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The nurse intends to participate in a health screening clinic and is preparing teaching
materials about colorectal cancer. The nurse should plan to include
which of the following in a list of risk factors for colorectal cancer?
A. age older than 30 years
B. high fiber, low fat diet
C. distant relative with
colorectal cancer D. personal
history of GI polyps
The nurse understands that which of the following is a viral pathogen that frequently
causes acute diarrhea in young children?
A. giardia
B. shigella
C. rotavirus
D. salmonella
The nurse knows that acute diarrhea in children is often caused by which of the
following?
A. celiac disease
B. antibiotic therapy
C. vitamin deficiency
NURSING 3165 Exam
,D. protein malnutrition
The nurse is caring for a 4-year-old child with celiac disease. The nurse expects to
find which of the following manifestations of the disease while assessing the child
and obtaining the health history from the patient’s mother?
A. anorexia, abdominal distention, steatorrhea
B. vomiting, diarrhea, abdominal pain, jaundice
C. constipation, abdominal cramping, flatulence
D. nausea, vomiting, diarrhea
When caring for a child with probable appendicitis, the nurse must be alert to
recognize which of the following signs of perforation?
A. nausea and vomiting
B. anorexia
C. sudden relief from pain
D. decreased abdominal distention
The nurse is caring for a patient with an ileostomy. The nurse
anticipates that a normal stoma should appear:
A. pale pink.
B. reddish pink.
C. red with white edges.
D. purple.
The nurse is planning the care of a client diagnosed with acute gastroenteritis.
NURSING 3165 Exam
,Which nursing problem is priority?
1. Altered nutrition.
2. Self-care deficit.
3. Impaired body image.
4. Fluid and electrolyte imbalance.
The nurse is performing ostomy care for a client who had an abdominal-peritoneal
resection with a permanent sigmoid colostomy. Rank the following interventions in
order of priority.
1. Cleanse the stomal site with mild soap and water.
2. Assess the stoma for a pink, moist appearance.
3. Monitor the drainage in the ostomy drainage bag.
4. Apply stoma adhesive paste to the skin around the stoma.
5. Attach the ostomy drainage bag to the abdomen
The nurse is transcribing the HCP’s orders for a client who is scheduled for an
emergency appendectomy and is being transferred from the emergency department
(ED) to the surgical unit. Which order should the nurse implement first?
1. Obtain the client’s informed consent.
2. Administer 2 mg of IV morphine, every 4 hours, PRN.
3. Shave the lower right abdominal quadrant.
4. Administer the on-call IVPB antibiotic.
The female client, diagnosed with diverticulosis, called the home healthcare agency
and told the nurse, “I am having really bad pain in my left lower stomach and I think I
have a fever.” Which action should the nurse take?
NURSING 3165 Exam
, 1. Recommend the client take an antacid and lie flat in the bed.
2. Instruct one of the nurses to visit the client immediately.
3. Tell the client to have someone drive them to the emergency room.
4. Ask the client what she has had to eat in the last 8 hours.
Adequate nutrition is required for healing after treatment for recurrent aphtous ulcers
(RAU). Which client response indicates that nursing teaching has been effective?
A. “I've ordered a snack of milk and pretzels.”
B. “I‘ll try to drink orange juice twice per day.”
C. “I ordered my sandwich on a crusty roll.”
D. “I'd like scrambled eggs and a banana for breakfast
The nurse is caring for four clients. Which is at the highest risk for development of
oral cancer?
A. 32-year-old client with ankle fracture
B. 41-year-old with human papilloma virus (HPV) infection
C. 60-year-old who quit smoking 20 years ago
D. 83-year-old who lives in a warm climate during the winter
A client with a bleeding peptic ulcer develops sudden, severe upper abdominal pain,
becomes diaphoretic and draws his knees over his abdomen. Which finding should the
nurse report immediately?
A. Increased amylase levels.
B. A rigid, board-like abdomen.
C. Vomiting tar like feces.
D. Bowel sounds increased in frequency and pitch.
NURSING 3165 Exam