Digestive & Gastrointestinal System Disorders | NCLEX Quiz 77

10 Questions | Total Attempts: 546

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Digestive Disorder Quizzes & Trivia

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. 
    The nurse instructs the nursing assistant on how to provide oral hygiene for a client who cannot perform this task for himself. Which of the following techniques should the nurse tell the assistant to incorporate into the client’s daily care?
    • A. 

      Assess the oral cavity each time mouth care is given and record observations

    • B. 

      Use a soft toothbrush to brush the client’s teeth after each meal

    • C. 

      Swab the client’s tongue. gums. and lips with a soft foam applicator every 2 hours.

    • D. 

      Rinse the client’s mouth with mouthwash several times a day.

  • 2. 
    A client with suspected gastric cancer undergoes an endoscopy of the stomach. Which of the following assessments made after the procedure would indicate the development of a potential complication?
    • A. 

      The client complains of a sore throat

    • B. 

      The client displays signs of sedation

    • C. 

      The client experiences a sudden increase in temperature

    • D. 

      The client demonstrates a lack of appetite

  • 3. 
    A client has been diagnosed with adenocarcinoma of the stomach and is scheduled to undergo a subtotal gastrectomy (Billroth II procedure). During pre-operative teaching. the nurse is reinforcing information about the procedure. Which of the following explanations is most accurate?
    • A. 

      The procedure will result in enlargement of the pyloric sphincter

    • B. 

      The procedure will result in anastomosis of the gastric stump to the jejunum

    • C. 

      The procedure will result in removal of the duodenum

    • D. 

      The procedure will result in repositioning of the vagus nerve

  • 4. 
    After a subtotal gastrectomy. the nurse should anticipate that nasogastric tube drainage will be what color for about 12 to 24 hours after surgery?
    • A. 

      Dark brown

    • B. 

      Bile green

    • C. 

      Bright red

    • D. 

      Cloudy white

  • 5. 
    After a subtotal gastrectomy. care of the client’s nasogastric tube and drainage system should include which of the following nursing interventions?
    • A. 

      Irrigate the tube with 30 ml of sterile water every hour. if needed.

    • B. 

      Reposition the tube if it is not draining well

    • C. 

      Monitor the client for N/V. and abdominal distention

    • D. 

      Turn the machine to high suction of the drainage is sluggish on low suction.

  • 6. 
    Which of the following would be an expected nutritional outcome for a client who has undergone a subtotal gastrectomy for cancer?
    • A. 

      Regain weight loss within 1 month after surgery

    • B. 

      Resume normal dietary intake of three meals per day

    • C. 

      Control nausea and vomiting through regular use of antiemetics

    • D. 

      Achieve optimal nutritional status through oral or parenteral feedings

  • 7. 
    The client with GERD complains of a chronic cough. The nurse understands that in a client with GERD this symptom may be indicative of which of the following conditions?
    • A. 

      Development of laryngeal cancer

    • B. 

      Irritation of the esophagus

    • C. 

      Esophageal scar tissue formation

    • D. 

      Aspiration of gastric contents

  • 8. 
    Which of the following dietary measures would be useful in preventing esophageal reflux?
    • A. 

      Eating small. frequent meals

    • B. 

      Increasing fluid intake

    • C. 

      Avoiding air swallowing with meals

    • D. 

      Adding a bedtime snack to the dietary plan

  • 9. 
    A client is admitted to the hospital after vomiting bright red blood and is diagnosed with a bleeding duodenal ulcer. The client develops a sudden. sharp pain in the mid epigastric area along with a rigid. board-like abdomen. These clinical manifestations most likely indicate which of the following?
    • A. 

      An intestinal obstruction has developed

    • B. 

      Additional ulcers have developed

    • C. 

      The esophagus has become inflamed

    • D. 

      The ulcer has perforated

  • 10. 
    When obtaining a nursing history on a client with a suspected gastric ulcer. which signs and symptoms would the nurse expect to see? Select all that apply.
    • A. 

      Epigastric pain at night

    • B. 

      Relief of epigastric pain after eating

    • C. 

      Vomiting

    • D. 

      Weight loss

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