COTAC Test 3Book Questions
A nurse is reviewing bowel prep using polyethylene glycol with a client scheduled for a colonoscopy.
Which of the following instructions should the nurse include in the teaching?
- Check with the provider about taking current medications when consuming bowel prep.
A nurse is having difficulty arousing a client following an EGD. Which of the following is the priority
action by the nurse?
- Assess the client's airway
A nurse in a clinic is instructing a client about a fecal occult blood test, which requires mailing three
specimens. Which of the following statements by the client indicates understanding of the teaching?
- This is an easy way to screen for colon cancer
A nurse is completing preprocedure teaching for a client who will undergo a signmoidoscopy. Which of
the following information should the nurse include in the teaching?
- - Increased flatulence can occur following the procedure
- NPO status should be maintained preprocedure
A nurse is reviewing the health record of a client who has a suspected tumor of the jejunum. The nurse
should anticipate a prescription for which of the following tests?
- - Gastrointestinal x-ray with contrast
- Small bowel capsule endoscopy (M2A)
A nurse is caring for a client following a paracentesis. Which of the following findings indicate the bowel
was perforated during the procedure?
- Temperature elevation
A nurse is planning care for a client who has a new prescription for TPN. Which of the following
interventions should be included in the POC? - - obtain a capillary blood glucose 4x/daily
, - monitor VS three times during a 12 hr shift
- change the TPN IV tubing q24h
A nurse is providing care to a client who is 1 day postoperative following a paracentesis. The nurse
observes a clear, pale-yellow fluid leaking from the operative site. Which of the following is an
appropriate nursing intervention? - apply a dry, sterile dressing
A nurse is completing D/C teaching with a client is 3-days postoperative following a transverse
colostomy. Which of the following should hte nurse include in the teaching? - stoma should be moist
and pink
A nurse is caring for a client who is receiving TPN solution. The current bag of solution was hung 24h
ago, and 400 mL remains to infuse. Which of the following is the appropriate action for the nurse to
take? - remove the current bag and hang a new bag
A nurse is caring for a client who has a new diagnosis of GERD. The nurse should anticipate prescriptions
for which of the following medications? - - antacids
- histamine2 receptor antagonists
- proton pump inhibitors (PPI)
A nurse is admitting a client who has bleeding esophageal varices. The nurse should anticipate a
prescription for which of the following medications? - vasopressin
A nurse is completing an assessment of a client who has GERD. Which of the following is an expected
finding? - loss of tooth enamel
A nurse is teaching a client who has a hiatal hernia. Which of the following client statements indicates an
understanding of the teaching? - peppermint tea will increase my indigestion
A nurse is completing D/C teaching to a client who is postoperative following fundoplication. Which of
the following statements by the client indicates understanding of the teaching? - I will elevate the head
of my bed on blocks
A nurse is reviewing bowel prep using polyethylene glycol with a client scheduled for a colonoscopy.
Which of the following instructions should the nurse include in the teaching?
- Check with the provider about taking current medications when consuming bowel prep.
A nurse is having difficulty arousing a client following an EGD. Which of the following is the priority
action by the nurse?
- Assess the client's airway
A nurse in a clinic is instructing a client about a fecal occult blood test, which requires mailing three
specimens. Which of the following statements by the client indicates understanding of the teaching?
- This is an easy way to screen for colon cancer
A nurse is completing preprocedure teaching for a client who will undergo a signmoidoscopy. Which of
the following information should the nurse include in the teaching?
- - Increased flatulence can occur following the procedure
- NPO status should be maintained preprocedure
A nurse is reviewing the health record of a client who has a suspected tumor of the jejunum. The nurse
should anticipate a prescription for which of the following tests?
- - Gastrointestinal x-ray with contrast
- Small bowel capsule endoscopy (M2A)
A nurse is caring for a client following a paracentesis. Which of the following findings indicate the bowel
was perforated during the procedure?
- Temperature elevation
A nurse is planning care for a client who has a new prescription for TPN. Which of the following
interventions should be included in the POC? - - obtain a capillary blood glucose 4x/daily
, - monitor VS three times during a 12 hr shift
- change the TPN IV tubing q24h
A nurse is providing care to a client who is 1 day postoperative following a paracentesis. The nurse
observes a clear, pale-yellow fluid leaking from the operative site. Which of the following is an
appropriate nursing intervention? - apply a dry, sterile dressing
A nurse is completing D/C teaching with a client is 3-days postoperative following a transverse
colostomy. Which of the following should hte nurse include in the teaching? - stoma should be moist
and pink
A nurse is caring for a client who is receiving TPN solution. The current bag of solution was hung 24h
ago, and 400 mL remains to infuse. Which of the following is the appropriate action for the nurse to
take? - remove the current bag and hang a new bag
A nurse is caring for a client who has a new diagnosis of GERD. The nurse should anticipate prescriptions
for which of the following medications? - - antacids
- histamine2 receptor antagonists
- proton pump inhibitors (PPI)
A nurse is admitting a client who has bleeding esophageal varices. The nurse should anticipate a
prescription for which of the following medications? - vasopressin
A nurse is completing an assessment of a client who has GERD. Which of the following is an expected
finding? - loss of tooth enamel
A nurse is teaching a client who has a hiatal hernia. Which of the following client statements indicates an
understanding of the teaching? - peppermint tea will increase my indigestion
A nurse is completing D/C teaching to a client who is postoperative following fundoplication. Which of
the following statements by the client indicates understanding of the teaching? - I will elevate the head
of my bed on blocks
