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Metabolism - Exam

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

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