Digestive & Gastrointestinal System Disorders | NCLEX Quiz 58
All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.
- 1.A patient with chronic alcohol abuse is admitted with liver failure. You closely monitor the patient’s blood pressure because of which change that is associated with the liver failure?
- A.
Hypoalbuminemia
- B.
Increased capillary permeability
- C.
Abnormal peripheral vasodilation
- D.
Excess rennin release from the kidneys
- 2.You’re assessing the stoma of a patient with a healthy. well-healed colostomy. You expect the stoma to appear:
- A.
Pale. pink and moist
- B.
Red and moist
- C.
Dark or purple colored
- D.
Dry and black
- 3.You’re caring for a patient with a sigmoid colostomy. The stool from this colostomy is:
- A.
Formed
- B.
Semisolid
- C.
Semiliquid
- D.
Watery
- 4.You’re advising a 21 y.o. with a colostomy who reports problems with flatus. What food should you recommend?
- A.
Peas
- B.
Cabbage
- C.
Broccoli
- D.
Yogurt
- 5.You have to teach ostomy self care to a patient with a colostomy. You tell the patient to measure and cut the wafer:
- A.
To the exact size of the stoma.
- B.
About 1/16” larger than the stoma.
- C.
About 1/8” larger than the stoma.
- D.
About 1/4? larger than the stoma.
- 6.You’re performing an abdominal assessment on Brent who is 52 y.o. In which order do you proceed?
- A.
Observation. percussion. palpation. auscultation
- B.
Observation. auscultation. percussion. palpation
- C.
Percussion. palpation. auscultation. observation
- D.
Palpation. percussion. observation. auscultation
- 7.You’re doing preoperative teaching with Gertrude who has ulcerative colitis who needs surgery to create an ileoanal reservoir. Which information do you include?
- A.
A reservoir is created that exits through the abdominal wall.
- B.
A second surgery is required 12 months after the first surgery.
- C.
A permanent ileostomy is created.
- D.
The surgery occurs in two stages.
- 8.You’re caring for Carin who has just had ileostomy surgery. During the first 24 hours post-op. how much drainage can you expect from the ileostomy?
- A.
100 ml
- B.
500 ml
- C.
1500 ml
- D.
5000 ml
- 9.You’re preparing a teaching plan for a 27 y.o. named Jeff who underwent surgery to close a temporary ileostomy. Which nutritional guideline do you include in this plan?
- A.
There is no need to change eating habits.
- B.
Eat six small meals a day.
- C.
Eat the largest meal in the evening.
- D.
Restrict fluid intake.
- 10.Arthur has a family history of colon cancer and is scheduled to have a sigmoidoscopy. He is crying as he tells you. “I know that I have colon cancer. too.” Which response is most therapeutic?
- A.
“I know just how you feel.”
- B.
“You seem upset.”
- C.
“Oh. don’t worry about it. everything will be just fine.”
- D.
“Why do you think you have cancer?”
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