Medsurg P2 Part 1 1 2

9/4/2021 NUR 155 P2 EXAMINATION PART 1
NUR 155 P2 EXAMINATION PART 1

Total points 47/50
INSTRUCTIONS:
-This is a 50 ITEM MULTIPLE CHOICE EXAMS
-Students are GIVEN 1 HOUR TO ANSWER THE EXAM
-Students are HIGHLY DISCOURAGED TO OPEN BOOKS, MODULES, JOURNALS OR ANY
REFERENCES FOR THIS IS A FORM OF CHEATING. THIS COULD ENFORCE YOUR LEVEL OF
HONESTY.
-Students are HIGHLY DISCOURAGED TO ENTERTAIN CALLS, CHATS, MESSAGES, TEXTS
UNLESS IT IS AN EMERGENCY SITUATION.
-Students are REMINDED TO ENCODE THEIR NAME AND SECTION ON THE BOX PROVIDED
-ONCE IT IS DONE, CLICK THE SUBMIT BUTTON
Email *
joba.sta.cruz.swu@phinmaed.com
0 of 0 points
STUDENT NUMBER *
05-1920-08102
PROGRAM AND SECTION (EX: BSN 3-A1) *
BSN 3-A1
FULL NAME (LASTNAME, FIRSTNAME MIDDLE INITIAL) *
STA. CRUZ, JOE HANNAH B.
MULTIPLE CHOICE QUESTIONS 1 - 50 47 of 50 points
https://docs.google.com/forms/d/e/1FAIpQLSe_QcGjmCKW1wEz0u8-zev_cAF55sANkc0y5oAVLv_1scf_xw/viewscore?viewscore=AE0zAgAtw1xII6S… 1/22
A patient is recovering after having an appendectomy. The patient is 48 1/1

hours post-opt from surgery and is tolerating full liquids. The physician
orders for the patient to try solid foods. What types of foods should the
patient incorporate in their diet? *
A. Foods high in fiber
B. Foods low in fiber
C. Foods high in carbohydrates
D. Foods low in protein
A client who has been diagnosed with renal calculi reports that the pain 1/1
is intermittent and less colicky. Which of the following nursing actions is
most important at this time? *
A. Report hematuria to the physician.
B. Strain the urine carefully.
C. Administer meperidine (Demerol) every 3 hours.
D. Apply warm compresses to the flank area.
Which of the following tests is most commonly used to diagnose 1/1

cholecystitis? *
A. Endoscopy
B. Barium swallow
C. Abdominal ultrasound
D. Abdominal computed tomography scan
On a visit to the clinic, a client reports the onset of early symptoms of 1/1
rheumatoid arthritis. The nurse should conduct a focused assessment
for: *
A. Limited motion of joints.
B. Deformed joints of the hands.
C. Early morning stiffness.
D. Rheumatoid nodules.
Which of the following symptoms is associated with ulcerative colitis? * 1/1
A. Fistulas
B. Soft stools
C. Rectal bleeding
D. Dumping syndrome
The client is admitted to the medical department with a diagnosis of R/O 1/1
acute pancreatitis. What laboratory values should the nurse monitor to
confirm this diagnosis? *
A. Creatinine and BUN
B. Troponin and CK-MB
C. Serum amylase and lipase
D. Serum bilirubin and calcium
Surgical management of ulcerative colitis may be performed to treat 1/1

which of the following complications? *
A. Gastritis
B. Bowel herniation
C. Bowel outpoutching
D. Bowel perforation
To prevent the spread of hepatitis A virus (HAV) infection the nurse is 1/1
especially careful when: *
A. Disposing of food trays
B. Emptying bed pans
C. Taking an oral temperature
D. Changing IV
A nurse encourages a client with an immunologic disorder to eat a 1/1

nutritionally balanced diet to promote optimal immunologic function.
Which snacks have the greatest probability of stimulating autoimmunity?
*
A. Applesauce and dried apricots
B. Potato chips and chocolate milk shakes
C. Raisins and carrot sticks
D. Fruit salad and mineral water
The nurse recognizes that urinary elimination changes may occur even in 1/1
healthy elders because: *
A. the bladder distends, and its capacity increases.
B. elders ignore the need to void.
C. the amount of urine retained after voiding increases.
D. urine becomes more concentrated.
The nurse is providing care for a newly married woman with systemic 1/1
lupus erythematosus (SLE). Which client statement indicates plan of care
understanding? *
A. "I will take birth control pills while I am taking cytotoxic medications."
B. "I do not need to contact the doctor if I develop a fever or rash."
C. "I plan to go to the movies this weekend so that I get out of the house."
D. "I can take ibuprofen as indicated for pain."
The nurse is taking the history of a client who has had benign prostatic 1/1
hyperplasia in the past. To determine whether the client currently is
experiencing difficulty, the nurse asks the client about the presence of
which of the following early symptoms? *
A. Urge incontinence
B. Nocturia
C. Decreased force in the stream of urine
D. Urinary retention
Which of the following factors should the focus of nursing management 0/1
in a client with acute pancreatitis? *
A. Pain control
B. Dietary management
C. Fluid and electrolyte balance
D. Management of hypoglycemia
The “rapid” HIV antibody testing is performed on a patient at high risk for 1/1
HIV infection. What should the nurse explain about this test? *
A. The test measures the activity of the HIV and reports viral loads as real numbers.
B. This test is highly reliable, and in 5 minutes the patient will know if HIV infection is
present.
C. If the results are positive, another blood test and a return appointment for
results will be necessary.
D. This test detects drug-resistant viral mutations that are present in viral genes to
evaluate resistance to antiretroviral drugs
A nurse is caring for a client with the following laboratory values: white 1/1
blood cell count (WBC) 4,500/mm3, neutrophils 15%, and bands 1%.
Based on the client's absolute neutrophil count (ANC), the nurse knows
that the clients risk for infection is: *
A. No increased risk
B. Significant risk
C. low risk
D. intermediate risk
During a home health visit you are helping a patient with gout identify 1/1
foods in their pantry they should avoid eating. Select all the foods below
the patient should avoid: *
A. Sardines
B. Whole wheat bread
C. Sweetbreads
D. Crackers
E. Craft beer
F. Bananas
Which of the following complications is thought to be the most common 1/1

cause of appendicitis? *
A. A fecalith
B. Bowel kinking
C. Internal bowel occlusion
D. Abdominal wall swelling
Which of the following interventions should be included in the medical 1/1

management of Crohn's disease? *
A. Increasing oral intake of fiber
B. Administering laxatives
C. Using long-term steroid therapy
D. Increasing physical activity
Which of the following symptoms may be exhibited by a client with 1/1

Crohn's disease? *
A. bloody diarrhea
B. narrow stools
C. nausea and vomiting
D. steatorrhea
The client is diagnosed with acute pancreatitis. What health-care 1/1

provider's admitting order should the nurse question? *
A. Bedrest with bathroom privileges
B. Initiate IV therapy of D5W at 125 mL/hr.
C. Weight client daily
D. Low fat, low carb diet
Which of the following should the nurse assess when completing the 1/1
history and physical examination of a client diagnosed with
osteoarthritis? *
A. Anemia.
B. Osteoporosis.
C. Weight loss.
D. Local joint pain.
https://docs.google.com/forms/d/e/1FAIpQLSe_QcGjmCKW1wEz0u8-zev_cAF55sANkc0y5oAVLv_1scf_xw/viewscore?viewscore=AE0zAgAtw1xII6… 10/22
A client asks what causes gallstones to form. Which factor should the 1/1
nurse explain as being present when these stones are formed? (Select all
that apply.) *
A. Rapid weight gain
B. Abnormal bile composition
C. Excess cholesterol
D. Inflammation of the gallbladder
E. Biliary stasis
A client with viral hepatitis may exhibit which of the following symptoms? 1/1
*
A. Arthralgia
B. Excitability
C. Headache
D. Polyphagia
Which of the following laboratory results would be expected in a client 1/1

with peritonitis? *
A. Partial thromboplastin time above 100 seconds
B. Hemoglobin level below 10 mg/dl
C. Potassium level above 5.5 mEq/L
D. White blood cell count above 15,000/ul
Which of the following goals for medications prescribed to treat 1/1

rheumatoid arthritis is accurate? *
A. To cure the disease
B. To prevent osteoporosis
C. To control inflammation
D. To encourage bone regeneration
During a school party a child with a known food allergy has an itchy 1/1
throat, is wheezing, and reports not feeling "quite right." The nurse
should do the following in what order from first to last? All options must
be used. *
A. Assess vital signs.
B. Position to facilitate breathing.
C. Send someone to activate the Emergency Management Systems (EMS).
D. Administer the child's epinephrine.
E. Notify the parents.
A nurse is caring for a client with systemic lupus erythematous (SLE) who 1/1
is taking hydroxychloroquine (Plaquenil). The nurse understands that the
primary concern with this drug is: *
A. Pulmonary fibrosis.
B. Cushingoid effects.
C. Retinal toxicity.
D. Renal toxicity.
Which of the following conditions is most likely to cause hepatitis? * 1/1
A. Metastasis
B. Viral infection
C. Bacterial infection
D. Biliary dysfunction
Which of the following associated disorders may the client with Crohn's 1/1
disease exhibit? *
A. Ankylosing spondylitis
B. Colon cancer
C. Malabsorption
D. Lactase deficiency
Which of the following conditions is most likely to directly cause 1/1

peritonitis? *
A. Cholelithiasis
B. Gastritis
C. Perforated ulcer
D. Hiatal hernia
In which of the following groups is most important for the client to 1/1
understand the importance of an annual Papanicolaou test? *
A. Clients with a pregnancy before age 20
B. Clients with a history of recurrent candidiasis
C. Clients with a long history of oral contraceptive use
D. clients infected with the human papillomavirus (HPV)
When counseling a client in the ways to prevent cholecystitis, which of 1/1

the following guidelines is most important? *
A. Eat a low-protein diet
B. Eat a high-cholesterol diet
C. Limit exercise to 10 minutes a day
D. Keep weight proportional to height
Which of the following medications is most effective for treating the pain 1/1
associated with irritable bowel disease? *
A. Acetaminophen
B. Opiates
C. Steroids
D. Stool softeners
Gout is caused by the buildup of what substance in the body? * 1/1
A. White blood cells
B Synovial fluid (found in joints)
C Uric acid
D Blood plasma
Which of the following body substances most easily transmits human 1/1
immunodeficiency virus (HIV)? *
A. Feces and saliva
B. Blood and semen
C. Breastmilk and tears
D. vaginal secretions and urine
The nurse is preparing health promotion teaching for a client with 1/1
gallbladder disease. Which topic should the nurse include in the teaching
session? (Select all that apply.) *
A. Role of a high-cholesterol diet on gallstone formation
B. Role of hypolipidemia on gallstone formation
C. Importance of a low-cholesterol diet
D. Dangers of rapid weight loss
E. Importance of a high-fiber diet
Which of the following symptoms is a classic sign of systemic lupus 1/1

erythematosus (SLE)? *
A. Vomiting
B. Weight loss
C. Difficulty urinating
D. Superficial lesions over the cheeks and nose
A client with acute appendicitis develops a fever, tachycardia, and 1/1

hypotension. Based on these assessment findings, the nurse should
further assess the client for which of the following complications? *
A. Deficient fluid volume.
B. Intestinal obstruction.
C. Bowel ischemia.
D. Peritonitis.
Of the clients listed below, who is at risk for developing rheumatoid 1/1
arthritis (RA)? Select all that apply. *
A. Adults between the ages of 20 and 50 years.
B. Adults who have had an infectious disease with the Epstein-Barr virus.
C. Adults that are of the male gender.
D. Adults who possess the genetic link, specifically HLA-DR4.
E. Adults who also have osteoarthritis.
In cystitis to minimize experiencing nocturia, the nurse would teach the 1/1
patient to: *
A. Perform perineal hygiene after urinating.
B. Set up a toileting schedule.
C. Double void.
D. Limit fluids before bedtime.
Which of the following statements shows that a client does not 1/1
understand the cause of an exacerbation of systemic lupus
erythematosus (SLE) *
A. "I need to stay away from sunlight."
B. "I don't have to worry if I get a strep throat."
C. "I need to work on managing stress in my life."
D. "I don't have to worry about changing my diet."
Copious amounts of frothy, greenish vaginal discharge would be a 1/1

symptom with which of the following infections? *
A. Gonorrhea
B. Candidiasis
C. Herpes simplex
D. Trichomoniasis
When evaluating a male client for complications of acute pancreatitis, 1/1

the nurse would observe for: *
A. increased intracranial pressure.
B. decreased urine output.
C. bradycardia.
D. hypertension.
Systemic lupus erythematosus (SLE) primarily attacks which of the 0/1

following tissues? *
A. Lung
B. Heart
C. Nerve
D. Connective
Which of the following factors is most commonly associated with the 1/1
development of pancreatitis? *
A. Alcohol abuse
B. Hypercalcemia
C. Hyperlipidemia
D. Pancreatic duct obstruction
If a client had irritable bowel syndrome, which of the following diagnostic 1/1
tests would determine if the diagnosis is Crohn's disease or ulcerative
colitis? *
A. Abdominal computed tomography (CT) scan
B. Abdominal x-ray
C. Barium swallow
D. Colonoscopy with biopsy
A 23 year old patient is admitted with suspected appendicitis. The 1/1

patient states he is having pain around the umbilicus that extends into
the lower part of his abdomen. In addition, he says that the pain is worst
on the right lower quadrant. The patient points to his abdomen at a
location which is about a one-third distance between the anterior
superior iliac spine and umbilicus. What other signs and symptoms are
associated with appendicitis. Select all that apply. *
A. Increased red blood Cells
B. Patient has the desire to be positioned in the prone position to relieve pain
C. Umbilical pain that extends in the right lower quadrant
D. Abdominal rebound tenderness
E. Abdominal Flaccidity
Which of the following instructions should the nurse give a client with 0/1
pancreatitis during discharge teaching? *
A. Consume high-fat meals
B. Consume low-calorie meals
C. Limit daily intake of alcohol
D. Avoid beverages that contain caffeine
A patient with hepatitis B is being discharged in 2 days. In the discharge 1/1

teaching plan the nurse should include instructions to: *
A. Avoid alcohol for the first 3 weeks
B. Use a condom during sexual intercourse
C. Have family members get an injection of immunoglobin
D. Follow a low-protein, moderate-carbohydrate, moderate-fat diet
A nurse is caring for a client diagnosed with a chlamydia infection. The 1/1
nurse teaches the client about disease transmission and advises the
client to inform his sexual partners of the infection. The client refuses,
stating, "This is my business and I'm not telling anyone. Besides,
chlamydia doesn't cause any harm like the other STDs." How should the
nurse proceed? *
A. Do nothing because the client's sexual habits place him at risk for contracting
other STDs.
B. Educate the client about why it's important to inform sexual contacts so they
can receive treatment.
C. Inform the health department that this client contracted an STD.
D. Inform the client's sexual contacts of their possible exposure to chlamydia.
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9/4/2021 NUR 155 P2 EXAMINATION PART 1

NUR 155 P2 EXAMINATION PART 1

PROGRAM AND SECTION (EX: BSN 3-A1) *

FULL NAME (LASTNAME, FIRSTNAME MIDDLE INITIAL) *

STA. CRUZ, JOE HANNAH B.

MULTIPLE CHOICE QUESTIONS 1 - 50 47 of 50 points

A patient is recovering after having an appendectomy. The patient is 48 1/1

A. Foods high in fiber

B. Foods low in fiber

C. Foods high in carbohydrates

D. Foods low in protein

A. Report hematuria to the physician.

B. Strain the urine carefully.

C. Administer meperidine (Demerol) every 3 hours.

D. Apply warm compresses to the flank area.

Which of the following tests is most commonly used to diagnose 1/1

D. Abdominal computed tomography scan

A. Limited motion of joints.

B. Deformed joints of the hands.

C. Early morning stiffness.

Which of the following symptoms is associated with ulcerative colitis? * 1/1

A. Creatinine and BUN

B. Troponin and CK-MB

C. Serum amylase and lipase

D. Serum bilirubin and calcium

Surgical management of ulcerative colitis may be performed to treat 1/1

A. Disposing of food trays

B. Emptying bed pans

C. Taking an oral temperature

A nurse encourages a client with an immunologic disorder to eat a 1/1

A. Applesauce and dried apricots

B. Potato chips and chocolate milk shakes

C. Raisins and carrot sticks

D. Fruit salad and mineral water

A. the bladder distends, and its capacity increases.

B. elders ignore the need to void.

C. the amount of urine retained after voiding increases.

D. urine becomes more concentrated.

B. "I do not need to contact the doctor if I develop a fever or rash."

D. "I can take ibuprofen as indicated for pain."

C. Decreased force in the stream of urine

C. Fluid and electrolyte balance

B. Whole wheat bread

Which of the following complications is thought to be the most common 1/1

C. Internal bowel occlusion

D. Abdominal wall swelling

Which of the following interventions should be included in the medical 1/1

A. Increasing oral intake of fiber

C. Using long-term steroid therapy

D. Increasing physical activity

Which of the following symptoms may be exhibited by a client with 1/1

C. nausea and vomiting

The client is diagnosed with acute pancreatitis. What health-care 1/1

A. Bedrest with bathroom privileges

B. Initiate IV therapy of D5W at 125 mL/hr.

C. Weight client daily

D. Low fat, low carb diet

D. Local joint pain.

A. Rapid weight gain