Part 2

Question 1

The nurse assess for the presence of rovsing sign of the patient who is suspected to have appendicitis. The nurse will:

C. Put pressure at left lower quadrant of the abdomen and releases it
A. Place hand over the thigh and pushes downward while patient is raising his leg
D. Right thigh is flexed to 90 degrees and performs hip external and internal rotation.
B. Put pressure at right lower quadrant of the abdomen

Answer 1

C. Put pressure at left lower quadrant of the abdomen and releases it

Question 2

Nurse JJ is caring for a client who is suffering from a gastric ulcer. Which of the following can be included in his care plan? (SATA)

D. Take a histamine blocker
A. Eat small, frequent meals
E. Take a proton pump inhibitor
C. Drink plenty of milk
B. Drink caffeinated beverages

Answer 2

D. Take a histamine blocker
A. Eat small, frequent meals
E. Take a proton pump inhibitor

Question 3

Nurse Nathan is caring for a patient who underwent abdominal surgery but had delayed wound healing. As a result, the patient has an open surgical wound. Which action by nurse Nathan during wound irrigation is correct?

B. Irrigate the wound with normal saline solution rapidly,
A. Moisten the wound area with normal saline after irrigation.
C. Irrigate continuously until the solution is clear.
D. Apply a dry dressing on the wound after irrigation.

Answer 3

C. Irrigate continuously until the solution is clear.

Question 4

A patient with GERD is complaining of dysphagia. Which of the following is the priority nursing diagnosis?

D. Anxiety
A. Hyperthermia
B. Risk for imbalanced nutrition
C. Acute pain

Answer 4

C. Acute pain

Question 5

A surgical nurse is emptying an ileostomy pouch for a patient. Which assessment finding would she report immediately?

A. Liquid consistency of stool
C. Noxious odor from the stool
B. Presence of blood in the stool
D. Continuous output from the stoma

Answer 5

B. Presence of blood in the stool

Question 6

Which of the following upholds the autonomy of a patient who is being diagnosed with a GI disorder?

A. Inform him about the details-of the condition
B. Provide a blanket during abdominal exam
C. Secure the consent before doing a test
D. Follow the appropriate cultural beliefs of the patient

Answer 6

C. Secure the consent before doing a test

Question 7

This test is done to confirm the diagnosis of achalasia.

C. Fecalysis
A. Barium swallow
B. Manometry
D. CTScan

Answer 7

B. Manometry

Question 8

Which nursing intervention is most effective in promoting normal defecation for a patient who has muscle weakness in the legs that prevents ambulation?

C. Give the patient a pillow to brace against the abdomen while bearing down.
A. Elevate the head of the bed 45 degrees 60 minutes after breakfast.
D. Administer a soap suds enema every 2 hours.
B. Use a mobility device to place the patient on a bedside commode.

Answer 8

B. Use a mobility device to place the patient on a bedside commode.

Question 9

Kembo, a 34 year old male patient, expresses concerns over having black stool. The fecal occult test is negative. Which response by the nurse is most appropriate?

A. This is probably a false negative; we should rerun the test.
C. You should schedule a colonoscopy as soon as possible.
D. Sometimes severe stress can alter stool color.
B. Do you take “iron supplements?

Answer 9

B. Do you take “iron supplements?

Question 10

Which diagnostic results support the diagnosis of peptic ulcer disease (PUD)? (SeJect all that apply.)

D. Positivefor H. pylori bacteria
C. Low hematocrit (Hct)
A.Low hemoglobin (Hgb)
B. Low white blood cell (WBC) level
E. Low potassium of 3.4 mEqlL

Answer 10

D. Positive for H. pylori bacteria
C. Low hernatocrit (Hct)
A. Low hemoglobin (Hgb)

Question 11

___________ occurs due to inadequate, excessive, or imbalanced nutritional intake. This includes being underweight or overweight or lacking specific nutrients

D. Irritable Bowel Diseases
A. Malnutrition
B. Malabsorptiom
C. Irritable Bowel Syndrome

Answer 11

A. Malnutrition

Question 12

A nurse is performing an abdominal assessment to a patient with pain in the right iliac region. Which of the following is incorrect?

A. Warming of hands before touching the abdomen
D. Close the curtain during the whole procedure
C. Check for presence of visible masses before tapping the abdomen
B. Start palpating at the right lower quadrant .going to the left

Answer 12

B. Start palpating at the right lower quadrant going to the left

Question 13

Which of the following may signal a life-threatening complication of acute cholecystitis?

B. Nausea and vomiting
C. Pain extending into the lower part of right shoulder blade or back
A. Abdominal muscles on the right side becoming stiff
D. Symptoms persisting beyond 2-3 days, with increasing pain

Answer 13

C. Pain extending into the lower part of right shoulder blade or back

Question 14

A patient was diagnosed with acute cholecystitis and is scheduled for a cholecystectomy. Wh.at signs and symptoms are associated with this condition? Select all that apply:

D. Pain and fullness that increases after a greasy or spicy meal
B. Negative Murphy’s Sign
C. Epigastric pain that radiates to the right scapula
A. Right lower quadrant pain with rebound tenderness

Answer 14

D. Pain and fullness that increases after a greasy or spicy meal
C. Epigastric pain that radiates to the right scapula

Question 15

Which medication is anticipated to be administered to a patient
with achalasia

A. lsosorbide dlnitrate (lsordil)
B. Digoxin (Lanoxin)
C. Captopril (Capoten)
D. Propanolol (lnderal)

Answer 15

A. isosorbide dinitrate (isordil)

Question 16

A nurse on duty is identifying the common risk factors that caused malnutrition to his newly admitted patient. Which of the following should be identified? Select all that apply.

A. Genetics
E. Cancer
B. Eating Disorders
D. Obesity
C. Depression

Answer 16

E. Cancer
B. Eating Disorders
D. Obesity
C. Depression

Question 17

A patient is scheduled for a barium
swallow. Which of the should the following be instructed?

A. Fast for 8 hours before the test
B. Eat a regular supper and breakfast
C. Continue to take all oral medications as scheduled
D. Monitor own bowel movement pattern for constipation

Answer 17

A. Fast for 8 hours before the test

Question 18

Which of the following is true about esophagogastroduodenoscopy?

A. Sore throat may be felt after the procedure
C. Advise the patient to re-move all Jewelry and metallic items before
the procedure
B. Encourage the patient to take his meals before the procedure
D. It is used to diagnose lower GI conditions

Answer 18

A. Sore throat may be felt after the procedure

Question 19

A patient is suspected to be suffering from Celiac Disease. If the patient has Celiac Disease, what finding will be discovered with the Endoscopy?

D. Cobble-stone appearance throughout the small intestine
B. Ulcerations in the small intestine, specifically the Jejunum
C. Flat -intestinal viii,
A. Over exaggerated intestinal villi

Answer 19

C. Flat -intestinal villi

Question 20

Which of the following increases the risk of permanent liver damage with hepatitis B infection?

A. coinfection with human herpesvirus 4 and hepatiUs D virus
D. coinfection with hepatitis D virus
B. coinfection with hepatitis D virus and HHV-6
C. coinfection with HHV-6

Answer 20

D. coinfection with hepatitis D virus

Question 21

Karl Angelo, a 22 year old patient reports frequent heartburn twice a week for the past 4 months. What other symptoms reported by the patient may indicate that he has GERD? SATA

B. Dry cough
C. Melena
D. Difficulty swallowing
A. Bitter taste in mouth
E. Smooth, red tongue

Answer 21

B. Dry cough
D. Difficulty swallowing
A. Bitter taste in mouth

Question 22

‘36 y/o woman was admitted with a medical diagnosis of cholecystitis. The nurse would expect the history·of her present illness to include intolerance to which nutrient?

C. protein
B. fat
D. vitamin c
A. carbohydrates

Answer 22

B. Fat

Question 23

A patient is suspected to be suffering from Celiac Disease. If the patient has Celiac Disease, what finding will be discovered with the endoscopy?

D. Cobble-stone appearance throughout the small intestine
B. Ulcerations in the small intestine, specifically the Jejunum
C. Flat -intestinal viii,
A. Over exaggerated intestinal villi

Answer 23

C. Flat -intestinal viii

Question 24

Esophageal motility is regulated by switching the vagal signal between? Select all that apply.

C. lnhibotory postganglionic nerons that signal with ACh to cause contraction
D. None of the choices is correct
A. inhibitory postganglionic neurons that signal through NO abd VIP to cause SM relaxation
B. Excitatory postganglionic nerons that signal with ACh to ca.use contraction

Answer 24

A. inhibitory postganglionic neurons that signal through NO abd VIP
to cause SM relaxation
B. Excitatory postganglionic neurons that signal with ACh to cause
contraction

Question 25

A client with a peptic ulcer has been brought into the emergency room and is being assessed by the nurse for an upper GI bleed. Which of the following signs and/or symptoms would the nurse expect to see with this condition? (Select all that apply)

A. Epigastric pain
E. Hematemesis
B. Swelling in the lower legs
C. Melena
D. Abdominal fullness

Answer 25

A. Epigastric pain
E. Hematemesis
C. Melena

Question 26

A patient who will undergo esophagogastroduodenoscopy will be positioned to:

D. Trendelenburg
C. Recumbent
B. Right lateral
A. Left lateral

Answer 26

A. Left lateral

Question 27

Marie, a 51-year-old woman, is diagnosed with cholecystitis. Which diet, when selected by the client, indicates that the nurse’s teaching has been successful?

D. High-fat, low protein meals
A. 4-6 small meals of low carbohydrate foods daily
C. Low-fat, high-carbohydrate meals
B. High-fat, high-carbohydrate meals

Answer 27

C. Low-fat, high-carbohydrate meals

Question 28

The medical management of the patient with diverticulitis should include:

A. Reduced fluid intake.
C. Administration of antibiotics.
B. lncreased fiber in the diet.
D. Exercises to increase intra-abdominal pressure

Answer 28

C. Administration of antibiotics.

Question 29

Which is the correct sequence in performing abdominal assessment?

A. Inspection, percussion, palpation, auscultation
B. Observation, auscultation, percussion, palpation
C. Percussion, palpation, auscultation, observation
D. Palpation, percussion, observation, auscultation

Answer 29

B. Observation, auscultation, percussion, palpation

Question 30

Which of the following is the main treatment of Achalasia?

C. Maalox
D. Fundoplication
B. Proton pump inhibitors
A. Nitrates and Calcium channel blockers

Answer 30

D. Fundoplication

Question 31

A patient has been passing out stool with blood. He complains of abdominal pain rated as 5/10. Palmar pallor is noted and his latest temperature is 38 degrees Celsius. He verbalized that he is worried about his work due to his hospitalization. Which is the priority nursing diagnosis?

C. Hyperthermia
D. Ineffective tissue perfusion
B. Acute pain
A. Altered role performance

Answer 31

A. Altered role performance

Question 32

Nurse Jerimiah notes that a patient has been eliminating dark, tarry stools. This observation suggests bleeding in which part of the GI tract?

C. Upper colon
D. Upper GI tract
A. Lower GI tract
B. Small intestines

Answer 32

D. Upper GI tract

Question 33

A surgical nurse is educating Moira, a 45 female patient, on how to irrigate an ostomy bag. Which statement by patient Moira indicates the need for further instruction?

D. Using warm tap water will reduce cramping and discomfort during the procedure.
C. I should never attempt to reach into my stoma to remove fecal material
A. I can use a fleet enema to save money because it contains the same irrigation solution.
B. Sitting on the toilet lets the irrigation sleeve eliminate into the bowl.

Answer 33

A. I can use a fleet enema to save money because it contains the same irrigation solution.

Question 34

You provided health education to Rudy about GERD. You asked him to list 4 ways to prevent or alleviate signs and symptoms of GERD. Which of the following statements is INCORRECT?

D. “I will try to lie down after eating a meal to help decrease pressure on the lower esophageal sphincter.”
C. “It is important I avoid eating right before bedtime ..”
B. “I’m disappointed that ,I will have to limit my intake of peppermint
and spearmint because I love eating those types of hard candies.”
A. “It is best to try to consume small meals throughout the day than eat 3 large ones.”

Answer 34

D. “I will try to lie down after eating a meal to help decrease pressure on the lower esophageal sphincter”