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Med Surg Nursing - Gi Disorders

43 Questions  I  By Tyraikaika
Nursing Quizzes & Trivia
This is a basic N250 quiz pertaining the various diseases of the GI system. . . Enjoy.

  
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Question Excerpt

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1.  Which of the following is not an education tool required prior to an endoscopic procedure?
A.
B.
C.
D.
2.  All are complications of endoscopic procedures EXCEPT?
3.  Which patient is most susceptible for acquiring secondary stomatitis?
A.
B.
C.
D.
4.  When assessing a client during a routine checkup, the nurse reviews the history and notes that the client had aphthous stomatitis at the time of the last visit. Aphthous stomatitis is best described as:
A.
B.
C.
D.
5.  Which item is unneccessary when examing the oral cavity of a patient with candidiasis?
A.
B.
C.
D.
6.  Which of the following is an inappropriate nursing diagnosis for a client with malignant tumors of the oral cavity?
A.
B.
C.
D.
7.  The graduate nurse and her preceptor are establishing priorities for their morning assessments. Which client should they assess first?
A.
B.
C.
D.
8.  Gastroesophageal reflux disease is the abnormal _____ of the lower esophageal sphincter.
9.  Which foods should a patient with GERD stay away from (multiple answers)?
A.
B.
C.
D.
E.
10.  To prevent gastroesophageal reflux in a client with hiatal hernia, the nurse should provide which discharge instruction?
A.
B.
C.
D.
11.  Which of the following is not a common symptom of GERD?
A.
B.
C.
D.
12.  Which drug class isn't used to treat GERD?
A.
B.
C.
D.
13.  Which of the following has the least important role in terms of peptic ulcer formation?
A.
B.
C.
D.
14.  A client is admitted to the health care facility with a diagnosis of a bleeding gastric ulcer. The nurse expects this client's stools to be:
A.
B.
C.
D.
15.  Which diagnostic test would be used first to evaluate a client with upper GI bleeding?
A.
B.
C.
D.
16.  Which of the following isn't a complication of peptic ulcer disease?
A.
B.
C.
D.
17.  Which of the following are goals of drug therapy in the treatment of PUD (multiple answers)?
A.
B.
C.
D.
18.  An elderly client with Alzheimer's disease begins supplemental tube feedings through a gastrostomy tube to provide adequate calorie intake. The nurse should be concerned most with the potential for:
A.
B.
C.
D.
19.  A client who underwent abdominal surgery who has a nasogastric (NG) tube in place begins to complain of abdominal pain that he describes as "feeling full and uncomfortable." Which assessment should the nurse perform first?
A.
B.
C.
D.
20.  To verify the placement of a gastric feeding tube, the nurse should perform at least two tests. One test requires instilling air into the tube with a syringe and listening with a stethoscope for air passing into the stomach. Which is another test method?
A.
B.
C.
D.
21.  The nurse is performing an assessment on a client who has developed a paralytic ileus. The client's bowel sounds will be:
22.  Which of the following would you NOT teach a patient recently diagnosed with irritable bowel syndrome?
A.
B.
C.
D.
23.  Which of the following are appropriate nursing diagnoses for patients with colorectal cancer (multiple answers)?
A.
B.
C.
D.
24.  Which of the following is not a complication of colorectal cancer?
25.  Which foods should patients with colorectal cancer avoid (multiple answers)?
A.
B.
C.
D.
E.
26.  A client has undergone a colon resection. While turning him, wound dehiscence with evisceration occurs. The nurse's first response is to:
A.
B.
C.
D.
27.  For a client who must undergo colon surgery, the physician orders preoperative cleansing enemas and neomycin sulfate (Mycifradin). The rationale for neomycin use in this client is to:
28.  Which is the least likely to cause constipation?
A.
B.
C.
D.
29.  A 72-year-old client seeks help for chronic constipation. This is a common problem for elderly clients due to several factors related to aging. Which is one such factor?  
A.
B.
C.
D.
30.  Which medication should the nurse expect to administer to a client with constipation?
31.  Which outcome indicates effective client teaching to prevent constipation?
A.
B.
C.
D.
32.  In regards to appendicitis, the location of pain in the lower, right abdominal quadrant is called:
A.
B.
C.
D.
33.  When preparing a client, age 50, for surgery to treat appendicitis, the nurse formulates a nursing diagnosis of Risk for infection related to inflammation, perforation, and surgery. What is the rationale for choosing this nursing diagnosis?
A.
B.
C.
D.
34.  Which of the following assessment findings suggests early appendicitis?
A.
B.
C.
D.
35.  Which of the following is not an appropriate nursing diagnosis related to appendicitis?
A.
B.
C.
D.
36.  While preparing a client for cholecystectomy, the nurse explains that incentive spirometry will be used after surgery primarily to:
A.
B.
C.
D.
37.  Which task can the nurse delegate to a nursing assistant?
A.
B.
C.
D.
38.  How are ulcerative colitis and Chron's disease definitively diagnosed?
A.
B.
C.
D.
39.  What is toxic megacolon (mulitple answers)?
A.
B.
C.
D.
40.  A 28-year-old client is admitted with inflammatory bowel syndrome (Crohn's disease). Which therapies should the nurse expect to be part of the care plan? Check all that apply 
A.
B.
C.
D.
E.
41.  A client is diagnosed with Crohn's disease after undergoing two weeks of testing. The client's boss calls the medical-surgical floor requesting to speak with the nurse manager. He expresses concern over the client and explains that he must know the client's diagnosis for insurance purposes. Which response by the nurse is best?
A.
B.
C.
D.
42.  A client with a recent history of rectal bleeding is being prepared for a colonoscopy. How should the nurse position the client for this test initially?
A.
B.
C.
D.
43.  A client has a newly created colostomy. After participating in counseling with the nurse and receiving support from the spouse, the client decides to change the colostomy pouch unaided. Which behavior suggests that the client is beginning to accept the change in body image?
A.
B.
C.
D.
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