Gastrointestinal Disorders (Exam Mode) By Rnpedia.Com

50 Questions | Total Attempts: 3164

SettingsSettingsSettings
Please wait...
Gastrointestinal Disorders (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 60 minutes to finish the exam. Good luck!


Questions and Answers
  • 1. 
    Situation 1: Children have a special fascination with the workings of the digestive system. To fully understand the digestive processes, Nurse Lavigña must be knowledgeable of the anatomy and physiology of the gastrointestinal system.  1. The alimentary canal is a continuous, coiled, hollow muscular tube that winds through the ventral cavity and is open at both ends. Its solid organs include all of the following except:
    • A. 

      Liver

    • B. 

      Gall bladder

    • C. 

      Stomach

    • D. 

      Pancreas

  • 2. 
    Pharynx is lined with mucous membranes and mucous secreting glands to ease the passage of food. The larygngopharynx serves as passageway for:
    • A. 

      Air only

    • B. 

      Air and water

    • C. 

      Food, fluids and air

    • D. 

      Air and food

  • 3. 
    Once food has been placed in the mouth, both mechanical and chemical digestions begin. The six activities of the digestive process are:
    • A. 

      ingestion, mastication, digestion, deglutition, absorption, egestion

    • B. 

      Ingestion, mastication, deglutition, digestion, absorption, egestion

    • C. 

      Deglutition, ingestion, mastication, egestion, absorption, defecation

    • D. 

      Ingestion, digestion, mastication, deglutition, absorption, defecation

  • 4. 
    Most digestive activity occurs in the pyloric region of the stomach. What hormone stimulates the chief cells to produce pepsinogen?
    • A. 

      Gastrin

    • B. 

      Pepsin

    • C. 

      HCl

    • D. 

      Insulin

  • 5. 
    What pancreatic enzyme aids in the digestion of carbohydrates? 
    • A. 

      Lipase

    • B. 

      Trypsin

    • C. 

      Amylase

    • D. 

      Chymotrypsin

  • 6. 
    Situation 2: Nurse Dorina is going to perform an abdominal examination to Mr. Lim who was admitted due to on and off pain since yesterday. How will you position Mr. Lim prior to procedure? 
    • A. 

      Supine with knees flexed

    • B. 

      Prone

    • C. 

      Lying on back

    • D. 

      Sim’s

  • 7. 
    To identify any localized bulging, distention and peristaltic waves, Nurse Dorina must perform which of the following?
    • A. 

      Auscultation

    • B. 

      Inspection

    • C. 

      Palpation

    • D. 

      Percussion

  • 8. 
    In order to identify areas of tenderness and swelling, Nurse Dorina must do: 
    • A. 

      Deep palpation

    • B. 

      Light palpation

    • C. 

      Percussion

    • D. 

      Palpation

  • 9. 
    Mr. Lim verbalized pain on the right iliac region. Nurse Dorina knows that the organ affected would be the:
    • A. 

      Liver

    • B. 

      Sigmoid colon

    • C. 

      Appendix

    • D. 

      Duodenum

  • 10. 
    Mr. Lim felt pain upon release of Nurse Dorina’s hand. This can be referred as:
    • A. 

      Referred pain

    • B. 

      Rebound tenderness

    • C. 

      Direct tenderness

    • D. 

      Indirect tenderness

  • 11. 
    Situation 3: Mrs. Cruz was admitted in the Medical Floor due to pyrosis, dyspepsia and difficulty of swallowing. Based from the symptoms presented, Nurse Yoshi might suspect:
    • A. 

      Esophagitis

    • B. 

      Hiatal hernia

    • C. 

      GERD

    • D. 

      Gastric Ulcer

  • 12. 
    What diagnostic test would confirm the type of problem Mrs. Cruz have?
    • A. 

      Barium enema

    • B. 

      Barium swallow

    • C. 

      Colonoscopy

    • D. 

      Lower GI series

  • 13. 
    Mrs. Cruz complained of pain and difficulty in swallowing. This term is referred as:
    • A. 

      Odynophagia

    • B. 

      Dysphagia

    • C. 

      Pyrosis

    • D. 

      Dyspepsia

  • 14. 
    To avoid acid reflux, Nurse Yoshi should advice Mrs. Cruz to avoid which type of diet? 
    • A. 

      Cola, coffee and tea

    • B. 

      High fat, carbonated and caffeinated beverages

    • C. 

      Beer and green tea

    • D. 

      Lechon paksiw and bicol express

  • 15. 
    Mrs. Cruz’ body mass index (BMI) is 25. You can categorized her as:
    • A. 

      Normal

    • B. 

      Overweight

    • C. 

      Underweight

    • D. 

      Obese

  • 16. 
    Situation 4: Nurse Gloria is the staff nurse assigned at the Emergency Department. During her shift, a patient was rushed – in the ED complaining of severe heartburn, vomiting and pain that radiates to the flank. The doctor suspects gastric ulcer. What other symptoms will validate the diagnosis of gastric ulcer?
    • A. 

      Right epigastric pain

    • B. 

      Pain occurs when stomach is empty

    • C. 

      Pain occurs immediately after meal

    • D. 

      Pain not relieved by vomiting

  • 17. 
    What diagnostic test would yield good visualization of the ulcer crater? 
    • A. 

      Endoscopy

    • B. 

      Gastroscopy

    • C. 

      Barium Swallow

    • D. 

      Histology

  • 18. 
    Peptic ulcer disease particularly gastric ulcer is thought to be cause by which of the following microorgamisms?
    • A. 

      E. coli

    • B. 

      H. pylori

    • C. 

      S. aureus

    • D. 

      K. pnuemoniae

  • 19. 
     She is for occult blood test, what specimen will you collect?
    • A. 

      Blood

    • B. 

      Urine

    • C. 

      Stool

    • D. 

      Gastric Juice

  • 20. 
    Preparation of the client for occult blood examination is: 
    • A. 

      Fluid intake limited only to 1 liter/day

    • B. 

      NPO for 12 hours prior to obtaining of specimen

    • C. 

      Increase fluid intake

    • D. 

      Meatless diet for 48 hours prior to obtaining of specimen

  • 21. 
    Situation 5: IBD is a common inflammatory functional bowel disorder also known as spastic bowel, functional colitis and mucous colitisThe client with IBS asks Nurse June what causes the disease. Which of the following responses by Nurse June would be most appropriate?
    • A. 

      “This is an inflammation of the bowel caused by eating too much roughage”

    • B. 

      “IBS is caused by a stressful lifestyle”

    • C. 

      “The cause of this condition is unknown”

    • D. 

      “There is thinning of the intestinal mucosa caused by ingestion of gluten”

  • 22. 
    Which of the following alimentary canal is the most common location for Chron’s disease? 
    • A. 

      Descending col

    • B. 

      Jejunum

    • C. 

      Sigmoid Colon

    • D. 

      Terminal Ileum

  • 23. 
    Which of the following factors is believed to be linked to Chron’s disease?
    • A. 

      Diet

    • B. 

      Constipation

    • C. 

      Heredity

    • D. 

      Lack of exercise

  • 24. 
    How about ulcerative colitis, which of the following factors is believed to cause it? 
    • A. 

      Acidic die

    • B. 

      Altered immunity

    • C. 

      Chronic constipation

    • D. 

      Emotional stress

  • 25. 
    Mr. Jung, had ulcerative colitis for 5 years and was admitted to the hospital. Which of the following factors was most likely of greatest significance in causing an exacerbation of the disease? 
    • A. 

      A demanding and stressful job

    • B. 

      Changing to a modified vegetarian diet

    • C. 

      Beginning a weight training program

    • D. 

      Walking 2 miles everyday

Back to Top Back to top