Exam

1. Your patient has undergone an esophagogastroduodenoscopy (EGD) which of the following is the highest priority to monitor post procedure? 

1.  Monitor patient’s appetite

2. Asses the return of the gag reflex

3. Monitor for sore throat

4. Monitor patient’s complaints of tiredness 

2. Which of the following statements would require further teaching for a patient recently diagnosed with GERD? 

1. I should take my omeprazole everyday around the same time to ensure full effects of the medication 

2. I should avoid laying down flat after eating a meal

3. Acidic foods like tomatoes, coffee, and chocolate are okay to eat and will not affect my GERD.

4. Avoiding smoking and chewing food slowly can help prevent GERD episodes. 

3. A patient with a history of peptic ulcer disease comes into the emergency department complaining of stomach pain and dark tarry stools. Which of the following symptoms could indicate that the patient has a peptic ulcer that has perforated. 

1. Rigid rock hard stomach 

2. BP 120/80

3. Rash on chest 

4. Neuropathy  

4. An 81-year-old woman is suspected of having a UTI which of the following are common symptoms of a UTI in the geriatric population. 

1. Delirium 

2. Poor appetite

3. Polyuria

4. Hypotension

5. All of the above

5. You are taking care of a patient with chronic kidney disease (CKD). Which of the following should you take into consideration when caring for them?

1.  Monitor for drug toxicity as the kidneys rid medication slower

2. The patient can drink as much fluids as they want. 

3. It is not necessary to monitor Intake and output. 

6.  The results of your patient’s urinalysis are listed below which one would requires notifying the doctor?

1. Yellow color 

2. pH: 6.0

3. Specific gravity:1.005

4. Ketones: positive

7. Your patient with a small bowel obstruction just had a NG tube placed before using the tube which of the following should be done?

1. Check placement with an x-ray 

2. Hook the patient up to suction and see if anything comes out 

3. auscultate the abdomen 

4. Flush the tube with 50cc of sterile water

8.  Which of the following should you include in your discharge education for a patient with a UTI that is taking sulfa antibiotics? 

1. Sulfa antibiotics increase sun sensitivity so wear SPF

2.  Notify your doctor if you develop a skin rash 

3. Take the full course of antibiotics even if symptoms have stopped

4. All of the above

9. A 50 year-old male has a uric acid kidney stone, which of the following foods should be avoided?

1. Spinach 

2. Cheese 

3. Red meat 

4. cherries

10. The nurse is taking care of a patient with crohn's disease when taking the patient to the bathroom. Which of the following should the nurse expect to see? 

1. Bloody loose stool

2. Yellow tinged stool 

3. Dry hard stool balls

4. Loose watery stools