Digestive & Gastrointestinal System Disorders | NCLEX Quiz 61
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.
Jerod is experiencing an acute episode of ulcerative colitis. Which is priority for this patient?
- A.
Replace lost fluid and sodium.
- B.
Monitor for increased serum glucose level from steroid therapy.
- C.
Restrict the dietary intake of foods high in potassium.
- D.
Note any change in the color and consistency of stools.
Correct Answer
A. Replace lost fluid and sodium.Explanation
Diarrhea d/t an acute episode of ulcerative colitis leads to fluid & electrolyte losses so fluid replacement takes priority.Rate this question:
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- 2.
A 29 y.o. patient has an acute episode of ulcerative colitis. What diagnostic test confirms this diagnosis?
- A.
Barium Swallow.
- B.
Stool examination.
- C.
Gastric analysis.
- D.
Sigmoidoscopy.
Correct Answer
D. Sigmoidoscopy.Explanation
Sigmoidoscopy allows direct observation of the colon mucosa for changes. and if needed. biopsy.Rate this question:
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- 3.
Eleanor. a 62 y.o. woman with diverticulosis is your patient. Which interventions would you expect to include in her care?
- A.
Low-fiber diet and fluid restrictions.
- B.
Total parenteral nutrition and bed rest.
- C.
High-fiber diet and administration of psyllium.
- D.
Administration of analgesics and antacids.
Correct Answer
C. High-fiber diet and administration of psyllium.Explanation
She needs a high-fiber diet and a psyllium (bulk laxative) to promote normal soft stools.Rate this question:
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- 4.
Regina is a 46 y.o. woman with ulcerative colitis. You expect her stools to look like:
- A.
Watery and frothy.
- B.
Bloody and mucous.
- C.
Firm and well-formed.
- D.
Alternating constipation and diarrhea.
Correct Answer
B. Bloody and mucous.Explanation
Stools from ulcerative colitis are often bloody and contain mucus.Rate this question:
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- 5.
Donald is a 61 y.o. man with diverticulitis. Diverticulitis is characterized by:
- A.
Periodic rectal hemorrhage.
- B.
Hypertension and tachycardia.
- C.
Vomiting and elevated temperature.
- D.
Crampy and lower left quadrant pain and low-grade fever.
Correct Answer
D. Crampy and lower left quadrant pain and low-grade fever.Explanation
One sign of acute diverticulitis is crampy lower left quadrant pain. A low-grade fever is another common sign.Rate this question:
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- 6.
Brenda. a 36 y.o. patient is on your floor with acute pancreatitis. Treatment for her includes:
- A.
Continuous peritoneal lavage.
- B.
Regular diet with increased fat.
- C.
Nutritional support with TPN.
- D.
Insertion of a T tube to drain the pancreas.
Correct Answer
C. Nutritional support with TPN.Explanation
With acute pancreatitis. you need to rest the GI tract by TPN as nutritional support.Rate this question:
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- 7.
Glenda has cholelithiasis (gallstones). You expect her to complain of:
- A.
Pain in the right upper quadrant. radiating to the shoulder.
- B.
Pain in the right lower quadrant. with rebound tenderness.
- C.
Pain in the left upper quadrant. with shortness of breath.
- D.
Pain in the left lower quadrant. with mild cramping.
Correct Answer
A. Pain in the right upper quadrant. radiating to the shoulder.Explanation
The gallbladder is located in the RUQ and a frequent sign of gallstones is pain radiating to the shoulder.Rate this question:
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- 8.
After an abdominal resection for colon cancer. Madeline returns to her room with a Jackson-Pratt drain in place. The purpose of the drain is to:
- A.
Irrigate the incision with a saline solution.
- B.
Prevent bacterial infection of the incision.
- C.
Measure the amount of fluid lost after surgery.
- D.
Prevent accumulation of drainage in the wound.
Correct Answer
D. Prevent accumulation of drainage in the wound.Explanation
A Jackson-Pratt drain promotes wound healing by allowing fluid to escape from the wound.Rate this question:
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- 9.
Anthony. a 60 y.o. patient. has just undergone a bowel resection with a colostomy. During the first 24 hours. which of the following observations about the stoma should you report to the doctor?
- A.
Pink color.
- B.
Light edema.
- C.
Small amount of oozing.
- D.
Trickles of bright red blood.
Correct Answer
D. Trickles of bright red blood.Explanation
After creation of a colostomy. expect to see a stoma that is pink. slightly edematous. with some oozing. Bright red blood. regardless of amount. indicates bleeding and should be reported to the doctor.Rate this question:
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- 10.
Your teaching Anthony how to use his new colostomy. How much skin should remain exposed between the stoma and the ring of the appliance?
- A.
1/16”
- B.
1/4?
- C.
1/2”
- D.
1”
Correct Answer
A. 1/16”Explanation
Only a small amount of skin should be exposed and more than 1/16” of skin allows the excrement to irritate the skin.Rate this question:
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