Med Surg Nursing- GI Disorders Exam Prep Test
(226).jpg "Med Surg Nursing- GI Disorders Exam Prep Test")
Med-Surg nurses are charged with caring for adult patients who have come from surgeries and are acutely ill. These practitioners are tasked with giving the utmost care to the patient that no other professional in the hospital can. The quiz below is testing your knowledge on caring for a patient with GI disorders, take it up and see if you understand what is needed.
- 1.Which of the following is not an education tool required prior to an endoscopic procedure?
- A.
The purpose of the procedure
- B.
What to expect during the procedure
- C.
How long the procedure will take
- D.
Preparation required prior to the surgery
- 2.Which patient is most susceptible for acquiring secondary stomatitis?
- A.
An AIDs patient suffering from pneumonia
- B.
An 65 y/o obese female
- C.
A 45 y/o male suffering from colon cancer
- D.
A 50 y/o male with CHF
- 3.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.
A canker sore of the oral soft tissues
- B.
An acute stomach infection
- C.
Acid indigestion
- D.
An early sign of peptic ulcer disease
- 4.Which item is unneccessary when examing the oral cavity of a patient with candidiasis?
- A.
Gloves
- B.
Penlight
- C.
Gown
- D.
Tongue blade
- 5.Which of the following is an inappropriate nursing diagnosis for a client with malignant tumors of the oral cavity?
- A.
Impaired oral mucous membranes
- B.
Defieceint fluid volume
- C.
Acute pain
- D.
Risk for ineffective airway clearance
- 6.The graduate nurse and her preceptor are establishing priorities for their morning assessments. Which client should they assess first?
- A.
The newly admitted client with acute abdominal pain
- B.
The client who needs an abdominal dressing changed (POD 3)
- C.
The client receiving continuous tube feedings who needs the tube-feeding residual checked
- D.
The sleeping client who received pain medication 1 hour ago
- 7.Which foods should a patient with GERD stay away from (multiple answers)?
- A.
Burger King double cheeseburger
- B.
Lettuce
- C.
Candy canes
- D.
Chocolate espresso
- E.
White bread
- 8.To prevent gastroesophageal reflux in a client with hiatal hernia, the nurse should provide which discharge instruction?
- A.
Lie down after meals to promote digestion
- B.
Avoid coffee and alcoholic beverages
- C.
Take antacids with meals
- D.
Limit fluid intake with meals
- 9.Which of the following is not a common symptom of GERD?
- A.
Dyspepsia
- B.
Regurgitation
- C.
Dysphagia
- D.
Hyposalivation
- 10.Which drug class isn't used to treat GERD?
- A.
Antacids
- B.
Histamine receptor antagonists
- C.
Beta blockers
- D.
Proton pump inhibitors
- 11.Which of the following has the least important role in terms of peptic ulcer formation?
- A.
Acid
- B.
NSAID use
- C.
Prescence of H. pylori
- D.
Hypertension
- 12.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.
Coffee-ground-like
- B.
Clay-colored
- C.
Black and tarry
- D.
Bright red
- 13.Which diagnostic test would be used first to evaluate a client with upper GI bleeding?
- A.
Endoscopy
- B.
Upper GI series
- C.
Hemoglobin (Hb) levels and hematocrit (HCT
- D.
Arteriography
- 14.Which of the following isn't a complication of peptic ulcer disease?
- A.
Perforation
- B.
GI bleeding
- C.
Pyloric obstruction
- D.
Pain
- 15.Which of the following are goals of drug therapy in the treatment of PUD (multiple answers)?
- A.
Provide pain relief
- B.
Prevent recurrence
- C.
Heal ulcerations
- D.
Eradicate H. pylori infection
- 16.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.
Hyperglycemia
- B.
Fluid volume excess
- C.
Aspiration
- D.
Constipation
- 17.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.
Measure abdominal girth
- B.
Auscultate bowel sounds
- C.
Assess patency of the NG tube
- D.
Assess vital signs
- 18.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.
Aspiration of gastric contents and testing for a pH less than 6
- B.
Instillation of 30 ml of water while listening with a stethoscope
- C.
Cessation of reflex gagging
- D.
Ensuring proper measurement of the tube before insertion
- 19.Which of the following would you NOT teach a patient recently diagnosed with irritable bowel syndrome?
- A.
Identifying food intolerances and needed dietary modifications
- B.
Decreasing fiber intake
- C.
Avoiding coffee and and limiting alcohol intake
- D.
Stress management
- 20.Which of the following are appropriate nursing diagnoses for patients with colorectal cancer (multiple answers)?
- A.
Altered level of consciousness
- B.
Disturbed body image
- C.
Deficient fluid volume
- D.
Acute/ chronic pain
- 21.Which foods should patients with colorectal cancer avoid (multiple answers)?
- A.
Fish and chips
- B.
Boiled carrots and broccoli
- C.
Beef and cabbage
- D.
Concentrated sweets
- E.
Whole-grain products
- 22.A client has undergone a colon resection. While turning him, wound dehiscence with evisceration occurs. The nurse's first response is to:
- A.
Call the physician
- B.
Place saline-soaked sterile dressings on the wound
- C.
Take a blood pressure and pulse
- D.
Take a blood pressure and pulse
- 23.Which is the least likely to cause constipation?
- A.
High fiber intake
- B.
Being over 75
- C.
Overuse of laxatives
- D.
Immobilization
- 24.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.
Increased intestinal motility
- B.
Decreased abdominal strength
- C.
Increased gastric aid production
- D.
Hyperactive bowel sounds
- 25.Which outcome indicates effective client teaching to prevent constipation?
- A.
The client verbalizes consumption of low-fiber foods
- B.
The client maintains a sedentary lifestyle
- C.
The client limits water intake to three glasses per day
- D.
The client reports engaging in a regular exercise regimen
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