NUR 321 Practice Test Questions and Correct Answers
5 views 0 purchase
Course
NSG 321
Institution
NSG 321
A patient has been admitted to the hospital due to experiencing vomiting for several days. The cause of the patient's vomiting is unknown. Which of the following interventions should be considered the nurse's priority in providing care for this patient? a. Administration of parenteral antiemetics b...
NUR 321 Practice Test Questions and
Correct Answers
A patient has been admitted to the hospital due to experiencing vomiting for several
days. The cause of the patient's vomiting is unknown. Which of the following
interventions should be considered the nurse's priority in providing care for this patient?
a. Administration of parenteral antiemetics
b. Insertion of an NG tube for suction
c. IV replacement of fluid and electrolytes
d. Oral administration of broth & tea ✅C
What increases a patient's risk for candidiasis (a fungus infection - think oral thrush)?
✅Poor oral care, certain meds, dry mouth, high antibiotic & steroid use, high sugar,
rinse your mouth after using inhalers
Which type of infection or inflammation of the mouth can occur as a result of
chemotherapy, renal disease, or liver disease?
a. Canker sores
b. Oral Candidiasis
c. Parotitis
d. Mucositis ✅D
When caring for a patient in the initial post-operative period after a partial glossectomy
with a radial neck dissection, which of the following is the nurse's primary concern?
a. Assessing the patient's coping
b. Maintaining a patent airway
c. Providing adequate nutrition
d. Relieving the patient's pain ✅B
What are some precipitating factors for gastritis? ✅GERD, hiatal hernia, H. pylori,
NSAIDs, corticosteroids, alcohol, diet, spicy/acidic foods, recurring N/V, smoking
Describe examples of patient teaching you should provide to a patient with gastritis.
✅Avoid sugary foods, small frequent meals, space fluids in between meals, antibiotic
compliance, stop drinking and smoking
Which of the following describes proper patient teaching for a patient with chronic
gastritis?
a. Eliminate alcohol & caffeine from the diet when symptoms occur
b. Maintain a nonirritating diet with six small meals a day
c. Take antiacids before meals to decrease stomach acidity
d. Use nonsteroidal anti-inflammatory drugs (NSAIDs) instead of aspiration for pain
relief ✅B
, Which type of peptic ulcer is most common and involves mid-epigastic pain that can
improve when eating? ✅Duodenal
Which patient is at highest risk for having a gastric ulcer?
a. A 27 year old male who is in the middle of a divorce & experiencing back pain
b. A 37 year old male who smoke and recently fell at home
c. A 45 year old female admitted for illicit drug detoxification
d. A 55 year old female who smokes and reports severe nausea and vomiting ✅D
A patient with a history of PUD is hospitalized with symptoms of a perforation. During
the initial assessment, the nurse expects the patient to report which of the following
signs and symptoms
a. Hyperactive bowel sound and upper abdominal swelling
b. Projectile vomiting of undigested foods
c. Sudden, severe upper abdominal pain and back pain
d. Vomiting of bright red blood ✅C
rationale: most severe pain wherever perforation is
A nurse receives in report that a male patient who had Billroth II procedure a few weeks
ago is not experiencing dumping syndrome. Which of the following statements most
accurately explains the pathophysiology associated with the patient's symptoms
a. Distention of the stomach due to too much food and fluid intake
b. Hyperglycemia caused by uncontrolled gastric emptying into the small intestines
c. Irritation of the stomach lining by reflux of bile salts because of the removal of the
pyloric sphincter
d. Movement of fluid into the small bowel because food and fluids move rapidly into the
intestines ✅D
rationale: Dumping syndrome at risk for dehydration, f&e imbalance, hypoglycemia
A patient is admitted to the ER with bright red emesis. What is the nurse's first priority
during the initial care of this patient?
a. Establish two IV sites with large gauge catheters
b. Obtain a thorough health history to assist in determining the cause of bleeding
c. Provide a focused nursing assessment of the patient's status
d. Provide a gastric lavage with cool tap water in preparation for a endoscopic
procedure ✅C
rationale: focus words: first, priority, initial care; the first thing you will do as a nurse is
assess
What do you do if a patient refuses a blood transfusion? ✅Document, respect the
decision, tell the provider, ask about possible concerns, teaching options, benefits and
risks
A 32 year old female presents to the ER with nausea and vomiting and vague
abdominal pain for the past 2 days. The nurse's priority intervention would be to:
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller twishfrancis. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $8.99. You're not tied to anything after your purchase.
