MSN Gastrointestinal Quiz 1

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1/15 Questions

A nurse is assigned to four clients who have been diagnosed with gastric ulcers. Which one of these clients should the nurse conclude is most at risk to develop gastrointestinal (GI) bleeding?
- A 40-year-old client who is positive for Helicobacter pylori (H. pylori)
- A 45-year-old client who drinks 4 ounces of alcohol a day
- A 70-year-old client who takes aspirin (Ecotrin®) 81 mg daily to prevent coronary artery disease
- A 30-year-old pregnant client who uses acetaminophen (Tylenol®) as needed for headaches

2.

A nurse is assessing a client who is 24 hours post gastrointestinal (GI) hemorrhage. The assessment findings include blood urea nitrogen (BUN) of 40 mg/dL and serum creatinine of 0.8 mg/dL. After reviewing the assessment findings, the nurse should:
- Immediately call the physician to report these results.
- Monitor urine output as this may be a sign of kidney failure.
- Document the findings and continue monitoring the client.
- Encourage the client to limit his dietary protein intake.
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3.

During a hospital admission history, a nurse suspects gastrointestinal reflux disease (GERD) when the client says:
- “I have been experiencing headaches immediately after eating.”
- “I have been waking up at night lately with a burning feeling in my chest.”
- “I have been waking up at night sweating.”
- “Immediately after eating I feel sleepy.”
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4.

An experienced nurse explains to a new nurse that the definitive diagnosis of peptic ulcer disease (PUD) involves:
- A urea breath test.
- Upper gastrointestinal endoscopy with biopsy.
- Barium contrast studies.
- The string test.
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5.

To assist a client to manage and decrease the sensation of nausea, which nonpharmacological intervention should a nurse recommend?
- Drinking tea made from ginger root
- Changing positions quickly when moving
- Decreasing food intake
- Playing loud rock music
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6.

A nurse, writing a nursing diagnosis in the care plan for a female client after bariatric surgery, should write, “Risk for nausea related to:
- Overfilling of the stomach pouch.”
- The stomach pouch.”
- The lower half of the stomach becoming spastic.”
- Handling of the duodenum with resulting inflammatory response.”
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7.

A nurse is discharging a client after Billroth II surgery (gastrojejunostomy). To assist the client to control dumping syndrome, the client’s discharge instructions should include:
- Drinking fluids with meals.
- Eating a high-carbohydrate, low-protein diet.
- Waiting at least 5 hours between meals.
- Lying down for 20 to 30 minutes after meals.
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8.

A nurse is performing an initial postoperative assessment on a client following upper gastrointestinal surgery. The client has a nasogastric tube to low, intermittent suction. To best assess the client for the presence of bowel sounds, the nurse should:
- Place the stethoscope to the left of the umbilicus.
- Turn off the nasogastric suction.
- Use the bell of the stethoscope.
- Turn the suction on the nasogastric tube to continuous.
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9.

A client returns to a surgical unit following a radical neck dissection for oral cancer. The nursing plan of care for this client should include:
- Positioning the client in a supine position.
- Monitoring the wound drainage tubes around the neck incision for amount and color of drainage and patency.
- Maintaining bed rest for 48 hours post surgery.
- Offering ice chips orally 2 hours post surgery.
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10.

A nurse is reviewing the health history of a client admitted to a hospital with a diagnosis of nonalcoholic fatty liver disease (NAFLD). When conducting the client’s health history, which finding is consistent with this disease process?
- 70 years old
- Obese
- History of recent antibiotic use
- Living in colder climates
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11.

The serum ammonia level of a client with cirrhosis is elevated. As a priority, a nurse should plan to:
- Monitor the client’s temperature every 4 hours.
- Observe for increasing confusion.
- Measure the urine specific gravity.
- Restrict the client’s oral fluid intake.
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12.

A client is hospitalized for conservative treatment of cirrhosis. As part of the collaborative plan of care, a nurse would anticipate:
- Monitoring the client’s blood sugar.
- Maintaining NPO (nothing by mouth) status.
- Administering antibiotics.
- Encouraging frequent ambulation.
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13.

While caring for a male client with cirrhosis, a nurse adds the nursing diagnosis Disturbed body image related to physical manifestations of illness when the client is overheard telling his brother:
- “I don’t think I can handle this disease.”
- “I know the doctors say I have liver failure, but I don’t really believe them.”
- “I know I should rest more, but I’m just not that type of person.”
- “I don’t like the fact that I seem to have breasts now.”
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14.

A registered nurse (RN) is caring for a client following a liver biopsy with the assistance of a student nurse. The RN evaluates that the student understands the post procedure care when the student nurse:
- Plans to monitor vital signs every hour.
- Promotes ambulation 1 hour after the procedure.
- Positions the client on the right side.
- Encourages the client to cough and deep breathe immediately following the procedure.
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15.

During a hospital admission history, a nurse suspects acute pancreatitis when a 40-year-old client reports:
- The sudden onset of intense pain in the upper left abdominal quadrant that radiates to the back.
- Persistent abdominal pain in the lower abdomen that has shifted to the lower right quadrant.
- Bloody diarrhea and colicky abdominal pain.
- Mild upper abdominal pain and projectile vomiting.
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Current Version
Apr 08, 2025

Quiz Edited by
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Apr 08, 2025

Quiz Created by
Alfredhook3

MSN Gastrointestinal Quiz 1

A nurse is assigned to four clients who have been diagnosed with gastric ulcers. Which one of these clients should the nurse conclude is most at risk to develop gastrointestinal (GI) bleeding?

Quiz Preview

A nurse is assessing a client who is 24 hours post gastrointestinal (GI) hemorrhage. The assessment findings include blood urea nitrogen (BUN) of 40 mg/dL and serum creatinine of 0.8 mg/dL. After reviewing the assessment findings, the nurse should:

During a hospital admission history, a nurse suspects gastrointestinal reflux disease (GERD) when the client says:

An experienced nurse explains to a new nurse that the definitive diagnosis of peptic ulcer disease (PUD) involves:

To assist a client to manage and decrease the sensation of nausea, which nonpharmacological intervention should a nurse recommend?

A nurse, writing a nursing diagnosis in the care plan for a female client after bariatric surgery, should write, “Risk for nausea related to:

A nurse is discharging a client after Billroth II surgery (gastrojejunostomy). To assist the client to control dumping syndrome, the client’s discharge instructions should include:

A nurse is performing an initial postoperative assessment on a client following upper gastrointestinal surgery. The client has a nasogastric tube to low, intermittent suction. To best assess the client for the presence of bowel sounds, the nurse should:

A client returns to a surgical unit following a radical neck dissection for oral cancer. The nursing plan of care for this client should include:

A nurse is reviewing the health history of a client admitted to a hospital with a diagnosis of nonalcoholic fatty liver disease (NAFLD). When conducting the client’s health history, which finding is consistent with this disease process?

The serum ammonia level of a client with cirrhosis is elevated. As a priority, a nurse should plan to:

A client is hospitalized for conservative treatment of cirrhosis. As part of the collaborative plan of care, a nurse would anticipate:

While caring for a male client with cirrhosis, a nurse adds the nursing diagnosis Disturbed body image related to physical manifestations of illness when the client is overheard telling his brother:

A registered nurse (RN) is caring for a client following a liver biopsy with the assistance of a student nurse. The RN evaluates that the student understands the post procedure care when the student nurse:

During a hospital admission history, a nurse suspects acute pancreatitis when a 40-year-old client reports: