helicobacter pylori
Rationale: This is a common pathogen
A patient with Crohn's disease is admitted after 4 days of
diarrhea. Which of the following urine specific gravity values do
you expect to find in this patient?
A. 1.005
B. 1.011
C. 1.020
D. 1.030 Correct Answers D. 1.030
Rationale: Normal range is 1.002-1.030. The higher the number,
the more dehydration is present.
Age range for appendicitis? Correct Answers 10-19 y/o
An urgent surgical consult is indicated for the patient with acute
abdominal pain and:
A. Vomiting
B. CVA tenderness
C. Absent bowel sounds
D. Hyperactive bowel sounds Correct Answers C. Absent
bowel sounds
Rationale: This is considered an emergency
