1.

A client with peptic ulcer disease in the duodenum will probably describe the association of pain
as:

Answer: A GNAWING SENSATION RELIEVED BY FOOD

2. A client with meniere’s disease is experiencing severe vertigo, which instruction would the nurse
give to the client to assist In controlling the vertigo?

Answer: AVOID SHUDDEN HEAD MOVEMENTS

3. Nurse Henry is caring for a Dianne a 35 years old female client with a diagnosis of ulcerative
colitis. Which finding if noted during assessment to the client would the nurse report to the
physician?

Answer: REBOUND TENDERNESS

4. After a subtotal gastrectomy for cancer of the stomach, a client develops dumping syndrome.
The nurse understands that dumping syndrome refers to?

Answer: RAPID PASSAGE OF OSMOTIC FLUID INTO THE JEJUNUM

5. During the early postoperative period, a client who has undergone a cataract extraction
complains of nausea and severe eye pain over the operative site. What should be the initial
nursing action?

Answer: NOTIFY THE HEALTH CARE PROVIDER

6. Which of the following values is included in the diagnostic criteria for diabetes?

Answer: FBS- 140MG/DL

7. A patient has been hospitalized for 1 week for studies to confirm a diagnosis of primary
hypothyroidism. What is the principal objective of her medical management?

Answer: REPLACE THE MISSING HORMONE

Answer: CRAMPY AND LOWER LEFT QUADRANT PAIN AND LOW GRADE FEVER

9. A 34 female has been diagnosed to have crushing’s syndrome. Laboratory data showed low
white blood cells and high glucose levels. Based on the given data, which of the following is a
priority nursing intervention?

Answer:

10. A nurse is assessing a client with a diagnosis of diabetes insipidus. For which signs indicative if
diabetes insipidus should the nurse assess the client?

Answer: EXCESSIVE THIRST AND DRY MUCOUS MEMBRANES

11. Which of the following tasks should be included in the immediate postoperative management of
a client who has undergone gastric resection?

Answer: MONITORING FOR SYMPTOMS OF HEMORRHAGE

12. Based on the awareness that the primary symptoms of a sliding hiatal hernia are associated with
reflux, the nurse should particularly assess the client for?

Answer: HEARTBURN, REGURGUTATION AND DHYSPAGIA

13. Which of the following will be included in the initial home management of a newly diagnosed
person with diabetes?

Answer:

14. The nurse should monitor serum calcium levels for hypocalcemia, which will occur with a serum
calcium level of:

Answer: 5MG/DL

15. Which of the following complications is thought to be the most common cause of appendicitis?

Answer: A FECALITH
 16. A client is admitted with hyposecretion of thyroid hormones. The complication of this condition
is?

Answer: MYXEDEMA COMA

17. What musculoskeletal symptoms is associated with primary hyperparathyroidism?

Answer: DEFORMITIES DUE TO DIMENARILIZATION

18. Laboratory findings suggestive of Addison’s disease include all of the following except?

Answer: HYPERTENSION

19. A client with GERD complains of difficulty sleeping at night. Appropriate interventions would be

Answer: SLEEPING ON 2 OR 3 PILLOWS

20. A client is diagnosed with diabetic ketoacidosis, which insulin should the nurse expect the health
care provider to prescribe?

Answer: REGULAR INSULIN

21. Which of the following mechanisms can facilitate the development of diverticulosis into
diverticulitis?

Answer: UNDIGESTED FOOD BLOCKING THE DIVERTICULUM PREDISPOSING THE AREA TO BACTERIA
INVASION

22. The nurse is caring for a patient with gastric cancer who underwent a Billroth II procedure.
Which of the following findings suggest that the patient is developing dumping syndrome, a
complication associated with this procedure?

Answer: DIZZINESS, VERTIGO AND DIAPHORESIS

23. Insulin can be given by the following except?

Answer: INTRAMUSCULAR AND PO

24. Which of the following is considered the master gland?

Answer: PITUITARY
 25. The client with hyperthyroidism has been given medication to control the heartbeat. Which of
the following drug is expected for this client?

Answer: BETA BLOCKER

26. Manometry results consistent with achalasia are?

Answer: DIAGNOSTIC

27. A client is admitted with a head injury, the nurse observes that the indwelling catheter is
draining large amounts of clear, colorless urine. What does the nurse identify as the most likely
cause?

Answer: INADEQUATE ADH SECRETION

28. Which of the following should be the nurse include in the teaching plan to help improve
nutrition in a patient with achalasia?

Answer: EAT MEALS SITTING UPRIGHT

29. Ben, 45 years old diagnose of diabetes type 2 will be discharged from the hospital. As a nurse
you give instructions regarding foot care. Which of the following would you include?

Answer: WASH FEET WITH COLD WATER AND MILD SOAP

30. A client with is admitted to the hospital after vomiting bright red blood and is diagnosed with a
bleeding duodenal ulcer. The client develops a sudden sharp pain in the mid epigastric area
along with a rigid board like abdomen. These clinical manifestations most likely indicate which
of the following?

Answer: THE ULCER HAS PERFORATED

31. A 35 female client has been admitted due to hyperthyroidism, the client was previously on
antithyroid medication and beta blocker but stopped 1 month ago. Laboratory findings for this
client would be expected to reveal which of the following?

Answer: ELEVATED T3&T4

32. Combined with clinical manifestations, what is the laboratory finding that is most commonly
used to diagnose acute pancreatitis?

Answer: INCREASED SERUM AMYLASE

33. Patient GB was post-operative exploratory laparotomy due to ruptured appendix. As a nurse you
know that the post-op position of the client is?

Answer: SEMI FOWLERS

34. Following a laparoscopic cholecystectomy, what should the nurse expect to be part of the plan
of care?

Answer: HAVE UP TO FOUR SMALL ABDOMINAL INCISIONS COVERED WITH SMALL DRESSINGS
 35. Which clinical indicators can the nurse expect when assessing a client with crushing’s syndrome?

Answer: IABLITY OF MOOD AD SLOW WOUND HEALING

36. A patient with acute pancreatitis has a nursing diagnosis of pain related to distention of the
pancreas and peritoneal irritation. In addition to effective use of analgesics, what should the
nurse include in this patient’s plan of care?

Answer: POSITION THE PATIENT ON THE SIDE WITH THE HEAD OF THE BED ELEVATED 45 DEGREES FOR
PAIN RELIEF

37. Patient D is suspected of having a large intestine obstruction. What is the best indication that an
obstruction is present?

Answer: LACK OF FLATUS

38. The pathophysiology of hypoparathyroidism is associated with the following?

Answer:

39. Which of the following best describes the method of action of medications such as ranitidine
(Zantac), which are used in the treatment of peptic ulcer disease?

Answer: REDUCE ACID SECRETIONS

40. Situation: Mr. Gab a 25 years old male is being admitted to a hospital unit complaining of severe
pain in the lower abdomen, which of the following would confirm a diagnosis of appendicitis?

Answer: THE PAIN IS LOCALIZED AT A POSITION HALFWAY BETWEEN THE UMBILICUS AND THE RIGHT
ILIAC CREST

41. Which of the following would be an expected nutritional outcome for a client who has
undergone a subtotal gastrectomy for cancer?

Answer: ACHIEVE OPTIMAL NUTRITIONAL STATUS THROUGH ORAL OR PARENTERAL FEEDINGS

42. A concerned teenage client tells the nurse that she has been diagnosed with hirsutism that will
eventually disappear but does not know what it means. What simple definition would you give?

Answer: EXCESSIVE GROWTH OF FACIAL HAIR

43. The following a nursing intervention for a blind person EXCEPT?

Answer: WHEN ASSISTING THE CLIENT DURING AMBULATION THE NURSE STAYS BESIDE THE CLIENT.

44. Kay, 35 years old, married, is pregnant for the first time and has type 2 diabetes. She asks nurse
Rihanna “what hormone increases throughout pregnancy and may interfere with my insulin
dosage?” Nurse Rihanna answers?

Answer: HUMAN PLACENTAL LACTOGEN

Answer: ELIMINATIVE CHEMICAL

46. A 35 female client has been admitted due to hyperthyroidism, the client was previously on
antithyroid medication and beta blocker but stopped 1 month ago. Upon reviewing the doctor’s
order, you would expect the diet of the client to be?

Answer: HIGH CALORIE

47. The nurse is scheduling a client for diagnostic studies of the GI systems. Which of the following
studies is also known as LGIS?

Answer: BARIUM ENEMA STUDY

48. Which of the following test can be used to diagnose ulcers?

Answer: ESOPHAGOGASTRODUODENOSCOPY(EGD)

49. A patient with chronic cholecystitis asks the nurse whether she will need to continue a low-f at
diet after she has a cholecystectomy. What is the BEST response by the nurse?

Answer: A LOW-FAT DIET IS RECOMMENDED FOR A FEW WEEKS AFTER SURGERY UNTIL THE
INTESTINE ADJUSTS TO RECEIVING A CONTINOUS FLOW OF BILE.

50. The nurse is caring for a client following enucleation. The nurse notes the presence of bright red
blood drainage on the dressing. Which nursing action is appropriate?

Answer: NOTIFY THE PHYSICIAN

51. A Chronic cause of gastritis is infection with a microorganism known as?

Answer: HELICOBACTER PYLORI

52. The client with diabetes type 2 has been prescribed with rapid acting insulin. Which of the
following would you NOT follow in administering the medicated?

Answer: STORE VIALS OF INULIN IN CURRENT USE AT THE REFRIGERATOR

53. A recommended breakfast for a hyperparathyroid patient would be?

Answer: ORANGE JUICE AND TOAST

54. Which is an important intervention that the nurse should include in the plan of care that is
specific for a client with Addison disease?

Answer:

55. During a hearing assessment, the nurse notes that the sound lateralizes to the client left ear
with the Weber test. The nurse analyzes this result is?

Answer: A SENSORINEURAL OR CONDUCTIVE LOSS

Answer

57. Which of the following statement is true regarding the visual changes associated with cataracts?

Answer: THE LOSS OF VISION IS EXPERIENCED AS A PAINLESS GRADUAL BLURRING

58. Mary an 18 years old female college student goes to the university health clinic complaining of
pain that started at the umbilicus and moved to the right lower quadrant over the last 10 Hours.
Nurse Ryan notices muscle guarding on examination. What action should Nurse Ryan take?

Answer: MAKE THE STUDENT NPO

59. Which complication of acute pancreatitis requires prompt surgical drainage to prevent sepsis?

Answer: PANCREATIC ABSCESS

60. The client presents with severe rectal bleeding. 16 diarrheal stools a day, severe abdominal pain,
tenesmus and dehydration. Because of these symptoms the nurse should be alert for other
problems associated with what disease?

Answer: ULCERATIVE COLITIS

61. Balong is admitted to the hospital with a possible diagnosis of appendicitis. On physical
examination the nurse should be looking for tenderness on palpation at McBurney’s point.
Which is located in the?

Answer: RIGHT LOWER QUADRANT

62. A client is admitted to a medical unit with a diagnosis of Addison disease. The nurse is
monitoring the client for clinical manifestation of infection. Which body mechanism related to
infectious process does the nurse conclude is impaired as a result of Addison disease?

Answer: STRESS RESPONSE

63. Four hours post-operatively appendectomy. Mr. B complains of guarding and rigidity of the
abdomen. Nurse X’s initial intervention is?

Answer: ASSESS FOR VITAL SIGNS OF PERITONITIS

64. The patient with glaucoma is taking Acetazolamide, a carbonic anhydrase Inhibitor. Which
nursing intervention must be considered?

Answer:

65. Iodine od iodide compounds are used for hyperthyroidism because they do all the following
EXCEPT?

Answer: INCREASE THE VASCULARITY OF THE GLAND

Answer: AN INCISSION AND RESUTURING OF THR PYLORUS TO RELAX THE MUSCLE AND ENLARGE THE
OPENING FROM THE STOMACH TO THE DUODENUM

67. A 35 female client has been admitted due to hyperthyroidism, the client was previously on
antithyroid medication and beta blocker but stopped 1 month ago. You would assess the client
for which of the following signs/symptoms of hyperthyroidism?

Answer: TACHYCARDIA

68. A 40 years old male client hospitalized with peptic ulcer disease. He is being treated with a
histamine receptor antagonist (cimetidine), antacids, and diet. The nurse doing discharge
planning will teach him that the action of cimetidine is to?

Answer: REDUCE GASTRIC ACID OUTPUT

69. Which of the following should the nurse assess the client for complications of insulin therapy?

Answer: HYPOGLYCEMIA

70. What is the patient with chronic pancreatitis MORE likely to have than the patient with acute
pancreatitis?

Answer: MALABSORPTION

71. A male client has just had a cataract operation without a lens implant. In discharge teaching, the
nurse will instruct the client’s wife to?

Answer: ALLOW HIM TO WALK ONLY WITH ASSISTANCE

72. The patient has a diagnosis of a biliary obstruction from gallstones. What type of jaundice is the
patient experiencing, and what serum bilirubin results would be expected?

Answer: OBSTRUCTIVE JAUNDICE WITH ELEVATED UNCONJUGATED AND CONJUGATED BILIRUBIN

73. The patient with suspected gallbladder disease is scheduled for an ultrasound of the gallbladder.
What should be the nurse explain to the patient about this test?

Answer: IT IS NONINVASIVE AND IS A VERY RELIABLE METHOD OF DETECTING GALLSTONES

74. What manifestations in the patient does the nurse recognize as an early sign of hepatic
encephalopathy?

Answer: ASTERIXIS

75. Of the following characteristics, identify those that are most commonly associated with
cholelithiasis EXCEPT?

Answer: OBESITY
 76. A nurse is caring for a client with a diagnosis of crushing syndrome. Why should the nurse
monitor this client for clinical indicators of diabetes mellitus?

Answer

77. A client with gastric ulcer asks the client the reason for antibiotic therapy that includes
metronidazole. The nurse should explain that antibiotics are prescribed to?

Answer

78. Which of the following symptoms would occur in a client with a detached retina?

Answer: FLASHING LIGHTS AND FLOATERS

79. After a few minutes, the pain in the RLQ suddenly stops as verbalized by the clients, without any
intervention. Nurse X might suspect that?

Answer: THE APPENDIX MAY HAVE RUPTURED

80. A client with a peptic ulcer is scheduled for a vagotomy. The client asks the nurse about the
purpose of this procedure. The nurse tells the client that the procedure?

Answer: REDUCES THE STIMULUS TO ACID SECRETIONS

81. A patient with cirrhosis that is refractory to other treatments for esophageal varices undergoes
a splenorenal shunt. As a result of this procedure, what should the nurse expect the patient to
experience?

Answer:

82. What treatment for acute cholecystitis will prevent further stimulation of the gallbladder?

Answer: NPO WITH NG SUCTION

83. A patient has been hospitalized for 1 week for studies to confirm a diagnosis of primary
hypothyroidism. What nursing comfort measures should be included to this patient?

Answer: ALL OF THE ABOVE

84. Which nursing intervention is the priority when client is first admitted with hyperglycemic
hyperosmolar syndrome?

Answer: ADMINISTERING FLUID REPLACEMENT

85. During assessment patient GB is complaining of RLQ pain with fever and chills. He was
diagnosed with appendicitis. As a nurse you know that all but one not included on the
intervention?

Answer:
 86. After head injury a client develops a deficiency of ADH. What should the nurse consider about
the response to secretion of ADH before assessing this client?

Answer: TUBULAR REABSORPTION OF WATER INCREASES

87. A 55 years old client underwent cataract removal with intraocular lens (IOL) implant. Nurse
Oliver is giving the client discharge instructions, these instructions should include which of the
following?

Answer: AVOID STRAINING DURING BOWEL MOVEMENT OR BENDING AT THE WAIST

88. The patient experienced a blood transfusion reaction. What is the best explanation the nurse
can give to the patient to explain the cause of the hemolytic jaundice that occurred?

Answer:

89. A patient develops SIADH after surgical clipping of cerebral aneurysm. For which manifestations
of excessive levels of ADH should the nurse assess the client?

Answer: WEIGHT GAIN AND HYPONATREMIA

90. The client with retinal detachment had undergone scleral buckling. The following are
appropriate nursing intervention EXCEPT?

Answer: COVER THE EYES WITH PRESSURE DRESSING

91. Diabetes insipidus is a disorder related to the deficiency of?

Answer: VASOPRESSIN

92. The client is being discharged from the ambulatory care unit following cataract removal. The
nurse provides instructions regarding home care, indicates an understanding of the instructions?

Answer: I WILL WEAR MY EYE SHIELD

93. A client has been diagnosed with adenocarcinoma of the stomach and is scheduled to undergo a
subtotal gastrectomy (Billroth II procedure). During pre-operative teaching, the nurse is
reinforcing information about the procedure. Which of the following explanations is most
accurate?

Answer: THE PROCEDURE WILL RESULT IN ANASTOMOSIS OF THE GASTRIC STUMP

94. First aid management to patient who is trembling, hungry and with cool, clammy skin after
receiving insulin is?

Answer: SIMPLE CANDY OR ORANGE JUICC

95. The nurse is instructing a patient with chronic pancreatitis on measures to prevent further
attacks. What information should be provided? EXCEPT?

Answer: EAT HIGH-FAT, LOW-PROTEIN AND HIGH CARBOHYDRATE MEALS.

Answer: TINNITUS

97. A nurse is caring for a client who had adrenalectomy for what clinical response should the nurse
monitor while steroid therapy is being regulated?

Answer: HYPOTENSION

98. If a gastric acid perforates, which of the following actions should not be included in the
immediate management of the client?

Answer: ANTACID ADMINISTRATIONS

99. Malnutrition can be a major problem for patients with cirrhosis. Which nursing intervention can
help to improve nutrient intake?

Answer: ORAL HYGIENE BEFORE MEALS AND SNAKCKS

100. Ben, 45 years old diagnosed of diabetes type 2 will be discharged from the hospital. As a
nurse you give instructions regarding foot care. Which of the following would you include?

Answer: EYE MEDICATIONS WILL NEED TO BE ADMNINISTERED LIFELONG