Digestive & Gastrointestinal System Disorders | NCLEX Quiz 64

10 Questions | By Santepro | Last updated: Mar 21, 2022 | Total Attempts: 1442

Questions

Settings

Create your own 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.

Questions and Answers

1.

Findings during an endoscopic exam include a cobblestone appearance of the colon in your patient. The findings are characteristic of which disorder?
- A.
  
  Ulcer
- B.
  
  Crohn’s disease
- C.
  
  Chronic gastritis
- D.
  
  Ulcerative colitis
2.

What information is correct about stomach cancer?
- A.
  
  Stomach pain is often a late symptom.
- B.
  
  Surgery is often a successful treatment.
- C.
  
  Chemotherapy and radiation are often successful treatments.
- D.
  
  The patient can survive for an extended time with TPN.
3.

Dark. tarry stools indicate bleeding in which location of the GI tract?
- A.
  
  Upper colon.
- B.
  
  Lower colon.
- C.
  
  Upper GI tract.
- D.
  
  Small intestine.
4.

A patient has an acute upper GI hemorrhage. Your interventions include:
- A.
  
  Treating hypovolemia.
- B.
  
  Treating hypervolemia.
- C.
  
  Controlling the bleeding source.
- D.
  
  Treating shock and diagnosing the bleeding source.
5.

You promote hemodynamic stability in a patient with upper GI bleeding by:
- A.
  
  Encouraging oral fluid intake.
- B.
  
  Monitoring central venous pressure.
- C.
  
  Monitoring laboratory test results and vital signs.
- D.
  
  Giving blood. electrolyte and fluid replacement.
6.

You’re preparing a patient with a malignant tumor for colorectal surgery and subsequent colostomy. The patient tells you he’s anxious. What should your initial step be in working with this patient?
- A.
  
  Determine what the patient already knows about colostomies.
- B.
  
  Show the patient some pictures of colostomies.
- C.
  
  Arrange for someone who has a colostomy to visit the patient.
- D.
  
  Provide the patient with written material about colostomy care.
7.

Your patient. Christopher. has a diagnosis of ulcerative colitis and has severe abdominal pain aggravated by movement. rebound tenderness. fever. nausea. and decreased urine output. This may indicate which complication?
- A.
  
  Fistula.
- B.
  
  Bowel perforation.
- C.
  
  Bowel obstruction.
- D.
  
  Abscess.
8.

A patient has a severe exacerbation of ulcerative colitis. Long-term medications will probably include:
- A.
  
  Antacids.
- B.
  
  Antibiotics.
- C.
  
  Corticosteroids.
- D.
  
  Histamine2-receptor blockers.
9.

The student nurse is teaching the family of a patient with liver failure. You instruct them to limit which foods in the patient’s diet?
- A.
  
  Meats and beans.
- B.
  
  Butter and gravies.
- C.
  
  Potatoes and pastas.
- D.
  
  Cakes and pastries.
10.

An intubated patient is receiving continuous enteral feedings through a Salem sump tube at a rate of 60ml/hr. Gastric residuals have been 30-40ml when monitored Q4H. You check the gastric residual and aspirate 220ml. What is your first response to this finding?
- A.
  
  Notify the doctor immediately.
- B.
  
  Stop the feeding. and clamp the NG tube.
- C.
  
  Discard the 220ml. and clamp the NG tube.
- D.
  
  Give a prescribed GI stimulant such as metoclopramide (Reglan).