PCN 101 FINAL EXAM QUESTIONS AND ANSWERS 2023 COMPLETE
0 view 0 purchase
Course
PCN 101
Institution
PCN 101
PCN 101 FINAL EXAM QUESTIONS AND ANSWERS 2023 COMPLETE
1. The nurse clarifies that the end product of carbohydrate metabolism is absorbed and put into the blood stream by the:
a. gastric lining of the stomach.
b. villi of the small intestine.
c. bile of the liver in the large intestine.
d. e...
pcn 101 final exam questions and answers 2023 complete 1 the nurse clarifies that the end product of carbohydrate metabolism is absorbed and put into the blood stream by the a gastric lining of th
Written for
PCN 101
All documents for this subject (7)
Seller
Follow
LECTMAGGY
Reviews received
Content preview
PCN 101 FINAL EXAM QUESTIONS AND ANSWERS
2023 COMPLETE
1. The nurse clarifies that the end product of carbohydrate metabolism is absorbed and
put into the blood stream by the:
a. gastric lining of the stomach.
b. villi of the small intestine.
c. bile of the liver in the large intestine.
d. excretion from the cecum.
ANS: B
The inner surface of the small intestine contains millions of tiny, fingerlike projections
called villi, which contain small blood vessels. They are responsible for absorbing the
products of digestion.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 5-6 OBJ: 2 TOP: Digestive
KEY: Nursing Process Step: Assessment
ventrogluteal site
deltoid site
vastus lateralis site
Z track injection technique
prevents medication from leaking back into the subQ tissue
- ventrogluteal site is prefered
2. A 56 -year-old man is admitted to the emergency room with an acute attack of
diverticulitis. The patient has a temperature of 102° F, and has an elevated white count.
Which assessment would alert the nurse to impending septic shock?
a. Chest pain
b. Seizure
c. Tachycardia
d. Massive diarrhea
,ANS: C
The patient with diverticulitis who has fever and an elevated white count has an
infection that could lead to septic shock, which will present as tachycardia and
hypotension.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 5-98 OBJ: 9 TOP: Diverticulitis
KEY: Nursing Process Step: Assessment
3. Because bowel contents from an ileostomy are virtually liquid, what should the nurse
include in the plan of care?
a. Evaluation and assessment of dietary intake of fiber
b. Evaluation and assessment of patient cleanliness
c. Evaluation and assessment of periostomal skin integrity
d. Evaluation and assessment of the adequacy of the collection device
ANS: C
The nurse should assess the periostomal skin for impairment of integrity. The fecal
material is liquid and has a potential for severe skin excoriation from the digestive
enzymes.
PTS: 1 DIF: Cognitive Level: Application REF: Page 5-5-84 OBJ: 8 TOP: Ulcerative
colitis
KEY: Nursing Process Step: Assessment
4. The home health nurse caring for a patient who has dysarthria related to radiation
therapy for an oral cancer would recommend that the family provide:
a. a tablet and pencil as a communication aid.
b. a TV for diversion.
c. a bell to summon help.
d. a walkie-talkie.
ANS: A
The provision of an alternative method of communicating will lessen the frustration of
the patient who has trouble speaking understandably. The call bell would be helpful
also, but without a way to communicate, the bell is not as essential as a method of
communication.
PTS: 1 DIF: Cognitive Level: Application REF: Page 5-28 OBJ: 5 TOP: Cancer of
esophagus
KEY: Nursing Process Step: Assessment
5. Which recommendation is most appropriate for a patient who has had an esophageal
dilation related to achalasia?
a. Consume only liquid
b. Avoid fruit juices
c. Drink 10 oz of fluid with each meal
d. Lie down for 30 minutes after each meal
ANS: C
The patient should drink fluid with each meal to increase lower esophageal pressure to
push food into the stomach.
,PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 5-41 OBJ: 5 TOP: Esophageal
dilation
KEY: Nursing Process Step: Implementation
6. A patient who is being evaluated for episodes of hematemesis and dyspepsia tells
the nurse that pain occurs when he eats, but pain does not waken him. The nurse
recognizes a diagnostic sign of which condition?
a. Duodenal ulcer
b. Gastritis
c. Achalasia
d. Peptic ulcer
ANS: D
A significant subjective data assessment for a peptic ulcer is the patient report that pain
is associated with eating, but not with an empty stomach, because there would be pain
with a duodenal ulcer.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 5-46 OBJ: 5 TOP: Peptic ulcer
KEY: Nursing Process Step: Assessment
7. The nurse anticipates that the patient who has had a subtotal gastrectomy will need
supplemental:
a. protein due to the loss of some of the digestive processes.
b. vitamin B12 due to the loss of the intrinsic factor.
c. bulk to prevent constipation.
d. vitamin A due to the loss of the gastric lining.
ANS: B
It is recommended that all patients with a gastrectomy have a blood serum vitamin B12
level measured every 1 to 2 years. Decreased absorption of vitamin B12 may cause
pernicious anemia.
PTS: 1 DIF: Cognitive Level: Application REF: Page 5-61 OBJ: 6 TOP: Gastrectomy
KEY: Nursing Process Step: Assessment
8. The home health nurse is caring for a patient who has frequent bouts of diverticulitis
accompanied by increased flatulence, diarrhea, and nausea. Which of the following is
the most appropriate suggestion to lessen these symptoms?
a. Eat a diet high in fiber content
b. Increase dietary fat intake
c. Exercise to increase intra-abdominal pressure
d. Take daily laxatives
ANS: A
The symptoms of diverticulitis can be reduced or prevented by eating a high-fiber diet,
reduction of meat and fats in the diet, and avoiding activities that increase intra-
abdominal pressure. Although laxatives might be prescribed sparingly, daily laxatives
are not recommended.
, 9. The nurse caring for a patient with a peptic ulcer who has had a nasogastric tube
inserted notes bright blood in the tube; the patient complains of pain and has become
hypotensive. Which condition should the nurse recognize these as signs of?
a. Hiatal hernia
b. Gastritis
c. Perforation
d. Bowel obstruction
ANS: C
Perforation of the gastric wall causes pain, hypotension, and hematemesis. Immediate
reporting to the charge nurse/physician is essential as peritonitis, potentially lethal, is
the result of a perforation.
PTS: 1 DIF: Cognitive Level: Analysis REF: Page 5-47 OBJ: 5 TOP: Ulcer perforation
KEY: Nursing Process Step: Assessment
10. Dumping syndrome after a Billroth II procedure occurs when high-carbohydrate
foods are ingested over a period of less than 20 minutes. What would the nurse suggest
to reduce the risk of dumping syndrome?
a. Eating a high-carbohydrate diet
b. Drinking 10 oz of fluids with meals
c. Remaining upright for 2 hours after meals
d. Eating six small daily meals high in protein and fat
ANS: D
Treatment for dumping syndrome includes eating six small meals daily that are high in
protein and fat, and low in carbohydrates. Fluids should be avoided during meals. If
possible, the patient should lie down for 1 hour after meals.
PTS: 1 DIF: Cognitive Level: Analysis REF: Page 5-60 OBJ: 4 TOP: Dumping syndrome
KEY: Nursing Process Step: Planning
11. The patient has come to the PACU following an ileostomy for the treatment of
ulcerative colitis. The patient is conscious and has a nasogastric tube in place and a
pouch over the stoma. What should be the nurse's initial action?
a. Turn patient to right side
b. Give patient ice chips to moisten mouth
c. Attach NG tube to suction
d. Irrigate NG tube
ANS: C
Initially, the NG tube should be attached to suction to decompress the stomach and
prevent nausea. Assessing the tube for the need of future irrigation will be part of the
postoperative care.
PTS: 1 DIF: Cognitive Level: Application REF: Page 5-85, Box 5-5 OBJ: 4 TOP:
Appendicitis KEY: Nursing Process Step: Planning
12. The home health nurse evaluates a patient being treated for a peptic ulcer with
Riopan (antacid) and famotidine (histamine receptor blocker). Which statement made by
the patient indicates a need for further instruction?
a. "I know famotidine will not interfere with my Coumadin."
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller LECTMAGGY. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.49. You're not tied to anything after your purchase.
