NLE Practice Test 3a - Pt. 5

10 Questions | By C23lemon | Updated: Oct 18, 2022 | Attempts: 1251

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The nursing profession should be respected and held high as without the nurses, the doctors cannot comfortably do their job. The Nle practice quiz below is on different functions and nursing procedures. Find out more below.

Questions and Answers

1.

Mr. Mangoni asks why the vagotomy is being done. You explain that a vagotomy is done in conjunction with a subtotal gastrectomy because the vagus nerve:
- A.
  
  Stimulates increased gastric motility.
- B.
  
  Decreases gastric motiiity, thereby preventing the movement of HCl out of the stomach.
- C.
  
  Stimulates both increased gastric secretion and gastric motiiity.
- D.
  
  Stimulates decreased gastric secretion, thereby increasing nausea and vomiting.
2.

Which of the following nursing interventions would be included. in the preoperative period for Mr. Mangoni?
- A.
  
  Insertion of a nasogastric tube on the morning of surgery.
- B.
  
  Administration of Vallum 4 mg with 4 oz water 1 hour before surgery.
- C.
  
  Detailed description of the possible complications that could happen postoperatively
- D.
  
  Instructions to avoid taking pain medication too frequently in the first 2 postoperative days to avoid drug dependency.
3.

Which of the following complications, would you primarily anticipate in Mr. Mangoni's postoperative period?
- A.
  
  Thrombophlebitis from decreased mobility.
- B.
  
  Abdominal distention due to air swallowing
- C.
  
  Atelectasis due to shallow breathing
- D.
  
  Urinary retention due to prolonged use of antichoiinergic medications.
4.

The nurse would recognize drainage from the nasogastric tube after surgery as abnormal If:
- A.
  
  It after 6 hours
- B.
  
  It continued for a period greater than 12 hours.
- C.
  
  ft turned greenish yeiiow in less than 24 hours.
- D.
  
  It was dark red in the immediate postoperative period.
5.

Which of the following statements would the nurse include in teaching regarding nasogastric tubes?
- A.
  
  Nasogastric tubes should be irrigated with sterile water.
- B.
  
  Client should be in sitting position with head slightly flexed for tube Insertion
- C.
  
  When resistance is met while irrigating a nasogastric tube, pressure should be increased to complete that irrigation, and the physician should be notified at the completion.
- D.
  
  Ice chips- can be taken as often as desired to promote comfort in the throat.
6.

The nurse must observe for which of the following imbalances to occur with prolonged nasogastric suctioning?
- A.
  
  Hypernatremia
- B.
  
  Hyperkalemia
- C.
  
  Metabolic alkalosis
- D.
  
  Hypoproteinemia
7.

Of the following mouth care measures by the nurse, which one should be used with caution when a client has a nasogastric tube?
- A.
  
  Regularly brushing teeth and tongue with soft brush.
- B.
  
  Sucking on ice chips to relieve dryness.
- C.
  
  Occasionally rinsing mouth with a nonastringent substance and massaging gums.
- D.
  
  Application of lemon juice and glycerine swabs to the lips.
8.

The nurse tells Mr. Mangoni that the nasogastric tube will be removed:
- A.
  
  Standardly on the fourth postoperative day.
- B.
  
  When bowel sounds are established and the client has passed flatus or Stool
- C.
  
  Thirty-six hours after the cessation of bloody drainage.
- D.
  
  After 2 days of alternate clamping and unclamping of the tube.
9.

Following surgery the nurse must observe for signs of pernicious anemia, which may be a problem after gastrectomy because:
- A.
  
  The extrinsic factor is produced In the stomach.
- B.
  
  The extrinsic factor is absorbed in the antral portion of the stomach.
- C.
  
  The intrinsic factor Is produced in the stomach.
- D.
  
  Decreased hydrochloric acid production Inhibits vitamin B12 reabsorption.
10.

The nurse will usually ambulate the post gastrectomy patient beginning;
- A.
  
  The day after surgery
- B.
  
  Three to four days after surgery
- C.
  
  After 4 days bedrest
- D.
  
  Immediately upon awakening .