Gastrointestinal Problems (Exam Mode) By Rnpedia.Com

7 Questions | Total Attempts: 2438

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Gastrointestinal Problems (Exam Mode) By Rnpedia.Com

Mark the letter of the letter of choice then click on the next button. Score will be posted as soon as the you are done with the quiz.  You got 31 minutes to finish the exam. Good luck!


Questions and Answers
  • 1. 
    In preparing a client for a colonoscopy procedure, which task is most suitable to delegate to the nursing assistant?  
    • A. 

      Explain the need for clear liquids 1 – 3 days prior to procedure.

    • B. 

      Reinforce NPO status 8 hours prior to procedure.

    • C. 

      Administer laxatives 1 – 3 days prior to procedure.

    • D. 

      Administer an enema the night before the procedure.

  • 2. 
    You would be most concerned about which client having an order for TPN (total parental nutrition) fat emulsion?    
    • A. 

      A client with gastrointestinal obstruction

    • B. 

      A client with severe anorexia nervosa

    • C. 

      A client with chronic diarrhea and vomiting

    • D. 

      A client with a fractured femur

  • 3. 
    You are caring for a client with peptic ulcer disease. Which assessment finding is the most serious?    
    • A. 

      Projectile vomiting

    • B. 

      Burning sensation 2 hours after eating

    • C. 

      Coffee-grounded emesis

    • D. 

      Board-like abdomen with shoulder pain

  • 4. 
    You are preparing to administer TPN through a central line. Place the steps for administration in the correct order.   a. Use aseptic technique when handling the injection cap.  b. Thread the IN tubing through an infusion pump.  c. Check the solution for cloudiness or turbidity.  d. Connect the tubing to the central line.  e. Select the correct tubing and filter.  f. Set infusion pump at prescribed rate.  _____, _____, _____, _____, _____, _____   * Answer the letter only separated by comma
  • 5. 
    You are taking an initial history for a client seeking surgical treatment for obesity. Which of the following should be called to the attention of the surgeon before proceeding with additional history or physical assessment?  
    • A. 

      Obesity for approximately 5 years

    • B. 

      History of counseling for body dysmorphic disorder

    • C. 

      Failure to reduce weight with other forms of therapy

    • D. 

      Body weight 100% above the ideal for age, gender and height

  • 6. 
    In educating a client with gastroesophageal reflux disease (GERD), you will teach the client that the drug therapy is a “step-up” approach that depends on the response to the medication. For the drugs listed, what is the anticipated order that the physician will try in the treatment plan?  a. Magnesium trisilicate (Gaviscon) and Famotidine (Pepci AC) b. Ranitidine (Zantac) 150 mg c. Pantoprazole (Protonix) _____, _____, _____ * Answer the letter only separated by comma
  • 7. 
    In caring for a client with GERD, which task would be appropriate to assign to the nursing assistant?  
    • A. 

      Share successful strategies for weight reduction.

    • B. 

      Encourage the client to express concerns about lifestyle modification.

    • C. 

      Remind the client not to lie down for 2 – 3 hours after eating.

    • D. 

      Explain the rationale for small frequent meals.

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