GI AND ENDO EXAM

39. Which of the following actions should a nurse include in the care plan for a patient who has water intoxication? * A. Measure urine specific gravity B. Restrict salt in the diet C. Chew gum and hard candy D. Avoid ingestion of water

A. Measure urine specific gravity

48. A nurse is reviewing a laboratory result & notes that a client's sodium level is 150 meq/L. Which food item does the nurse instruct the client to avoid? * A. Processed oat cereals B. Low- fat yogurt C. Cauliflower D. Peas

A. Processed oat cereals

56. The nurse is caring for a client who admits to a 15-year history of gastric ulcers. The nurse instructs this client to take which of the following drugs for minor aches and pains? * A. Acetaminophen (Tylenol) B. Buffered aspirin C. Plain aspirin D. Ibuprofen (Motrin)

A. Acetaminophen (Tylenol)

63. The initial diagnosis of pancreatitis is confirmed if the client's blood shows a significant in elevation of which of the following serum values? * A. Amylase B. Glucose C. Potassium D. Trypsin

A. Amylase

14. In the early postoperative period after a bilateral adrenalectomy, the nurse should recognize that the most probable cause of temperature elevation is * A. Dehydration B. Poor lung expansion C. Wound infection D. Urinary tract infection

B. Poor lung expansion

18. Which of the following is the priority for a client in addisonian crisis? * A. Controlling hypertension. B. Preventing irreversible shock. C. Preventing infection. D. Relieving anxiety.

B. Preventing irreversible shock.

77. Choledocholithotomy. * A. The removal of the gallbladder B. The removal of the stones in the gallbladder C. The removal of the stones in the common bile duct D. The removal of the stones in the kidney

C. The removal of the stones in the common bile duct

49. When taking a dietary history from a newly admitted female client, Nurse Jeffrey should remember that which of the following food is a common allergen? * A. Bread B. Carrots C. Oranges D. Strawberries

D. Strawberries

31. The nurse implements which of the following interventions in the plan of care for a client with hypothyroidism? * A. Applying lotion for skin care B. Providing a cool temperature in the room, provide warmth C. Scheduling periods of test D. Administering p.r.n. medication for diarrhea

A. Applying lotion for skin care

64. Which of the following signs and symptoms would the nurse expect to see in a client with acute pancreatitis? * A. Diarrhea B. Jaundice C. Hypertension D. Ascites

B. Jaundice

76. A client is admitted with possible liver cancer. The nurse interprets that which test would be the most confirming of this diagnosis and tumor type? * A. Abdominal ultrasound (US) B. Liver biopsy C. Alpha-fetoprotein markers D. Computed tomography (CT) scan

B. Liver biopsy

74. The nurse assesses a client with hepatic encephalopathy for asterixis by: * A. Asking the client to extend an arm, dorsiflex the wrist and extend the finger B. Assessing the client for azotemia, oliguria and intractable ascites C. Assessing the client for a musty sweet breath door D. Asking the client to draw a cross and noting any deterioration in the figure construction

A. Asking the client to extend an arm, dorsiflex the wrist and extend the finger

93. You are collecting a patient's medication history that has GERD. Which medication below is not typically used to treat GERD? * A. Colesevelam B. Prilosec C. Metoclopramide D. Ranitidine

A. Colesevelam

10. When providing care for a patient with Addison disease, you should be alert for which laboratory value change? * A. Decreased hematocrit B. Increased sodium level C. Decreased potassium level D. Decreased calcium level

A. Decreased hematocrit

35. The nurse is assessing a client with a diagnosis of hypothyroidism. Which adaptation should the nurse expect this client to exhibit? * A. Dry Skin B. Weight loss C. Resting tremors D. Heat intolerance

A. Dry Skin

17. A nurse was given order to administer Solu-Cortef to a patient with Addison's disease. The nurse knows that the best time to give the medicine is when? * A. Early morning, at about 7:00a.m. B. After dinner, at 7:00p.m. C. Before going to bed, at 10:00p.m. D. After lunch, 12:30p.m

A. Early morning, at about 7:00a.m.

8. The nurse is planning care for a client with a diagnosis of Addison's disease. Which is an important nursing intervention that the nurse should include in the plan that is specific for a client with Addison's disease? * A. Encouraging the client to exercise B. Protecting the client from exertion C. Restricting the client's fluid intake D. Monitoring the client for Hypokalemia

B. Protecting the client from exertion

15. Which of the following should the nurse include in the teaching plan of a female client with bilateral adrenalectomy? * A. Emphasizing that the client will need steroid replacement for the rest of her life B. Instructing the client about the importance of tapering steroid medication carefully to prevent crisis C. Informing the client that steroids will be required only until her body can manufacture sufficient quantities D. Emphasizing that the client will need to take steroids whenever her life involves physical or emotional stress

A. Emphasizing that the client will need steroid replacement for the rest of her life

42. A patient with acromegaly is treated with a transphenoidal hypophysectomy. Postoperatively, the nurse: * A. Ensures that any clear nasal drainage is tested for glucose B. Assists the patient with tooth brushing q4hrs to keep the surgical area clean C. Maintains the patient flat in bed to prevent cerebrospinal leak D. Encourages deep breathing & coughing to prevent respiratory complications

A. Ensures that any clear nasal drainage is tested for glucose

65. The nurse evaluates the client's most recent laboratory data. Which laboratory findings would be consistent with a diagnosis of acute pancreatitis? * A. Hyperglycemia B. Leukopenia C. Thrombocytopenia D. Hyperkalemia

A. Hyperglycemia

16. A 69 y.o. patient with Addison's was placed under the care of the nurse. The patient asked what could have caused the development of this disease. In response to this, the nurse will tell the patient that the most common cause is: * A. Idiopathic B. Sudden cessation of Steroids use C. Autoimmune D. Chronic Steroids use

A. Idiopathic

13. The client with Cushing's disease needs to modify dietary intake to control symptomsIn addition to increasing protein, which strategy would be most appropriate? * A. Increase calories B. Restrict sodium C. Restrict potassium D. Reduce fat to 10%

B. Restrict sodium

40. Which of the following is the priority nursing implementation for a client with a tumor of the posterior lobe of the pituitary gland that has had a urine output of 3 liters in the last hour with a specific gravity of 1.002? * A. Measure and record vital signs each shift B. Turn client every two hours to prevent skin breakdown C. Administer Pitressin Tannate as ordered D. Maintain a dark and quiet room

A. Measure and record vital signs each shift

41. Which of these questions should a nurse ask a patient who is suspected of having acromegaly? * A. "Are you buying large size shoes B. "Do you urinate often?" C. " Is your mouth frequently dry?" D. " Have you had increased hair loss?"

A. "Are you buying large size shoes

98. A teenage boy presents with suspected appendicitis. The caregiver asks, "Why did my son get this?" Which response by the nurse is the most appropriate? * A. "Your adolescent son is in a risk group." B. "Your son has been eating too much fiber" C. "Your son is eating too many fruits and vegetables." D. "Your son has not been getting enough exercise"

A. "Your adolescent son is in a risk group."

92. A patient reports frequent heartburn 2x/week for the past 4 months. What other symptoms reported by the patient may indicate that the patient has acid reflux? Select all that apply: 1. Bitter taste in the mouth 2. Dry tussis 3. Melena 4. Dysphagia 5. Smooth red tongue 6. Murphy's sign * A. 1, 2, 4 B. 1, 4, 5 C. 1, 4, 6 D. 1, 2, 6

A. 1, 2, 4

23. The nurse should report which of the following client assessments as consistent with a diagnosis of Graves' disease? Select all that apply: 1. Lethargy 2. Exophthalmos 3. Heat Intolerance 4. Weight Loss 5. Cold, Clammy Skin 6. Bradycardia * A. 2, 3, 4 B. 1,2,3 C. 4, 5,6 D. 3, 4, 5

A. 2, 3, 4

95. What are the other clinical manifestations associated with appendicitis. Select all that apply: 1. Increase Red blood cells 2. Patient has the desire to be positioned in Prone position to relieve pain 3. Umbilical pain that extends in the RLQ 4. Abdominal rebound tenderness 5. Abdominal flaccidity * A. 3 & 4 only B. 2 & 4 only C. 2, 3, & 4 D. 3, 4, & 5

A. 3 & 4 only

43. The nurse determines that additional instruction is needed for a 60- year-old patient with chronic syndrome of inappropriate antidiuretic hormone (SIADH) when the patient says which of the following? * A. " I need to shop for foods low in sodium and void adding salt to food" B. " I should weigh myself daily and report any sudden weight loss or gain" C. " I need to limit my fluid intake to no more than 1 quart of liquids a day" D. " I will eat foods high in potassium because diuretics cause potassium loss"

A. " I need to shop for foods low in sodium and void adding salt to food"

84. The nurse is assessing a child with a tentative diagnosis of appendicitis. The nursing assessment Is most likely to reveal what characteristics concerning the pain? * A. Rebound tenderness in the right lower quadrant, associated with decreased bowel sounds and vomiting. B. Gnawing pain, radiating through to the lower back, with severe abdominal distention. C. Sharp pain with severe gastric distention, frequently associated with hemoptysis. D. Pain on light palpation in midepigastric area, chronic low — grade fever, and diarrhea

A. Rebound tenderness in the right lower quadrant, associated with decreased bowel sounds and vomiting.

66. The initial plan for a client with pancreatitis most likely would focus on which of the following as a priority? * A. Resting the gastrointestinal tract B. Ensuring adequate nutrition C. Maintaining fluid and electrolyte balance D. Preventing the development of an infection

A. Resting the gastrointestinal tract

28. A client is diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH). The nurse informs the client that the physician will prescribe diuretic therapy and restrict fluid and sodium intake to treat the disorderIf the client does not comply with the recommended treatment, which complication may arise? * A. Seizure B. Hypovolemic shock C. Severe hyperkalemia D. Tetany

A. Seizure

100. The physician orders a patient with pancreatitis to take a pancreatic enzyme. What assessment finding demonstrates the pancreatic enzymes are working properly? * A. Stools appear formed and solid B. Skin turgor is less than 2 seconds C. Abdominal girth is decreased D. Blood glucose is 250

A. Stools appear formed and solid

2. Which statement is NOT correct about pheochromocytoma? * A. This condition can be trigger by eating foods high in tyramine such as hamburger & spinach B. Monoamine oxidase inhibitors can trigger signs & symptoms of pheochromocytoma C. An adrenalectomy is the only surgical treatment D. Patients are at risks to develop hypertensive crisis

A. This condition can be trigger by eating foods high in tyramine such as hamburger & spinach

44. During assessment of the patient with acromegaly, the nurse would expect the patient to report: * A. Undesirable changes in appearance B. Dry, irritated skin C. An increase in height of 2-3 inches per year D. Infertility

A. Undesirable changes in appearance

70. A nurse is performing an assessment on a client with peptic ulcer disease. The nurse understands that which data is unrelated to the client's disorder? * A. Use of acetaminophen (Tylenol) B. A history of tarry black stools C. Complaints of gastric pain 2 to 4 hours D. A history of alcohol abuse

A. Use of acetaminophen (Tylenol)

55. A client is experiencing peptic ulcer disease by Helicobacter pylon. The nurse should plan to administer which of the following oral drug combinations? Clarithromycin (Biaxin) with: * A. Tetracycline (Achromycin) with sodium bicarbonate(baking soda) B. Metronidazole (Flagyl) and aluminium hydroxide (Amphogel) C. Amoxicillin (Amoxil) and Omeprazole (Prilosec) D. Penicillin (Pen-G) and nizatidine (Axid)

B. Metronidazole (Flagyl) and aluminium hydroxide (Amphogel)

21. How will you distribute the patients to the 3 Registered Nurses and 2 Nursing Assistants? * A. 2 RN for Total Care patients, 1 RN and 1 NA for Primary Care Patients, 1 Nursing Assistant for Ambulatory Care patients B. 1 RN and 1 Nursing Assistant for Total Care Patients, 1 Registered Nurse and 1 Nursing Assistant for Primary Care patients, 1 Registered Nurse for Ambulatory Care patients. C.2 RN for Total Care patients, 2 NA for Primary Care patients, 1 RN for Ambulatory Care patients. D. 2 RN for Total Care patients, 1 RN and 1 NA for Primary Care patients, 1 RN and 1 NA for Ambulatory Care patients

B. 1 RN and 1 Nursing Assistant for Total Care Patients, 1 Registered Nurse and 1 Nursing Assistant for Primary Care patients, 1 Registered Nurse for Ambulatory Care patients.

46. Which of the following are treatment options for hyperthyroidism? Select all that apply. 1. Thyroidectomy 2. Methimazole 3. Cytomel 4. Radioactive Iodine * A. 1 & 2 B. 1, 2 & 4 C. 1, 2 & 3 D. 2 & 3

B. 1, 2 & 4

91. During a home visit, you are helping a patient develop a list of foods they should avoid due to GERD. Which items in the patient's pantry should be avoided? Select all that apply: 1. Hot & spicy pork belly 2. Peppermint patties 3. Green beans 4. Tomato soup 5. Chocolate fondue 6. Almonds 7. Oranges * A. 1, 2, 5, 7 B. 1, 2, 4, 5, 7 C. 1, 2, 4, 7 D. 1, 2, 3, 7

B. 1, 2, 4, 5, 7

47. Which of the following functions are performed by T3 & T4 . Select all that apply. 1. Storing calories 2. Increasing the heart rate 3. Stimulating the Sympathetic Nervous System 4. Decreasing the body's temperature 5. Regulating TSH produced by APG * A . 2 & 5 B. 2, 3, & 5 C. 1, 2 & 5 D. 2 & 3

B. 2, 3, & 5

94. Select all the options that are not causes of Appendicitis 1. Stercolith 2. Routine usage of NSAIDs 3. Infection due to Helicobacter Pylori 4. Lymph node enlargement due to viral or bacterial infection 5. Diet high in fiber * A. 3, 4, & 5 B. 2, 3, & 5 C. 1, 3, & 4 D. 1, 2, & 5

B. 2, 3, & 5

3. A patient has excessive catecholamines in the urine. Which of the following signs and symptoms would the patient NOT exhibit? Select all that apply: 1. Tachycardia 2. Anxiety 3. Hypoglycemia 4. Thermogenesis 5. Decreased Basal metabolic rate * A. 2 & 3 B. 3 & 5 C. 3 & 4 D. 2 & 5

B. 3 & 5

69. The nurse is evaluating the pain complaints of four clients. Which client does the nurse report to the physician as indicative of peptic ulcer disease? * A. Low, colicky abdominal pain B. A gnawing epigastric pain relieved by food C. Left upper-quadrant pain that radiates to the back D. Right upper-quadrant pain radiating to the right shoulder

B. A gnawing epigastric pain relieved by food D. Right upper-quadrant pain radiating to the right shoulder

4. Which of the following patient are at risk for developing Cushing's syndrome? * A. A patient with a tumor on the pituitary gland, which is causing too much ACTH to be secreted B. A patient taking glucocorticoids for several weeks C. A patient with a tuberculosis infection D. A patient who is post-opt from an adrenalectomy

B. A patient taking glucocorticoids for several weeks

45. Which of the following nursing diagnosis would be specific to planning care for a patient with hypothyroidism? * A. Activity intolerance B. Altered thought process C. Fluid volume deficit D. Impaired swallowing

B. Altered thought process

58. A client who has a history of seizure disorder is newly diagnosed with a gastric ulcer. The client has maintained seizure-free status using phenytoin (Dilantin). The nurse would question a new order for which of the following drugs to treat symptoms caused by the ulcer? * A. Famotidine (Pepcid) B. Cimetidine (Tagamet) C. Nizatidine (Axid) D. Ranitidine (Zantac)

B. Cimetidine (Tagamet)

75. The nurse is assessing an older male client. Which of the following findings would strongly indicate the possibility of cirrhosis? * A. Dry skin B. Hepatomegaly C. Peripheral edema D. Pruritus

B. Hepatomegaly

61. The nurse should expect to prepare a patient who has bleeding esophageal varices for which of these procedures initially? * A. Nasogastric tube feeding B. Normal saline lavage C. Electrocauterization D. Chest x-ray

B. Normal saline lavage

83. In planning discharge teaching for the client who has undergone gastrectomy, the nurse includes what Information regarding dumping syndrome? * A. The syndrome will be a permanent problem and the client should eat meal and 1 hour after each meal. B. The client should decrease the amount of fluid consumed with each meal and for 1 hour each meal. C. The client should increase the amount of complex carbohydrates and fiber in his diet. D. Activity will decrease the problem; it should be scheduled about 1 hour after meals.

B. The client should decrease the amount of fluid consumed with each meal and for 1 hour each meal.

52. The diagnosis was confirmed as cholecystitis with gallstone. The doctor prepares the patient for removal of his gallbladder. The client asks the nurse how it will affect my digestion? The nurse's MOST correct response would be: * A. The removal of the gallbladder usually interferes with digestion but can be dietary modification. B. The removal of the gallbladder does not usually interfere with digestion. C. Your body system will adjust in due time. D. The removal of the gallbladder would significantly interfere only with digestion food.

B. The removal of the gallbladder does not usually interfere with digestion.

26. A client undergoes a thyroidectomy and the nurse monitors the client for signs of damage to the parathyroid glands postoperatively. Which of the following findings would indicate damage to the parathyroid glands? * A. Hoarseness B. Tingling around the mouth C. Respiratory distress D. Neck pain

B. Tingling around the mouth

38. The nurse determines that demeclocyline (Declomycin) is effective for a patient with syndrome of inappropriate antidiuretic hormone (SIADH) based on finding that the patient's * A. Weight has increased B. Urinary output increased C. Peripheral edema is decreased D. Urine specific gravity is increased

B. Urinary output increased

20. After stabilization of Addison's disease, a client attends a stress management class because stress can precipitate addisonian crisis. Which of the following actions taught by the nurse in the class is based on principles of stress management? * A. Remove all sources of stress from your life. B. Use relaxation techniques such as music. C. Take the anxiety drugs daily. D. Avoid discussing stressful experience

B. Use relaxation techniques such as music.

81. When a client complains of pain, your initial response is: * A. Record the description of pain B. Verbally acknowledge the pain C. Refer the complaints to the doctor D. Change to a more comfortable position

B. Verbally acknowledge the pain

25. Which of the following is essential that the nurse include in the assessment of a client receiving methimazole (Tapazole)? * A. Serum Sodium Levels B. White Blood Cell count and differential C. Platelet count D. Serum lipid level

B. White Blood Cell count and differential

9. The physician writes orders addressing the needs of a client with Addison's disease. The nurse understands that the main focus of treatment for this client is to: * A. Decrease eosinophils B. Increase lymphoid tissue C. Restore electrolyte balance D. Improve carbohydrate metabolism

C. Restore electrolyte balance

A patient is admitted with uncontrolled hypertension & the doctor suspects pheochromocytoma. On assessment, you note the blood pressure to be 196/120 and H.R 130. The patient reports feeling very anxious, sweaty and having palpitations 1. What do you expect the doctor will order to confirm diagnosis of pheochromocytoma? * A. Urinalysis B. Urine Culture C. 24 hour's urine D. 8 hour's urine

C. 24 hour's urine D. 8 hour's urine

86. The nurse is to administer an enema to an adult client; the tube should be inserted how many inches? * A. 1 to 2 inches. B. 2 to 3 inches. C. 3 to 4 inches. D. 4 to 6 inches.

C. 3 to 4 inches.

97. A client presents with suspected appendicitis. The nurse should prepare the client for which collaborative intervention? * A. Chest x-ray B. Electrolytes C. Abdominal ultrasound D. Complete blood count (CBC)

C. Abdominal ultrasound

82. In preparing a pediatric client for an appendectomy, the nurse would question which doctor's order? * A. Penicillin 600000 units IVPB, now. B. Obtain signed consent form from parents. C. Administer enemas until clear. D. 500 ml Ringer's lactate solution at 50 ml/hr.

C. Administer enemas until clear.

85. A client is admitted with duodenal ulcers. What will be the nurse anticipate the history to Include? * A. Recent weight loss. B. Increasing indigestion after meals. C. Awakening with pain at night. D. Episodes of vomiting.

C. Awakening with pain at night.

19. A client with Addison's disease is admitted to the medical unit. The nurse diagnoses the client with deficient fluid volume related to inadequate fluid intake and to fluid loss secondary to inadequate adrenal hormone secretion. As the client's oral intake increases, which of the following fluids would be most appropriate? * A. Milk and diet soda. B. Water and eggnog. EGG and MILK C. Bouillon and juice. D. Coffee and milkshakes

C. Bouillon and juice

11. A 42-year-old female client reports that she has gained weight and that her face and body are "rounder", while her legs and arms become thinner. A tentative diagnosis of Cushing's disease is made. When examining this client, the nurse would expect to find * A. Postural hypertension B. Muscle hypertrophy in the extremities: thin diba C. Bruised areas on the skin D. Decreased body hair

C. Bruised areas on the skin

71. The nurse is discharging a client with chronic pancreatitis. Which of the following measures would be essential to include in the client's discharge instruction? * A. Weight reduction and exercise program B. Bowel retraining program including daily laxative administration C. Diet modifications avoiding high-fat foods, caffeine. and alcohol D. Relaxation techniques and stress management

C. Diet modifications avoiding high-fat foods, caffeine. and alcohol

87. The food group lowest in natural sodium: * A. Milk B. Meat C. Fruits D. Vegetables

C. Fruits

5. A patient with Addison's Disease should consume which of the following diets? * A. High fat and fiber B. Low potassium and high protein C. High protein, carbs, and adequate sodium D. Low carbs, high protein and increased sodium

C. High protein, carbs, and adequate sodium

12. Which of the following test results would be consistent with a diagnosis of Cushing's disease? * A. Postprandial hypoglycemia B. Hypokalemia C. Hyponatremia D. Decreased urinary calcium level

C. Hyponatremia

34. Oral levothyroxine (synthroid) daily is prescribed for a client with hypothyroidism. The nurse provides medication instructions to the client and tells the client to take the medication: * A. Just after breakfast B. With a snack at 3:00pm C. In the morning on an empty stomach D. With food

C. In the morning on an empty stomach

7. The nurse is caring for a client taking prednisone. The nurse instructs the client that the best time to take the drug to promote absorption is: * A. At bedtime with a full glass of water B. On an empty stomach C. In the morning with breakfast D. Two hours after a meal

C. In the morning with breakfast

6. Which of the following nursing interventions should be included in a plan of care for a client with Addison's disease? * A. Administer the prescribed diuretics B. Give diet instructions for a low-carbohydrate, low- protein diet C. Monitor for signs of Na+ and K+ imbalances D. Encourage self-care activities

C. Monitor for signs of Na+ and K+ imbalances

57. After a subtotal gastrectomy for cancer of the stomach, a client develops dumping syndrome. When caring for this client, the nurse understands that dumping syndrome refers to: * A. Nausea resulting from a full stomach B. Reflux of intestinal contents into the esophagus C. Passage of osmotic fluid into the jejunum D. Build-up of feces and gas within the large intestine

C. Passage of osmotic fluid into the jejunum

79. Which of the following statement on the pain is TRUE: * A. Culture and pain are not associated B. Pain accompanies acute illness C. Patient's reaction to pain varies D. Pain procedures the same reaction such as groaning and moaning

C. Patient's reaction to pain varies

73. Which nonpharmacologic measure is particularly useful for a client with acute pancreatitis? * A. Diversional therapy, such as playing cards or board. games B. Massage of the back and neck with warmed lotion C. Placement in a side-lying position with knees to chest and pillow against the abdomen

C. Placement in a side-lying position with knees to chest and pillow against the abdomen

27. Understanding the need to decrease the size and vascularity of the thyroid gland before a thyroidectomy, which medication can the nurse expect the physician to order? * A. Pitressin B. Propylthiouracil C. Potassium iodide D. Potassium permanganate

C. Potassium iodide

90. A patient is taking Bethanechol (Urecholine) for treatment of GERD. This is known as what type of drug? * A. Proton-pump inhibitors B. Histamine receptor blocker C. Prokinetic D. Mucosal Healing Agent

C. Prokinetic

62. To which of the following measures should a nurse give priority when caring for a patient who has acute Hepatitis B? * A. Using disposable dishes for the patient B. Placing the patient in a private room C. Promoting bed rest D. Limiting fluid intake

C. Promoting bed rest

made by a patient who has had a cholecystectomy, would indicate a correct understanding of dietary instructions? * A. "I should limit my intake of citrus products" B. "I must avoid carbonated beverages" C. "I will increase high-fiber foods in my diet" D. "I can eat whatever I can tolerate"

D. "I can eat whatever I can tolerate"

96. An 18 y/o patient is admitted with appendicitis. Which statement by the patient requires immediate nursing intervention? * A. "The pain hurts so much it is making me nauseous." B. "I have no appetite" C. "If I position myself on my right side, it makes the pain less intense." D. "The pain seems to be gone now. Ruptured na

D. "The pain seems to be gone now. Ruptured na

36. For clients who cannot totally give up smoking, nurses should instruct clients to cease smoking at least how many weeks before surgery * A. 3 B. 4 C. 2 D. 1

D. 1

89. Which of the following plays a role in the development of GERD? Select all that apply. 1. Pregnancy 2. Hiatal Hernia 3. Use of Cardizem (Diltiazem) 4. Being 5 feet, 3 inches tall & weighing 190 lbs * A. 1 & 2 B. 1, 2, & 4 C. 1 Only D. 1, 2, 3, & 4

D. 1, 2, 3, & 4

53. Reviewing the laboratory finding of the client the nurse found which findings are elevated? 1. WBC count 2. Total serum bilirubin 3. Alkaline phosphate 4. RBC count 5. Cholesterol 6. Serum amylase * A. 2,3,4 B. 1,2,3 C. 3,5,6 D. 1,2,6

D. 1,2,6

68. The nurse is caring for a client with peptic ulcer disease. Which of the following observations should the nurse report immediately? Select all that apply: 1. Hypotension 2. Thirst 3. Headache 4. Tachycardia 5. Restlessness 6. Diarrhea * A. 1,4,5 B. 2,3,4 C. 4,5,6 D. 1,3,6

D. 1,3,6

99. During a home health visit, you are assessing how a patient takes the prescribed pancreatic enzyme. The patient is unable to swallow the capsule whole, so they open the capsule and mix the beads inside the capsule with food/drink. Which food or drink is safe for the patient to mix the beads with: * A. Pudding B. Ice cream C. Milk D. Applesauce

D. Applesauce

33. The nurse instructs a client who has been prescribed Lugol's solution to notify the physician if which of the following occurs? * A. Blurred Vision B. Weight Gain C. Increased Urinary Output D. Brassy taste in mouth

D. Brassy taste in mouth

72. The nurse is asked about the risk factors for pancreatitis. The nurse responds that which of the following clients is more likely to develop pancreatitis? * A. 59 year old male with history of occasional alcohol use B. Client with renal problems and hypocalcemia C. Client recovering from a myocardial infarction with hypercholesterolemia D. Client with a stone lodged in the pancreatic duct

D. Client with a stone lodged in the pancreatic duct

54. A T-tube was inserted and the doctor ordered to monitor the amount, color, consistency, and odor drainage. Which of the following procedures can the nurse perform without the doctor's order? * A. Clamping B. Aspirating C. Irrigating D. Emptying the drainage

D. Emptying the drainage

29. Which nursing diagnosis takes highest priority for a client with hyperthyroidism? * A. Risk for imbalanced nutrition:More than body requirements related to thyroid hormone excess B. Risk for impaired skin integrity related to edema, skin fragility and poor wound healing C. Body image disturbance related to weight gain and edema D. Imbalanced nutrition: Less than body requirements related to thyroid hormone excess

D. Imbalanced nutrition: Less than body requirements related to thyroid hormone excess

30. Before undergoing a subtotal thyroidectomy, a client recieves potassium iodide (Lugol's solution) and prophylthiuracil (PTU). The nurse would expect the client's symptoms to subside: * A. In a few days B. In 3 to 4 months C. Immediately D. In 1 to 2 weeks

D. In 1 to 2 weeks

80. In pain assessment, which of the following conditions is a more reliable indicator? * A. Pain rating scale of 1 to 10 B. Facial expression and gestures C. Physiological responses D. Patients descriptions of the pain sensation

D. Patients descriptions of the pain sensation

67. The nurse carefully monitors the client with acute pancreatitis for which of the following complications? * A. Congestive heart failure B. Duodenal Ulcer C. Cirrhosis D. Pneumonia

D. Pneumonia

78. The simplest pain relieving technique is: * A. Distraction B. Taking aspirin C. Deep breathing exercise D. Positioning

D. Positioning

24. The nurse develops a plan of care for the immediate postoperative period for a client who had a thyroidectomy. The plan should include measures to: * A. Correct fluid and Electrolyte Balance B. Administer medications to decrease vascularity of the thyroid glands C. Promote range-of-motion exercise to the neck D. Prevent complications of respiratory obstruction

D. Prevent complications of respiratory obstruction

59. Which of the following laboratory values should a nurse expect to be elevated in a patient who has pancreatitis? * A. Red blood cell count B. Blood urea nitrogen C. Glycosylated hemoglobin D. Serum amylase

D. Serum amylase

22. The cooked food most likely to remain contaminated by the virus that causes hepatitis Type A is: * A. Canned tuna: clostridium botulinum B. Broiled shrimp C. Baked haddock D. Steamed lobster

D. Steamed lobster

88. The cooked food most likely to remain contaminated by the virus that causes hepatitis Type A is: * A. Canned tuna B. Broiled shrimp C. Baked haddock D. Steamed lobster

D. Steamed lobster

37. The nurse is giving a discharge teaching to a patient receiving Potassium Iodide to be cautious in drinking OTC medications. The nurse instructs that she must avoid the following drugs that may contain iodine except: * A. Bronchodilator B. Expectorants C. Anti-tussive D. Steroids

D. Steroids

50. Nurse Fely did her admission assessment. She understand that the pain is characterized as: * A. tenderness that is generalized in the upper epigastric area B. pain in the upper quadrant radiating to the left shoulder C. tenderness and rigidity at the left epigastric area radiating to the back D. tenderness and rigidity of the upper right abdomen radiating to the midsternal area

D. tenderness and rigidity of the upper right abdomen radiating to the midsternal area

51. To confirm the diagnosis of cholecystitis the attending physician ordered the procedure that can detect gallstone as small as 1 to 2 cm and inflammation Nurse Fely would prepare the client for which specific procedure? * A. gall bladder series B. oral cholecystogram C. cholangiography D. ultrasonography

D. ultrasonography