Digestive & Gastrointestinal System Disorders | NCLEX Quiz 64
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.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).
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