NCLEX Questions: Digestive And Gastrointestinal System Disorders

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1. Peptic ulcer disease may be caused by which of the following?

Helicobacter pylori

Clostridium difficile

Candida albicans

Staphylococcus aureus

Helicobacter pylori is considered to be the major cause of ulcer formation. Other choices are not related to ulcer formation.

Explanation

Helicobacter pylori is considered to be the major cause of ulcer formation. Other choices are not related to ulcer formation.

About This Quiz

NCLEX Questions: Digestive And Gastrointestinal System Disorders - Quiz

This NCLEX practice quiz focuses on digestive and gastrointestinal system disorders. It assesses knowledge on abdominal assessment sequence, complications of peritonitis, coping with colostomy, and managing esophageal varices, equipping nurses with crucial diagnostic and care skills.

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2. A patient has become very depressed postoperatively after receiving colostomy for GI cancer. He does not participate in his colostomy care or look at the stoma. An appropriate nursing diagnosis for this situation is:

Ineffective Individual Coping

Knowledge Deficit

Impaired Adjustment

Anxiety

The patient is dealing with a disturbance in self-concept and difficulty coping with the newly established stoma.

Explanation

The patient is dealing with a disturbance in self-concept and difficulty coping with the newly established stoma.

3. The correct sequence for abdominal assessment is:

Inspection. percussion. palpation. auscultation.

Inspection. auscultation. palpation. percussion.

Inspection. palpation. auscultation. percussion.

Inspection. percussion. auscultation. palpation.

Auscultation is done before palpation to avoid stimulating peristaltic movements and distorting auscultatory sounds.

Explanation

Auscultation is done before palpation to avoid stimulating peristaltic movements and distorting auscultatory sounds.

4. Pain control with peptic ulcer disease includes all of the following except:

Promoting physical and emotional rest.

Identifying stressful situations.

Eating meals when desired.

Administering medications that decrease gastric acidity.

Meals should be regularly spaced in a relaxed environment. Choices A. B. and D are proper interventions in providing pain control.

Explanation

Meals should be regularly spaced in a relaxed environment. Choices A. B. and D are proper interventions in providing pain control.

5. Peritonitis can occur as a complication of:

Septicemia

Multiple organ failure

Hypovolemic shock

Peptic ulcer disease

Perforation is a life-threatening complication of peptic ulcer disease and can result in peritonitis.

Explanation

Perforation is a life-threatening complication of peptic ulcer disease and can result in peritonitis.

6. The nurse must be alert for complications with Sengstaken-Blakemore intubation including:

Pulmonary obstruction.

Pericardiectomy syndrome

Pulmonary embolization

Cor pulmonale

Rupture or deflation of the balloon could result in upper airway obstruction. The other choices are not related to the tube.

Explanation

Rupture or deflation of the balloon could result in upper airway obstruction. The other choices are not related to the tube.

7. The nurse would anticipate using which medication if sclerotherapy has not been used?

Neomycin

Propranolol

Vasopressin

Cimetidine

Vasopressin is the drug of choice when sclerotherapy is contraindicated. Neomycin is used in preventing encephalopathy when blood is broken down. Propranolol may or may not be used to decrease cardiac output and hepatic venous pressure.

Explanation