. A patient is admitted to the hospital with diarrhea and dehydration. The nurse recognizes that increased peristalsis resulting in diarrhea can be related to
a. sympathetic inhibition.
b. mixing and propulsion.
c. sympathetic stimulation.
d. parasympathetic stimulation.
parasympathetic stimul...
NUR 120 Exam 3 Questions and
Answers 2024
1. A patient is admitted to the hospital with diarrhea and dehydration. The nurse
recognizes that increased peristalsis resulting in diarrhea can be related to
a. sympathetic inhibition.
b. mixing and propulsion.
c. sympathetic stimulation.
d. parasympathetic stimulation.
parasympathetic stimulation.
2. A patient has a high blood level of indirect (unconjugated) bilirubin. One cause
of this finding is that
a. the gallbladder is unable to contract to release stored bile.
b. bilirubin is not being conjugated and excreted into the bile by the liver.
c. the Kupffer cells in the liver are unable to remove bilirubin from the blood.
d. there is an obstruction in the biliary tract preventing flow of bile into the small
intestine.
bilirubin is not being conjugated and excreted into the bile by the liver.
3. As gastric contents move into the small intestine, the bowel is normally
protected from the acidity of gastric contents by the
a. inhibition of secretin release.
b. secretion of mucus by goblet cells.
c. release of pancreatic digestive enzymes.
d. release of gastrin by the duodenal mucosa.
secretion of mucus by goblet cells.
4. A patient has jaundice with pale colored stools. This is most likely related to
a. decreased bile flow into the intestine.
b. increased production of urobilinogen.
c. increased bile and bilirubin in the blood.
d. increased production of cholecystokinin.
decreased bile flow into the intestine.
NUR 120 exam 3
,NUR 120 exam 3
5. An 80-year-old man states that, although he adds a lot of salt to his food, it still
does not have much taste. The nurse's response is based on the knowledge that the
older adult
a. should not have any changes in taste.
b. has a loss of taste buds, especially for sweet and salt.
c. has some loss of taste but no problems chewing food.
d. loses some sense of taste related to the increased ability to smell.
has a loss of taste buds, especially for sweet and salt.
6. When the nurse is assessing the health perception-health maintenance pattern as
related to gastrointestinal function, an appropriate question to ask is
a. "What is your usual bowel elimination pattern?"
b. "What percentage of your income is spent on food?"
c. "Have you traveled to a foreign country in the last year?"
d. "Do you have diarrhea when you are under a lot of stress?"
"Have you traveled to a foreign country in the last year?"
7. When assessing the abdomen, the nurse should
a. position the patient in the supine position with the bed flat and knees straight.
b. listen for bowel sounds in the epigastrium and all 4 quadrants for 2 minutes.
c. describe bowel sounds as absent if no sound is heard in a quadrant after 2
minutes.
d. use the following order of techniques: inspection, palpation, percussion,
auscultation.
listen for bowel sounds in the epigastrium and all 4 quadrants for 2 minutes.
8. Normal physical assessment findings of the gastrointestinal system are (select all
that apply)
a. nonpalpable spleen.
b. borborygmi in upper right quadrant.
c. tympany on percussion of the abdomen.
d. liver edge 2 to 4 cm below the costal margin.
e. finding of a firm, nodular edge on the rectal examination.
nonpalpable spleen.
tympany on percussion of the abdomen.
NUR 120 exam 3
, NUR 120 exam 3
9. In preparing a patient for a colonoscopy, the nurse explains that
a. a signed permit is not needed.
b. sedation will be used during the procedure.
c. one cleansing enema part of the required preparation.
d. light meals should be eaten for 3 days before the procedure.
sedation will be used during the procedure.
1. The most appropriate therapy for a patient with acute diarrhea caused by a viral
infection is to
a. increase fluid intake.
b. administer an antibiotic.
c. administer an antimotility drug.
d. quarantine the patient to prevent spread of the virus.
increase fluid intake.
2. A 35-year-old female patient is admitted to the emergency department with acute
abdominal pain. Which medical diagnoses should you consider as possible causes
of her pain? (select all that apply)
a. Gastroenteritis
b. Ectopic pregnancy
c. Gastrointestinal bleeding
d. Irritable bowel syndrome
e. Inflammatory bowel disease
Gastroenteritis
Ectopic pregnancy
Gastrointestinal bleeding
Irritable bowel syndrome
Inflammatory bowel disease
3. Assessment findings suggestive of peritonitis include (select all that apply)
a. abdominal pain.
b. rebound tenderness.
c. a soft, distended abdomen.
d. shallow respirations with bradypnea.
e. observing that the patient is lying still.
NUR 120 exam 3
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