NCLEX Digestive And Gastrointestinal System Disorder Questions! Quiz

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1. Your patient has a GI tract that is functioning. but has the inability to swallow foods. Which is the preferred method of feeding for your patient?

TPN

PPN

NG feeding

Oral liquid supplements

Because the GI tract is functioning. feeding methods involve the enteral route which bypasses the mouth but allows for a major portion of the GI tract to be used.

Explanation

Because the GI tract is functioning. feeding methods involve the enteral route which bypasses the mouth but allows for a major portion of the GI tract to be used.

About This Quiz

NCLEX Digestive And Gastrointestinal System Disorder Questions! Quiz - Quiz

This NCLEX-focused quiz assesses knowledge on managing digestive and gastrointestinal system disorders. It covers interventions for bowel obstructions, feeding methods for patients unable to swallow, and managing complications... see morefrom pancreatitis. Essential for nursing professionals, it tests critical skills in patient care and understanding of relevant treatments. see less

2. Anna is 45 y.o. and has a bleeding ulcer. Despite multiple blood transfusions. her HGB is 7.5g/dl and HCT is 27%. Her doctor determines that surgical intervention is necessary and she undergoes partial gastrectomy. Postoperative nursing care includes:

Giving pain medication Q6H.

Flushing the NG tube with sterile water.

Positioning her in high Fowler’s position.

Keeping her NPO until the return of peristalsis.

After surgery. she remains NPO until peristaltic activity returns. This decreases the risk for abdominal distention and obstruction.

Explanation

After surgery. she remains NPO until peristaltic activity returns. This decreases the risk for abdominal distention and obstruction.

3. Leigh Ann is receiving pancrelipase (Viokase) for chronic pancreatitis. Which observation best indicates the treatment is effective?

There is no skin breakdown.

Her appetite improves.

She loses more than 10 lbs.

Stools are less fatty and decreased in frequency.

Pancrelipase provides the exocrine pancreatic enzyme necessary for proper protein. fat. and carb digestion. With increased fat digestion and absorption. stools become less frequent and normal in appearance.

Explanation

4. Sharon has cirrhosis of the liver and develops ascites. What intervention is necessary to decrease the excessive accumulation of serous fluid in her peritoneal cavity?

Restrict fluids

Encourage ambulation

Increase sodium in the diet

Give antacids as prescribed

Restricting fluids decrease the amount of body fluid and the accumulation of fluid in the peritoneal space.

Explanation

Restricting fluids decrease the amount of body fluid and the accumulation of fluid in the peritoneal space.

5. Sitty. a 66 y.o. patient underwent a colostomy for ruptured diverticulum. She did well during the surgery and returned to your med-surg floor in stable condition. You assess her colostomy 2 days after surgery. Which finding do you report to the doctor?

Blanched stoma

Edematous stoma

Reddish-pink stoma

Brownish-black stoma

A brownish-black color indicates lack of blood flow. and maybe necrosis.

Explanation

A brownish-black color indicates lack of blood flow. and maybe necrosis.

6. Claire. a 33 y.o. is on your floor with a possible bowel obstruction. Which intervention is priority for her?

Obtain daily weights.

Measure abdominal girth.

Keep strict intake and output.

Encourage her to increase fluids.

Measuring abdominal girth provides quantitative information about increases or decreases in the amount of distention.

Explanation

Measuring abdominal girth provides quantitative information about increases or decreases in the amount of distention.

7. Ralph has a history of alcohol abuse and has acute pancreatitis. Which lab value is most likely to be elevated?

Calcium

Glucose

Magnesium

Potassium

Glucose level increases and diabetes mellitus may result d/t the pancreatic damage to the islets of Langerhans.

Explanation

Glucose level increases and diabetes mellitus may result d/t the pancreatic damage to the islets of Langerhans.

8. Before bowel surgery. Lee is to administer enemas until clear. During administration. he complains of intestinal cramps. What do you do next?

Discontinue the procedure.

Lower the height of the enema container.

Complete the procedure as quickly as possible.

Continue administration of the enema as ordered without making any adjustments.

Lowering the height decreases the amount of flow. allowing him to tolerate more fluid.

Explanation

Lowering the height decreases the amount of flow. allowing him to tolerate more fluid.

9. Katrina is diagnosed with lactose intolerance. To avoid complications with lack of calcium in the diet. which food should be included in the diet?

Fruit

Whole grains

Milk and cheese products

Dark green. leafy vegetables

Dark green. leafy vegetables are rich in calcium.

Explanation

Dark green. leafy vegetables are rich in calcium.

10. You're patient is complaining of abdominal pain during assessment. What is your priority?

Auscultate to determine changes in bowel sounds.

Observe the contour of the abdomen.

Palpate the abdomen for a mass.

Percuss the abdomen to determine if fluid is present.

The first step in assessing the abdomen is to observe its shape and contour. then auscultate. palpate. and then percuss.

Explanation

The first step in assessing the abdomen is to observe its shape and contour. then auscultate. palpate. and then percuss.

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Current Version
Mar 22, 2023

Quiz Edited by
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Sep 30, 2017

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