Digestive & Gastrointestinal System Disorders | NCLEX Quiz 65
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.Your patient with peritonitis is NPO and complaining of thirst. What is your priority?
- A.
Increase the I.V. infusion rate.
- B.
Use diversion activities.
- C.
Provide frequent mouth care.
- D.
Give ice chips every 15 minutes.
- 2.Kevin has a history of peptic ulcer disease and vomits coffee-ground emesis. What does this indicate?
- A.
He has fresh. active upper GI bleeding.
- B.
He needs immediate saline gastric lavage.
- C.
His gastric bleeding occurred 2 hours earlier.
- D.
He needs a transfusion of packed RBC’s.
- 3.A 53 y.o. patient has undergone a partial gastrectomy for adenocarcinoma of the stomach. An NG tube is in place and is connected to low continuous suction. During the immediate postoperative period. you expect the gastric secretions to be which color?
- A.
Brown.
- B.
Clear.
- C.
Red.
- D.
Yellow.
- 4.Your patient has a retractable gastric peptic ulcer and has had a gastric vagotomy. Which factor increases as a result of vagotomy?
- A.
Peristalsis.
- B.
Gastric acidity.
- C.
Gastric motility.
- D.
Gastric pH.
- 5.Christina is receiving an enteral feeding that requires a concentration of 80 ml of supplement mixed with 20 ml of water. How much water do you mix with an 8 oz (240ml) can of feeding?
- A.
60 ml.
- B.
70 ml.
- C.
80 ml.
- D.
90 ml.
- 6.Which stoma would you expect a malodorous. enzyme-rich. caustic liquid output that is yellow. green. or brown?
- A.
Ileostomy.
- B.
Ascending colostomy.
- C.
Transverse colostomy.
- D.
Descending colostomy.
- 7.George has a T tube in place after gallbladder surgery. Before discharge. what information or instructions should be given regarding the T tube drainage?
- A.
“If there is any drainage. notify the surgeon immediately.”
- B.
“The drainage will decrease daily until the bile duct heals.”
- C.
“First. the drainage is dark green; then it becomes dark yellow.”
- D.
“If the drainage stops. milk the tube toward the puncture wound.”
- 8.Your patient Maria takes NSAIDS for her degenerative joint disease. has developed peptic ulcer disease. Which drug is useful in preventing NSAID-induced peptic ulcer disease?
- A.
Calcium carbonate (Tums)
- B.
Famotidine (Pepcid)
- C.
Misoprostol (Cytotec)
- D.
Sucralfate (Carafate)
- 9.The student nurse is participating in colorectal cancer-screening program. Which patient has the fewest risk factors for colon cancer?
- A.
Janice. a 45 y.o. with a 25-year history of ulcerative colitis
- B.
George. a 50 y.o. whose father died of colon cancer
- C.
Herman. a 60 y.o. who follows a low-fat. high-fiber diet
- D.
Sissy. a 72 y.o. with a history of breast cancer
- 10.You’re patient. post-op drainage of a pelvic abscess secondary to diverticulitis. begins to cough violently after drinking water. His wound has ruptured and a small segment of the bowel is protruding. What’s your priority?
- A.
Ask the patient what happened. call the doctor. and cover the area with a water-soaked bedsheet.
- B.
Obtain vital signs. call the doctor. and obtain emergency orders.
- C.
Have a CAN hold the wound together while you obtain vital signs. call the doctor and flex the patient’s knees.
- D.
Have the doctor called while you remain with the patient. flex the patient’s knees. and cover the wound with sterile towels soaked in sterile saline solution.
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