NURS 321 Exam #1 – Questions With Expert Solutions
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Sherpath: Diabetes Mellitus Chapter 21 Test Case Study 4 (Short
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Terms in this set (201)
A patient is admitted to the hospital with left d. Pancreas
upper quadrant (LUQ) pain. What may be a
possible source of the pain?
a. Appendix
b. Gallbladder
c. Liver
d. Pancreas
Which of the following is a clinical c. Reflux of gastric content into the esophagus
manifestation of an age-related change (of
the GI tract) that a nurse may find in an older Rationale: In the elderly, there is decreased tone in the lower
adult? esophageal sphincter which allows gastric contents back into
the esophagus, causing heartburn and belching. Gastric acid
a. Increased production of gastric acid is decreased in the elderly. Intolerance to fatty foods could
b. Intolerance to fatty foods be attributed to gallbladder or liver disease. Yellowing of the
c. Reflux of gastric content into the skin (Jaundice) suggests liver problems or disease.
esophagus
d. Yellowish tinge/coloring to the skin
Which statement by Mr. Jhanes regarding a. "I can eat solid foods 3 hours prior to the procedure."
the endoscopic procedure indicates that
further teaching is required?
a. "I can eat solid foods 3 hours prior to the
procedure."
b. "I can eat solid foods 12 hours prior to the
procedure."
c. "I cannot eat or drink 1 hour prior to the
procedure."
d. "I can return to my normal diet after the
procedure."
,Mr. Jhanes returns to the unit after an a. Vital signs, focused physical assessment, start diet, and
endoscopic gastroduodenoscopic discontinue IV fluids
procedure. The nurse will prioritize the
interventions in which order?
a. Vital signs, focused physical assessment,
start diet, and discontinue IV fluids
b. Focused physical assessment, vital signs,
discontinue IV fluids, and start diet
c. Discontinue IV fluids, vital signs, focused
physical assessment, and start diet
d. Start diet, discontinue IV fluids, focused
physical assessment, and vital signs
The biopsy results are positive for H. pylori. d. "I will need to take antibiotics to get rid of the infection."
Which statement by the patient indicates
understanding of these results?
a. "There is no cure for this disease, and I will
have it for the rest of my life."
b. "I hope that I don't pass this on to my
wife."
c. "I think I contracted this infection from
eating shellfish."
d. "I will need to take antibiotics to get rid of
the infection."
Which subjective and objective data a, b, c, and e
support the order for fecal occult blood
testing? (Select all that apply.) Rationale: A: Could be an indicator of GI bleed. B: Could be
an indicator of volume loss. C: This drug can cause GI
a. Reports of stool darker than usual bleeding. E: Could be an indica- tor of volume loss.
b. Reports of feeling tired and complaints of
lightheadedness when moving from a sitting
to a standing position
c. Clopidogrel (Plavix) 75 mg PO daily
d. Skin warm, dry, flaky, and intact
e. Heart rate 115 bpm, R 18, supine BP 130/80
mm Hg, standing 100/60 mm Hg
The nurse correlates a disorder of which C. Parietal cells
type of cell in the patient with vitamin B12
deficiency?
A. Mucous cells
B. Chief cells
C. Parietal cells
D. Enteroendocrine cells
Which statement by the patient scheduled D. "It is important that I eat extra fiber after the test."
for an EGD indicates the need for further
teaching?
A. "I will not be able to eat 8 to 10 hours
before the test."
B. "My throat will be anesthetized so the
provider can pass the tube."
C. "I will probably have a sore throat after
the test."
D. "It is important that I eat extra fiber after
the test."
,The nurse correlates poor dentition in c. Mechanical digestion of protein
patients to which digestive disorder?
a. Chemical digestion of protein
b. Mechanical digestion of chyme
c. Mechanical digestion of protein
d. Chemical breakdown of carbohydrates to
simple sugars
The nurse monitors for which complication D. Constipation
in the patient who has undergone a barium
swallow test?
A. Fluid overload
B. Dehydration
C. Diarrhea
D. Constipation
The nurse correlates which clinical C. Constipation
manifestation as a normal age-related
variant in an older adult?
A. Diarrhea
B. Melena
C. Constipation
D. Anorexia
On the basis of the assessment findings of D. BP 130/80 mm Hg, standing 100/60 mm Hg
the case study, which requires immediate
follow-up by the registered nurse? Rationale: The decrease in blood pressure when changing
from a supine to standing position is indicative of decreased
A. Reported bowel movement several days intravascular system that requires immediate evaluation due to
ago the patient's complaints of lightheadedness when changing
B. Missed dose of lisinopril position.
C. Hypoactive bowel sounds present in all
quadrants
D. BP 130/80 mm Hg, standing 100/60 mm
Hg
Patients experiencing diarrhea are at risk for C. Decreased potassium absorption
which alteration in absorption?
A. Decreased chyme absorption B.
Increased chyme absorption
C. Decreased potassium absorption
D. Increased potassium absorption
The nurse recognizes the prevention of B. Hyperglycemia
which complication as the primary rationale
for initiating total parenteral nutrition at a
slow rate?
A. Infection
B. Hyperglycemia
C. Discomfort
D. Air embolism
, When providing care for a severely obese c. Plan for necessary modifications in equipment and nursing
patient, which of the following is the most techniques before initiating care.
important action for the nurse to take?
a. Avoid reference to the patient's weight to
avoid embarrassing the patient.
b. Emphasize to the patient how important it
is to lose weight to maintain health.
c. Plan for necessary modifications in
equipment and nursing techniques before
initiating care.
d. Recognize that an assessment of each
body system might not be possible because
of increase skin fold layers.
What information should be included in the a. Avoid sugary food and limit fluids to prevent dumping
dietary teaching for a patient following syndrome.
Roux-en-Y gastric bypass?
Rationale: Patients should be on a liquid diet (short term) after
a. Avoid sugary food and limit fluids to surgery and diet will advance to solid foods. It is
prevent dumping syndrome. recommended to eat foods high in protein, and low in carbs,
b. Gradually increase the amount of food fat , & fiber.
ingested to reach preoperative levels.
c. Maintain a long-term liquid diet to
prevent damage to the surgical site.
d. Consume foods high in complex
carbohydrates, protein, & fiber
Which is true regarding the usefulness of the d. It is useful in measuring esophageal motor activity.
diagnostic test esophageal manometry?
a. It is useful in evaluating esophagitis and
monitoring Barrett's esophagitis.
b. It is useful in monitoring gastric pH.
c. It is useful in obtaining a sample of the
esophagus for biopsy.
d. It is useful in measuring esophageal
motor activity.
Which of the following patients would be a a. A 60 year old man with a small bowel obstruction
candidate for parenteral nutrition?
a. A 60 year old man with a small bowel
obstruction
b. A 80 year old man with anorexia
c. A 60 year old women with a newly placed
G-tube
d. A 70 year old woman whom is tolerating
tube feeds
Which of the following is the most common c. Heartburn
sign of GERD?
a. Aphagia
b. Cough
c. Heartburn
d. Itching throat
Save
Students also studied
Sherpath: Diabetes Mellitus Chapter 21 Test Case Study 4 (Short
30 terms 24 terms 22 terms
jesssbee Preview kenanderson2017 Preview Brittany182
Terms in this set (201)
A patient is admitted to the hospital with left d. Pancreas
upper quadrant (LUQ) pain. What may be a
possible source of the pain?
a. Appendix
b. Gallbladder
c. Liver
d. Pancreas
Which of the following is a clinical c. Reflux of gastric content into the esophagus
manifestation of an age-related change (of
the GI tract) that a nurse may find in an older Rationale: In the elderly, there is decreased tone in the lower
adult? esophageal sphincter which allows gastric contents back into
the esophagus, causing heartburn and belching. Gastric acid
a. Increased production of gastric acid is decreased in the elderly. Intolerance to fatty foods could
b. Intolerance to fatty foods be attributed to gallbladder or liver disease. Yellowing of the
c. Reflux of gastric content into the skin (Jaundice) suggests liver problems or disease.
esophagus
d. Yellowish tinge/coloring to the skin
Which statement by Mr. Jhanes regarding a. "I can eat solid foods 3 hours prior to the procedure."
the endoscopic procedure indicates that
further teaching is required?
a. "I can eat solid foods 3 hours prior to the
procedure."
b. "I can eat solid foods 12 hours prior to the
procedure."
c. "I cannot eat or drink 1 hour prior to the
procedure."
d. "I can return to my normal diet after the
procedure."
,Mr. Jhanes returns to the unit after an a. Vital signs, focused physical assessment, start diet, and
endoscopic gastroduodenoscopic discontinue IV fluids
procedure. The nurse will prioritize the
interventions in which order?
a. Vital signs, focused physical assessment,
start diet, and discontinue IV fluids
b. Focused physical assessment, vital signs,
discontinue IV fluids, and start diet
c. Discontinue IV fluids, vital signs, focused
physical assessment, and start diet
d. Start diet, discontinue IV fluids, focused
physical assessment, and vital signs
The biopsy results are positive for H. pylori. d. "I will need to take antibiotics to get rid of the infection."
Which statement by the patient indicates
understanding of these results?
a. "There is no cure for this disease, and I will
have it for the rest of my life."
b. "I hope that I don't pass this on to my
wife."
c. "I think I contracted this infection from
eating shellfish."
d. "I will need to take antibiotics to get rid of
the infection."
Which subjective and objective data a, b, c, and e
support the order for fecal occult blood
testing? (Select all that apply.) Rationale: A: Could be an indicator of GI bleed. B: Could be
an indicator of volume loss. C: This drug can cause GI
a. Reports of stool darker than usual bleeding. E: Could be an indica- tor of volume loss.
b. Reports of feeling tired and complaints of
lightheadedness when moving from a sitting
to a standing position
c. Clopidogrel (Plavix) 75 mg PO daily
d. Skin warm, dry, flaky, and intact
e. Heart rate 115 bpm, R 18, supine BP 130/80
mm Hg, standing 100/60 mm Hg
The nurse correlates a disorder of which C. Parietal cells
type of cell in the patient with vitamin B12
deficiency?
A. Mucous cells
B. Chief cells
C. Parietal cells
D. Enteroendocrine cells
Which statement by the patient scheduled D. "It is important that I eat extra fiber after the test."
for an EGD indicates the need for further
teaching?
A. "I will not be able to eat 8 to 10 hours
before the test."
B. "My throat will be anesthetized so the
provider can pass the tube."
C. "I will probably have a sore throat after
the test."
D. "It is important that I eat extra fiber after
the test."
,The nurse correlates poor dentition in c. Mechanical digestion of protein
patients to which digestive disorder?
a. Chemical digestion of protein
b. Mechanical digestion of chyme
c. Mechanical digestion of protein
d. Chemical breakdown of carbohydrates to
simple sugars
The nurse monitors for which complication D. Constipation
in the patient who has undergone a barium
swallow test?
A. Fluid overload
B. Dehydration
C. Diarrhea
D. Constipation
The nurse correlates which clinical C. Constipation
manifestation as a normal age-related
variant in an older adult?
A. Diarrhea
B. Melena
C. Constipation
D. Anorexia
On the basis of the assessment findings of D. BP 130/80 mm Hg, standing 100/60 mm Hg
the case study, which requires immediate
follow-up by the registered nurse? Rationale: The decrease in blood pressure when changing
from a supine to standing position is indicative of decreased
A. Reported bowel movement several days intravascular system that requires immediate evaluation due to
ago the patient's complaints of lightheadedness when changing
B. Missed dose of lisinopril position.
C. Hypoactive bowel sounds present in all
quadrants
D. BP 130/80 mm Hg, standing 100/60 mm
Hg
Patients experiencing diarrhea are at risk for C. Decreased potassium absorption
which alteration in absorption?
A. Decreased chyme absorption B.
Increased chyme absorption
C. Decreased potassium absorption
D. Increased potassium absorption
The nurse recognizes the prevention of B. Hyperglycemia
which complication as the primary rationale
for initiating total parenteral nutrition at a
slow rate?
A. Infection
B. Hyperglycemia
C. Discomfort
D. Air embolism
, When providing care for a severely obese c. Plan for necessary modifications in equipment and nursing
patient, which of the following is the most techniques before initiating care.
important action for the nurse to take?
a. Avoid reference to the patient's weight to
avoid embarrassing the patient.
b. Emphasize to the patient how important it
is to lose weight to maintain health.
c. Plan for necessary modifications in
equipment and nursing techniques before
initiating care.
d. Recognize that an assessment of each
body system might not be possible because
of increase skin fold layers.
What information should be included in the a. Avoid sugary food and limit fluids to prevent dumping
dietary teaching for a patient following syndrome.
Roux-en-Y gastric bypass?
Rationale: Patients should be on a liquid diet (short term) after
a. Avoid sugary food and limit fluids to surgery and diet will advance to solid foods. It is
prevent dumping syndrome. recommended to eat foods high in protein, and low in carbs,
b. Gradually increase the amount of food fat , & fiber.
ingested to reach preoperative levels.
c. Maintain a long-term liquid diet to
prevent damage to the surgical site.
d. Consume foods high in complex
carbohydrates, protein, & fiber
Which is true regarding the usefulness of the d. It is useful in measuring esophageal motor activity.
diagnostic test esophageal manometry?
a. It is useful in evaluating esophagitis and
monitoring Barrett's esophagitis.
b. It is useful in monitoring gastric pH.
c. It is useful in obtaining a sample of the
esophagus for biopsy.
d. It is useful in measuring esophageal
motor activity.
Which of the following patients would be a a. A 60 year old man with a small bowel obstruction
candidate for parenteral nutrition?
a. A 60 year old man with a small bowel
obstruction
b. A 80 year old man with anorexia
c. A 60 year old women with a newly placed
G-tube
d. A 70 year old woman whom is tolerating
tube feeds
Which of the following is the most common c. Heartburn
sign of GERD?
a. Aphagia
b. Cough
c. Heartburn
d. Itching throat
