NURS 6201 EXAM 3 PRACTICE QUESTIONS.
A 22 year-old patient calls the outpatient clinic reporting nausea and vomiting and right lower
abdominal pain. What should the nurse advise the patient to do?
A. Use a heating pad to relax the muscles at the site of pain.
B. Drink at least 2 quarts of juice to replace the fluid lost to vomiting.
C. Take a laxative to empty the bowel before examination at the clinic
D. Have the symptoms evaluated right away by the health care provider at the emergency department -
(ANSWER)D. Have the symptoms evaluated right away by the health care provider at the emergency
department
The patient has persistent and continuous pain at McBurney's point. The nursing assessment reveals
rebound tenderness and muscle guarding with the patient preferring to lie still with the right leg flexed.
What should the nursing interventions for this patient include?
a.Laxative to move the constipated bowel
b.NPO status in preparation for possible appendectomy
c.Parenteral fluids and antibiotic therapy for 6 hours before surgery.
d.NG tube insertion to decompress the stomach and prevent aspiration. - (ANSWER)b. NPO status in
preparation for possible appendectomy
How should the nurse teach the patient with a hiatal hernia or GERD to control symptoms?
a.Drink 10-12 ounces of water with each meal
b.Space 6 meals a day between breakfast and bedtime
c.Sleep with HOB elevated
d.Perform daily exercises of toe touching, sit-ups, and weight-lifting. - (ANSWER)c. Sleep with HOB
elevated
The nurse is planning to teach the patient with GERD about foods or beverages that decrease LES
pressure. What should be included in this list?
, NURS 6201 EXAM 3 PRACTICE QUESTIONS.
Select all that apply
a.Alcohol
b.Root beer
c.Chocolate
d.Citrus fruits
e.Fatty foods
f.Cola sodas - (ANSWER)a,c,e,f
Alcohol, chocolate, fatty foods, and cola sodas(caffeine) as well as peppermint and spearmint will
decrease lower esophageal sphincter (LES) pressure. Rootbeer and herbal tea do not have caffeine.
Citrus fruits will not affect LES pressure.
After the nurse teaches a patient with gastroesophageal reflux disease (GERD) about recommended
dietary modifications, which statement by the patient indicates that the teaching has been effective?
a."I should drink a glass of low-fat milk in the evening."
b."I will have to eliminate all spicy foods from my diet."
c."I will have to use herbal teas instead of caffeinated drinks."
d."I should keep something in my stomach all the time to neutralize the excess acids". - (ANSWER)c."I
will have to use herbal teas instead of caffeinated drinks."
Patients with gastroesophageal reflux disease should avoid foods (such as tea and coffee) that decrease
lower esophageal pressure. Patients should also avoid milk, especially at bedtime, as it increases gastric
acid secretion. Patients may eat spicy foods, unless these foods cause reflux. Small, frequent meals help
prevent overdistention of the stomach, but patients should avoid late evening meals and nocturnal
snacking.
The nurse teaches a patient with a history of upper GI bleeding how to check for bloody stools. Which
statement by the nurse is appropriate?
A 22 year-old patient calls the outpatient clinic reporting nausea and vomiting and right lower
abdominal pain. What should the nurse advise the patient to do?
A. Use a heating pad to relax the muscles at the site of pain.
B. Drink at least 2 quarts of juice to replace the fluid lost to vomiting.
C. Take a laxative to empty the bowel before examination at the clinic
D. Have the symptoms evaluated right away by the health care provider at the emergency department -
(ANSWER)D. Have the symptoms evaluated right away by the health care provider at the emergency
department
The patient has persistent and continuous pain at McBurney's point. The nursing assessment reveals
rebound tenderness and muscle guarding with the patient preferring to lie still with the right leg flexed.
What should the nursing interventions for this patient include?
a.Laxative to move the constipated bowel
b.NPO status in preparation for possible appendectomy
c.Parenteral fluids and antibiotic therapy for 6 hours before surgery.
d.NG tube insertion to decompress the stomach and prevent aspiration. - (ANSWER)b. NPO status in
preparation for possible appendectomy
How should the nurse teach the patient with a hiatal hernia or GERD to control symptoms?
a.Drink 10-12 ounces of water with each meal
b.Space 6 meals a day between breakfast and bedtime
c.Sleep with HOB elevated
d.Perform daily exercises of toe touching, sit-ups, and weight-lifting. - (ANSWER)c. Sleep with HOB
elevated
The nurse is planning to teach the patient with GERD about foods or beverages that decrease LES
pressure. What should be included in this list?
, NURS 6201 EXAM 3 PRACTICE QUESTIONS.
Select all that apply
a.Alcohol
b.Root beer
c.Chocolate
d.Citrus fruits
e.Fatty foods
f.Cola sodas - (ANSWER)a,c,e,f
Alcohol, chocolate, fatty foods, and cola sodas(caffeine) as well as peppermint and spearmint will
decrease lower esophageal sphincter (LES) pressure. Rootbeer and herbal tea do not have caffeine.
Citrus fruits will not affect LES pressure.
After the nurse teaches a patient with gastroesophageal reflux disease (GERD) about recommended
dietary modifications, which statement by the patient indicates that the teaching has been effective?
a."I should drink a glass of low-fat milk in the evening."
b."I will have to eliminate all spicy foods from my diet."
c."I will have to use herbal teas instead of caffeinated drinks."
d."I should keep something in my stomach all the time to neutralize the excess acids". - (ANSWER)c."I
will have to use herbal teas instead of caffeinated drinks."
Patients with gastroesophageal reflux disease should avoid foods (such as tea and coffee) that decrease
lower esophageal pressure. Patients should also avoid milk, especially at bedtime, as it increases gastric
acid secretion. Patients may eat spicy foods, unless these foods cause reflux. Small, frequent meals help
prevent overdistention of the stomach, but patients should avoid late evening meals and nocturnal
snacking.
The nurse teaches a patient with a history of upper GI bleeding how to check for bloody stools. Which
statement by the nurse is appropriate?
