1. The nurse in the emergency room observes a physician examining a client with possible appendicitis. The physician presses downward on the right lower quadrant of the abdomen and asks the client to instruct him when he feels pain (application of pressure or pressure release). What is the physician assessing for?

2. A client is diagnosed with gastroesophageal reflux disease (GERD). The nurse’s instruction to the client regarding diet should be to?

3. An 82 year-old client complains of chronic constipation. To improve bowel function, the nurse should FIRST suggest?

4. Which of the following entries on a client’s progress notes is the MOST complete?

5. The nurses on a unit are planning for stoma care for clients who have a stoma for fecal diversion. Which stomal diversion poses the highest risk for skin breakdown?

6. An 82 year-old client complains of chronic constipation. To improve bowel function, the nurse should FIRST suggest?

7. The nurse is doing an assessment on a client during the first postoperative day after abdominal surgery. Which of the following manifestations does the nurse report immediately?

8. The nurse is explaining the proper use of syrup of ipecac to a group of parents. For which of the following accidental poisonings is the treatment appropriate?

9. A client with acute viral hepatitis has a serum bilirubin of 3.6 mg/dL on admission. A nurse should expect the client to report:

10. The nurse is caring for a client with gastroenteritis. Which of the following nursing measures should receive priority in the client’s plan of care?

11. The nurse is assessing a comatose client receiving gastric tube feedings. Which of the following assessments requires an IMMEDIATE response from the nurse?

12. The nurse is caring for a client who is receiving total parenteral nutrition (hyperalimentation and lipids). What is the PRIORITY nursing action on every eight hour shift?

13. The maximum safe height at which the container of fluid can be held when administering an enema is?

14. The nurse is assessing a client’s gastrointestinal tract. Which of the following subjective assessments should be included?

15. When preparing a client for insertion of a nasogastric tube, it is essential for the nurse to include which of the following aspects of the procedure?

16. The healthcare provider performs a paracentesis on a client with ascites and 3 liters of fluid are removed. Which assessment parameter is most critical for the nurse to monitor following the procedure?

17. The nurse is doing an assessment on a client during the first postoperative day after abdominal surgery. Which of the following manifestations does the nurse report immediately?

18. The nurse is planning the care of a client who has had an abdominal–perineal resection for cancer of the colon. Which interventions should the nurse implement? Select all that apply.

19. A client is complaining of epigastric pain after eating. The physician suspects peptic ulcer disease (PUD) and orders a urea breath test for H. pylori. Which would the nurse include in the teaching plan for test preparation?

20. The nurse is caring for a client with peptic ulcer disease. Which of the following observations should the nurse report immediately?
Select all that apply:

21. In planning the post procedure care for a client who has a barium enema, the nurse should include which of the following? Select all that apply:

22. The nurse is caring for a client with cholecystitis. Which clinical manifestation would the nurse expect the client to exhibit?

23. Which sign/symptom should the nurse expect to find in a client diagnosed with ulcerative colitis?