NCM 118 MIDTERM EXAM QUESTIONS WITH
COMPLETE SOLUTIONS
Which rationale supports explaining the placement of an esophageal tamponade
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tube in a client who is hemorrhaging
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a. Allowing the client to help insert the tube
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b. Beginning teaching home care
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c. Maintaining the client's level of anxiety and alertness
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d. Obtaining cooperation and reducing fear - CORRECT ANSWER✔✔-d. Obtaining
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cooperation and reducing fear | | |
A male client with a recent history of rectal bleeding is being prepared for a
| | | | | | | | | | | | | | |
colonoscopy. How should the nurse position the client for this test initially?
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a. Lying on the right side with legs straight
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b. Lying on the left side with knees bent
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c. Prone with the torso elevated
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d. Bent over with hands touching the floor - CORRECT ANSWER✔✔-b. Lying on
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the left side with knees bent
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While a female client is being prepared for discharge, the nasogastric (NG)
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feeding tube becomes clogged. To remedy this problem and teach the client's
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family how to deal with it at home, what should the nurse do?
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,a. Irrigate the tube with warm water.
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b. Advance the tube into the intestine.
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c. Apply intermittent suction to the tube.
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d. Withdraw the obstruction with a 30-ml syringe. - CORRECT ANSWER✔✔-a.
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Irrigate the tube with warm water.
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Which diagnostic test would be used first to evaluate a client with upper GI
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bleeding?
a. Endoscopy
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b. Hemoglobin (Hb) leves and hematocrit (Hc)
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c. Upper GI series
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d. Arteriography - CORRECT ANSWER✔✔-a. Endoscopy
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Nurse Hannah is teaching a group of middle-aged men about peptic ulcers. When
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discussing risk factors for peptic ulcers, the nurse should mention:
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a. a sedentary lifestyle and smoking.
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b. a history of hemorrhoids and smoking.
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c. alcohol abuse and a history of acute renal failure.
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d. alcohol abuse and smoking. - CORRECT ANSWER✔✔-d. alcohol abuse and
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smoking.
, A male client is recovering from ileostomy that was performed to treat
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inflammatory bowel disease. During discharge teaching, the nurse should stress
| | | | | | | | | |
the importance of:
| |
a. Increasing fluid intake to prevent dehydration
| | | | | |
b. Wearing an appliance pouch only at bedtime
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c. Consuming a low-protein
| | |
d. Taking only enteric-coated medications - CORRECT ANSWER✔✔-a. Increasing
| | | | | | | | |
fluid intake to prevent dehydration
| | | |
The nurse is caring for a female client with active upper GI bleeding. What is the
| | | | | | | | | | | | | | | |
appropriate diet for this client during the first24 hours after admission?
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a. Regular diet
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b. Skim milk
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c. Nothing by mouth
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d. Clear liquids - CORRECT ANSWER✔✔-c. Nothing by mouth
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Peritonitis can occur as a complication of:
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a. Septicemia
|
b. Hypovolemic shock
| |
c. Multiple organ failure
| | |
d. Peptic Ulcer Disease - CORRECT ANSWER✔✔-d. Peptic Ulcer Disease
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COMPLETE SOLUTIONS
Which rationale supports explaining the placement of an esophageal tamponade
| | | | | | | | | |
tube in a client who is hemorrhaging
| | | | | |
a. Allowing the client to help insert the tube
| | | | | | | | |
b. Beginning teaching home care
| | | |
c. Maintaining the client's level of anxiety and alertness
| | | | | | | |
d. Obtaining cooperation and reducing fear - CORRECT ANSWER✔✔-d. Obtaining
| | | | | | | | | |
cooperation and reducing fear | | |
A male client with a recent history of rectal bleeding is being prepared for a
| | | | | | | | | | | | | | |
colonoscopy. How should the nurse position the client for this test initially?
| | | | | | | | | | |
a. Lying on the right side with legs straight
| | | | | | | |
b. Lying on the left side with knees bent
| | | | | | | |
c. Prone with the torso elevated
| | | | |
d. Bent over with hands touching the floor - CORRECT ANSWER✔✔-b. Lying on
| | | | | | | | | | | | |
the left side with knees bent
| | | | |
While a female client is being prepared for discharge, the nasogastric (NG)
| | | | | | | | | | | |
feeding tube becomes clogged. To remedy this problem and teach the client's
| | | | | | | | | | | |
family how to deal with it at home, what should the nurse do?
| | | | | | | | | | | |
,a. Irrigate the tube with warm water.
| | | | | |
b. Advance the tube into the intestine.
| | | | | |
c. Apply intermittent suction to the tube.
| | | | | |
d. Withdraw the obstruction with a 30-ml syringe. - CORRECT ANSWER✔✔-a.
| | | | | | | | | | |
Irrigate the tube with warm water.
| | | | |
Which diagnostic test would be used first to evaluate a client with upper GI
| | | | | | | | | | | | | |
bleeding?
a. Endoscopy
|
b. Hemoglobin (Hb) leves and hematocrit (Hc)
| | | | | |
c. Upper GI series
| | |
d. Arteriography - CORRECT ANSWER✔✔-a. Endoscopy
| | | | |
Nurse Hannah is teaching a group of middle-aged men about peptic ulcers. When
| | | | | | | | | | | |
discussing risk factors for peptic ulcers, the nurse should mention:
| | | | | | | | | |
a. a sedentary lifestyle and smoking.
| | | | |
b. a history of hemorrhoids and smoking.
| | | | | |
c. alcohol abuse and a history of acute renal failure.
| | | | | | | | |
d. alcohol abuse and smoking. - CORRECT ANSWER✔✔-d. alcohol abuse and
| | | | | | | | | | |
smoking.
, A male client is recovering from ileostomy that was performed to treat
| | | | | | | | | | | |
inflammatory bowel disease. During discharge teaching, the nurse should stress
| | | | | | | | | |
the importance of:
| |
a. Increasing fluid intake to prevent dehydration
| | | | | |
b. Wearing an appliance pouch only at bedtime
| | | | | | |
c. Consuming a low-protein
| | |
d. Taking only enteric-coated medications - CORRECT ANSWER✔✔-a. Increasing
| | | | | | | | |
fluid intake to prevent dehydration
| | | |
The nurse is caring for a female client with active upper GI bleeding. What is the
| | | | | | | | | | | | | | | |
appropriate diet for this client during the first24 hours after admission?
| | | | | | | | | |
a. Regular diet
| |
b. Skim milk
| |
c. Nothing by mouth
| | |
d. Clear liquids - CORRECT ANSWER✔✔-c. Nothing by mouth
| | | | | | | |
Peritonitis can occur as a complication of:
| | | | | |
a. Septicemia
|
b. Hypovolemic shock
| |
c. Multiple organ failure
| | |
d. Peptic Ulcer Disease - CORRECT ANSWER✔✔-d. Peptic Ulcer Disease
| | | | | | | | |
