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Question 1
Free
Multiple Choice

The history finding in a client with elevated carcinoembryonic antigen (CEA) that suggests to the nurse that this result might not be related to colorectal cancer is a

Choose correct answer/s
A

high-fiber diet.

B

history of heavy smoking.

C

regular exercise program.

D

sedentary lifestyle.

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Question 2
Free
Multiple Choice

A large, frothy, foul-smelling stool that floats in toilet water indicates to the nurse that the client has an alteration in the metabolism of

Choose correct answer/s
A

carbohydrates.

B

fats.

C

milk products.

D

protein.

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Question 3
Free
Multiple Choice

A nurse is assessing a client with right upper quadrant pain. The nurse asks questions directly related to the health of the client's

Choose correct answer/s
A

appendix.

B

kidneys.

C

liver.

D

spleen.

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Question 4
Free
Multiple Choice

A client is being admitted for "hematochezia." The nurse would plan to assess for

Choose correct answer/s
A

blood in the stool.

B

blood in the urine.

C

large frothy stools.

D

manifestations of malabsorption.

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Question 5
Free
Multiple Choice

A client is complaining of "arthritis" in the hands and wrists. The nurse questions the client about bowel habits and the client asks why. The best response by the nurse is

Choose correct answer/s
A

"All the Motrin you are taking for your symptoms can cause other problems."

B

"Arthritis complaints often go along with inflammatory bowel conditions."

C

"Often bowel habits change with a change in physical activity."

D

"The stress from your arthritis can cause you to have diarrhea."

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Question 6
Multiple Choice

A client has a history of diarrhea. The nurse is attempting to obtain information from the review of systems. When the nurse asks if several different foods cause diarrhea, the client responds, "Hmm, I don't usually eat that." Which action by the nurse is most appropriate?

Choose correct answer/s
A
Ask the client why he/she doesn't eat specific foods.
B
Continue to ask about other food associations with diarrhea.
C
Have the client list the foods eaten on a typical day.
D
Inquire about familial bowel problems.
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Question 7
Multiple Choice

The nurse explains that the non-urinary manifestations that frequently accompany urinary diseases are

Choose correct answer/s
A
blurred vision and nystagmus.
B
disorientation and insomnia.
C
joint pain and stiffness.
D
nausea, vomiting, and anorexia.
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Question 8
Multiple Choice

When a client tells the nurse that she recently began experiencing urgency and frequency, the appropriate question for the nurse to ask as part of the psychosocial history is

Choose correct answer/s
A
"Are you depressed?"
B
"Have you had a change in lifestyle?"
C
"Have you been experiencing any anxiety?"
D
"How old were you when you were toilet-trained?"
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Question 9
Multiple Choice

A client is admitted to the emergency department with severe, colicky pain that radiates to his bladder and scrotum. The nurse assesses these manifestations to be indicative of

Choose correct answer/s
A
a kidney stone in the ureter.
B
alcohol-related bladder spasm.
C
pneumaturia.
D
urinary tract infection.
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Question 10
Multiple Choice

Before palpating the bladder of a client with chronic urinary retention, the nurse should

Choose correct answer/s
A
have the client drink several glasses of water so the bladder is full and easy to palpate.
B
get the bladder scanner to determine if the bladder is full.
C
review intake and output instead; the bladder cannot be palpated at all.
D
ask the client to take a deep breath and relax the abdominal muscles.
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Question 11
Multiple Choice

A client has an oral intake of 1500 ml and a urine output of 350 ml in a 24-hour period. The nurse can correctly chart that the client is

Choose correct answer/s
A
anuric.
B
hematuric.
C
oliguric.
D
polyuric.
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Question 12
Multiple Choice

A client was released from the hospital following a lengthy course of IV antibiotics. The home health care nurse assesses that the client has been having new-onset diarrhea. What would the nurse suspect to be the cause of this problem?

Choose correct answer/s
A
C. difficile infection
B
Contaminated water supply
C
Noncompliance with ordered diet
D
Not spacing medications properly
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Question 13
Multiple Choice

An 83-year-old client is seen for urinary frequency and burning. A dipstick urine test reveals positive nitrates. Which action by the nurse is most appropriate?

Choose correct answer/s
A
Assume the client has a UTI.
B
Catheterize the client for a sterile specimen.
C
Nothing; this is a normal finding.
D
Send the urine for a culture.
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Question 14
Multiple Choice

A nurse is taking a history from a middle-age male client. He states that he takes no prescribed medications, but he does take saw palmetto and pumpkin daily. The nurse recognizes these herbs as being used to

Choose correct answer/s
A
acidify the urine.
B
maintain prostate health.
C
prevent bladder cancer.
D
ward off sexually transmitted diseases.
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Question 15
Multiple Choice

The nurse explains to the client that the glucosuria in the urinalysis indicates that

Choose correct answer/s
A
a pancreatic disorder is present.
B
the serum glucose level is above the renal threshold.
C
the client is diabetic.
D
the client is experiencing some type of stress.
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Question 16
Multiple Choice

A client experiencing hematuria tells the nurse that the bleeding occurs at the end of urination, which could indicate a lesion in the

Choose correct answer/s
A
prostate.
B
renal pelvis.
C
upper bladder.
D
upper urinary tract.
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Question 17
Multiple Choice

The nurse explains that a large increase of urobilinogen in the client's urine is consistent with the diagnosis of

Choose correct answer/s
A
acquired immunodeficiency syndrome (AIDS).
B
cancer of the kidney or bladder.
C
gastroenteritis.
D
hepatitis or other liver disease.
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Question 18
Multiple Choice

The nurse explains that the serum creatinine level is a better indicator for renal disorders because serum creatinine

Choose correct answer/s
A
closely reflects the dietary intake.
B
does not change in other systemic disorders.
C
has a constant ratio of 20:1 to blood urea nitrogen (BUN).
D
is unaffected by hydration status.
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Question 19
Multiple Choice

A client is in the emergency department with a suspected kidney stone and is scheduled for an intravenous pyelogram (IVP). Pre-procedure, which action is most important for the nurse to do? The nurse should

Choose correct answer/s
A
ask the client about iodine allergies.
B
administer a laxative.
C
document the history of the client's complaint.
D
insert a Foley catheter.
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Question 20
Multiple Choice

In counseling a pregnant woman scheduled for an ultrasound of the kidneys, the nurse would advise that

Choose correct answer/s
A
a full bladder is required.
B
bed rest will be necessary.
C
the dye may cause a reaction.
D
the procedure is safe for the fetus.
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