NUR 233 Exam 3 UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
Which of the following procedures is an anti-reflux surgery performed to treat GERD?
Nissen fundoplication
Endoscopic balloon dilation
Gastropexy
Pyloroplasty - CORRECT ANSWER Nissen fundoplication
Which intervention would help to prevent or relieve persistent nausea?
Assess for signs of dehydration.
Provide dietary supplements.
Have the patient sit in an upright position for 30 minutes after eating.
Immediately remove any food that the patient cannot eat. - CORRECT
ANSWER Immediately remove any food that the patient cannot eat.
A client asks the nurse to take a laxative, as he or she has not had a bowel movement today.
What is the first information the nurse should obtain prior to administering the laxative?
The amount of fiber in daily diet
,The last dose of laxative received
If the client has had any flatus
The client's normal bowel elimination pattern - CORRECT ANSWER The client's
normal bowel elimination pattern
Frequent assessment of patients with urinary tract infections is important for the recognition
and early treatment of what potentially lethal complication?
Pyelonephritis
Hydronephrosis
Urosepsis
Cystitis - CORRECT ANSWER Urosepsis
The patient asks the nurse, "How did I get this urinary tract infection?" The nurse should
explain that in most instances, in females, it is usually caused by:
Congenital strictures in the urethra.
An infection elsewhere in the body.
Urine stasis in the bladder
An ascending infection from the urethra - CORRECT ANSWER An ascending
infection from the urethra
, The nurse is assisting the client in caring for her ostomy. The client states, "Oh, this is so
disgusting. I'll never be able to touch this thing." The nurse's best response is...
"I'm sure you will get used to taking care of it eventually."
"Yes, it is pretty messy, so I'll take care of it for you today."
"It sounds like you are really upset."
"You sound very angry. Should I call the chaplain for you?" - CORRECT ANSWER "It
sounds like you are really upset."
An older patient is admitted to the hospital with a urinary infection and possible bacterial
sepsis. The family is concerned because the patient is confused and not able to carry on a
conversation. Which statement by the nurse is most appropriate?
"Depression is a common cause of confusion in older adults in the hospital."
"It is normal for an older person to have cognitive problems while in the hospital."
"The mental changes are most likely caused by the infection and most often reversible."
"Drug therapy with antipsychotic agents is indicated to slow the progression of dementia." -
CORRECT ANSWER "The mental changes are most likely caused by the infection and
most often reversible."
The client is being prescribed alendronate (Fosamax) to slow the progression of her
osteoporosis. You know she will need more patient teaching when she says...
"I should take this medication early in the morning."
QUESTIONS AND CORRECT ANSWERS
Which of the following procedures is an anti-reflux surgery performed to treat GERD?
Nissen fundoplication
Endoscopic balloon dilation
Gastropexy
Pyloroplasty - CORRECT ANSWER Nissen fundoplication
Which intervention would help to prevent or relieve persistent nausea?
Assess for signs of dehydration.
Provide dietary supplements.
Have the patient sit in an upright position for 30 minutes after eating.
Immediately remove any food that the patient cannot eat. - CORRECT
ANSWER Immediately remove any food that the patient cannot eat.
A client asks the nurse to take a laxative, as he or she has not had a bowel movement today.
What is the first information the nurse should obtain prior to administering the laxative?
The amount of fiber in daily diet
,The last dose of laxative received
If the client has had any flatus
The client's normal bowel elimination pattern - CORRECT ANSWER The client's
normal bowel elimination pattern
Frequent assessment of patients with urinary tract infections is important for the recognition
and early treatment of what potentially lethal complication?
Pyelonephritis
Hydronephrosis
Urosepsis
Cystitis - CORRECT ANSWER Urosepsis
The patient asks the nurse, "How did I get this urinary tract infection?" The nurse should
explain that in most instances, in females, it is usually caused by:
Congenital strictures in the urethra.
An infection elsewhere in the body.
Urine stasis in the bladder
An ascending infection from the urethra - CORRECT ANSWER An ascending
infection from the urethra
, The nurse is assisting the client in caring for her ostomy. The client states, "Oh, this is so
disgusting. I'll never be able to touch this thing." The nurse's best response is...
"I'm sure you will get used to taking care of it eventually."
"Yes, it is pretty messy, so I'll take care of it for you today."
"It sounds like you are really upset."
"You sound very angry. Should I call the chaplain for you?" - CORRECT ANSWER "It
sounds like you are really upset."
An older patient is admitted to the hospital with a urinary infection and possible bacterial
sepsis. The family is concerned because the patient is confused and not able to carry on a
conversation. Which statement by the nurse is most appropriate?
"Depression is a common cause of confusion in older adults in the hospital."
"It is normal for an older person to have cognitive problems while in the hospital."
"The mental changes are most likely caused by the infection and most often reversible."
"Drug therapy with antipsychotic agents is indicated to slow the progression of dementia." -
CORRECT ANSWER "The mental changes are most likely caused by the infection and
most often reversible."
The client is being prescribed alendronate (Fosamax) to slow the progression of her
osteoporosis. You know she will need more patient teaching when she says...
"I should take this medication early in the morning."
