NR 329: EXAM 2 Qs with 100% accurate solutions + rationales 2026 - Chamberlain

The nurse recognize Ulcerative Colitis as___ and at high risk for___

-starting in the rectal region and can uniformly spread to the entire colon

-Colon Cancer

Nurse provides patient teaching of the common manifestations of ulcerative colitis are...

Bloody Diarrhea

Rheumatoid arthritis medications?

-DMARDs

-NSAIDs

-corticosteroids

The nurse assesses a rheumatoid arthritis patient, what are common clinical manifestations?

a) bouchard's nodes

b)stiffness greater than 30 minutes upon rising

c)Heberden nodes

d) Asymmetric shortened leg

a) bouchard's nodes

b)stiffness greater than 30 minutes upon rising

The nurse understands all of the following are true about Rheumatoid arthritis, except....

a)Only affects older people

b) Is an autoimmune disease

c) Deformities can occur and may be disabling

d) Joints become red, swollen, and painful

a)Only affects older people

The difference between Ulcerative Colitis and Crohn's disease select all that apply

a)Ulcerative Colitis has cobblestone and fissures

b)Ulcerative Colitis is associated with hemorrhaging

c)Crohn's affects the absorption of nutrition

d)Chron's is a higher risk for colon cancer than UC

b)Ulcerative Colitis is associated with hemorrhaging

c)Crohn's affects the absorption of nutrition

Which is a Nursing Intervention for a GI Bleed? Select two answers.

a)Initiate NPO to rest the bowels

b) Administer IV Fluids, Electrolytes, and Nutrients.

c)Administer Bulk Forming Fiber, potassium rich foods, and administer enema.

d)Administer Warfarin

a)Initiate NPO to rest the bowels

b) Administer IV Fluids, Electrolytes, and Nutrients.

Most severe blood transfusion reactions occur?

a)24-48 hours later

b)30 minutes later

c)1 hour later

d)First 15 minutes

d)First 15 minutes

What is the priority nursing action for suspected blood transfusion reaction?

a)Stop the transfusion

b)Administer diphenhydramine(Benadryl) IVP stat

c)Return blood bag and tubing to blood bank for analysis

d)Obtain VS

a)Stop the transfusion

What should the nurse teach patients with fatigue due to an anemic disorder? SATA

a) Teach patient to prioritize activities.

b)small meals with snacks in between

c)schedule rest periods

d)have CNA do everything for the patient

a) Teach patient to prioritize activities.

b)small meals with snacks in between

The nurse educates the patient regarding causes of Gastritis:

a)Smoking, Caffiene, H. Pylori, Alcohol

b)Diet, Reflux of bile, Over-hydrating

c)Over exercising, smoking, eating vegetables

d)Trauma, Worms, NG suctioning, NPO

a)Smoking, Caffiene, H. Pylori, Alcohol

The nurse understands clinical manifestation of gastritis are

a) Only Diarrhea

b)fever, severe acute pain, rigid abdomen, and guarding

c) Dyspepsia, dull/boring pain, bloody diarrhea, and vomiting

d)Anorexia, n/v, belching, risk for pernicious anemia

d)Anorexia, n/v, belching, risk for pernicious anemia

Which of the following can cause gastritis?

a)Coffee

b)aspirin

c)Alcohol/tobacco

d)All the above

d)All the above

Pt. has peptic ulcer. If pt. has sudden severe pain & rigid abdomen, what should the nurse do?

a)Obtain vital signs and then call the provider immediately

b)Percuss all four quadrants

c)Notify the provider first

d)Administer the prescribed pain medication

a)Obtain vital signs and then call the provider immediately

PT blood loss r/t UC and GI bleeding. Which nursing intervention is priority for a PT that needs a blood transfusion?

a)Starting

large-bore 20G IV

b)Monitoring the patient's anxiety level

c)Preparing equipment for intubation

d)Administering IV pain medication STAT

a)Starting

large-bore 20G IV

Sudden severe pain & rigid abdomen indicates?

a)irritable Bowel Syndrome

b)diverticulosis

c)Constipation

d)Bowel Perforation

d)Bowel Perforation

When the abdominal muscles become rigid in an effort to protect the abdomen, this is called:

a) Tenderness

b)Rebound tenderness

c)Referred pain

d)Guarding

d)Guarding

Client c/o fever, rigid abdomen, severe pain, hiccups, and diminished bowel sounds. The nurse

a)Suspects Ulcerative Colitis

b)Suspects peritonitis

c)Suspects diverticulosis

d)Suspects diarrhea

b)Suspects peritonitis

Nurse suspects Pulmonary Embolism! What are common clinical manifestations? SATA

a) anxiety

b) fever

c) first sign of bradypnea

d) dyspnea and chest pain

a) anxiety

d) dyspnea and chest pain

A nurse has a client with thrombocytopenia. A nurse should:

a)Avoid venipunctures if unnecessary

b)Monitor the patient's cardiac rhythm for murmurs

c)Put the client on isolation precautions

d)Allow no fresh plants into patient's room.

a)Avoid venipunctures if unnecessary

Factors that can cause thrombocytopenia: SATA

a)High Protein Diet

b)Chemotherapy

c)Bone marrow suppression

d)Smoking

b)Chemotherapy

c)Bone marrow suppression

The nurse understands to assess a sickle cell anemia patient for... SATA

a)Swelling of the hands and feet

b)Platelet deficiency

c)Rapid growth or puberty

d)Episodes of pain

a)Swelling of the hands and feet

d)Episodes of pain

Sickle cell disease is also known as what?

a)Hemolytic anemia

b)Thrombocytopenia

c)Chronic inflammatory anemia

d)Hemophilia

a)Hemolytic anemia

Pernicious Anemia:

a)Folic Acid Deficiency

b)Intrinsic Factor Abundance

c)Erythrocytes

d)Vitamin B12 Deficiency

d)Vitamin B12 Deficiency

Select the patient who is MOST at risk for pernicious anemia:

a)25 year old female who reports craving ice and clay

b)66 year old male who takes ferrous sulfate vitamins daily

c)All the patients above are at risk for pernicious anemia

d)75 year old male who has peptic ulcers and gastritis.

d)75 year old male who has peptic ulcers and gastritis.

Nurse knows that the clinical manifestations from Vit B-12 Anemia & Pernicious Anemia are

a) neurological dysfunctions, beefy red tongue, paresthesia

b)infection, bleeding, stomach problems

c)constipation, swollen glands, dysphagia

d) enlarged heart, red tongue, swollen eyes

a) neurological dysfunctions, beefy red tongue, paresthesia

Lupus causes:

a)Inflammation

b)Organ damage

c)Pain

d) all of the above

d) all of the above

The nurse educates the client about Lupus and self-care... SATA

a)Use mild soaps and shampoos

b)Avoid Sexual Intercourse

c)use straw to prevent teeth staining

d)avoid prolonged exposure to the sun

a)Use mild soaps and shampoos

d)avoid prolonged exposure to the sun

Which nursing intervention should be avoided for thrombocytopenia? SATA

a)Enemas

b)Intramuscular

c)Foley Cath

d)Soft toothbrushes

a)Enemas

b)Intramuscular

c)Foley Cath

Lupus can often cause severe inflammation and:

a)Extreme thirst

b)Edema

c)Organ damage

d)Abscesses

c)Organ damage

For a patient with Crohn's disease, plans for nursing intervention should include:

a)Nourishment, restoration of fluids and electrolytes

b)Teaching the importance of follow-up liver function test after discharge

c)Frequent application of lubricant lotion and discouraging scratching

d)Weight-reductionmeasures and low-calorie diet

a)Nourishment, restoration of fluids and electrolytes

The nurse recognizes the clinical manifestations of osteoarthritis as

a)Symmetrical and Stiffness

b)Ulnar Deviation

c)Asymmetrical pain and deformity.

d)Heberden's

c)Asymmetrical pain and deformity.

d)Heberden's

Intervention for administration of iron sulfate: SATA

a)serve with food if GI upset occurs

b)Take with milk only.

c)use straw to prevent teeth staining

d)do not chew pills or crush capsules

a)serve with food if GI upset occurs

c)use straw to prevent teeth staining

d)do not chew pills or crush capsules

Treatment for osteoarthritis includes all but:

a)Methotrexate

b)NSAIDS

c)Maintain a healthy weight

d)Thermal modalities

a)Methotrexate

Which patient is at greatest risk for developing a pressure ulcer?

a)Middle age adult that can turn by self in bed

b)Teenager with a sprained ankle on crutches

c)Young adult paraplegic with pneumonia

d)Middle-age adult with breast cancer

c)Young adult paraplegic with pneumonia

Which nursing intervention is appropriate for a client with skeletal traction?

a)Intermittent weights

b)5-lb weight limit

c)Pin care and skin assessment

d)Prone positioning

c)Pin care and skin assessment

What are the complications of femur fractures?

a)All are complications

b)Fat/Pulmonary Embolism

c)DVT

d)Compartment Syndrome

a)All are complications

What gauge IV would need to be in place to administer a blood transfusion?

a)27 gauge

b)20 gauge

c)22 gauge

d)25 gauge

b)20 gauge

Most common cause of Hip Fractures is falling

a) true

b) false

a) true

Comminuted fractures are..

a)Bent bone

b)Broke through the skin

c)A twist in the bone

d)Broken into many tiny pieces

d)Broken into many tiny pieces

what is a spiral fracture?

a)complete break of the bone with no damage to the skin

b)bone fragments or splinters into more than two pieces

c)spiral twists, one or more breaks

d)broken piece of skull bone moves inward

c)spiral twists, one or more breaks

What are the manifestations of fractures? SATA

a)No swelling or deformitities

b)Immediate pain, decreased function, obvious deformity, edema

c)Diagnosed clinical manifestations and x-ray

d)No pain

b)Immediate pain, decreased function, obvious deformity, edema

c)Diagnosed clinical manifestations and x-ray

Incomplete fractures

a) Only partial of the bone is broken

b)Breaks a bone in half

c)Breaks the bone in several places

d)Completely shatters the bone

a) Only partial of the bone is broken

Which of the following fractures is most common in children?

a)Oblique

b)Greenstick

c)Comminuted

d)Transverse

b)Greenstick

What would the nurse educate regarding neutropenia?

a)Brush teeth with a soft toothbrush

b)Use an astringent mouthwash

c)Avoid contact with other patients

d)Use an ordinary razor when shaving

c)Avoid contact with other patients

What data will help the nurse determine if interventions for neutropenia have been effective?

a)fatigue level

b)afebrile status

c)oxygen saturation

d)hemoglobin level

b)afebrile status

Which is not a risk factor for DVT?

a)Smoking

b)BMI of less than 18

c)Prolonged bed rest

d)Birth Control Pills

b)BMI of less than 18

What interventions can increase a client's risk for sepsis?

a)Dietary restrictions

b)Oral medications

c)Physical therapy

d)Invasive procedures

d)Invasive procedures

Patients at risk for pressure injuries: Select all that apply

a)Immobility

b)Incontinence

c)Dry Clean Skin

d)Malnourishment

a)Immobility

b)Incontinence

d)Malnourishment

NOT an autoimmune disease

a)Grave's disease

b)type I diabetes

c)metastatic cancer

d)rheumatoid arthritis

c)metastatic cancer

What is an autoimmune disorder?

a)When the immune system takes control

b)Good cells & Bad cells are "fighting"

c)When the immune system attacks the body's own cells...

d)The immune system takes full control

c)When the immune system attacks the body's own cells...

Which of these is NOT an autoimmune disease?

a)Celiac Disease

b)Type 2 Diabetes Melulitus

c)Systemic Lupus Erythematosus (Lupus)

d)Type 1 Diabetes Delulitus

b)Type 2 Diabetes Melulitus

What causes Osteoarthritis?

a)Genetics

b)Malnutrition

c)Infection

d)Degeneration

d)Degeneration

Which clinical manifestation(s) are associated with osteoarthritis?

a)Anemia

b)Bilateral Inflimmation

c)Bouchard's

d)butterfly rash

c)Bouchard's

Which of the following clients are most likely to develop osteoarthritis?

a)39, female, Asian descent, type 1 diabetes

b)82, female, BMI of 40, recent knee injury

c)75, male, African descent, has chronic kidney diseaese

d)19, male, BMI of 29, family history of osteoarthritis

b)82, female, BMI of 40, recent knee injury

S/sx of compartment syndrome include all of the following except:

a)swelling

b)Pain

c)Poor Skin Tugor

d)Decreased/absentpulses

c)Poor Skin Tugor

Which of the following describes chronic hemorrhage

a)continuous, constant loss of blood

b)recent or sudden onset, may take hours or a few days to appear

c)sudden onset, usually following trauma or surgical procedure

d)none of these

a)continuous, constant loss of blood

Which of the following describes acute hemorrhage

a)none of these are true

b)sudden onset, usually following trauma or surgical procedure

c)recent or sudden onset, may take hours/days to appear

d)continuous, constant loss of blood

b)sudden onset, usually following trauma or surgical procedure

CD4 count should be checked every________ months?

a)6-12

b)1-2

c)4-6

d)3-6

d)3-6

Which cells are attacked by HIV?

a)Pancreatic cells

b)Red blood cells

c)Blocker cells

d)CD4 white blood cells

d)CD4 white blood cells

The nurse reviews the CD4 cell count of a client who is HIV positive. Result less that _ =AIDS?

a)200 cells/mm3

b)700 cells/mm3

c)1,000 cells/mm3

d)450 cells/mm3

a)200 cells/mm3

Normal CD4 T-Cell counts can range between these numbers

a)800-1200

b)4,500-10,000

c)0-200

d)100-450,000

a)800-1200

PrEP is given to individuals at high-risk of developing HIV

a)true

b) false

a)true

During stage 2 of HIV infection, a person may not have any symptoms.

a)true

b) false

a)true

Which of these body fluids does NOT carry enough of the virus to transmit HIV?

a)Blood

b)Pre-seminal & seminal fluid

c)Saliva

d)Rectal fluids

c)Saliva

What PPE would you wear in caring for a HIV positive patient?

a)own, gloves, and googles

b)Hand washing and gloves

c)Gown, gloves, googles, and N95

d)Gown and gloves

b)Hand washing and gloves

There aren't any documented cases of transfer of HIV through saliva or tears.

a)true

b)false

a)true

What medication can be taken by those who don't have HIV, but are at high-risk for contracting the virus?

a)Cephalosporin

b)PrEP

c)PEP

d)Penicillin

b)PrEP

After teaching a pt with HIV infection about ART, further teaching is needed when the pt states

a)I should not use any OTC medication without checking with DR

b)If I have a constant headache, not relieved by Tylenol, call

c)The pt says I should never skip doses even if I develop SE's

d)my viral load is undetectable, so I can't transmit HIV

d)my viral load is undetectable, so I can't transmit HIV

Select all the statements that are true about ART.

a)ART reduces hospitalizations

b)ART completely cures AIDS

c)ART reduces HIV transmission

d)ART increases survival rate

a)ART reduces hospitalizations

c)ART reduces HIV transmission

d)ART increases survival rate