NSG 2400 Inflammation/TPN Study
Guide Exam and Actual Answers 2025-
2026 Edition.
A client with a history of malabsorption syndrome is admitted to the hospital for medical
management. Total parenteral nutrition (TPN) has been prescribed. What action will the nurse
take to prevent a major reaction to the TPN infusion?
1
Record the intake and output.
2
Administer the infusion slowly.
3
Change the site every 24 hours.
4
Check the vital signs every 4 hours. - Answer 2
Total parenteral nutrition should be infused at a slow, constant rate; this will prevent both
hyperglycemia and cellular dehydration from too rapid infusion of a hypertonic solution.
Recording intake and output is essential because of the danger of fluid overload; however,
monitoring will not prevent the complication. Generally a major vein is selected for
administration of total parenteral nutrition; the site is not changed every 24 hours. Monitoring
vital signs may identify a complication such as infection; monitoring will not prevent a
complication from occurring.
A client with a history of liver disease is found to have endometriosis. Which drug is
contraindicated in this client?
1
Danazol
2
Celecoxib
3
Leuprolide
4
Ketoconazole - Answer 1
Danazol is a synthetic androgenic steroid that acts by suppressing secretion of follicle-
, in clients with liver disease. Ketoconazole is a nonsteroidal antiinflammatory drug and should be
used with caution in clients with liver disease.
A client at the women's health clinic tells the nurse that she has endometriosis. What factors
associated with endometriosis does the nurse anticipate the client will report? Select all that
apply.
1
Insomnia
2
Ecchymosis
3
Rectal pressure
4
Abdominal pain
5
Skipped periods
6
Pelvic infections - Answer 3 4
A client who has a diagnosis of endometriosis is concerned about the side effect of hot flashes
from her prescribed medications. Which medication should the nurse explain causes this side
effect?
1
Estrogen
2
Leuprolide
3
Diclofenac
4
Ergonovine - Answer 2
During the administration of total parenteral nutrition (TPN), an assessment of the client reveals
a bounding pulse, distended jugular veins, dyspnea, and cough. What is the priority nursing
Guide Exam and Actual Answers 2025-
2026 Edition.
A client with a history of malabsorption syndrome is admitted to the hospital for medical
management. Total parenteral nutrition (TPN) has been prescribed. What action will the nurse
take to prevent a major reaction to the TPN infusion?
1
Record the intake and output.
2
Administer the infusion slowly.
3
Change the site every 24 hours.
4
Check the vital signs every 4 hours. - Answer 2
Total parenteral nutrition should be infused at a slow, constant rate; this will prevent both
hyperglycemia and cellular dehydration from too rapid infusion of a hypertonic solution.
Recording intake and output is essential because of the danger of fluid overload; however,
monitoring will not prevent the complication. Generally a major vein is selected for
administration of total parenteral nutrition; the site is not changed every 24 hours. Monitoring
vital signs may identify a complication such as infection; monitoring will not prevent a
complication from occurring.
A client with a history of liver disease is found to have endometriosis. Which drug is
contraindicated in this client?
1
Danazol
2
Celecoxib
3
Leuprolide
4
Ketoconazole - Answer 1
Danazol is a synthetic androgenic steroid that acts by suppressing secretion of follicle-
, in clients with liver disease. Ketoconazole is a nonsteroidal antiinflammatory drug and should be
used with caution in clients with liver disease.
A client at the women's health clinic tells the nurse that she has endometriosis. What factors
associated with endometriosis does the nurse anticipate the client will report? Select all that
apply.
1
Insomnia
2
Ecchymosis
3
Rectal pressure
4
Abdominal pain
5
Skipped periods
6
Pelvic infections - Answer 3 4
A client who has a diagnosis of endometriosis is concerned about the side effect of hot flashes
from her prescribed medications. Which medication should the nurse explain causes this side
effect?
1
Estrogen
2
Leuprolide
3
Diclofenac
4
Ergonovine - Answer 2
During the administration of total parenteral nutrition (TPN), an assessment of the client reveals
a bounding pulse, distended jugular veins, dyspnea, and cough. What is the priority nursing
