Adult Health 1 Exam #4 Practice Questions

A nurse is reviewing the lab data of a client who has an acute exacerbation of Crohn's disease. Which of the following blood lab results would you expect to be elevated? (select all that apply) a. hematocrit b. erythrocyte sedimentation rate c. WBC d. folic acid e. albumin

b,c

A patient with a history of GERD comes in with chest pain what do you need to rule out?

cardiac cause

What is the first line therapy for UTI's?

antibiotics

A client is admitted to the hospital with a diagnosis of renal calculi. The client is experiencing severe flank pain and nausea; the temperature is 100.6 ° F (38.1 ° C). Which of the following would be a priority outcome for this client?

alleviation of pain

Your patient has just been diagnosed with BPH which of the following medications do you expect the doctor to order?

alpha-adrenergic blockers

What is the most accurate assessment to determine if a client has BPH?

digital rectal exam

A patient comes into the clinic complain of pain during the night, melena and appears well-nourished you suspect ulcers are present in the ___?

duodenum

Which of the following is NOT a method of determining if a patient is positive for H pylori?

fecal occult blood test

A patient is undergoing a procedure of a colectomy due to extreme ulcerative colitis which of the following should be done pre-op?

give an antibiotic to reduce risk of infection

Your patient with Crohn's disease has developed a rigid abdomen, N/V, hypotension, and tachycardia which complication to you expect?

internal bleeding

The client is diagnosed with osteoarthritis. Which sign/symptom would the nurse expect the client to exhibit?

joint stiffness

Which of the following parts of a urinalysis will tell you if common bacterial pathogens are present?

nitrite

Your patient has peptic ulcer disorder and the vital signs are BP: 90/65 HR: 110 O2: 90% what does this indicate?

hemorrhagic shock

Which of the following is not a method of treating renal stones?

open surgical removal

Which of the following has the highest likelihood of emergent GI hemorrhaging?

peptic ulcer disease

Your patient comes into the clinic with a bleeding ulcer which of the following lab values might you take to determine if they are anemic?

periodic CBC

When explaining a complication of GERD called Barrett's Esophagus which of the following indicates a need for further teaching?

this is an emergent issue if I have an acute episode of GERD

You suspect your patient has a UTI, you take a culture and sensitivity to determine the type of bacteria present your patient asks how long until you will know, which of the following is the best answer?

this test is sent to microbiology and takes around 48hr

The client is complaining of joint stiffness, especially in the morning. Which diagnostic tests would the nurse expect the HCP to order to R/O OA?

x-ray of affected joints

What is typically used to diagnose GERD?

symptoms

You are educating to a client with GERD about proton pump inhibitors which of the following demonstrates understanding?

I will take 2 times a day for a better likelihood of improvement

A patient has developed PUD which of the following statements indicates a need for further teaching?

I will take ibuprofen if I have minor stomach pain

You are providing education on the corticosteroid (prednisone) for a patient with ulcerative colitis which of the following indicates an understanding of the teaching?

I will take this medication to reduce inflammation

A client is admitted to the emergency department for possible acute pyelonephritis. Which manifestation should the nurse consider to be consistent with this​ disorder? (Select all that​ apply.) A. Flank tenderness B. Diarrhea C. Nocturia D. Urinary frequency E. Vomiting

a,b,d,e

A urinalysis can determine which of the following? (select all that apply) a. specific gravity b. bacteria type c. WBC d. ketones e. protein

a,c,d,e

Which of the following statement regarding nutrition related to osteoporosis is NOT true?

adding calcium to diet will resolve the osteoporosis

A nurse is assessing a client who is taking prednisone following an exacerbation of inflammatory bowel disease. The nurse should recognize which of the following as priority?

Reports having elevated body temperature

During a health history, which statement by a client indicates a risk of renal calculi?

"I'm a vegetarian and eat cheese two or three times each day."

The nurse is preparing to instill medication into a client's nasogastric tube. Which actions should the nurse take before instilling the medications? Select all that apply 1. Check the residual volume 2. Aspirate the stomach contents 3. Turn off the suction to the nasogastric tube 4. Remove the tube and place it in the other nostril 5. Test the stomach contents for a pH of less than 3.5

1,2,3,5

When planning care for a client with ulcerative colitis who is experiencing symptoms, which client care activities can the nurse appropriately delegate to a unlicensed assistant? Select all that apply. 1. Assessing the client's bowel sounds 2. Providing skin care following bowel movements 3. Evaluating the client's response to antidiarrheal medications 4. Maintaining intake and output records 5. Obtaining the client's weight.

2,4,5

Which of the following values indicates decreased kidney function?

BUN 25 mg/dL

When educating a patient on with Crohn's disease on dietary changes which of the following indicates a need for further teaching?

I will increase my fiber to increase my amount of bowel movements

Which of the following should be used as a diagnostic tool for osteoporosis and fracture risk?

DEXA scan

When providing education to a client with osteoporosis which of the following indicates a need for further teaching?

I will sit on the couch most of the day to avoid falls

A 36 year old female, who is 29 weeks pregnant, reports she is experiencing burning when voiding. The physician orders a urinalysis. Which statement by the patient demonstrates she understands how to collect the specimen?

First, I will pee a small amount of urine in the toilet and then collect the rest in the cup."

Which of the following interventions is suggested for a pyloric obstruction?

NG decompression

Your patient has been prescribed Pyridium which of the following indicates an understanding of the teaching?

This is to decrease my pain and frequency of urination

You're providing diet teaching to a patient with ulcerative colitis about what types of foods to avoid during a "flare-up". Which foods below should the patient avoid? SELECT-ALL-THAT-APPLY:* A. Ice cream B. White Rice C. Fresh apples and pears D. Popcorn E. Cooked carrots

a,c,d

When looking at patients lab findings you notice low iron, which irritable bowel disease do you suspect?

Ulcerative colitis

Which of the following clients is most likely to develop a G/U disorder?

a 86- year male

Select ALL of the following that are complications associated with Crohn's Disease: A. Cobble-stone appearance of GI lining B. Lead-pipe sign C. Toxic megacolon D. Fistula E. Abscess F. Anal Fissure

a,d,e,f

Which of the following are manifestations of Crohn's disease? a. RLQ colicky pain b. epigastric pain radiating to back c. bloody diarrhea d. fever f. painful defecation

a,d,f

A physician suspects a patient may have rheumatoid arthritis due to the patient's presenting symptoms. What diagnostic testing can be ordered to help a physician diagnose rheumatoid arthritis? Select all that apply:* A. Rheumatoid factor B. Uric acid level C. Erythrocyte sedimentation D. Dexa-Scan E. X-ray imaging

a,c,e

When performing an ultrasound you notice a thick "cobblestone" bowel and colon wall this is indicative of?

Crohn's disease

The physician orders a urine culture on your patient in room 5505 with a urinary tract infection. In addition, the patient is ordered to start IV Bactrim (Sulfamethoxazole/Trimethoprim). How will you proceed with following this order?

First, collect the urine culture, and then hang the antibiotic.

A patient asks what they can do to reduce their risk for GERD you suggest ____? (select all that apply) a. exercise 30 min daily b. eat close to bedtime c. eat smaller meals d. drink 3 glasses of wine daily e. stop smoking f. lie down after meals

a,c,e

A client who has just undergone transurethral resection of the prostate​ (TURP) has developed TURP syndrome. Which finding during the nursing assessment support this​ diagnosis? (Select all that​ apply.) a. Hyponatremia b. increased hematocrit c. Hypertension d. Bradycardia e. stomach pain f. Confusion

a,c,d,f

A patient has just undergone a TURP procedure which of the following is the MOST important to consistently moniter?

accurate I and O's

A patient comes to the clinic with a primary diagnosis of gastric ulcers you anticipate s/s of ___? (select all that apply) a. pain at night b. weight loss c. hematemesis d. melena e. pain 30 min after eating

b,c,e

You're educating a group of outpatients about signs and symptoms of ulcerative colitis. Which of the following are NOT typical signs and symptoms of ulcerative colitis? SELECT-ALL-THAT-APPLY:* A. Rectal Bleeding B. Abdominal mass C. Bloody diarrhea D. Fistulae E. Extreme Hungry F. Anemia

b,d,e

When interpreting a urinalysis you notice the specific gravity is 1.080 (high) you know that this means _____? a. UTI b. dehydration c. hypervolemia d. bacteria present

b. dehydration

Which of the following is the only indication to clamp off a catheter?

bladder training

Which of the following symptoms would indicate to you that your patient has ulcerative colitis?

bloody diarrhea

Your patient has been diagnosed with ulcerative colitis and is progressing into later phases which of the following symptoms would NOT be present?

bradycardia

Which of the following food does NOT increase your risk for GERD?

bread

The nurse is teaching the parents of an​ 18-month-old female toddler with a urinary tract infection​ (UTI). Which should be included in the teaching to prevent the future risk of a​ UTI? A. Increase the​ child's fluid intake. B. Increase the​ child's intake of vitamin C. C. Provide the child with a daily cup of​ low-sugar cranberry juice. D. Cleanse the perineal area front to back.

cleanse the perineal area front to back

Where does ulcerative colitis begin?

colon/rectum

The nurse is caring for a client experiencing urinary retention. Which preventive​ catheter-associated urinary tract infection​ (CAUTI) measure should the nurse take to protect the client from a urinary tract infection​ (UTI)?

consider alternatives to an indwelling catheter first

A client's ulcerative colitis symptoms have been present for longer than 1 week. The nurse recognizes that the client should be assessed carefully for signs of which of the following complications?

hypokalemia

A patient with acute urinary retention associated with BPH is admitted to the emergency department. The patient has had no urine output for 16 hours, and the laboratory work shows a blood urea nitrogen (BUN) level of 50 mg/dl and a creatinine of 3.0 mg/dl. The nurse will anticipate a health care provider order to

insert a retention catheter

To determine the severity of the symptoms for a patient with benign prostatic hyperplasia (BPH), the nurse will ask the patient about

occurrence of a weak urinary stream

Your 86 year old female patient has no significant medical history and was just diagnosed with osteoporosis you would determine this is?

primary osteoporosis

A patient with pain in both their wrists and hands, along with warmth is most likely?

rheumatoid arthritis

The beginning stages of Crohn's disease can be characterized by?

stellate ulcers

A patient with nephrolithiasis has been sent home to pass the stones which of the following is important to teach them?

strain all urine and save stones

The wife of a patient who has undergone a TURP and has continuous bladder irrigation asks the nurse about the purpose of the continuous bladder irrigation. Which response by the nurse is appropriate?

the irrigation is needed to keep the catheter from being occluded by blood clots

A patient diagnosed with pancolitis is experiencing extreme abdominal distension, pain 10 on 1-10 scale in the abdomen, temperature of 103.6 'F, HR 120, and profuse diarrhea. What complication due you suspect the pain is experiencing?

toxic megacolon

Which of the following disease is smoking a preventative measure for?

ulcerative colitis

When performing a post void bladder scan the reading is 150mL this is indicative of which of the following?

urinary retention

Which of the following is NOT a method used to care for a client with urinary retention?

void less often