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NUR 203 Practice test 2
- Course
- NUR 203
- Institution
- Nassau Community College
Practice test 2
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1. A patient's health history is suggestive of inflammatory bowel disease. Which of the followingwould suggest Crohn's disease, rather than ulcerative colitis, as the cause of the patient's signs
and symptoms?
1. A pattern of distinct exacerbations and remissions
2. Severe diarrhea
3. An absence of blood in stool
4. Involvement of the rectal mucosa
2. The client is diagnosed with Crohn's disease. Which statement by the client supports this
diagnosis?
1. “My pain is on the right lower side of my abdomen.”
2. “I have bright red blood in my stool all the time.”
3. “I have episodes of diarrhea and constipation.”
4. “My abdomen is hard and rigid, and I have a fever.”
3. The client is diagnosed with an acute exacerbation of ulcerative colitis. Which intervention
should the nurse implement?
1. Provide a low-residue diet.
2. Rest the client’s bowel.
3. Assess vital signs daily.
4. Administer antacids orally.
4. The client diagnosed with ulcerative colitis has an ileostomy. Which statement indicates the
client needs more teaching concerning the ileostomy?
1. “My stoma should be pink and moist.”
2. “I will irrigate my ileostomy every morning.”
3. “If I get a red, bumpy, itchy rash, I will call my HCP.”
4. “I will change my pouch if it starts leaking.”
5. The nurse is teaching a class on diverticulosis. Which interventions should the nurse discuss
when teaching ways to prevent an acute exacerbation of diverticulosis?
1. Eat a high-fiber diet.
2. Increase fluid intake.
3. Elevate the HOB after eating.
4. Walk 30 minutes a day.
5. Take an antacid every 2 hours.
6. A patient has had an ileostomy created for the treatment of irritable bowel disease and the
patient is now preparing for discharge. What should the patient be taught about changing this
device in the home
setting?
1. Apply antibiotic ointment as ordered after cleaning the stoma.
2. Apply a skin barrier to the peristomal skin prior to applying the pouch.
3. Dispose of the clamp with each bag change.
, 4. Cleanse the area surrounding the stoma with alcohol or chlorhexidine.
7. A patient admitted with acute diverticulitis has experienced a sudden increase in temperature
and complains of a sudden onset of exquisite abdominal tenderness. The nurses rapid
assessment reveals that the patients abdomen is uncharacteristically rigid on palpation. What is
the nurses best response?
1. Administer a Fleet enema as ordered and remain with the patient.
2. Contact the primary care provider promptly and report these signs of perforation.
3. Position the patient supine and insert an NG tube.
4. Page the primary care provider and report that the patient may be obstructed.
8. A 35-year-old male patient presents at the emergency department with symptoms of a small
bowel obstruction. In collaboration with the primary care provider, what intervention should
the nurse prioritize?
1. Insertion of a nasogastric tube
2. Insertion of a central venous catheter
3. Administration of a mineral oil enema
4. Administration of a glycerin suppository and an oral laxative
9. The nurse is caring for a patient who is undergoing diagnostic testing for suspected
malabsorption. When taking this patients health history and performing the physical
assessment, the nurse should recognize what finding as most consistent with this diagnosis?
1. Recurrent constipation coupled with weight loss
2. Foul-smelling diarrhea that contains fat
3. Fever accompanied by a rigid, tender abdomen
4. Bloody bowel movements accompanied by fecal incontinence
10. A nurse is providing care for a patient who has a diagnosis of irritable bowel syndrome (IBS).
When planning this patients care, the nurse should collaborate with the patient and prioritize
what goal?
1. Patient will accurately identify foods that trigger symptoms.
2. Patient will demonstrate appropriate care of his ileostomy.
3. Patient will demonstrate appropriate use of standard infection control precautions.
4. Patient will adhere to recommended guidelines for mobility and activity.
11. The nurse is providing care for a patient whose inflammatory bowel disease has
necessitated hospital treatment. Which of the following would most likely be included in the
patients medication regimen?
1. Anticholinergic medications 30 minutes before a meal
2. Antiemetics on a PRN basis
3. Vitamin B12 injections to prevent pernicious anemia
4. Beta adrenergic blockers to reduce bowel motility
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