Digestive & Gastrointestinal System Disorders | NCLEX Quiz 58

10 Questions | By Santepro | Updated: Mar 20, 2022 | Attempts: 2353

Questions

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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.

Questions and Answers

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?”