3112 Test 2

An RN is caring for a client following an EGD procedure. Which of the following assessments is the nurse's priority? A. Pain B. Nausea C. Gag reflex D. Level of consciousness

C

An RN is caring for a client who has an active upper GI bleed. After inserting an NG tube into the client, which of the following findings should the nurse anticipate? A. Frothy pink drainage B. Dark amber drainage C. Coffee-ground drainage D. Greenish-yellow drainage

C

The RN is caring for a client with AIDS who has begun to experience multiple opportunistic infections. Which lab test would be most helpful in assessment the client's need for reassessment of treatment? A. Western Blot B. B lymphocyte count C. CD4 or T lymphocyte count D. Enzyme-linked immunosorbent assay (ELISA)

C

An RN is preparing to administer metoclopramide 15mg PO QID before meals and at bedtime for a client who has GERD. The amount available is metoclopramide 5mg/5mL. How many mLs should the RN administer?

15mL

An RN is preparing to administer liquid famotidine 20mg PO Q6hr for a client who has GERD. Available is famotidine 40mg/5mL. How many mL should the RN administer?

2.5mL

A CD4 lymphocyte count is performed in a client with HIV infection. When providing education about the testing, what would the RN tell the client? A. It establishes the stage of HIV infection B. It confirms the presence of HIV infection C. It identifies the cell-associated proviral DNA D. It determines the presence of HIV antibodies in the bloodstream

A

A client is admitted to the hospital with a diagnosis of acute diverticulitis. What would the RN expect to be prescribed for this client? A. NPO status B. Ambulation at least 4x daily C. CHOlinergic medications to reduce pain D. Coughing and deep breathing every 2hr

A

An RN is caring for a client who has UC and is teaching the client about the common link with Crohn's disease. Which of the following information should the RN include? A. Both are inflammatory B. Both begin in the rectum C. Both manifest fistula formation D. Both require frequent surgery

A

An RN is caring for a client who has diverticular disease. When palpating the client's abdomen, in which of the following locations should the RN expect the client to report abdominal pain? A. LLQ B. LUQ C. RLQ D. RLQ

A

An RN is caring for a client who is being admitted for an acute exacerbation of UC. Which of the following actions should the RN take first? A. Review the patient's electrolyte values B. Check the client's perianal skin integrity C. Investigate the client's emotional concerns D. Obtain a dietary history from the client

A

An RN is presenting information about the prevention of STIs to a group of high school students. The nurse should identify that this is an example of which type of prevention? A. Primary B. Quaternary C. Tertiary D. Secondary

A

The RN is caring for a client with acute pancreatitis. Which finding would the RN expect to note when reviewing the lab results? A. Elevated serum lipase level B. Elevated serum bilirubin level C. Decreased serum trypsin level D. Decreased serum amylase level

A

The RN is performing an assessment on a client with acute pancreatitis who was admitted to the hospital. Which assessment question would most specifically elicit information regarding the pain that is associated with acute pancreatitis? A. Does the pain in your stomach radiate to your back? B. Does the pain in your lower abdomen radiate to your hip? C. Does the pain in your lower abdomen radiate to your groin? D. Does the pain in your stomach radiate to your lower middle abdomen?

A

The RN presents a seminar on STIs. Which information about syphilis should the RN include in this presentation? SATA A. A blood test will confirm the diagnosis B. Syphilis s/x are divided into stages C. Syphilis can be spread through vaginal, anal, or oral sex D. Having syphilis once provides lifelong immunity from repeat infection E. Syphilis will always be present in a chronic state, as there is no cure for this illness

A, B, C

A nursing student is doing a presentation on HPV for young adults aged 18-20. What information would the student include in this presentation? SATA A. Some forms of HPV can lead to cervical cancer B. You cannot get HPV if you only had sex with one partner C. There are no vaccinations against HPV D. HPV is most commonly spread during vaginal or anal sexual contact E. In some types, HPV will go away on its own and does not cause health issues

A, D, E

A client asks the RN about obtaining a home test kit to test for HIV status. What would the RN plan to tell the client? A. Home kits are not available at this time B. Home test kits may not be as reliable as laboratory blood tests C. Home test kits are most reliable immediately after a risk event occurs D. Home test kits would not be used; rather, it is important to contact the physician with concerns about the HIV status

B

A client with HIV infection is diagnosed with HSV. The RN should prepare the client for which diagnostic test to determine the presence of HSV? A. Bacterial culture B. Viral culture C. Stool culture D. CT scan

B

A nurse admits a client to the ED who reports N/V that worsens when he lies down. Antacids do not help. The provider suspects acute pancreatitis. Which of the following lab test results should the RN expect to see? A. Decreased WBC B. Increased serum amylase C. Decreased serum lipase D. Increased serum calcium

B

An RN is caring for a client who has PUD. The RN should monitor the client for which of the following findings as an indication of gastrointestinal perforation? A. Hyperactive bowel sounds B. Sudden abdominal pain C. Increased BP D. Bradycardia

B

An RN is providing instructions for a 52yo client who is scheduled for a colonoscopy. The client reports that he has not had the procedure before and is very anxious about feeling pain during the procedure. Which of the following responses by the RN is appropriate? A. Don't worry, most clients dislike the prep more than the procedure itself B. Before the examination, your provider will give you a sedative that will make you sleepy C. I know you're anxious, but this procedure is recommended for people your age D. After you sign this consent form, we can talk more about this

B

An RN is providing teaching to a client who has stomatitis. Which of the following statements made by the client indicates a need for further teaching? A. I will drink liquid beverages through a straw B. I will use dried spices to season my food C. I will rinse my mouth with baking soda and water frequently D. I will eat frozen bananas as a snack

B

An RN reviewing the medical record of a client who has a peptic ulcer. Which of the following findings should the RN recognize as a risk factor for this condition? A. History of bulimia B. History of NSAID use C. Drinks green tea D. Has a glass of wine with dinner each day

B

The RN is giving instructions to a client with cholecystitis about food to exclude from the diet. Which food item identified by the client indicates that the education session was successful? A. Fresh fruit B. Brown gravy C. Fresh vegetables D. Poultry without skin

B

The RN is providing teaching for a client who has a new diagnosis of GERD. The client asks about foods he should avoid eating. Which of the following foods should the RN tell him to avoid? A. Nonfat milk B. Chocolate C. Apples D. Oatmeal

B

An RN is teaching a group of newly licensed nurses on effective techniques for counseling clients about STIs. Which of the following statements should the RN include in the teaching? A. Use closed-ended questions when obtaining the health history B. A clients reproductive health history is not needed for counseling purposes C. Ask about the client's exposure to any past or present STIs D. Refer the client to genetic counseling if he has had an STI

C

The RN is caring for a client with GERD and provides client education on measures to decrease GERD. Which statement made by the client indicates a need for further teaching? A. I plan to eat 4-6 small meals a day B. I need to sleep in the right side-lying position C. I plan to have a snack 1 hour before going to bed D. I will stop having a glass of wine each evening with dinner

C

A client has just had surgery to create an ileostomy for treatment of a bowel obstruction. The nurse assesses the client in the postoperative period for which MOST frequent complication for this type of surgery? A. Folate deficiency B. Malabsorption of fat C. Intestinal obstruction D. Fluid and electrolyte imbalance

D

A client is scheduled for an upper GI endoscopy. Which assessment is essential to include in the plan of care following the procedure? A. Assessing pulses B. Monitoring urine output C. Monitoring for rectal bleeding D. Assessing for the presence of the gag reflex

D

An RN is providing discharge teaching to a client who has GERD. Which of the following statements of the client indicates an understanding of the teaching? A. The type of foods I eat does not affect this condition B. I will sleep on my left side C. I will eat a snack just before going to bed D. I will sleep with the head of my bed elevated

D

An RN is providing teaching to a client who has a new colostomy. Which of the following information should the RN include in the teaching? A. You can expect fecal output within 24hr B. You will need to increase your dietary intake of raw vegetables C. You can expect the stoma to be purplish in color for the next week D. You may experience a small amount of bleeding around the stoma

D

The RN is assessing a client who has PUD. Which of the following findings should the RN identify as the priority? A. Epigastric discomfort B. Dyspepsia C. Constipation D. Hematemesis

D

The RN is caring for a client who has just returned from the OR after colectomy to remove a bowel tumor and the creation of a colostomy. The nurse is assessing the drainage in the pouch attached to the site where the colostomy was formed and notes serosanguineous drainage. Which nursing action is appropriate based on this assessment? A. Apply ice to the stoma site B. apply pressure to the stoma site C. Notify the primary healthcare provider D. Document the amount and characteristics of the drainage

D

The RN is caring for a client with UC. Which finding does the RN determine is consistent with this diagnosis? A. Hypercalcemia B. Hypernatermia C. Frothy, fatty stools D. Decreased hemoglobin

D