NUR 122 EXAM 2 UPDATED ACTUAL
Exam Questions and CORRECT Answers
A client has had an exacerbation of ulcerative colitis with cramping and diarrhea persisting
longer than 1 week. The nurse should assess the client for which complication?
a. Heart failure
b. Deep vein thrombosis
c. Hypokalemia
d. Hypocalcemia - CORRECT ANSWER -C
A client who has ulcerative colitis has persistent diarrhea and has lost 12 lb since the
exacerbation of the disease. Which approach will be most effective in helping the client meet
nutritional needs?
a. Continuous enteral feedings
b. Following a high calorie, high protein diet
c. Total parenteral nutrition
d. Earing six small meals a day - CORRECT ANSWER -C
Which is a priority focus of care for a client experiencing an exacerbation of Crohn's disease?
a. Encouraging regular ambulation
b. Promoting bowel rest
c. Maintaining current weight
d. Decreasing episodes of rectal bleeding - CORRECT ANSWER -B
Immediately after having surgery to create an ileostomy, which goal has the highest priority?
a. Providing relief from constipation
b. Assisting the client with self-care activities
c. Maintaining fluid and electrolyte balance
d. Minimizing odor formation - CORRECT ANSWER -C
,What observation should the nurse instruct the client with an ileostomy to report immediately?
a. Passage of liquid stool from the stoma
b. Occasional presence of undigested food in the effluent
c. Absence of drainage from the ileostomy for 6 or more hours
d. Temperature of 99.8o F - CORRECT ANSWER -C
An adult with appendicitis has severe abdominal pain. Which action will be the most effective to
assist the client to manage pain prior to surgery?
a. Place the client in semi-Fowler's position with the knees to the chest.
b. Apply moist heat to the abdomen.
c. Teach client to massage the painful area.
d. Provide distraction with music. - CORRECT ANSWER -A
A client is admitted with inflammatory bowel syndrome (Crohn's disease). When planning care
for the health care team, which would be included? (Select all that apply.)
a. Lactulose therapy
b. High fiber diet
c. High protein milkshakes
d. Corticosteroid therapy
e. Antidiarrheal medications - CORRECT ANSWER - D, E
Place the steps for performing colostomy care in the correct order.
a. Fit the pouch snugly around the stoma.
b. Assess the color and appearance of the stoma.
c. Wash the skin with mild soap and rinse with warm water.
d. Apply a skin barrier to protect the peristomal skin.
e. Dry the skin carefully.
,f. Don a pair of clean gloves and remove the old pouch. - CORRECT ANSWER - F, B, C,
E, D, A
Which intervention is contraindicated in the nonsurgical management of hemorrhoids?
a. Diets low in fiber and fluids
b. Dibucaine ointment
c. Warm sitz baths three or four times a day
d. Cleansing the anal area with moistened cleaning tissues - CORRECT ANSWER -A
The female client called the clinic complaining of abdominal cramping and has had several
episodes of diarrhea for 2 days. The client reported that she had been in Mexico on a trip and just
returned. Which intervention should the nurse implement?
a. Instruct the client to take over-the-counter antacid.
b. Encourage the client to drink sports drinks, such as Gatorade, frequently.
c. Discuss the need to decrease the amount of protein in the diet.
d. Explain to the client that she would watch for fluid buildup in the extremities - CORRECT
ANSWER -B
The nurse is caring for a client diagnosed with an acute exacerbation of ulcerative colitis. Which
data would warrant immediate intervention by the nurse?
a. The client's serum potassium level is 4.2.
b. The client's serum sodium level is 138.
c. The client's arterial blood gases are pH 7.33, PaO2 95, PaCO2 37, HCO3 20.
d. The client's hemoglobin/hematocrit is 12/40%. - CORRECT ANSWER -C
The nurse is caring for a client admitted with cirrhosis of the liver. Which laboratory results are
consistent with the disease process? (Select all that apply.)
a. prothrombin time 22 seconds
b. potassium 4.0 MEq/L
c. albumin 7.2 g/dl
, d. ammonia 96 mg/dl
e. platelets 75,000 cells/mm
f. amylase 250 units/L - CORRECT ANSWER - A, D, E
The nurse is evaluating how a client with hepatitis A understands the discharge teaching given.
Which client statements indicate that further teaching is needed? (Select all that apply.)
a. I can have an occasional glass of wine with my meal as I recover
b. My family and I do not need to take any special precautions as long as I take my medication
c. My bath towels shouldn't be used by any other family members
d. My family members should receive the hepatitis A vaccine to prevent them from getting the
disease
e. My spouse and I can have intercourse and kiss
f. I should wear a mask when visitors come - CORRECT ANSWER - A, B, E, F
A client with chronic hepatitis C has been taking the antiviral medication ledipasvir-sofobuvir
daily for the past month. Which information gathered during a home visit is MOST important for
the nurse to communicate to the health care provider?
a. the client reports frequent headaches
b. the client complains of feeling chronically tired
c. the client occasionally misses a dose of the medication
d. the client always talks the medication just before eating - CORRECT ANSWER -C
The nurse is providing postoperative care for a client who underwent laparoscopic
cholecystectomy. What should be reported IMMEDIATELY to the health care provider?
a. the client cannot void 5 hours postoperatively
b. the client reports shoulder pain
c. the client reports right upper quadrant pain
d. output does not equal input for the first few hours - CORRECT ANSWER -C
Exam Questions and CORRECT Answers
A client has had an exacerbation of ulcerative colitis with cramping and diarrhea persisting
longer than 1 week. The nurse should assess the client for which complication?
a. Heart failure
b. Deep vein thrombosis
c. Hypokalemia
d. Hypocalcemia - CORRECT ANSWER -C
A client who has ulcerative colitis has persistent diarrhea and has lost 12 lb since the
exacerbation of the disease. Which approach will be most effective in helping the client meet
nutritional needs?
a. Continuous enteral feedings
b. Following a high calorie, high protein diet
c. Total parenteral nutrition
d. Earing six small meals a day - CORRECT ANSWER -C
Which is a priority focus of care for a client experiencing an exacerbation of Crohn's disease?
a. Encouraging regular ambulation
b. Promoting bowel rest
c. Maintaining current weight
d. Decreasing episodes of rectal bleeding - CORRECT ANSWER -B
Immediately after having surgery to create an ileostomy, which goal has the highest priority?
a. Providing relief from constipation
b. Assisting the client with self-care activities
c. Maintaining fluid and electrolyte balance
d. Minimizing odor formation - CORRECT ANSWER -C
,What observation should the nurse instruct the client with an ileostomy to report immediately?
a. Passage of liquid stool from the stoma
b. Occasional presence of undigested food in the effluent
c. Absence of drainage from the ileostomy for 6 or more hours
d. Temperature of 99.8o F - CORRECT ANSWER -C
An adult with appendicitis has severe abdominal pain. Which action will be the most effective to
assist the client to manage pain prior to surgery?
a. Place the client in semi-Fowler's position with the knees to the chest.
b. Apply moist heat to the abdomen.
c. Teach client to massage the painful area.
d. Provide distraction with music. - CORRECT ANSWER -A
A client is admitted with inflammatory bowel syndrome (Crohn's disease). When planning care
for the health care team, which would be included? (Select all that apply.)
a. Lactulose therapy
b. High fiber diet
c. High protein milkshakes
d. Corticosteroid therapy
e. Antidiarrheal medications - CORRECT ANSWER - D, E
Place the steps for performing colostomy care in the correct order.
a. Fit the pouch snugly around the stoma.
b. Assess the color and appearance of the stoma.
c. Wash the skin with mild soap and rinse with warm water.
d. Apply a skin barrier to protect the peristomal skin.
e. Dry the skin carefully.
,f. Don a pair of clean gloves and remove the old pouch. - CORRECT ANSWER - F, B, C,
E, D, A
Which intervention is contraindicated in the nonsurgical management of hemorrhoids?
a. Diets low in fiber and fluids
b. Dibucaine ointment
c. Warm sitz baths three or four times a day
d. Cleansing the anal area with moistened cleaning tissues - CORRECT ANSWER -A
The female client called the clinic complaining of abdominal cramping and has had several
episodes of diarrhea for 2 days. The client reported that she had been in Mexico on a trip and just
returned. Which intervention should the nurse implement?
a. Instruct the client to take over-the-counter antacid.
b. Encourage the client to drink sports drinks, such as Gatorade, frequently.
c. Discuss the need to decrease the amount of protein in the diet.
d. Explain to the client that she would watch for fluid buildup in the extremities - CORRECT
ANSWER -B
The nurse is caring for a client diagnosed with an acute exacerbation of ulcerative colitis. Which
data would warrant immediate intervention by the nurse?
a. The client's serum potassium level is 4.2.
b. The client's serum sodium level is 138.
c. The client's arterial blood gases are pH 7.33, PaO2 95, PaCO2 37, HCO3 20.
d. The client's hemoglobin/hematocrit is 12/40%. - CORRECT ANSWER -C
The nurse is caring for a client admitted with cirrhosis of the liver. Which laboratory results are
consistent with the disease process? (Select all that apply.)
a. prothrombin time 22 seconds
b. potassium 4.0 MEq/L
c. albumin 7.2 g/dl
, d. ammonia 96 mg/dl
e. platelets 75,000 cells/mm
f. amylase 250 units/L - CORRECT ANSWER - A, D, E
The nurse is evaluating how a client with hepatitis A understands the discharge teaching given.
Which client statements indicate that further teaching is needed? (Select all that apply.)
a. I can have an occasional glass of wine with my meal as I recover
b. My family and I do not need to take any special precautions as long as I take my medication
c. My bath towels shouldn't be used by any other family members
d. My family members should receive the hepatitis A vaccine to prevent them from getting the
disease
e. My spouse and I can have intercourse and kiss
f. I should wear a mask when visitors come - CORRECT ANSWER - A, B, E, F
A client with chronic hepatitis C has been taking the antiviral medication ledipasvir-sofobuvir
daily for the past month. Which information gathered during a home visit is MOST important for
the nurse to communicate to the health care provider?
a. the client reports frequent headaches
b. the client complains of feeling chronically tired
c. the client occasionally misses a dose of the medication
d. the client always talks the medication just before eating - CORRECT ANSWER -C
The nurse is providing postoperative care for a client who underwent laparoscopic
cholecystectomy. What should be reported IMMEDIATELY to the health care provider?
a. the client cannot void 5 hours postoperatively
b. the client reports shoulder pain
c. the client reports right upper quadrant pain
d. output does not equal input for the first few hours - CORRECT ANSWER -C
