Digestive & Gastrointestinal System Disorders | NCLEX Quiz 85
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.Mandy. an adolescent girl is admitted to an acute care facility with severe malnutrition. After a thorough examination. the physician diagnoses anorexia nervosa. When developing the plan of care for this client. the nurse is most likely to include which nursing diagnosis?
- A.
Hopelessness
- B.
Powerlessness
- C.
Chronic low self-esteem
- D.
Deficient knowledge
- 2.Which diagnostic test would be used first to evaluate a client with upper GI bleeding?
- A.
Endoscopy
- B.
Upper GI series
- C.
Hemoglobin (Hb) levels and hematocrit (HCT)
- D.
Arteriography
- 3.A female client who has just been diagnosed with hepatitis A asks. “How could I have gotten this disease?” What is the nurse’s best response?
- A.
“You may have eaten contaminated restaurant food.”
- B.
“You could have gotten it by using I.V. drugs.”
- C.
“You must have received an infected blood transfusion.”
- D.
“You probably got it by engaging in unprotected sex.”
- 4.When preparing a male client. age 51. for surgery to treat appendicitis. the nurse formulates a nursing diagnosis of Risk for infection related to inflammation. perforation. and surgery. What is the rationale for choosing this nursing diagnosis?
- A.
Obstruction of the appendix may increase venous drainage and cause the appendix to rupture.
- B.
Obstruction of the appendix reduces arterial flow. leading to ischemia. inflammation. and rupture of the appendix.
- C.
The appendix may develop gangrene and rupture. especially in a middle-aged client.
- D.
Infection of the appendix diminishes necrotic arterial blood flow and increases venous drainage.
- 5.A female client with hepatitis C develops liver failure and GI hemorrhage. The blood products that would most likely bring about hemostasis in the client are:
- A.
Whole blood and albumin.
- B.
Platelets and packed red blood cells.
- C.
Fresh frozen plasma and whole blood.
- D.
Cryoprecipitate and fresh frozen plasma.
- 6.To prevent gastroesophageal reflux in a male client with hiatal hernia. the nurse should provide which discharge instruction?
- A.
“Lie down after meals to promote digestion.”
- B.
“Avoid coffee and alcoholic beverages.”
- C.
“Take antacids with meals.”
- D.
“Limit fluid intake with meals.”
- 7.The nurse caring for a client with small-bowel obstruction would plan to implement which nursing intervention first?
- A.
Administering pain medication
- B.
Obtaining a blood sample for laboratory studies
- C.
Preparing to insert a nasogastric (NG) tube
- D.
Administering I.V. fluids
- 8.The nurse is reviewing the record of a female client with Crohn’s disease. Which stool characteristics should the nurse expect to note documented in the client’s record?
- A.
Diarrhea
- B.
Chronic constipation
- C.
Constipation alternating with diarrhea
- D.
Stools constantly oozing from the rectum
- 9.A male client undergoes total gastrectomy. Several hours after surgery. the nurse notes that the client’s nasogastric (NG) tube has stopped draining. How should the nurse respond?
- A.
Notify the physician
- B.
Reposition the tube
- C.
Irrigate the tube
- D.
Increase the suction level
- 10.What laboratory finding is the primary diagnostic indicator for pancreatitis?
- A.
Elevated blood urea nitrogen (BUN)
- B.
Elevated serum lipase
- C.
Elevated aspartate aminotransferase (AST)
- D.
Increased lactate dehydrogenase (LD)
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