1.

While palpating a female client's right upper quadrant (RUQ), the nurse would expect to find
which of the following structures?
A. Sigmoid colon
B. Appendix
C. Spleen
D. Liver
2. A female client being seen in a physician's office has just been scheduled for a barium
swallow the next day. The nurse writes down which instruction for the client to follow before the
test?
A. Fast for 8 hours before the test
B. Eat a regular supper and breakfast
C. Continue to take all oral medications as scheduled.
D. Monitor own bowel movement pattern for constipation
3. A patient complains about an inflamed salivary gland below his right ear. The nurse
documents probable inflammation of which gland/s?
A Buccal
B. Parotid
C. Sublingual
D. Submandibular
4. Which of the following are the possible causes of sialadenitis? Select all that apply.
A. Dehydration
A. Stress
B. Dental extraction.
C. Improper oral hygiene
D. Frequent ingestion of cold beverages
5. Which of the following are the possible causes of sialadenitis? Select all that apply.
A. Dehydration
A. Stress
B. Dental extraction.
C. Improper oral hygiene
D. Frequent ingestion of cold beverages
6. A patient asks, "Is surgery always the treatment of choice for Inflamed salivary glands?"
Your best response would be:
A. Yes, surgery is always the answer.
B. Surgery is only recommended for children.
C. Elderly is not a candidate for parotidectomy.
D. The procedure is advised for chronic sialadenitis and uncontrolled pain.
7. Which diagnostic test would be used first to evaluate a client with upper GI bleeding?
A. Endoscopy
B. Upper GI series
C. Hemoglobin (Hb) levels and hematocrit (HCT)
D. Arteriography
8. Which of the following conditions described as presence of calculi in the salivary glands?
A. Parotitis
B. Sialolithiasis
C. Sialadenitis
D. Mumps
9. Which of the following medical management is recommended for salivary calculus?
A. Lithotripsy
B. Antibiotic therapy
C. Nephrectomy
D. Endoscopy
10. You're performing an abdominal assessment on Brent who Is 52 y.o. In which order do you
proceed?
A. Observation, percussion, palpation, auscultation
B. Observation, auscultation, percussion, palpation
C. Percussion, palpation, auscultation, observation
D. Palpation, percussion, observation, auscultation
11. Parotitis caused by bacteria is treated with which of the following drug classifications?
A. Analgesics
B. Corticosteroids
C. Antipyretics
 D. Antibiotics
12. Patient XY is being weaned from parenteral nutrition (PN) and is expected to begin taking
solid food today. The solution ongoing rate has been 100ml/hr. The nurse anticipated that which
prescription regimen the PN will accompany the diet prescription?
A. Continue infusion rate prescription for PN
B. Start 0.9% normal saline at 25 ml/hour
C. Discontinue the PN
D. Decrease PN rate to 50ml/hour
13. What diagnostic test would confirm the type of problem if the patient has pyrosis, dyspepsia
and difficulty of swallowing?
A. Barium Enema
B. Barium Swallow
C. Lower GI Series
D. Colonoscopy
14. Peptic ulcer disease particularly gastric ulcer is thought to time by which of the following
microorganisms?
A. E. coli
B. H. pylori
C. S. aureus
D. K. pneumoniae
15. Mrs. Lee was diagnosed with GERD as she always experiences gastric reflux. Which of the
following statements would you Include in the health teaching plan for Mrs. Lee? Select all that
apply.
A. Eat a low-fat diet, avoid caffeine, tobacco, beer, milk, foods containing peppermint or
spearmint, and carbonated beverages; quit smoking.
B. Avoid situations that decrease lower esophageal sphincter pressure or cause esophageal
Irritation.
C. Avoid eating or drinking 6 hours before hours of sleep
D. Avoid bending over and wearing tight-fitting clothes.
E. Elevate the head of the bed on 6- to 8-inch (15- to 20-cm) blocks, and to elevate the upper
body on pillows.
16. It describes as there is hypersecretion of stomach acid and pain occurs 2-3 hours after
meal.
A. Duodenal Ulcer
B. Gastric Ulcer
C. Peptic Ulcer
D. Jejunum Ulcer
17. What diagnostic test would yield good visualization of the ulcer crater?
A. Endoscopy
B. Gastroscopy
C. Barium Swallow
D. Histology
18. For Sliding Hiatal Hernia, all are clinical manifestations except:
A. Heartburn
B. Halitosis
C. Regurgitation
D. Dysphagia
19. What Diagnostic test will confirm Achalasia?
A. Barium Swallow
B. X-ray Studies
C. Manometry
D. Barium Enema
20. What is the incidence rate of Gastric Ulcer among older persons?
A. 25-55 years old, male:female ratio = 2:3
B. 30-60 years old, male:female ratlo = 2:3
C. Older than 40 years old, male:female ratio = 1:1
D. Older than 55 years old, male:female ratio=1:1
21. Imee has started to increase her fiber intake to help her increase the bulk in her stools.
Which among the following foods has the highest fiber content?
A. Broccoli.
B. Banana
C. Kidney beans
 D. Pears
22. Rika just had her cholecystectomy 2 days ago and complains of having difficulty in passing
stools. Which among the following medications will stimulate bowel movement by causing
irritation to the intestinal mucosa?
A. Psyllium
B. Bisacodyl
C. Lactulose
D. Docusate sodium
23. When you are asked to administer bulk formers, you are correct when you administer which
of the following medications?
A. Psyllium
B. Bisacodyl
C. Lactulose
D. Docusate sodium
24. Common causes of fecal incontinence are the following, except:
A. Presence of neurologic disorders
B. Fecal impaction
C. Laxative abuse
D. None of the above

25. Which among the following nursing diagnosis is appropriate for a hemiplegic patient
suffering from fecal incontinence?
A. Impaired skin integrity
B. Risk for injury
C. Self-care deficit
D. Imbalance nutrition: More than body requirements
26. You are conducting health teaching to Jeremy. Which among the following foods is highly
recommended for his condition?
A. Beans
B. Steak
C. Fish
D. Chicken
27. Probiotics can help relieve symptoms of IBS by which of the following mechanisms?
A. Reducing gas build up in the intestines
B. Decrease episodes of cramping
C. Reduces smooth muscle spams
D. Manages bowel movement episodes
28. Sharon has cirrhosis of the liver and develops ascites. What intervention is necessary to
decrease the excessive accumulation of serous fluid in her peritoneal cavity?
A. Restrict fluids
B. Encourage ambulation
C. Increase sodium in the diet
D. Give antacids as prescribed
29. A client with cirrhosis begins to develop ascites, Spironolactone (Aldactone) is prescribed to
treat the ascites. The nurse should monitor the client closely for which of the following
drug-related side effects?
A. Constipation
B. Hyperkalemia
C. Irregular pulse
D. Dysuria
30. Which of the following tests confirms that the origin of the disorder is in the liver?
A. Alanine Aminotransferase (ALT)
B. Aspartate Aminotransferase (AST)
C. Gamma-glutamyl Transferase (GGT)
D. Serum Alkaline Phosphatase
31. Mr. Hasakusa is in end-stage liver failure. Which interventions should the nurse implement
when addressing hepatic encephalopathy? Select all that apply
A. Assessing the client's neurologic status every 2 hours
B. Monitoring the client's hemoglobin and hematocrit level
C. Evaluating the client's serum ammonia level
D. Monitoring the client's handwriting daily
 E. Preparing to insert an esophageal tamponade tube
32. Which of the following will the nurse include in the care plan for a client hospitalized with
viral hepatitis?
A. Increase fluid intake to 3000 ml per day
B. Adequate bed rest
C. Bland diet
D. Administer antibiotics as ordered
33. A male client has just been diagnosed with hepatitis A. On assessment, the nurse expects
to note:
A. Severe abdominal pain radiating to the shoulder.
B. Anorexia, nausea, and vomiting
C. Eructation and constipation.
D. Abdominal ascites
34. client diagnosed with chronic cirrhosis who has ascites and pitting peripheral edema also
has hepatic cephalopathy. Which of the following nursing interventions are appropriate to
prevent skin breakdown? Select all that apply.
A. Range of motion every 4 hours
B. Turn and reposition every 2 hours
C. Abdominal and foot massages every 2 hours
D. Alternating air pressure mattress
E. Sit in chair for 30 minutes each shift
35. A male client admitted for treatment of the syndrome of inappropriate antidiuretic hormone
(SIADH), Which nursing intervention is appropriate?
A. Infusing I.V. fluids rapidly as ordered.
B. Encouraging increased oral intake.
C. Restricting fluids,
D. Administering glucose-containing I.V. fluids as ordered.
36. A client who is regaining consciousness after a craniotomy becomes restless and attempts
to pull out her IV line. Which nursing intervention protects the client without increasing her ICP?
A. Wrap her hands in soft "mitten" restraints.
B. Place her in a jacket restraint
C. Tuck her arms and hands under the draw sheet.
D. Apply a wrist restraint to each arm.
37. The client with glaucoma asks the nurse is complete vision will return. The most appropriate
response is:
A. "Although some vision has been lost and cannot be restored, further loss may be prevented
by adhering to the treatment plan.”
B. "Your vision will return as soon as the medications begin to work."
C. "Your vision will never return to normal.
D. "Your vision loss is temporary and will return in about 3-4 weeks."
38. When obtaining the health history from a male client with retinal detachment, the nurse
expects the client to report:
A. Light flashes and floaters in front of the eye
B. A recent driving accident while changing lanes.
C. Headaches, nausea, and redness of the eyes.
D. Frequent episodes of double vision.
39. A client with Meniere's disease is experiencing severe vertigo. Which instruction would the
nurse give to the client to assist in controlling the vertigo?
A. Increase fluid intake to 3000 ml a day
B. Avoid sudden head movements
C. Lie still and watch the television
D. Increase sodium in the diet

40. A nurse is caring for a patient who has had a plaster arm cast applied. Immediately post application, the nurse
should provide what teaching to the patient?

A) The cast will feel cool to touch for the first 30 minutes.
B) The cast should be wrapped snuggly with a towel until the patient gets home.
C) The cast should be supported on a board while drying.
D) The cast will only have full strength when dry.
41. A patient broke his arm in a sports accident and required the application of a cast. Shortly following application,
the patient complained of an inability to straighten his fingers and was subsequently diagnosed with Volkmann
contracture. What pathophysiologic process caused this complication?
A) Obstructed arterial blood flow to the forearm and hand
B) Simultaneous pressure on the ulnar and radial nerves
C) Irritation of Merkel cells in the patient's skin surfaces
D) Uncontrolled muscle spasms in the patient's forearm