NR324 FINAL EXAM NR324 ADULT HEATH

• | P a g e

NR324 FINAL EXAM /NR324 ADULT HEATH

FINAL EXAM NEWEST 2025 ACTUAL EXAM

COMPLETE 100 QUESTIONS AND CORRECT

DETAILED ANSWERS (VERIFIED ANSWERS)

|ALREADY GRADED A+ ||BRAND NEW!!

A patient is admitted to the hospital with diarrhea and dehydration. The nurse recognizes that increased peristalsis resulting in diarrhea can be related to

• sympathetic inhibition.
• mixing and propulsion.
• sympatheticstimulation.
• parasympathetic stimulation. - CORRECT ANSWER -d.

parasympathetic stimulation.

A patient has a high blood level of indirect (unconjugated) bilirubin. One cause of this finding is that

• the gallbladder is unable to contract to release stored bile. 1 / 4

• | P a g e

• bilirubin is not being conjugated and excreted into the bile by

the liver.

• the Kupffer cells in the liver are unable to remove bilirubin

from the blood.

• there is an obstruction in the biliary tract preventing flow of

bile into the small intestine. - CORRECT ANSWER -b. bilirubin is not being conjugated and excreted into the bile by the liver.

As gastric contents move into the small intestine, the bowel is normally protected from the acidity of gastric contents by the

• inhibition of secretin release.
• secretion of mucus by goblet cells.
• release of pancreatic digestive enzymes.
• release of gastrin by the duodenal mucosa. - CORRECT

ANSWER-b. secretion of mucus by goblet cells.

A patient has jaundice with pale colored stools. This is most likely related to

• decreased bile flow into the intestine.
• increased production of urobilinogen.
• increased bile and bilirubin in the blood. 2 / 4

• | P a g e

• increased production of cholecystokinin. - CORRECT

ANSWER-a. decreased bile flow into the intestine.

An 80-year-old man states that, although he adds a lot of salt to his food, it still does not have much taste. The nurse's response is based on the knowledge that the older adult

• should not have any changes in taste.
• has a loss of taste buds, especially for sweet and salt.
• has some loss of taste but no problems chewing food.
• loses some sense of taste related to the increased ability to

smell. - CORRECT ANSWER -b. has a loss of taste buds, especially for sweet and salt.

When the nurse is assessing the health perception-health maintenance pattern as related to gastrointestinal function, an appropriate question to ask is

• "What is your usual bowel elimination pattern?"
• "What percentage of your income is spent on food?"
• "Have you traveled to a foreign country in the last year?"
• "Do you have diarrhea when you are under a lot of stress?" -

CORRECT ANSWER -c. "Have you traveled to a foreign country in the last year?" 3 / 4

• | P a g e

When assessing the abdomen, the nurse should

• position the patient in the supine position with the bed flat and

knees straight.

• listen for bowel sounds in the epigastrium and all 4 quadrants

for 2 minutes.

• describe bowel sounds as absent if no sound is heard in a

quadrant after 2 minutes.

d. use the following order of techniques: inspection, palpation,

percussion, auscultation. - CORRECT ANSWER -b. listen for bowel sounds in the epigastrium and all 4 quadrants for 2 minutes.

Normal physical assessment findings of the gastrointestinal system are (select all that apply)

• nonpalpable spleen.
• borborygmi in upper right quadrant.
• tympany on percussion of the abdomen.
• liver edge 2 to 4 cm below the costal margin.
• finding of a firm, nodular edge on the rectal examination. -

CORRECT ANSWER -a. nonpalpable spleen.

• / 4