NCLEX Questions: Digestive And Gastrointestinal System Disorders

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1/10 Questions

Peptic ulcer disease may be caused by which of the following?
- Helicobacter pylori
- Clostridium difficile
- Candida albicans
- Staphylococcus aureus

About This 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.

NCLEX Questions: Digestive And Gastrointestinal System Disorders - Quiz

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
Correct Answer

A. Ineffective Individual Coping

Explanation

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

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3.

The correct sequence for abdominal assessment is:
- Inspection. percussion. palpation. auscultation.
- Inspection. auscultation. palpation. percussion.
- Inspection. palpation. auscultation. percussion.
- Inspection. percussion. auscultation. palpation.
Correct Answer

A. Inspection. auscultation. palpation. percussion.

Explanation

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

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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.
Correct Answer

A. Eating meals when desired.

Explanation

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

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5.

Peritonitis can occur as a complication of:
- Septicemia
- Multiple organ failure
- Hypovolemic shock
- Peptic ulcer disease
Correct Answer

A. Peptic ulcer disease

Explanation

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

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6.

The nurse must be alert for complications with Sengstaken-Blakemore intubation including:
- Pulmonary obstruction.
- Pericardiectomy syndrome
- Pulmonary embolization
- Cor pulmonale
Correct Answer

A. Pulmonary obstruction.

Explanation

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

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7.

The nurse would anticipate using which medication if sclerotherapy has not been used?
- Neomycin
- Propranolol
- Vasopressin
- Cimetidine
Correct Answer

A. Vasopressin

Explanation

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.

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8.

Nitrosocarcinogen production can be inhibited with intake of:
- Vitamin C.
- Vitamin E.
- Carbohydrates.
- Fiber.
Correct Answer

A. Vitamin C.

Explanation

Vitamin C and refrigeration of foods inhibit nitroso carcinogen.

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1
9.

Patients with esophageal varices would reveal the following assessment:
- Increased blood pressure.
- Increased heart rate.
- Decreased respiratory rate.
- Increased urinary output.
Correct Answer

A. Increased heart rate.

Explanation

Tachycardia is an early sign of compensation for patients with esophageal varices.

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10.

The nurse can expect a 60-year old patient with ischemic bowel to report a history of:
- Diabetes mellitus
- Asthma
- Addison’s Disease
- Cancer of the bowel
Correct Answer

A. Diabetes mellitus

Explanation

Ischemic bowel occurs in patient over 50 with a history of diabetes mellitus.

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Current Version
Mar 21, 2023

Quiz Edited by
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Oct 03, 2017

Quiz Created by
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NCLEX Questions: Digestive And Gastrointestinal System Disorders

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

Quiz Preview

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:

The correct sequence for abdominal assessment is:

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

Peritonitis can occur as a complication of:

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

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

Nitrosocarcinogen production can be inhibited with intake of:

Patients with esophageal varices would reveal the following assessment:

The nurse can expect a 60-year old patient with ischemic bowel to report a history of: