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Part 2 Final Exam NCM 112

Total questions: 25

Worksheet time: 34mins

Name
Class
Date
1.

A patient with Systemic Lupus Erythematosus is experiencing a complication called Lupus Nephritis. Which of the following signs and symptoms is not correlated with this complication?

a)

Decreased Creatinine

b)

Increased BUN

c)

Proteinuria

d)

Edema in upper and lower extremities

2.

A patient with Systemic Lupus Erythematosus is prescribed Hydroxychloroquine. The following educational points should be included in the patient’s education except:

a)

  It is used long-term to help prevent flares.

b)

The patient must have their eyes checked regularly to monitor the retina while taking this medication.

c)

  This medication binds with a protein that supports the activity of B-cells, which decreases the activity of B-cells.

d)

  None of the above

3.

You're providing education to a Systemic Lupus Erythematosus support group about preventing flares. Which statement by a participant requires re-education about this topic?

a)

"Emotional stress and illness are triggers for a flare-up." 

b)

"I always wear large-brimmed hats and long sleeves when I'm outside."

c)

"Exercise should be avoided due to the physical stress it causes on the body."

d)

"I will make it priority to receive my yearly influenza vaccine.

4.

A client comes to the clinic for treatment of recurrent pelvic inflammatory disease. The nurse recognizes that this condition most frequently follows which type of infection?

a)

A.  Trichomoniasis

b)

A.  Staphylococcus

c)

A.  Chlamydia

d)

A.  Streptococcus

5.

    A few hours after the evening meal your patient developed pain around his umbilicus which later moved to the lower right quadrant. The pain is now one-third of the distance between the anterior superior iliac spine and the umbilicus. What are the implications of these symptoms?

a)

   The patient is experiencing an exacerbation of Crohn's disease

b)

   This is a symptom of food poisoning with intestinal involvement

c)

   The patient's kidneys are compromised

d)

   This indicates the development of appendicitis

6.

The following are possible complications of Chlamydia except:

a)

A. Pelvic Inflammatory Disease

b)

Ectopic Pregnancy

c)

Fallopian tube abscess

d)

Amenorrhea

7.

What two STDs cause PID when left untreated?

a)

Syphilis and gonorrhea

b)

  Chlamydia and genital warts

c)

Genital herpes and genital warts

d)

Gonorrhea and chlamydia

8.

What are some of the symptoms that occur when having PID?

a)

Fever and chills

b)

Pain during sex

c)

Irregular menstrual bleeding

d)

All of the above

9.

True or False: A patient with Crohn's Disease can experience inflammation in the large intestine that affects mainly the mucosa (inner layer) of the bowel.

a)

True

b)

False

10.

A patient with Crohn's Disease is MOST likely to have the disease is what part of the GI tract?

a)

Rectum

b)

Duodenum of the small intestine

c)

Terminal Ileum

d)

Descending Colon

11.

You're providing teaching to a patient who has been newly diagnosed with Crohn's Disease. Which statement by the patient's spouse requires re-education?

a)

   "Crohn's Disease can be scattered throughout the GI tract in patches with some areas appearing healthy while others are diseased." 

b)

  "There is no cure for Crohn's Disease."

c)

  "Strictures are a common complication with Crohn's Disease."

d)

  "Crohn's Disease can cause the haustra of the large intestine to lose its form."

12.

  A physician is explaining to a patient that the patient has a type of Crohn's Disease that is found in both the ileum and colon. As the nurse, you know this type of Crohn's Disease is called?

a)

Gastroduodenal Crohn's Disease 

b)

Granulomatous Colitis

c)

Ileitis

d)

    Ileocolitis

13.

A patient experiencing a flare-up with Crohn's Disease is ordered complete bowel rest by the physician. You are administering TPN (total parental nutrition) per physician order. When developing the patient's nursing plan of care, which nursing diagnosis is MOST important to include in the care plan?

a)

Risk for allergy response

b)

Risk for unstable blood glucose level

c)

Risk for imbalance nutrition: more than body requirements

d)

Risk for imbalanced nutrition: less than body requirements

14.

  A patient with Crohn's Disease is taking corticosteroids. The patient is complaining of extreme thirst, polyuria, and blurred vision. What is your next nursing action?

a)

   Check the patient's blood glucose 

b)

Give the patient a food containing sugar (ex: orange juice)

c)

Administer oxygen via nasal cannula

d)

Assess bowel sounds

15.

True or False: Ulcerative colitis is a type of inflammatory bowel disease that causes inflammation and ulcer formation in the inner lining of the small intestine, specifically the terminal ileum.

a)

True

b)

False

16.

   A patient is admitted with ulcerative colitis. In the physician's notes, it is stated that the patient's barium enema results showed the patient has colitis that starts in the rectum and extends into the sigmoid and descending colon. As the nurse, you know that this is what type of ulcerative colitis?

a)

Right-sided colitis 

b)

Proctosigmoiditis

c)

Ulcerative procotitis

d)

Left-sided colitis

17.

Which of the following symptoms would a client in the early stages of peritonitis exhibit?

a)

Abdominal Distention

b)

Abdominal pain and rigidity

c)

Hyperactive bowel sounds

d)

Right upper quadrant pain

18.

    Which of the following aspects is the priority focus of nursing management for a client with peritonitis?

a)

Fluid and electrolyte balance

b)

Pain Management

c)

A. Gastric Irrigation

d)

Psychosocial issues

19.

Which of the following conditions is most likely to directly cause peritonitis?

a)

Cholelithiasis

b)

Perforated Ulcer

c)

  Gastritis

d)

Incarcerated hernia

20.

The acinar cells of the pancreas release the following substances except:

a)

Amylase

b)

Somatostatin

c)

    Lipase

d)

  Protease

21.

A patient with acute pancreatitis is reporting excessive thirst, excessive voiding, and blurred vision. As the nurse, it is priority you?

a)

Reassure the patient this is normal with pancreatitis 

b)

  Check the patient's blood glucose

c)

  Assist the patient with drinking a simple sugar drink like orange juice

d)

Provide a dark and calm environment

22.

A patient who received treatment for pancreatitis is being discharged home. You're providing diet teaching to the patient. Which statement by the patient requires immediate re-education about the diet restrictions?

a)

   "It will be hard but I will eat a diet low in fat and avoid greasy foods."

b)

"It is very important I limit my alcohol intake to no more than 2-3 glasses of wine a week."

c)

   "I will concentrate on eating complex carbohydrates rather than refined carbohydrates."

d)

  "I will purchase foods that are high in protein."

23.

The physician orders a patient with pancreatitis to take a pancreatic enzyme. What assessment finding demonstrates the pancreatic enzymes are working properly?

a)

Abdominal girth is decreased 

b)

Skin turgor is less than 2 seconds

c)

Blood glucose is 250

d)

Stools appear formed and solid

24.

  "A patient contracts hepatitis from contaminated food. During the acute (icteric) phase of the patient's illness, the nurse would expect serologic testing to reveal...

a)

  hepatitis B surface antigen (HBsAg).

b)

  anti-hepatitis B core immunoglobulin M (anti-HBc IgM).

c)

anti-hepatitis A virus immunoglobulin G (anti-HAV IgG).

d)

  anti-hepatitis A virus immunoglobulin M (anti-HAV IgM)."

25.

"The female nurse sticks herself with a dirty needle. Which action should the nurse implement FIRST?

a)

Notify the infection control nurse.

b)

Cleanse the area with soap and water.

c)

Request post-exposure prophylaxis.

d)

Check the hepatitis status of the client.