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GI Quiz

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Questions pulled from teacher's ppt and ATI.
cpeters
Quiz by cpeters, updated more than 1 year ago
cpeters
Created by cpeters about 9 years ago
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Resource summary

Question 1

Question
The nurse is preparing a community presentation on oral cancer. Which of the following is a primary risk factor for oral cancer that the nurse should include in the presentation?
Answer
  • Use of alcohol
  • Frequent use of mouthwash
  • Lack of vitamin B₁₂
  • Lack of regular teeth cleaning by a dentist

Question 2

Question
The patient with gastroesophageal reflux disease (GERD) complains of a chronic cough. The nurse understands that in a patient with GERD this symptom may be indicative of which of the following conditions?
Answer
  • Development of laryngeal cancer
  • Irritation of the esophagus
  • Esophageal scar tissue formation
  • Aspiration of gastric contents

Question 3

Question
Which of the following factors would most likely contribute to the development of a patient's hiatal hernia?
Answer
  • Having a sedentary desk job
  • Being 5' 3" tall & weighing 190 lb.
  • Using laxatives frequently
  • Being 40 years old

Question 4

Question
A nurse is caring for a client who has a new diagnosis of gastroesophageal reflux disease (GERD). The nurse should anticipate prescriptions by the provider for which of the following medications? (Select all that apply.)
Answer
  • Antacids
  • Histamine2 receptor antagonists
  • Opioid analgesics
  • Fiber laxatives
  • Proton pump inhibitors

Question 5

Question
A nurse is admitting a client who has bleeding esophageal varices. The nurse should anticipate a prescription for which of the following medications?
Answer
  • Propranolol (Inderal)
  • Metoclopramide (Reglan)
  • Ranitidine (Zantac)
  • Terlipressin (synthetic vasopressin)

Question 6

Question
A nurse is completing an assessment of a client who has GERD. Which of the following is an expected finding?
Answer
  • Absence of saliva
  • Loss of tooth enamel
  • Client reports sweet taste in mouth
  • Client reports absence of eructation

Question 7

Question
A nurse is teaching a client who has GERD. Which of the following should the client be instructed to limit in his diet? (Select all that apply.)
Answer
  • Coffee
  • Tomatoes
  • Bananas
  • Chocolate
  • Pasta

Question 8

Question
A nurse is completing discharge teaching to a client who is postoperative following fundoplication. Which of the following statements by the client indicates understanding of the teaching?
Answer
  • “When sitting in my lounge chair after a meal, I will lower the back of it.”
  • “I will try to eat three large meals a day.”
  • “I will elevate the head of my bed on blocks.”
  • “When sleeping, I will lay on my left side.”

Question 9

Question
A nurse in the emergency department is completing an assessment of a client who has suspected stomach perforation due to a peptic ulcer. Which of the following are expected findings? (Select all that apply.)
Answer
  • Rigid abdomen
  • Tachycardia
  • Elevated blood pressure
  • Circumoral cyanosis
  • Rebound tenderness

Question 10

Question
A nurse is providing teaching for a client who has a new diagnosis of dumping syndrome following gastric surgery. Which of the following should be included in the teaching?
Answer
  • Eat three moderate-sized meals a day.
  • Drink at least one glass of water with each meal.
  • Eat a bedtime snack that contains a milk product.
  • Increase protein in the diet.

Question 11

Question
A nurse is teaching a client who has a duodenal ulcer and a new prescription for esomeprazole (Nexium). Which of the following should be included in the teaching? (Select all that apply.)
Answer
  • Take the medication 1 hr before a meal.
  • Limit NSAIDs when taking this medication.
  • Expect skin flushing when taking this medication.
  • Increase fiber intake when taking this medication.
  • Chew the medication thoroughly before swallowing.

Question 12

Question
A nurse is completing discharge teaching for a client who has an infection due to Helicobacter pylori (H. pylori). Which of the following statements by the client indicates understanding of the teaching?
Answer
  • “I will continue my prescription for corticosteroids.”
  • “I will schedule a CT scan to monitor improvement.”
  • “I will take a combination of medications for treatment.”
  • “I will have my throat swabbed to recheck for this bacteria.”

Question 13

Question
A nurse is completing an assessment of a client who has a gastric ulcer. Which of the following are expected findings? (Select all that apply.)
Answer
  • Client reports pain relieved by eating.
  • Client states that pain often occurs at night.
  • Client reports a sensation of bloating.
  • Client states that pain occurs ½ to 1 hr after a meal.
  • lient experiences pain upon palpation of the epigastric region.

Question 14

Question
A nurse is completing an admission assessment of a client who has a small bowel obstruction. Which of the following findings should the nurse report to the provider? (Select all that apply.)
Answer
  • Profuse emesis prior to insertion of the nasogastric tube
  • Urine specific gravity 1.040
  • Hematocrit 60%
  • Serum potassium 3.0 mEq/L
  • WBC 10,000/uL

Question 15

Question
A nurse is planning care for a client who has a small bowel instruction and a nasogastric (NG) tube in place. Which of the following nursing interventions should be included in the plan of care? (Select all that apply.)
Answer
  • Subtract the NG drainage from the client’s output.
  • Irrigate the NG tube every 8 hr.
  • Assess bowel sounds.
  • Provide oral hygiene every 2 hr.
  • Clamp the NG tube during ambulation.

Question 16

Question
A nurse is caring for a client who has a small bowel obstruction from adhesions. Which of the following findings are consistent with this diagnosis? (Select all that apply.)
Answer
  • Emesis greater than 500 mL with a fecal odor
  • Report of spasmodic abdominal pain
  • Pain relieved with vomiting
  • Abdomen flat with rebound tenderness to palpation
  • Laboratory findings indicating metabolic acidosis

Question 17

Question
A nurse is caring for an older adult client in an extended care facility. Which of the following indicates the client has a stool impaction causing a large intestine obstruction?
Answer
  • The client reports he had a bowel movement yesterday.
  • The client is having small, frequent liquid stools.
  • The client is flatulent.
  • The client indicates he vomited once this morning.

Question 18

Question
A nurse is completing discharge teaching to a client who has irritable bowel syndrome (IBS). Which of the following should be included in the teaching?
Answer
  • Increase dietary intake of dairy products.
  • Consume 15 to 20 g of fiber daily.
  • Plan three moderate to large meals per day.
  • Drink at least 2 L of fluids each day.

Question 19

Question
A nurse is reviewing the laboratory findings of a client who has an acute exacerbation of Crohn’s disease. Which of the following laboratory findings is indicative of Crohn’s disease? (Select all that apply.)
Answer
  • Increased hematocrit
  • Increased erythrocyte sedimentation rate (ESR)
  • Increased WBC
  • Increased folic acid
  • Increased serum albumin

Question 20

Question
A nurse is assessing a client who has been taking prednisone following an exacerbation of inflammatory bowel disease (IBD). Which of the following assessment findings is the highest priority?
Answer
  • Client reports difficulty sleeping.
  • Blood glucose at 0800 is 140 mg/dL.
  • Client reports having a sore throat.
  • Client reports gaining 4 lb in last 6 months.

Question 21

Question
A nurse is reinforcing teaching for a client who has a prescription for sulfasalazine (Azulfidine). Which of the following should the nurse include in the teaching?
Answer
  • “Take the medication 1 or 2 hr after eating.”
  • “This medication may cause yellowing of the sclera.”
  • “Notify the provider if you experience a sore throat.”
  • “This medication may cause your stools to turn black.”

Question 22

Question
A nurse in a clinic is teaching a client who has ulcerative colitis. Which of the following statements by the client indicates understanding of the teaching?
Answer
  • “I will plan to limit fiber in my diet.”
  • “I will eat my meals and plan fluid intake between meals.”
  • “I will switch to black tea instead of drinking coffee.”
  • “I will try to eat three moderate to large meals a day.”

Question 23

Question
A nurse is completing discharge teaching to a client who has Crohn’s disease. Which of the following should be included in the teaching?
Answer
  • Decrease intake of calorie-dense foods.
  • Drink canned protein supplements.
  • Take calcium supplements daily.
  • Take a bulk-forming laxative daily.
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