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WorksheetsTRIAL VINODHINI
Total questions: 40
Worksheet time: 30mins
Name
Class
Date
1.
The nurse is caring for a client with acute pancreatitis. While obtaining the client's blood pressure, the nurse notes a carpal spasm. The nurse should obtain a blood specimen to check the client's serum
a)
Calcium level
b)
Albumin level
c)
Troponin T level
d)
Potassium level
2.
Which group of food selections would be appropriate for a client on a full liquid diet 3 days after bariatric surgery?
a)
Apple juice, mashed potatoes, and chocolate pudding
b)
Chicken broth, low-fat cheese omelet, and strawberry ice cream
c)
Creamy wheat cereal, blended cream of chicken soup, and a protein shake
d)
Low-fat vanilla yogurt, smooth peanut butter, and vegetable juice
3.
The nurse is caring for a client with liver cirrhosis. Which of the following assessment findings would warrant immediate follow-up?
a)
Black, tarry stool
b)
Bright red-streaked stool
c)
Light gray clay-colored stool
d)
Small, dry, rocky stool
4.
The nurse understands that which of these body substances are modes of transmission for hepatitis B? Select all that apply.
a)
Blood
b)
Feces
c)
Semen
d)
Urine
e)
Vaginal secretions
5.
The nurse is caring for a client who had an endoscopic procedure yesterday to stop upper gastrointestinal bleeding and who started a clear liquid diet today. Which of the following foods would be appropriate to offer to this client? Select all that apply.
a)
Apple juice
b)
Chicken broth
c)
Cranberry juice
d)
Cream of chicken soup
e)
Unsweetened tea
6.
The nurse is talking with a client who is scheduled for a screening colonoscopy. The client asks, 'What should I know about this procedure?' What information should the nurse include? Select all that apply.
a)
The procedure is not painful, and you will be sedated.
b)
Your abdomen should feel firm and distended after the procedure.
c)
You will need to avoid consuming red liquids prior to the procedure.
d)
Colonoscopies are performed to screen for colon cancer and colon polyps.
e)
You will be given laxatives before the procedure to completely empty your colon.
7.
The nurse admits a client with cirrhosis who has an upper gastrointestinal bleed from suspected gastroesophageal varices. Which new prescription should the nurse question?
a)
Administer pantoprazole IV piggyback every 12 hours
b)
Initiate continuous octreotide IV infusion
c)
Insert and maintain a nasogastric tube
d)
Maintain NPO status except for PO medications
8.
A client diagnosed with cirrhosis is experiencing pruritus. Which strategies are appropriate for the nurse to teach the client to promote comfort and skin integrity? Select all that apply.
a)
Maintain short fingernails to minimize excoriating the skin
b)
Take a bath or shower in hot water to alleviate itching sensations
c)
Take prescribed cholestyramine 1 hour after other medications
d)
Use a moisturizing cream on unbroken skin daily
e)
Wear wool gloves and tight stockings to avoid scratching
9.
The nurse is caring for a client with celiac disease who started a gluten-free diet 4 weeks ago. The client reports continuation of symptoms. Which of the following responses would be most appropriate for the nurse to make?
a)
I can request a referral to the dietitian.
b)
Tell me what you had to eat yesterday.
c)
You may not be following your diet correctly.
d)
You will need to read food labels more carefully.
10.
The nurse is caring for a client who has undergone a colonoscopy. Which client assessment finding should most concern the nurse?
a)
Abdominal cramping
b)
Frequent, watery stools
c)
Positive rebound tenderness
d)
Recurring flatus
11.
The nurse is caring for a debilitated client with a percutaneous endoscopic gastrostomy (PEG) tube inserted 3 days ago. The tube becomes dislodged. What is the most appropriate intervention?
a)
Insert a Foley catheter into the existing tract and inflate the balloon
b)
Insert a small-bore nasointestinal tube to administer feedings and medications
c)
Notify the health care provider who inserted the PEG tube
d)
Reinsert the PEG tube into the existing tract immediately
12.
Client had an inguinal hernia repair 2 hours ago. Which client statement requires follow-up?
a)
I will elevate my scrotum and apply an ice bag to reduce swelling.
b)
I should practice coughing to clear any secretions I may have.
c)
I will call for assistance if using the urinal in bed is difficult.
d)
I should turn in bed and perform deep breathing every hour.
13.
The nurse teaching a group about celiac disease will include which meal in the teaching plan?
a)
Baked salmon with rice, steamed vegetables, and dinner roll
b)
Breaded pork chops, corn on the cob, and steamed snow peas
c)
Grilled chicken, green beans, and mashed potatoes
d)
Spaghetti with Italian tomato sauce and meatballs
14.
Which statements include risk factors for esophageal cancer? Select all that apply.
a)
Switched from smoking cigarettes to cigars
b)
Still considered obese for my height
c)
Drink 3 or 4 beers nightly to relax
d)
Struggled with acid reflux for years
e)
Snack on salted foods like popcorn and peanuts
15.
Client with new total parenteral nutrition (TPN). Which interventions are appropriate? Select all that apply.
a)
Administer TPN through a central venous access device
b)
Ensure that dextrose 10% in water IV solution is available
c)
Obtain a prescription for blood glucose checks every 4–6 hours
d)
Provide a loading dose so the client receives the necessary nutrients
e)
Weigh daily with strict documentation of intake and output
16.
Which pain description aligns with appendicitis?
a)
Burning sensation in upper abdomen
b)
Pain is 8/10 on left side below belly button
c)
Pain is excruciating in lower abdomen above right hip
d)
Intermittent pain in abdomen and right shoulder
17.
Post-anesthesia nurse receives report on a client post-abdominal surgery. What bowel sounds are expected?
a)
Absent bowel sounds
b)
Borborygmi sounds
c)
High-pitched and gurgling sounds
d)
Swishing or buzzing sounds
18.
The nurse is caring for a client who had an open appendectomy 24 hours ago. Which prescription should the nurse clarify?
a)
Advance client to regular diet
b)
Ambulate 3 times daily postoperative day 1
c)
Increase IV normal saline rate from 20 mL/hr to 100 mL/hr
d)
Remove indwelling urinary catheter
19.
Which statements indicate correct understanding of ascending colostomy home care? Select all that apply.
a)
Clarify with HCP before taking enteric-coated meds
b)
Irrigate the colostomy to promote regular movements
c)
Limit eating broccoli and cauliflower to reduce odor
d)
Restrict fluid intake to 2,000 mL/day
e)
Wait for pouch to fill completely before emptying
20.
What is the priority outcome for a client with new ileostomy?
a)
Client will contact the United Ostomy Association of America
b)
Client will look at and touch the stoma
c)
Client will read materials on ostomy care
d)
Client will verbalize methods to control gas and odor
21.
The nurse is caring for a client with acute diverticulitis. Which finding would be essential to follow up?
a)
Abdominal pain has progressed to the left upper quadrant
b)
Hemoglobin of 11.2 g/dL (112 g/L)
c)
Lying on side with knees drawn up to abdomen and trunk flexed
d)
WBC count of 12,000/mm³ (12 x 10⁹/L)
22.
Client recently diagnosed with hiatal hernia. Which actions should the nurse take? Select all that apply.
a)
Elevate the head of the bed at least 30 degrees
b)
Encourage use of compression garments around the abdomen
c)
Instruct the client to avoid caffeinated beverages
d)
Offer small, frequent, low-fat meals
e)
Tell the client to avoid lifting and straining
23.
Which nurse statement indicates correct understanding of enteral vs parenteral nutrition?
a)
Enteral feedings help maintain gut integrity and prevent stress ulcers.
b)
Hyperglycemia occurs with parenteral nutrition but not with enteral feedings.
c)
Enteral feedings can be used for extended durations, and parenteral nutrition cannot.
d)
There is higher calorie and nutrient content in enteral feedings than in parenteral nutrition.
24.
Client post-hemorrhoidectomy. Which interventions should be included in care? Select all that apply.
a)
Administer stool softeners and pain medications
b)
Remind the client to avoid straining during defecation
c)
Encourage fluid intake
d)
Teach the client how to self-administer a sitz bath
e)
Provide a list of low-fiber foods
25.
Which factors increase a client's risk for developing acute pancreatitis? Select all that apply.
a)
Abdominal trauma
b)
Alcohol use disorder
c)
Excess calcium intake
d)
Untreated cholelithiasis
e)
Elevated serum uric acid level
26.
RYGB client discharge teaching to prevent dumping syndrome. Which info should be included?
a)
Meals should be small and low in carbohydrate content
b)
Fluids should be encouraged with each meal
c)
Take multivitamin with iron and calcium supplements daily
d)
Take cobalamin injection monthly
27.
Client with gastrojejunostomy has nausea and dizziness post-meals. What should the nurse do?
a)
Encourage increased carbohydrate intake
b)
Check BP while lying down and standing
c)
Recommend extra fluids with meals
d)
Instruct the client to recline for a short time after meals
28.
Client receiving lactulose for hepatic encephalopathy. What action by the nurse requires follow-up?
a)
Administers on empty stomach for rapid effect
b)
Assesses mental status before administration
c)
Holds the medication if the client has 3 soft stools/day
d)
Mixes the medication with fruit juice to improve flavor
29.
Client with cirrhosis and ascites. Which actions should the nurse take? Select all that apply.
a)
Assist client to ambulate every shift
b)
Encourage sodium intake
c)
Maintain client in semi-Fowler position
d)
Provide alternating air pressure mattress
e)
Use music to provide distraction
30.
Client calls reporting diarrhea for 4 days and fever. What is most important for the nurse to do?
a)
Encourage eating bulk-forming foods
b)
Encourage rest, fluids, and acetaminophen
c)
Make appointment with HCP today
d)
Take 2 loperamide tablets after each loose stool
31.
A nurse is preparing a presentation about behavioral modifications to support weight loss for clients at an obesity clinic. Which of the following points should the nurse include in the teaching plan? Select all that apply.
a)
Avoid social gatherings that occur in restaurants or around meals
b)
Create multiple small goals with rewards for achievement
c)
Identify a list of desired outcomes not directly related to weight loss
d)
Perform anxiety-reducing activities rather than using food to cope with stress
e)
Utilize visual cues such as motivational quotes to encourage positive behavior
32.
The nurse provides discharge instructions to a client one day after laparoscopic cholecystectomy. Which statement by the client indicates that further teaching is required?
a)
I can return to work within a week of surgery.
b)
I can take a bath as long as I do not scrub the surgical glue off of the incision.
c)
I will avoid fatty foods for several weeks after surgery.
d)
I will report to the health care provider if my temperature is higher than 101 F (38.3 C).
33.
The nurse is reviewing new orders for a client with chronic kidney disease. The nurse should clarify the order for
a)
dietary sodium restriction
b)
magnesium hydroxide
c)
fluid restriction
d)
furosemide
34.
The nurse is talking with a client with peptic ulcer disease. Which of the following statements by the client would require immediate follow-up?
a)
I was nauseous and vomited a small amount after lunch today.
b)
After eating, I have pain in the middle of my upper abdomen.
c)
For the past few days, I have felt dizzy when I stand up.
d)
I feel very full and belch often after eating meals.
35.
Which nursing interventions would the nurse implement when caring for a client newly diagnosed with acute viral hepatitis B? Select all that apply.
a)
Offer small, frequent meals to prevent nausea
b)
Promote rest periods between periods of activity
c)
Provide a diet high in fat and low in carbohydrates
d)
Teach the client not to share razors or toothbrushes with others
e)
Teach the client to abstain from drinking alcohol
36.
The nurse is caring for a client with acute pancreatitis who has severe nausea and vomiting. Which of the following interventions should the nurse anticipate? Select all that apply.
a)
Administer IV fluids
b)
Administer IV hydromorphone for pain
c)
Insert a nasogastric tube for nasogastric suction
d)
Maintain the client in a supine position with the head of bed flat
e)
Provide small, frequent, high-carbohydrate, high-calorie meals
37.
The nurse is providing postoperative care to a client who had a laparoscopic cholecystectomy 4 hours ago. Which intervention is the priority?
a)
Apply antiembolism stockings
b)
Assist with early ambulation
c)
Encourage a low-fat diet
d)
Offer stool softeners
38.
The nurse is talking with clients at a community health fair about the importance of dietary fiber. Which of the following should the nurse include as a benefit of a high-fiber diet? Select all that apply.
a)
Regulates bowel movements
b)
Improves serum glucose control
c)
Decreases the risk for colorectal cancer
d)
Increases the feeling of fullness when eating
e)
Prevents exacerbations of systemic lupus erythematosus
39.
The nurse is caring for a client with suspected colorectal cancer. Which of the following findings would support a diagnosis of colorectal cancer? Select all that apply.
a)
Fatigue
b)
Blood in the stool
c)
Change in bowel habits
d)
Unintentional weight loss
e)
Elevated hemoglobin level
40.
The nurse is caring for a client with liver cirrhosis admitted for cellulitis. Which assessments would the nurse perform to determine if the client's condition has progressed to hepatic encephalopathy? Select all that apply.
a)
Ask if the client knows what day it is
b)
Ask the client to extend the arms
c)
Assess for telangiectasia (spider nevi)
d)
Determine if the conjunctiva is jaundiced
e)
Note amylase and lipase serum levels
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