WorksheetsNS510 Exam 2 - Fall 2025
Total questions: 45
Worksheet time: 29mins
GI
(a)
Which esophageal disorder is described as a precancerous lesion and is associated with GERD?
achalasia
esophageal strictures
Barrett's esophagus
esophageal diverticula
A nurse is caring for a patient diagnosed with C. diff infection. The patient is experiencing abdominal pain and distention, fever, and tachycardia. What is the priority nursing intervention?
Administer ordered antibiotics
Administer IV fluids
Make patient NPO
Ambulate the patient
What is the correct order for an abdominal assessment?
inspection, palpation, auscultation, percussion
inspection, auscultation, percussion, palpation
auscultation, inspection, palpation, percussion
palpation, inspection, auscultation, percussion
The nurse is teaching a client about colonoscopy preparation. Which of the following should the nurse include? SATA
The patient should avoid fiber 48 hours before the procedure
The patient should maintain a clear or full liquid diet 24 hours before the procedure
The osmotic laxative solution should be completed the evening before and 4-6 hours before the procedure
Stool may remain dark brown after colonoscopy preparation
Abdominal cramps and bloating are normal up to 24 hours after the procedure
Which of the following should be avoided in patients with GERD? SATA
Caffeine
High protein meals
Fatty foods
Chocolate
Alcohol
Which patient is at highest risk of having a gastric ulcer?
52-year-old with insulin dependent diabetes and HTN
27-year-old who lifts weights and follows a high protein diet
75-year-old who takes NSAIDs for chronic lower back pain
36-year-old with a right femur fracture following a motor vehicle accident
A client has returned to his room following an esophagogastroduodenoscopy (EGD). Before offering fluids, the nurse should give priority to assessing the clients:
Gag reflex
Urine output
Level of consciousness
Blood pressure
A client has just had a colonoscopy. Which assessment finding should be reported to the healthcare provider immediately?
Mild abdominal cramps
Small amount of rectal bleeding
Flatulence
Severe abdominal pain with a rigid abdomen
After a barium enema, what is an important instruction the nurse should give the client?
Remain NPO for 8 hours
Expect stools to be white for up to 72 hours
Avoid dairy products for 24 hours
Limit fluid intake to prevent diarrhea
GU/Renal
(a)
A client has a renal colic due to renal lithiasis. What is the nurse's first priority in managing care for this client?
Restrict fluids
Request the central supply department to send supplies for straining urine
Encourage the client to drink at least 500 mL of water each hour
Administer an opioid analgesic as prescribed
The nurse is providing discharge teaching about UTI prevention to a patient who was admitted with a UTI. Which of the following teaching points should the nurse include? SATA
Empty bladder completely
Encourage intake of orange juice as it makes urine more acidic and decreases bacterial colonization
Avoid taking tub baths as bath water harbors bacteria
Wipe perineal area from front to back
Encourage caffeine as it is a diuretic
A patient is admitted with acute renal colic and diagnosed with a kidney stone. What is the primary factor contributing to the formation of kidney stones?
High fluid intake
Low protein diet
Concentrated urine supersaturated with stone components
High calcium diet
Musculoskeletal
(a)
What is the gold standard for testing bone density?
CT Scan
DEXA
MRI
Xray
How is pin site care demonstrated?
Cleaning with a designated swab for each pin
Leave the pins open to air and avoid cleaning the site
Cleaning the pins with the same swab to avoid wasting
What should the nurse be most concerned about when dealing with a compound fracture?
The patient's weight bearing status
Immobilization
Pain
Infection
A patient begins to experience pain that is out of proportion for their recent knee replacement. They later demonstrate pain and paralysis. The nurse knows to expect what emergency procedure?
Fasciotomy
Craniotomy
Biopsy
Amputation
Which of the following are posterior hip precautions?
No flexing of the hip greater than 90 degrees
Do not put a pillow between the legs
Do not cross the legs
Try to rotate the hip internally to increase ROM
A 48-year-old patient with a fracture of the left femur has Buck’s traction in pace while waiting for surgery. To assess for pressure areas on the patient’s back and sacral areas and to provide care the nurse should do which of the following?
Loosen the traction and help the patient turn to the unaffected side
Place a pillow between the patient’s legs and gently turn to each side
Turn the patient partially to each side with assistance of another nurse
Have the patient lift the buttocks by bending and pushing with the right leg
A patient with a right lower leg fracture will be discharged home with an external fixation device. Which of the following with the nurse teach?
You will need to check and clean the pin insertion sites daily
The external fixator can be removed for your bath or shower
You will need to remain on bed rest until bone healing is complete
Prophylactic antibiotics are used until the external fixator is removed
A patient with a newly fractured radius complains of increased pain and new numbness/tingling after getting a cast put on. Which of the following assessments is the priority?
Capillary refill of the fingers distal to the injury
Blood pressure
O2 saturation
Asking patient to rate their pain on a scale of 0-10
Injury and Violence
(a)
A patient in an ED is diagnosed with a concussion. The patient is accompanied by a spouse who insisted on staying in the room and answering all questions. The patient avoids eye contact and has a sad affect and slumped shoulders. Assessment of which additional problem has priority?
Risk of intimate partner violence
Risk of self injury
Major depression
Migraine headaches
The nurse reinforces education about IPV for a group of graduate nurses. Which are appropriate for the nurse to include? SATA
a. IPV is most common in low income families
b. IPV is rare in same sex partnerships
c. The abusive partner often demonstrates jealousy and possessiveness
d. Victims may not leave due to financial concerns or fear of harm
e. Violence against a female often intensifies during pregnancy
The nurse caring for an older adult suspects elder abuse. Which action is appropriate?
collect proof of abuse before notifying authorities
confront the caretakers about suspicion of abuse
notify the authorities of suspected abuse
report abuse if the older adult giver permission
One of the most common forms of abuse in vulnerable citizens like children and the elderly is ___________
Physical abuse
Emotional abuse
Neglect
Financial abuse
Which assessment data should a school nurse recognize as a sign of physical neglect?
The child is often absent from school and seems apathetic and tired.
The child is very inseure and has poor self-esteem
The child has multiple bruises on various body parts
The child has sophisticated knowlege of sexual behaviors
Endocrine
(a)
Which type of insulin is typically used for mealtime (bolus) coverage?
Glargine
Determir
Lispro
NPH
A patient with type 1 diabetes mellitus (DM) presents with polyuria, polydipsia, and polyphagia. Which of the following is the primary defect in type 1 DM?
Insulin resistance
Autoimmune destruction of pancreatic β cells
Inadequate insulin secretion
Which of the following is a common manifestation of diabetes insipidus (DI)?
Polyuria with high specific gravity
Polyuria with low specific gravity
Oliguria with high specific gravity
Oliguria with low specific gravity
What is a critical nursing intervention for a patient with syndrome of inappropriate antidiuretic hormone (SIADH)?
Administering hypertonic saline
Encouraging increased oral fluid intake
Administering potassium-sparing diuretics
Placing the patient on fluid restriction
A patient with hyperthyroidism is at risk for thyrotoxicosis (thyroid storm). Which of the following is a key sign of this medical emergency?
Bradycardia
Hypothermia
Severe tachycardia
Hypotension
Which of the following patients is at greatest risk for developing Cushing's syndrome?
A patient with a tumor on the pituitary gland, which is causing too much ADH to be secreted
A patient taking glucocorticoids for several weeks
A patient with a tuberculosis infection
A patient who is post-op from an adrenalectomy
A nurse is caring for a client 2 hours after a total thyroidectomy. Which assessment finding requires the nurse’s priority intervention?
A hoarse voice when the client speaks
A respiratory rate of 22/min with shallow breathing
Tingling around the mouth and fingertips
A small amount of serosanguinous drainage on the neck dressing
A nurse is caring for a client with Addison’s disease who was admitted to the hospital and started on IV hydrocortisone for suspected Addisonian crisis. Which assessment finding indicates that the treatment is effective?
Blood pressure increasing from 82/50 mm Hg to 104/68 mm Hg
Blood glucose decreasing from 140 mg/dL to 90 mg/dL
New onset bilateral crackles in the lower lung fields
Serum potassium increasing from 5.1 mEq/L to 5.7 mEq/L
A nurse is reviewing the plan of care for a client with Cushing’s syndrome. Which of the following nursing interventions are appropriate based on the client’s expected clinical manifestations? Select all that apply.
Monitor for signs of infection such as fever or redness
Encourage a diet high in sodium and low in potassium
Assess for bone pain or history of recent fractures
Monitor blood glucose levels regularly
Place the client on fall precautions
A nurse is caring for a client admitted with myxedema coma who has been started on IV levothyroxine and warmed with a heated blanket. Which assessment finding indicates that the client is responding appropriately to treatment?
Heart rate increases from 48/min to 62/min
Temperature increases from 97.0°F (36.1°C) to 99.5°F (37.5°C)
Blood pressure decreases from 132/80 mm Hg to 120/76 mm Hg
New onset of mild tremors and irritability
A nurse is caring for a client who received NPH insulin at 0730. At 1130, the client reports feeling shaky and sweaty. Which action should the nurse take first?
Offer the client a snack containing protein and complex carbohydrates
Administer the client’s scheduled dose of long-acting insulin
Recognize that the client is likely at the peak of NPH insulin and check blood glucose
Notify the provider of a possible adverse reaction to insulin
Dosage Calc: IV (no drip rates)
(a)
Octreotide 50 mcg IV push over 3 minutes is ordered twice daily for diarrhea. When using an Octreotide concentration of 100 mcg/mL, calculate the milliliters the nurse would administer with each dose.
(a)
A provider prescribes 0.9% NaCl 1,000 mL IV to infuse over 4 hours. The nurse should set the IV infusion pump to deliver how many mL/hour?
(a)
A nurse is preparing to administer lactated ringers 750mL IV to infuse over 6 hours. The nurse should set the IV infusion pump to deliver how many mL/hr? Enter number only, no unit of measure.
(a)
