Review Class Questions

Question 1

The nurse will plan to monitor a patient with an obstructed common bile duct for?
A. Melena
B. Steatorrhea
C. Decreased serum cholesterol levels
D. Increased serum indirect bilirubin levels

Answer 1

B. Steatorrhea

Question 2

The nurse receives the following information about a 51 year old woman who is scheduled for a colonoscopy. Which information should be communicated to the health provider before sending the patient for the procedure?
A. the patient has a permanent pacemaker to prevent bradycardia.
B. The patient is worried about discomfort during the examination.
C. The patient has had an allergic reaction to shellfish and iodine in the past.
D. The patient refused to drink the ordered polyethylene glycol.

Answer 2

D. Patient refused to drink golytely

Question 3

A 58 year old woman has just returned to the nursing unit after an esophagogastroduodenoscopy (EDG). Which action by unlicensed assistive personnel (UAP) requires that the registered nurse (RN) intervene?
A. Offering the patient a drink of water
B. Positioning the patient on the right side
C. Checking the vital signs every 30 minutes
D. Swabbing the patients mouth with cold water

Answer 3

A. Offering the patient a drink of water

Question 4

Which finding in the mouth of a patient who uses smokeless tobacco is suggestive of oral cancer?
A. Bleeding during tooth brushing
B. Painful blisters at the lip border
C. Red, velvety patches on the buccal mucosa
D. White curdlike plaques on posterior tongue

Answer 4

C. Red, velvety patches on the buccal mucosa

Question 5

A 46 year old female with gastroesophageal reflux disease (GERD) is experiencing increasing discomfort. Which patient statement indicates that additional teaching about GERD is needed?
A. I take antacids between meals and at bedtime each night
B. I sleep with the head of the bed elevated on 4 inch blocks
C. I eat small meals during the day and have a bedtime snack
D. I quit smoking several years ago, but I still chew a lot of gum

Answer 5

C. I eat small meals during the day and have a bedtime snack

Question 6

A 58 year old woman who recently has been diagnosed with esophageal cancer tells the nurse, I do not feel ready to die yet. Which response by the nurse is most appropriate?
A. You may have quite a few years still left to live
B. Thinking about dying will only make you feel worse
C. Having this new diagnosis must be very hard for you
D. Life is the ultimate terminal disease

Answer 6

C. Having this new diagnosis must be very hard for you

Question 7

Which medications will the nurse teach the patient about whose peptic ulcer disease is associated with Helicobacter pylori?
A. Sucralfate (Carafate), nystatin (mycostatin, and bismuth (Pepto-Bismol)
B. Amoxicillin (Amoxil), clarithromycin (Biaxin), and omeprazole (Prilosec)
C. Famotidine (Pepcid), magnexium hydroxide (Mylanta), and pantoprazole (Protonix)
D. Reglan, urecholi, phenergan

Answer 7

B. Amoxicillin (Amoxil), clarithromycin (Biaxin), and omeprazole (Prilosec)

Question 8

A family member of a 28 year old patient who has suffered massive abdominal trauma in an automobile accident asks the floor nurse why the patient is receiving famotidine (Pepcid). The nurse will explain that the medication will?
A. decrease nausea and vomiting
B. inhibit development of stress ulcers
C. lower the risk for H. pylori infection
D. prevent aspiration of gastric contents

Answer 8

B. inhibit development of stress ulces

Question 9

A 50 year old patient who underwent a gastroduodenostomy (Billroth 1) earlier today, complains of increasing abdominal pain. The patient has no bowel sounds and 200 ml of bright red nasogastric (NG) drainage in the last hour. The highest priority action by the nurse is to
A. contact the surgeon
B. irrigate the NG tube
C. monitor the NG drainage
D. administer the prescribed morphine

Answer 9

A. contact the surgeon

Question 10

At his first postoperative checkup appointment after a gastrojejunostomy (Bilroth II), a patient reports that dizziness, weakness, and palpitations occur about 20 minutes after each meal. The nurse will teach the patient to
A. increase the amount of fluid with meals
B. eat foods that are higher in carbohydrates
C. lie down for about 30 minutes after eating
D. drink sugared fluids or eat candy after meals

Answer 10

C. lie down for about 30 minutes after eating

Question 11

A 26 year old patient with a family history of stomach caner asks the nurse about ways to decrease the risk for developing stomach cancer. The nurse will teach the patient to avoid
A. smoked foods such as ham and bacon
B. emotionally stressful situations
C. foods that cause distention or bloating
D. chronic use of H2 blocking medications

Answer 11

A. smoked foods such as ham and bacon

Question 12

Which patient should the nurse assess first after receiving change of shift report?
A. A patient with nausea who has a dose of metoclopramide (Reglan) due
B. A patient who is crying after receiving a diagnosis of esophageal cancer
C. A patient with esophageal varices who has a blood pressure of 92/58 mm Hg
D. A patient admitted yesterday with gastrointestinal (GI) bleeding who has melena

Answer 12

C. A patient with esophageal varices who has a blood pressure of 92/58 mm Hg

Question 13

After the nurse has completed teaching a patient with newly diagnosed eosinophilic esophagitis about the management of the disease, which patient action indicates that the teaching has be effective?
A. Patient orders nonfat milk for each meal
B. Patient uses the prescribed corticosteroid inhaler
C. Patient takes ibuprofen (Advil) to control throat pain
D. Patient schedules an appointment for allergy testing

Answer 13

D. Patient schedules an appointment for allergy testing

Question 14

Which nursing action with be included in the plan of care for a 27- year old male patient with bowel irregularity and new diagnosis of irritable bowl syndrome (IBS)?
A. Encourage the patient to express concerns and ask questions about IBS
B. Suggest that the patient increase the intake of milk and other dairy products
C. Teach the patient to avoid using nonsteroidal anti-inflammatory drugs (NSAIDS)
D. Educate the patient on need for routine colonoscopies due to increased risk of gastric cancer from IBS

Answer 14

A. Encourage the patient to express concerns and ask questions about IBS

Question 15

A patient being admitted with an acute exacerbation of ulcerative colitis reports crampy abdominal pain and passing 15 or more bloody stools a day. The nurse will plan to
A. administer IV metoclopramide (Reglan)
B. discontinue the patients oral food intake
C. administer cobalamin (B12) injections
D. teach the patient about total colectomy surgery

Answer 15

B. discontinue the patients oral food intake

Question 16

A 24 year old woman with Crohns disease develops a fever and symptoms of a urinary tract infection (UTI) with tan, fecal-smelling urine. What information will the nurse add to a general teaching plan about UTIs in order to individualize the teaching for this patient?
A. Bacteria in the perianal area can enter the urethra
B. Fistulas can form between the bowel and bladder
C. Drink adequate fluids to maintain normal hydration
D. Empty the bladder before and after sexual intercourse

Answer 16

B. Fistulas can form between the bowel and bladder

Question 17

A 47 year old female patient is transferred from the recovery room to a surgical unit after a transverse colostomy. The nurse observes the stoma to be deep pink with edema and a small amount of sanguineous drainage. The nurse should
A. place ice packs around the stoma
B. notify the surgeon about the stoma
C. monitor the stoma every 30 minutes
D. document stoma assessment findings

Answer 17

D. Document stoma assessment findings

Question 18

Which activity in the care of a 48 year old female patient with a new colostomy could the nurse delegate to unlicensed assistive personal (UAP)?
A. Drain and measure the output from the ostomy
B. Document the appearance of the stoma
C. place a pouching system over the ostomy
D.Check the skin around the stoma for breakdown

Answer 18

A. Drain and measure the output from the ostomy

Question 19

D.B. must undergo surgical intervention. Which comment indicates that addition instruction about the care of his new ileostomy is needed?
A. I should change the appliance daily to prevent odors
B. When I change the appliance, I should check the skin for irritation
C. I should clean around the stoma with mild soap and water and pat dry
D. Ill need to alter the appliance opening when the stoma becomes smaller as the area heals

Answer 19

A. I should change the appliance daily to prevent odors

Question 20

Which information will the nurse include for a patient newly diagnosed with GERD?
A. “Peppermint tea may reduce your symptoms.”
B. “Keep the head of your bed elevated on blocks.”
C. “You should avoid eating between meals to reduce acid secretion.”
D. “Vigorous physical activities may increase the incidence of reflux.”

Answer 20

B. “Keep the head of your bed elevated on blocks.”

Question 21

When a 72 year old patient is diagnosed wth achalasia, the nurse will teach the patient that
A. lying down after meals is recommended
B. a liquid or slenderized diet will be necessary
C. drinking fluid with meals should be avoided.
D. treatment may include endoscopic procedures

Answer 21

D. Treatment may include endoscopic procedures.