Digestive & Gastrointestinal System Disorders | NCLEX Quiz 58

Reviewed by Editorial Team

The ProProfs editorial team is comprised of experienced subject matter experts. They've collectively created over 10,000 quizzes and lessons, serving over 100 million users. Our team includes in-house content moderators and subject matter experts, as well as a global network of rigorously trained contributors. All adhere to our comprehensive editorial guidelines, ensuring the delivery of high-quality content.

Learn about Our Editorial Process

| By Santepro

Santepro

Community Contributor

Quizzes Created: 468 | Total Attempts: 2,577,721

| Attempts: 2,489

Questions

Feedback

During the Quiz End of Quiz

Difficulty

Easy First Hard First Sequential

Share on Facebook Share on Twitter Share on Whatsapp Share on Pinterest Share on Email Copy to Clipboard Embed on your website

1/10 Questions

You’re performing an abdominal assessment on Brent who is 52 y.o. In which order do you proceed?
- Observation. percussion. palpation. auscultation
- Observation. auscultation. percussion. palpation
- Percussion. palpation. auscultation. observation
- Palpation. percussion. observation. auscultation

About This Quiz

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.

Digestive & Gastrointestinal System Disorders | NCLEX Quiz 58 - Quiz

2.

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?
- There is no need to change eating habits.
- Eat six small meals a day.
- Eat the largest meal in the evening.
- Restrict fluid intake.
Correct Answer

A. Eat six small meals a day.

Explanation

To avoid overloading the small intestine. encourage the patient to eat six small. regularly spaced meals.

Rate this question:
3.

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?
- Hypoalbuminemia
- Increased capillary permeability
- Abnormal peripheral vasodilation
- Excess rennin release from the kidneys
Correct Answer

A. Hypoalbuminemia

Explanation

Blood pressure decreases as the body is unable to maintain normal oncotic pressure with liver failure. so patients with liver failure require close blood pressure monitoring. Increased capillary permeability. abnormal peripheral vasodilation. and excess rennin released from the kidney’s aren’t direct ramifications of liver failure.

Rate this question:
4.

You’re advising a 21 y.o. with a colostomy who reports problems with flatus. What food should you recommend?
- Peas
- Cabbage
- Broccoli
- Yogurt
Correct Answer

A. Yogurt

Explanation

High-fiber foods stimulate peristalsis. and a result. flatus. Yogurt reduces gas formation.

Rate this question:
5.

You’re assessing the stoma of a patient with a healthy. well-healed colostomy. You expect the stoma to appear:
- Pale. pink and moist
- Red and moist
- Dark or purple colored
- Dry and black
Correct Answer

A. Red and moist

Explanation

Good circulation causes tissues to be moist and red. so a healthy. well-healed stoma appears red and moist.

Rate this question:
6.

You’re caring for a patient with a sigmoid colostomy. The stool from this colostomy is:
- Formed
- Semisolid
- Semiliquid
- Watery
Correct Answer

A. Formed

Explanation

A colostomy in the sigmoid colon produces a solid. formed stool.

Rate this question:
7.

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?
- “I know just how you feel.”
- “You seem upset.”
- “Oh. don’t worry about it. everything will be just fine.”
- “Why do you think you have cancer?”
Correct Answer

A. “You seem upset.”

Explanation

Making observations about what you see or hear is a useful therapeutic technique. This way. you acknowledge that you are interested in what the patient is saying and feeling.

Rate this question:
8.

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 reservoir is created that exits through the abdominal wall.
- A second surgery is required 12 months after the first surgery.
- A permanent ileostomy is created.
- The surgery occurs in two stages.
Correct Answer

A. The surgery occurs in two stages.

Explanation

An ileoanal reservoir is created in two stages. The two surgeries are about 2 to 3 months apart. First. diseased intestines are removed and a temporary loop ileostomy is created. Second. the loop ileostomy is closed and stool goes to the reservoir and out through the anus.

Rate this question:
9.

You have to teach ostomy self care to a patient with a colostomy. You tell the patient to measure and cut the wafer:
- To the exact size of the stoma.
- About 1/16” larger than the stoma.
- About 1/8” larger than the stoma.
- About 1/4? larger than the stoma.
Correct Answer

A. About 1/16” larger than the stoma.

Explanation

A proper fit protects the skin but doesn’t impair circulation. A 1/16” should be cut.

Rate this question:
10.

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?
- 100 ml
- 500 ml
- 1500 ml
- 5000 ml
Correct Answer

A. 1500 ml

Explanation

The large intestine absorbs large amounts of water so the initial output from the ileostomy may be as much as 1500 to 2000 ml/24 hours. Gradually. the small intestine absorbs more fluid and the output decreases.

Rate this question:

Quiz Review Timeline (Updated): May 20, 2024 +

Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

Current Version
May 20, 2024

Quiz Edited by
ProProfs Editorial Team
Sep 30, 2017

Quiz Created by
Santepro

Digestive & Gastrointestinal System Disorders | NCLEX Quiz 58

You’re performing an abdominal assessment on Brent who is 52 y.o. In which order do you proceed?

Quiz Preview

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 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?

You’re advising a 21 y.o. with a colostomy who reports problems with flatus. What food should you recommend?

You’re assessing the stoma of a patient with a healthy. well-healed colostomy. You expect the stoma to appear:

You’re caring for a patient with a sigmoid colostomy. The stool from this colostomy is:

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?

You’re doing preoperative teaching with Gertrude who has ulcerative colitis who needs surgery to create an ileoanal reservoir. Which information do you include?

You have to teach ostomy self care to a patient with a colostomy. You tell the patient to measure and cut the wafer:

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?