Advance Class

Question 1

Nausea and vomiting always come in pair.

Answer 1

False

Question 2

A pregnant woman who is on her 1st trimester complains of being nauseous every morning and at times vomits around 2 times in a week. You are correct to expect which of the following intervention/s? Select all that apply.

Answer 2

Give anti-emetics as ordered by the physician only when there is hyperemesis gravidarum.

Question 3

During a lengthy travel, Mr. X takes antihistamines to prevent motion sickness. What cranial nerve is being affected in this scenario?

Answer 3

CN VIII

Question 4

What is being stimulated/irritated during chemotherapy or radiation therapy that eventually stimulates vomiting of the patient?

Answer 4

Chemoreceptor trigger zone

Question 5

A patient is admitted to the neuro ward due to a vehicular accident. What description of the patient’s vomit will notify an increase in intracranial pressure?

Answer 5

Vomit is ejected in a projectile manner

Question 6

A patient suddenly vomited around 150ce of gastric contents. The nurse is expected to prioritize which of the following?

Answer 6

Instruct the patient not to ingest any food and liquids until further notice

Question 7

Frequent vomiting will result in which of the following acid-base imbalance?

Answer 7

Metabolic Alkalosis

Question 8

Which of the following can be absorbed in the stomach?

Answer 8

Aspirin; Alcohol

Question 9

Which of the following scenario causes gastritis due to food poisoning?

Answer 9

Toxins of infectious organisms

Question 10

What cell is being attacked in autoimmune gastritis?

Answer 10

Parietal cells

Question 11

What does the cell of your answer in no. 10 secrete that prevents a certain type of anemia?

Answer 11

Intrinsic factor

Question 12

What test is being requested by the physician to check for the absence of the answer in no. 11?

Answer 12

Schilling’s test

Question 13

What pathologic agent is the most common cause of peptic ulcer disease?

Answer 13

H. pylori

Question 14

What blood group is more prevalent in developing Peptic Ulcer Disease?

Answer 14

Blood group O

Question 15

Burn patients will most likely develop what type of Peptic Ulcer Disease?

Answer 15

Stress-induced ulcer

Question 16

Billroth II has a lengthier removal of the GI tract compared to Billroth I.

Answer 16

True

Question 17

What is another term for dumping syndrome?

Answer 17

Rapid gastric emptying

Question 18

Dumping syndrome occurs how many minutes after eating?

Answer 18

10-30 minutes

Question 19

What organ/s does not compromise the digestive tract?

Answer 19

Liver

Question 20

What substance in the saliva digests complex sugar?

Answer 20

Lingual Lipase

Question 21

What abdominal quadrant suggests appendicitis?

Answer 21

Right Lower Quadrant

Question 22

What is the primary organ that is responsible for catabolism and anabolism?

Answer 22

LIVER

Question 23

Movement of the digestive tract is called peristalsis. What type of muscle tissue is responsible for this movement?

Answer 23

MUSCLE TISSUE

Question 24

What is the shortest part of the small intestine?

Answer 24

DUODENUM

Question 25

Accessory organs are part of the digestive tract.

Answer 25

FALSE

Question 26

What are the part/s of the colon?

Answer 26

ASCENDING COLON TRANSVERSE COLON DESCENDING COLON

Question 27

What anatomical landmark will you include to know the approximate measurement of the NGT to be inserted to the patient?

Answer 27

Diagphragm Xiphoid Process Ear

Question 28

A patient is complaining heart burn. You are well aware that heart burn is a burning sensation of the esophagus and not the heart.

Answer 28

True

Question 29

Black tarry stool may indicate lower GI bleeding.

Answer 29

False

Question 30

A patient with upper G1 bleeding is expected to observe no dark colored food.

Answer 30

False

Question 31

What sphincter prevents gastric acid to leak or flow from the stomach to the esophagus?

Answer 31

ESOPHAGEAL SPHINCTER

Question 32

What substance/chemical has the ability to emulsify fat?

Answer 32

Bile

Question 33

Excess protein, carbohydrates, and fats will be exported as fatty acids.

Answer 33

True

Question 34

In assessing the abdomen, the order should be inspection, auscultation, palpation, and percussion

Answer 34

False

Question 35

In palpating the abdomen, there is no consensus as to what quadrant will be palpated first.

Answer 35

True

Question 36

Auscultation is done before palpation and percussion because palpation and percussion cause movement or stimulation of the bladder

Answer 36

False

Question 37

In auscultating bowel sounds, there is no consensus on what quadrant assess first as long as all four quadrants will be assessed

Answer 37

True

Question 38

Hypoactive bowel sounds have 3-6 sounds heard in 6 minutes.

Answer 38

True

Question 39

During percussion of the abdomen, you will be expecting dullness if the client has ascites.

Answer 39

True

Question 40

Patient is placed on low fiber diet prior to upper gastrointestinal series.

Answer 40

False

Question 41

The patient informed the nurse that the color of his stool is white. As the nurse, you know that this just normal before barium swallow.

Answer 41

False

Question 42

Both barium swallow and barium enema utilizes the same contrast medium and route.

Answer 42

False

Question 43

The upper and lower endoscopy uses a scope that is being inserted in the mouth.

Answer 43

False

Question 44

Patients undergoing endoscopy is sedated.

Answer 44

True

Question 45

Patients who underwent esophagogastroduodenoscopy (EOD) will resume regular diet after cough reflex has returned.

Answer 45

False

Question 46

Anticholinergic drugs are expected to have sympathetic effect.

Answer 46

True

Question 47

As a nurse, you should place the patient in Sims position during sigmoidoscopy

Answer 47

True

Question 48

A nursing responsibility in the ultrasound of the abdomen is for the patient 20 have a full bladder.

Answer 48

False

Question 49

A red bloody stool may indicate bleeding from gastric ulcer.

Answer 49

False

Question 50

Instruct the patient not to fill the whole container with stool during collection of specimen.

Answer 50

True

Question 51

It is expected of a patient with biliary obstruction to have an increase cholesterol levels in the blood.

Answer 51

True

Question 52

Fecal occult blood test is a test that measures blood that can be seen by the naked eye

Answer 52

False

Question 53

Stool culture and sensitivity is a stool examination that determines the bacteria and identifies if they are sensitive to a specific drug

Answer 53

True

Question 54

Ostomy is an artificial opening.

Answer 54

True

Question 55

Ileostomy is an artificial opening made with the small intestine

Answer 55

True

Question 56

J-pouch is the most common pouch and the easiest to perform

Answer 56

True

Question 57

It is expected that a normal stool for patients with ileostomy is formed

Answer 57

False

Question 58

A patient with ileostomy will have a better absorption compared to a patient with colostomy

Answer 58

False

Question 59

Normal stoma color is pink to bright red and shiny.

Answer 59

True

Question 60

Purple to black stoma indicates compromised circulation and requires physician notification

Answer 60

True

Question 61

In caring for a patient with colostomy, the nurse should empty the pouch when it is half full.

Answer 61

False

Question 62

When giving health teaching to a patient with colostomy, the nurse should instruct the patient to avoid gas forming food

Answer 62

True

Question 63

In draining T-tube, patient should be placed in a lateral position to facilitate drainage.

Answer 63

False

Question 64

Both marasmus and kwashiorkor have protein deficiency

Answer 64

True

Question 65

Malnourished individuals are most likely to be immunocompromised.

Answer 65

True

Question 66

An individual with protein deficiency is expected to have edema.

Answer 66

True

Question 67

The root cause of edema in patients with malnutrition is a weak immune system

Answer 67

False

Question 68

Patients with anorexia nervosa view themselves as fat even though they are already thin

Answer 68

True

Question 69

Both individuals with anorexia nervosa and bulimia nervosa have a profound weight loss.

Answer 69

False

Question 70

In inducing vomiting, you are well aware that pressing the anterior part of the tongue can elicit it.

Answer 70

False

Question 71

An obese person is expected to have a lesser water content in the body

Answer 71

True

Question 72

Congenital weakness of the muscles of the diaphragm causes hiatal hernia.

Answer 72

True