cpeters
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GI Quiz

GI Quiz

Question 1 of 23

1

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?

Select one of the following:

  • Use of alcohol

  • Frequent use of mouthwash

  • Lack of vitamin B₁₂

  • Lack of regular teeth cleaning by a dentist

Explanation

Question 2 of 23

1

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?

Select one of the following:

  • Development of laryngeal cancer

  • Irritation of the esophagus

  • Esophageal scar tissue formation

  • Aspiration of gastric contents

Explanation

Question 3 of 23

1

Which of the following factors would most likely contribute to the development of a patient's hiatal hernia?

Select one of the following:

  • Having a sedentary desk job

  • Being 5' 3" tall & weighing 190 lb.

  • Using laxatives frequently

  • Being 40 years old

Explanation

Question 4 of 23

1

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.)

Select one or more of the following:

  • Antacids

  • Histamine2 receptor antagonists

  • Opioid analgesics

  • Fiber laxatives

  • Proton pump inhibitors

Explanation

Question 5 of 23

1

A nurse is admitting a client who has bleeding esophageal varices. The nurse should anticipate a prescription for which of the following medications?

Select one of the following:

  • Propranolol (Inderal)

  • Metoclopramide (Reglan)

  • Ranitidine (Zantac)

  • Terlipressin (synthetic vasopressin)

Explanation

Question 6 of 23

1

A nurse is completing an assessment of a client who has GERD. Which of the following is an expected finding?

Select one of the following:

  • Absence of saliva

  • Loss of tooth enamel

  • Client reports sweet taste in mouth

  • Client reports absence of eructation

Explanation

Question 7 of 23

1

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.)

Select one or more of the following:

  • Coffee

  • Tomatoes

  • Bananas

  • Chocolate

  • Pasta

Explanation

Question 8 of 23

1

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?

Select one of the following:

  • “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.”

Explanation

Question 9 of 23

1

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.)

Select one or more of the following:

  • Rigid abdomen

  • Tachycardia

  • Elevated blood pressure

  • Circumoral cyanosis

  • Rebound tenderness

Explanation

Question 10 of 23

1

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?

Select one of the following:

  • 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.

Explanation

Question 11 of 23

1

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.)

Select one or more of the following:

  • 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.

Explanation

Question 12 of 23

1

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?

Select one of the following:

  • “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.”

Explanation

Question 13 of 23

1

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.)

Select one or more of the following:

  • 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.

Explanation

Question 14 of 23

1

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.)

Select one or more of the following:

  • 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

Explanation

Question 15 of 23

1

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.)

Select one or more of the following:

  • 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.

Explanation

Question 16 of 23

1

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.)

Select one or more of the following:

  • 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

Explanation

Question 17 of 23

1

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?

Select one of the following:

  • 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.

Explanation

Question 18 of 23

1

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?

Select one of the following:

  • 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.

Explanation

Question 19 of 23

1

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.)

Select one or more of the following:

  • Increased hematocrit

  • Increased erythrocyte sedimentation rate (ESR)

  • Increased WBC

  • Increased folic acid

  • Increased serum albumin

Explanation

Question 20 of 23

1

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?

Select one of the following:

  • 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.

Explanation

Question 21 of 23

1

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?

Select one of the following:

  • “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.”

Explanation

Question 22 of 23

1

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?

Select one of the following:

  • “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.”

Explanation

Question 23 of 23

1

A nurse is completing discharge teaching to a client who has Crohn’s disease. Which of the following should be included in the teaching?

Select one of the following:

  • Decrease intake of calorie-dense foods.

  • Drink canned protein supplements.

  • Take calcium supplements daily.

  • Take a bulk-forming laxative daily.

Explanation

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