Med Surg Nursing - GI Disorders
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This is a basic N250 quiz pertaining the various diseases of the GI system. . . Enjoy.
- 1.
- 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.
- 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.
- 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.
- A.
Gloves
- B.
Penlight
- C.
Gown
- D.
Tongue blade
- 5.
- A.
Impaired oral mucous membranes
- B.
Defieceint fluid volume
- C.
Acute pain
- D.
Risk for ineffective airway clearance
- 6.
- 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.
- A.
Burger King double cheeseburger
- B.
Lettuce
- C.
Candy canes
- D.
Chocolate espresso
- E.
White bread
- 8.
- 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.
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.
- 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.
- 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.
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
- 26.In regards to appendicitis, the location of pain in the lower, right abdominal quadrant is called:
- A.
Kernig's sign
- B.
Mc Burney's point
- C.
Brudzinski's point
- D.
Schrute's point
- 27.
- A.
The appendectomy surgery is very invasive and it puts the client at a risk for infection
- B.
Obstruction of the appendix reduces arterial flow, leading to ischemia, inflammation, and rupture of the appendix.
- C.
Infection of the appendix diminishes necrotic arterial blood flow and increases venous drainage
- D.
The appendix may develop gangrene and rupture, especially in a middle-aged client
- 28.Which of the following assessment findings suggests early appendicitis?
- A.
Nausea and vomiting
- B.
Periumbilical pain
- C.
Tense positioning
- D.
Abdominal rigdity
- 29.Which of the following is not an appropriate nursing diagnosis related to appendicitis?
- A.
Disturbed body image
- B.
Acute pain
- C.
Risk for infection r/t rupture
- D.
Deficient knowledge
- 30.While preparing a client for cholecystectomy, the nurse explains that incentive spirometry will be used after surgery primarily to:
- A.
Increase respiratory effectiveness.
- B.
Eliminate the need for nasogastric intubation.
- C.
Improve nutritional status during recovery.
- D.
Decrease the amount of postoperative analgesia needed.
- 31.Which task can the nurse delegate to a nursing assistant?
- A.
Irrigating a nasogastric (NG) tube
- B.
Assisting a client who had surgery three days ago walk down the hallway
- C.
Helping a client who just returned from surgery to the bathroom
- D.
Administering an antacid to a client complaining of heartburn
- 32.How are ulcerative colitis and Chron's disease definitively diagnosed?
- A.
EGD
- B.
CBC
- C.
Stool sample
- D.
Colonoscopy
- 33.What is toxic megacolon (mulitple answers)?
- A.
A complication of ulcerative colitis
- B.
Dilation and paralysis of the colon
- C.
A fistula
- D.
A risk factor for pancreatitis
- 34.
- A.
Lactulose therapy
- B.
High-fiber diet
- C.
High-protein milkshakes
- D.
Corticosteroid therapy
- E.
Antidiarrheal medications
- 35.A client is diagnosed with Crohn's disease after undergoing two weeks of testing. The client's boss calls the medical-surgical floor requesting to speak with the nurse manager. He expresses concern over the client and explains that he must know the client's diagnosis for insurance purposes. Which response by the nurse is best?
- A.
"Sure, I understand how demanding insurance companies can be."
- B.
"I appreciate your concern, but I can't give out any information."
- C.
"Why don't you come in, and we can further discuss this issue."
- D.
"He has been diagnosed with Crohn's Disease."
- 36.A client with a recent history of rectal bleeding is being prepared for a colonoscopy. How should the nurse position the client for this test initially?
- A.
Lying on the right side with legs straight
- B.
Lying on the left side with knees bent
- C.
Prone with the torso elevated
- D.
Bent over with hands touching the floor
- 37.A client has a newly created colostomy. After participating in counseling with the nurse and receiving support from the spouse, the client decides to change the colostomy pouch unaided. Which behavior suggests that the client is beginning to accept the change in body image?
- A.
The client asks his wife to leave the room
- B.
The client closes the eyes when the abdomen is exposed
- C.
The client avoids talking about the recent surgery
- D.
The client touches the altered body part
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