Digestive & Gastrointestinal System Disorders | NCLEX Quiz 79
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.The nurse provides medication instructions to a client with peptic ulcer disease. Which statement. if made by the client. indicates the best understanding of the medication therapy?
- A.
“The cimetidine (Tagamet) will cause me to produce less stomach acid.”
- B.
“Sucralfate (Carafate) will change the fluid in my stomach.”
- C.
“Antacids will coat my stomach.”
- D.
“Omeprazole (Prilosec) will coat the ulcer and help it heal.”
- 2.The client with peptic ulcer disease is scheduled for a pyloroplasty. The client asks the nurse about the procedure. The nurse plans to respond knowing that a pyloroplasty involves:
- A.
Cutting the vagus nerve
- B.
Removing the distal portion of the stomach
- C.
Removal of the ulcer and a large portion of the cells that produce hydrochloric acid
- D.
An incision and resuturing of the pylorus to relax the muscle and enlarge the opening from the stomach to the duodenum.
- 3.A client with a peptic ulcer is scheduled for a vagotomy. The client asks the nurse about the purpose of this procedure. The nurse tells the client that the procedure:
- A.
Decreases food absorption in the stomach
- B.
Heals the gastric mucosa
- C.
Halts stress reactions
- D.
Reduces the stimulus to acid secretions
- 4.The nurse would assess the client experiencing an acute episode of cholecystitis for pain that is located in the right
- A.
Upper quadrant and radiates to the left scapula and shoulder
- B.
Upper quadrant and radiates to the right scapula and shoulder
- C.
Lower quadrant and radiates to the umbilicus
- D.
Lower quadrant and radiates to the back
- 5.Which of the following tasks should be included in the immediate postoperative management of a client who has undergone gastric resection?
- A.
Monitoring gastric pH to detect complications
- B.
Assessing for bowel sounds
- C.
Providing nutritional support
- D.
Monitoring for symptoms of hemorrhage
- 6.If a gastric acid perforates. which of the following actions should not be included in the immediate management of the client?
- A.
Blood replacement
- B.
Antacid administration
- C.
Nasogastric tube suction
- D.
Fluid and electrolyte replacement
- 7.Mucosal barrier fortifiers are used in peptic ulcer disease management for which of the following indications?
- A.
To inhibit mucus production
- B.
To neutralize acid production
- C.
To stimulate mucus production
- D.
To stimulate hydrogen ion diffusion back into the mucosa
- 8.When counseling a client in ways to prevent cholecystitis. which of the following guidelines is most important?
- A.
Eat a low-protein diet
- B.
Eat a low-fat. low-cholesterol diet
- C.
Limit exercise to 10 minutes/day
- D.
Keep weight proportionate to height
- 9.Which of the following symptoms best describes Murphy’s sign?
- A.
Periumbilical ecchymosis exists
- B.
On deep palpation and release. pain in elicited
- C.
On deep inspiration. pain is elicited and breathing stops
- D.
Abdominal muscles are tightened in anticipation of palpation
- 10.Which of the following tests is most commonly used to diagnose cholecystitis?
- A.
Abdominal CT scan
- B.
Abdominal ultrasound
- C.
Barium swallow
- D.
Endoscopy
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