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MED SURG TEST BANK QUESTIONS & ANSWERS
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MED SURG TEST BANK QUESTIONS & ANSWERS
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MED SURG TEST BANK QUESTIONS & ANSWERSThe student nurse studying the gastrointestinal system understands that chyme refers
to what?
a. Hormones that reduce gastric acidity
b. Liquefied food ready for digestion
c. Nutrients after being absorbed
d. Secretions that help digest food - Answers -b
A client scheduled for a percutaneous transhepatic cholangiography (PTC) denies
allergies to medication.
What action by the nurse is best?
a. Ask the client about shellfish allergies.
b. Document this information on the chart.
c. Ensure that the client has a ride home.
d. Instruct the client on bowel preparation. - Answers -A
A client is having an esophagogastroduodenoscopy (EGD) and has been given
midazolam hydrochloride
(Versed). The clients respiratory rate is 8 breaths/min. What action by the nurse is best?
a. Administer naloxone (Narcan).
b. Call the Rapid Response Team.
c. Provide physical stimulation.
d. Ventilate with a bag-valve-mask. - Answers -C
client is scheduled for a colonoscopy and the nurse has provided instructions on the
bowel cleansing
regimen. What statement by the client indicates a need for further teaching?
a. Its a good thing I love orange and cherry gelatin
b. My spouse will be here to drive me home.
c. I should refrigerate the GoLYTELY before use.
d. I will buy a case of Gatorade before the prep. - Answers -
A client had a colonoscopy and biopsy yesterday and calls the gastrointestinal clinic to
report a spot of
bright red blood on the toilet paper today. What response by the nurse is best?
a. Ask the client to call back if this happens again today.
b. Instruct the client to go to the emergency department.
c. Remind the client that a small amount of bleeding is possible.
d. Tell the client to come in to the clinic this afternoon. - Answers -c
An older client has had an instance of drug toxicity and asks why this happens, since
the client has been on
this medication for years at the same dose. What response by the nurse is best?
a. Changes in your liver cause drugs to be metabolized differently.
,b. Perhaps you dont need as high a dose of the drug as before.
c. Stomach muscles atrophy with age and you digest more slowly.
d. Your body probably cant tolerate as much medication anymore. - Answers -A
To promote comfort after a colonoscopy, in what position does the nurse place the
client?
a. Left lateral
b. Prone
c. Right lateral
d. Supine - Answers -A
A nurse is examining a client reporting right upper quadrant (RUQ) abdominal pain.
What technique should
the nurse use to assess this clients abdomen?
a. Auscultate after palpating.
b. Avoid any palpation.
c. Palpate the RUQ first.
d. Palpate the RUQ last. - Answers -D
After teaching a client with irritable bowel syndrome (IBS), a nurse assesses the clients
understanding.
Which menu selection indicates that the client correctly understands the dietary
teaching?
a. Ham sandwich on white bread, cup of applesauce, glass of diet cola
b. Broiled chicken with brown rice, steamed broccoli, glass of apple juice
c. Grilled cheese sandwich, small banana, cup of hot tea with lemon
d. Baked tilapia, fresh green beans, cup of coffee with low-fat milk - Answers -b
A nurse assesses a client who is prescribed alosetron (Lotronex). Which assessment
question should the
nurse ask this client?
a. Have you been experiencing any constipation?
b. Are you eating a diet high in fiber and fluids?
c. Do you have a history of high blood pressure?
d. What vitamins and supplements are you taking? - Answers -a
After teaching a client who has a femoral hernia, the nurse assesses the clients
understanding. Which
statement indicates the client needs additional teaching related to the proper use of a
truss?
a. I will put on the truss before I go to bed each night.
b. Ill put some powder under the truss to avoid skin irritation.
c. The truss will help my hernia because I cant have surgery.
d. If I have abdominal pain, Ill let my health care provider know right away. - Answers -a
A nurse assesses a client who is recovering from a hemorrhoidectomy that was done
the day before. The
,nurse notes that the client has lower abdominal distention accompanied by dullness to
percussion over the
distended area. Which action should the nurse take?
a. Assess the clients heart rate and blood pressure.
b. Determine when the client last voided.
c. Ask if the client is experiencing flatus
d. Auscultate all quadrants of the clients abdomen - Answers -b
A nurse assesses clients at a community health center. Which client is at highest risk for
the development of
colorectal cancer?
a. A 37-year-old who drinks eight cups of coffee daily
b. A 44-year-old with irritable bowel syndrome (IBS)
c. A 60-year-old lawyer who works 65 hours per week
d. A 72-year-old who eats fast food frequently - Answers -D
A nurse assessing a client with colorectal cancer auscultates high-pitched bowel sounds
and notes the
presence of visible peristaltic waves. Which action should the nurse take?
a. Ask if the client is experiencing pain in the right shoulder.
b. Perform a rectal examination and assess for polyps.
c. Contact the provider and recommend computed tomography.
d. Administer a laxative to increase bowel movement activity. - Answers -C
A nurse prepares a client for a colonoscopy scheduled for tomorrow. The client states,
My doctor told me
that the fecal occult blood test was negative for colon cancer. I dont think I need the
colonoscopy and would
like to cancel it. How should the nurse respond?
a. Your doctor should not have given you that information prior to the colonoscopy.
b. The colonoscopy is required due to the high percentage of false negatives with the
blood test.
c. A negative fecal occult blood test does not rule out the possibility of colon cancer.
d. I will contact your doctor so that you can discuss your concerns about the procedure.
- Answers -c
A nurse cares for a client newly diagnosed with colon cancer who has become
withdrawn from family
members. Which action should the nurse take?
a. Contact the provider and recommend a psychiatric consult for the client.
b. Encourage the client to verbalize feelings about the diagnosis.
c. Provide education about new treatment options with successful outcomes.
d. Ask family and friends to visit the client and provide emotional support. - Answers -b
A nurse cares for a client with colon cancer who has a new colostomy. The client states,
I think it would be
, helpful to talk with someone who has had a similar experience. How should the nurse
respond?
a. I have a good friend with a colostomy who would be willing to talk with you.
b. The enterostomal therapist will be able to answer all of your questions.
c. I will make a referral to the United Ostomy Associations of America.
d. Youll find that most people with colostomies dont want to talk about them. - Answers -
c
An emergency room nurse assesses a client after a motor vehicle crash and notes
ecchymotic areas across
the clients lower abdomen. Which action should the nurse take first?
a. Measure the clients abdominal girth.
b. Assess for abdominal guarding or rigidity.
c. Check the clients hemoglobin and hematocrit.
d. Obtain the clients complete health history. - Answers -b
A nurse cares for a client who states, My husband is repulsed by my colostomy and
refuses to be intimate
with me. How should the nurse respond?
a. Lets talk to the ostomy nurse to help you and your husband work through this.
b. You could try to wear longer lingerie that will better hide the ostomy appliance.
c. You should empty the pouch first so it will be less noticeable for your husband.
d. If you are not careful, you can hurt the stoma if you engage in sexual activity. -
Answers -a
A nurse cares for a client who is recovering from a hemorrhoidectomy. The client states,
I need to have a
bowel movement. Which action should the nurse take?
a. Obtain a bedside commode for the client to use.
b. Stay with the client while providing privacy.
c. Make sure the call light is in reach to signal completion.
d. Gather supplies to collect a stool sample for the laboratory. - Answers -b
An emergency room nurse cares for a client who has been shot in the abdomen and is
hemorrhaging
heavily. Which action should the nurse take first?
a. Send a blood sample for a type and crossmatch.
b. Insert a large intravenous line for fluid resuscitation.
c. Obtain the heart rate and blood pressure.
d. Assess and maintain a patent airway. - Answers -d
A nurse assesses a client with a mechanical bowel obstruction who reports intermittent
abdominal pain. An
hour later the client reports constant abdominal pain. Which action should the nurse
take next?
a. Administer intravenous opioid medications.
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