Trivia Quiz On Gastrointestinal Health Problems!

20 Questions | By Pinoynursetambay | Updated: Mar 21, 2022 | Attempts: 1237

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Trivia Quiz On Gastrointestinal Health Problems! - Quiz

What do you know about gastrointestinal health? Do you think you know as much as necessary to pass this quiz? There are many different variables associated with gastrointestinal health. It is essential to eat right and exercise to keep your system running smoothly. Some of the consequences of not taking care of yourself may include some gastrointestinal issues. See if you are an expert on gastrointestinal health by taking on this quiz.

Questions and Answers

1.

A client is complaining of dyspepsia, frequent belching, and increased salivation. The nurse suspects which of the following?
- A.
  
  Peptic ulcer disease (PUD)
- B.
  
  Ulcerative colitis
- C.
  
  Rolling hiatal hernia
- D.
  
  Gastroesophageal reflux disease (GERD)
2.

A client diagnosed with peptic ulcer disease wants to know why he is being given antibiotics. The nurse's best answer would be:
- A.
  
  "Antibiotics help calm the stomach and decrease the symptoms."
- B.
  
  "Antibiotics decrease dumping syndrome, which can lead to PUD."
- C.
  
  "H. pylori is a bacterial cause for PUD and antibiotics will treat the cause."
- D.
  
  "The excess acid can be decreased when the stomach is sterile."
3.

The nurse is caring for a female client during recuperation following the development of a duodenal ulcer. The client suddenly experiences severe abdominal pain, increased heart rate, increased respiratory rate, and diaphoresis. On palpation, the abdomen is rigid; bowel sounds are faint and diminished. Which of the following nursing actions is appropriate?
- A.
  
  Immediately place her in high Fowler's position to facilitate breathing.
- B.
  
  Help her walk to the bathroom to get rid of any flatus.
- C.
  
  Check to see if she has food allergies and see if she ate anything to which she might be allergic.
- D.
  
  Establish IV access and call the doctor to report the assessment data.
4.

In caring for a client with a hiatal hernia, which of the following should be included in a teaching plan regarding causes?
- A.
  
  To avoid heavy lifting
- B.
  
  A dietary plan based on soft foods
- C.
  
  Its prevalence in young adults
- D.
  
  Its prevalence in fair-skinned individuals
5.

A client says to the nurse, "My doctor told me my ulcer may have been caused by bacteria. I thought ulcers were caused by diet and too much stress." Which of the following responses by the nurse is the best?
- A.
  
  "If it was caused by bacteria, you would have a fever as a result of the inflammatory process."
- B.
  
  "We know that ulcers are communicable. They can be spread easily. Be careful you don't spread it to your children."
- C.
  
  "Diet and stress have nothing to do with developing an ulcer."
- D.
  
  "Even though the bacteria Heliobacter pylori causes inflammation, other factors may cause increased acid in the stomach."
6.

Prior to giving an analgesic for pain to a postoperative client who has a history of peptic ulcer disease (PUD), the nurse should check to see that the agent does not contain which of the following?
- A.
  
  An opioid product
- B.
  
  Acetaminophen (Tylenol)
- C.
  
  Acetylsalicylic acid (aspirin)
- D.
  
  Hydrocodone
7.

A client states, "My doctor told me to quit taking aspirin since I've developed this ulcer. I have to take aspirin to keep my arthritis from hurting. I don't know what to do." Which response on the part of the nurse is best?
- A.
  
  "Let's worry about treating your ulcer—your arthritis will have to wait."
- B.
  
  "Aspirin is one of the medications that makes an ulcer worse; another medicine can be ordered by the doctor for your arthritis."
- C.
  
  "Go ahead and take the aspirin if it helps, but watch closely for bleeding."
- D.
  
  "The doctor knows what is best for you, and you should follow those instructions."
8.

A female client complains of a burning, cramping pain in the top part of the abdomen that becomes worse in the middle of the afternoon and sometimes awakens her at night. She reports that eating something usually helps the pain go away but that the pain is now becoming more intense. Which of the following is the best conclusion for the nurse to draw?
- A.
  
  These symptoms are consistent with an ulcer.
- B.
  
  The client is probably developing cholelithiasis.
- C.
  
  The client probably has indigestion and needs to watch what she eats.
- D.
  
  A snack before bed should be recommended.
9.

An elderly client presents with fever, leukocytosis, left lower quadrant pain, and diarrhea alternating with constipation. The nurse concludes that these are frequently seen in clients with:
- A.
  
  Appendicitis.
- B.
  
  Diverticulitis.
- C.
  
  Peptic ulcer disease.
- D.
  
  Irritable bowel syndrome.
10.

A client presents to the clinic with "bad pain" in the middle of the abdomen, vomiting, and "not knowing what is wrong." Palpation reveals rebound tenderness with increased pain halfway between the umbilicus and the top of the pelvis. The client seems to have less pain when lying on the left side and flexing the knees. What is the best conclusion for the nurse to draw?
- A.
  
  To make sure the client does not have an impaction, an enema should be given.
- B.
  
  Since the client is vomiting, the problem is probably gastroenteritis.
- C.
  
  The client should be checked for possible appendicitis.
- D.
  
  Since the client has been vomiting, nourishment may help.
11.

A client with Zollinger-Ellison syndrome thinks she has a rare form of cancer. The nurse explains that this syndrome is characterized by which of the following?
- A.
  
  A destruction of the mucus-protecting cells of the stomach that could lead to an ulcer
- B.
  
  A condition that causes increased secretion of pepsin and hydrochloric acid
- C.
  
  A twisting of the bowel that leads to intestinal obstruction
- D.
  
  Crohn's disease, which is an inflammatory bowel disorder
12.

A client is admitted to the unit with a large, distended bowel, acute tenderness upon palpation of the abdomen, fever, rigidity, and absent bowel sounds. After being on the unit, the client's level of consciousness decreases, and he begins to have feculent vomit. The priority therapeutic intervention would be to:
- A.
  
  Reduce the fever through antipyretics.
- B.
  
  Insert an NG tube to wall suction and monitor the output.
- C.
  
  Administer pain medications to relax the client.
- D.
  
  Listen to bowel sounds.
13.

A client is being admitted to a hospital unit complaining of severe pain in the lower abdomen and is lying on the bed with his knees flexed. Admission vital signs reveal an oral temperature of 101.2°F. Which of the following would confirm a diagnosis of appendicitis?
- A.
  
  The pain is localized at a position halfway between the umbilicus and the right iliac crest.
- B.
  
  The client describes the pain as occurring 2 hours after eating.
- C.
  
  The pain subsides after eating.
- D.
  
  The pain is in the left lower quadrant.
14.

An elderly male client is worried about bright red blood in his stool along with feeling tired and worn out. The nurse determines that these symptoms are characteristic of:
- A.
  
  Ascending (right-sided) colon cancer.
- B.
  
  Descending (left-sided) colon cancer.
- C.
  
  Gallbladder disease.
- D.
  
  Gastric ulcers.
15.

A client who is exhibiting borborygmi, cramping pain, vomiting, and diarrhea has a diagnosis of peptic ulcer disease (PUD) with recent surgical treatment. The client is probably experiencing which of the following?
- A.
  
  Dumping syndrome
- B.
  
  Complications of the PUD
- C.
  
  Perforation of the stomach
- D.
  
  Peritonitis
16.

A female client complains of a burning, cramping pain in the top part of the abdomen that becomes worse in the middle of the afternoon and sometimes awakens her at night. She reports that eating something usually helps the pain go away but that the pain is now becoming more intense. Which of the following is the best conclusion for the nurse to draw?
- A.
  
  These symptoms are consistent with an ulcer.
- B.
  
  The client is probably developing cholelithiasis.
- C.
  
  The client probably has indigestion and needs to watch what she eats.
- D.
  
  A snack before bed should be recommended.
17.

Which of the following foods should be avoided in a client with peptic ulcer disease?
- A.
  
  Vegetables
- B.
  
  Meats
- C.
  
  Fruits
- D.
  
  Chocolate
18.

The nurse explains to a family that main physiologic reason for weight loss in a client with Crohn's disease is which of the following?
- A.
  
  The symptoms of anorexia prevent the client from eating.
- B.
  
  The inflammation of the disease decreases the appetite.
- C.
  
  The thickening and congestion of the bowel wall results in malabsorption.
- D.
  
  The "skip lesions" interfere with food passage through the bowel.
19.

As opposed to ulcerative colitis, Crohn's disease is characterized by:
- A.
  
  Lesions that are limited to the lower colon and rectum
- B.
  
  Diarrhea that is self-limiting and easier to control.
- C.
  
  Fistulas and fibrotic changes that cause the bowel to become less flexible.
- D.
  
  Fewer problems with fluid and electrolyte imbalance.
20.

A client who has Crohn's disease and is noncompliant should be cautioned about the risk for which of the following?
- A.
  
  Perforation of the bowel
- B.
  
  Colorectal cancer
- C.
  
  PUD
- D.
  
  Ulcerative colitis