METABOLISM/CA EXAM: 1.

During physical assessment of a patient¶s abdomen, the nurse should perform the four basic techniques in the following order: a. Auscultation, palpation, inspection, percussion b. Inspection, auscultation, percussion, palpation c. Inspection, auscultation, palpation, percussion d. Percussion, auscultation,palpation, inspection 2. Patient is scheduled for an upper GI series, which intervention should the nurse perform after the procedure? a. Testing stool for occult clood b. Auscultating the abdomen for bowel sounds c. Assessing for the gag reflex d. Forcing fluids 3. Patient with a duodenal ulcer, is placed on a bland diet and receives medication to decrease gastric acidity. Which medication reduces HCL secretion? a. Cimetidine (Tagamet) b. Aluminum hydroxide (amphojel) c. Sucral fatesucralfate ( d. Aspirin 4. Patient ulcer perforates the peritoneal cavity. To relive the pain caused aspiration 5. Which of the following conditions can cause a hiatal hernia? a. Increase intrathoracic pressure b. Weakness of the esophageal muscle c. Increased esophageal muscle pressure d. Weakness of the diaphragmatic muscle 6. Risk factors for the development of hiatal hernias are those that lead to increased abdominal pressure. Which of the following complications can cause increased abdominal pressure? a. Obesity b. Volvulus c. Constipation d. Instestinal obstruction 7. Which of the following symptoms is common with a hiatal hernia? a. left arm pain b. lower back pain c. esophageal reflux d. abdominal cramping 8. Which of the following tests can be performed to diagnose a hiatal hernia? a. Colonoscopy b. Lower GI series c. Barium swallow d. Abdominal X-ray series 9. Which of the following complications is thought to be the most common cause of appendicitis? a. a fecalith b. bowel kinking c. internal bowel occlusion d. abdominal wall swelling 10. Which of the following positions should a client with appendicitis assume to help the pain? a. Prone b. Sitting c. Supine, stretched out d. Lying with legs drawn up 11. Which of the following nursing interventions should be implemented to manage a client with appendicitis? a. Assessing the pain b. Encouraging oral intake of clear fluids

High protein diet d. Bicarbonate of soda or baking soda c. Milk b. Gallbladder disease d. Enteric coated aspirin d. Young age b. Providing discharge teaching d. Helicobacter pylori infection] Which of the following types of diet is implicated in the development of diverticulosis/ a. Gastroscopy 16. 13. Low carbohydrate diet Which of the following tests be administered to a client suspected of having diverticulosis? a. Assessing for symptoms of peritonitis Which of the following substances is most likely to cause gastritis? a. Nonsteroidal anti-inflammatory drugs Which of the following factors can lead to chronic gastritis? a. Barium enema c. Abdominal ultrasound b. . c. 15. High fiber diet c. 14. Barium swallow d. Antibiotic usage c.12. Low fiber diet b.

Master your semester with Scribd & The New York Times

Special offer for students: Only $4.99/month.

Master your semester with Scribd & The New York Times

Cancel anytime.