Question 1

To administer sucralfate through a gastric tube it should be

Accepted Answer

A)  crushed and mixed with 10 mL of water. 
B)  dissolved in 10 mL of water to form a slurry. 
C)  mixed in 15 mL of water to form a solution. 
D)  administered as a whole pill with a 35-mL water flush. 
A)  crushed and mixed with 10 mL of water. 
B)  dissolved in 10 mL of water to form a slurry. 
C)  mixed in 15 mL of water to form a solution. 
D)  administered as a whole pill with a 35-mL water flush. B

Question 2

Which of the following is a potential cause for acute liver failure?

Accepted Answer

A)  Ischemia 
B)  Hepatitis A, B, C, D, E, non-A, non-B, non-C 
C)  Acetaminophen toxicity 
D)  Wilson disease 
E)  Reye syndrome
F) Diabetes 
A)  Ischemia 
B)  Hepatitis A, B, C, D, E, non-A, non-B, non-C 
C)  Acetaminophen toxicity 
D)  Wilson disease 
E)  Reye syndrome
F) Diabetes A,B,C,D,E

Question 3

A patient with a 10-year history of alcoholism was admitted to the critical care unit with the diagnosis of acute pancreatitis.The patient is complaining of a pain in the left upper quadrant.Using a 1- to 10-point pain scale,the patient states the current level is at an 8.To properly manage the patient's pain,the priority of nursing interventions is to

Accepted Answer

A)  administer antiemetics around the clock. 
B)  administer analgesics around the clock. 
C)  educate the patient and family on lifestyle changes. 
D)  teach relaxation techniques. 
A)  administer antiemetics around the clock. 
B)  administer analgesics around the clock. 
C)  educate the patient and family on lifestyle changes. 
D)  teach relaxation techniques. B

Question 4

Signs and symptoms of an anastomotic leak include

Accepted Answer

A)  pneumonia. 
B)  subcutaneous emphysema. 
C)  bleeding. 
D)  atelectasis. 
A)  pneumonia. 
B)  subcutaneous emphysema. 
C)  bleeding. 
D)  atelectasis.

Question 5

A nursing priority for a patient with GI hemorrhage is

Accepted Answer

A)  positioning the patient in a high-Fowler position. 
B)  airway protection. 
C)  irrigating the nasogastric tube with iced saline. 
D)  maintaining venous access so that fluids and blood can be administered. 
A)  positioning the patient in a high-Fowler position. 
B)  airway protection. 
C)  irrigating the nasogastric tube with iced saline. 
D)  maintaining venous access so that fluids and blood can be administered.

Question 6

Absorption of Prilosec and Prevacid occurs in the

Accepted Answer

A)  stomach. 
B)  duodenum. 
C)  jejunum. 
D)  cecum. 
A)  stomach. 
B)  duodenum. 
C)  jejunum. 
D)  cecum.

Question 7

Esophagectomy is usually performed for

Accepted Answer

A)  cancer of the proximal esophagus and gastroesophageal junction. 
B)  cancer of the distal esophagus and gastroesophageal junction. 
C)  cancer of the pancreatic head. 
D)  varices of the distal esophagus and gastroesophageal junction. 
A)  cancer of the proximal esophagus and gastroesophageal junction. 
B)  cancer of the distal esophagus and gastroesophageal junction. 
C)  cancer of the pancreatic head. 
D)  varices of the distal esophagus and gastroesophageal junction.

Question 8

A patient is admitted with the diagnosis of acute pancreatitis.The nurse expects which of the following laboratory test results to be elevated?

Accepted Answer

A)  Calcium 
B)  Serum amylase 
C)  Serum glucose 
D)  Potassium 
E)  WBC
F) Serum triglycerides 
A)  Calcium 
B)  Serum amylase 
C)  Serum glucose 
D)  Potassium 
E)  WBC
F) Serum triglycerides

Question 9

Which of the following medications is/are given to help control ammonia levels in a patient with acute liver failure (ALF)?

Accepted Answer

A)  Insulin 
B)  Vitamin K 
C)  Lactulose 
D)  Benzodiazepines 
A)  Insulin 
B)  Vitamin K 
C)  Lactulose 
D)  Benzodiazepines

Question 10

Verification of feeding tube placement includes

Accepted Answer

A)  auscultation for position. 
B)  aspiration of stomach contents. 
C)  x-ray study for confirmation. 
D)  gastric pH measurement. 
A)  auscultation for position. 
B)  aspiration of stomach contents. 
C)  x-ray study for confirmation. 
D)  gastric pH measurement.

Question 11

Esophagogastric varices are the result of

Accepted Answer

A)  portal hypertension resulting in diversion of blood from a high-pressure area to a low-pressure area. 
B)  superficial mucosal erosions as a result of increased stress levels. 
C)  proulcer forces breaking down the mucosal resistance. 
D)  inflammation and ulceration secondary to nonsteroidal anti-inflammatory drug use. 
A)  portal hypertension resulting in diversion of blood from a high-pressure area to a low-pressure area. 
B)  superficial mucosal erosions as a result of increased stress levels. 
C)  proulcer forces breaking down the mucosal resistance. 
D)  inflammation and ulceration secondary to nonsteroidal anti-inflammatory drug use.

Question 12

A patient with a 10-year history of alcoholism was admitted to the critical care unit with the diagnosis of acute pancreatitis.The physiologic alteration that occurs in acute pancreatitis is

Accepted Answer

A)  uncontrolled hypoglycemia caused by an increased release of insulin. 
B)  loss of storage capacity for senescent red blood cells. 
C)  premature activation of inactive digestive enzymes, resulting in autodigestion. 
D)  release of glycogen into the serum, resulting in hyperglycemia. 
A)  uncontrolled hypoglycemia caused by an increased release of insulin. 
B)  loss of storage capacity for senescent red blood cells. 
C)  premature activation of inactive digestive enzymes, resulting in autodigestion. 
D)  release of glycogen into the serum, resulting in hyperglycemia.

Question 13

A patient with a 10-year history of alcoholism was admitted to the critical care unit with the diagnosis of acute pancreatitis.Based on the diagnosis,the patient

Accepted Answer

A)  is at risk for hypovolemic shock from plasma volume depletion. 
B)  requires observation for hypoglycemia and hypercalcemia. 
C)  should be started on enteral feedings after the nasogastric tube is placed. 
D)  is placed on a fluid restriction to avoid the fluid sequestration. 
A)  is at risk for hypovolemic shock from plasma volume depletion. 
B)  requires observation for hypoglycemia and hypercalcemia. 
C)  should be started on enteral feedings after the nasogastric tube is placed. 
D)  is placed on a fluid restriction to avoid the fluid sequestration.

Question 14

Which of the following disorders is the leading cause of upper GI hemorrhage?

Accepted Answer

A)  Stress ulcers 
B)  Peptic ulcers 
C)  Nonspecific erosive gastritis 
D)  Esophageal varices 
A)  Stress ulcers 
B)  Peptic ulcers 
C)  Nonspecific erosive gastritis 
D)  Esophageal varices

Question 15

The physician orders gastric lavage to control GI bleeding.The nurse has inserted a large-bore NG tube.What temperature and irrigating fluid would be used to obtain the best results?

Accepted Answer

A)  Warm NS or water 
B)  Iced NS or water 
C)  Room temperature NS or water 
D)  Iced NS only 
A)  Warm NS or water 
B)  Iced NS or water 
C)  Room temperature NS or water 
D)  Iced NS only

Question 16

The patient at risk for GI hemorrhage should be monitored for which of the following signs and symptoms?

Accepted Answer

A)  Metabolic acidosis and hypovolemia 
B)  Decreasing hemoglobin and hematocrit 
C)  Hyperkalemia and hypernatremia 
D)  Hematemesis and melena 
A)  Metabolic acidosis and hypovolemia 
B)  Decreasing hemoglobin and hematocrit 
C)  Hyperkalemia and hypernatremia 
D)  Hematemesis and melena

Question 17

A patient has a Salem sump to lower intermittent suction.Nursing interventions include

Accepted Answer

A)  prevention of esophageal erosion and stricture. 
B)  prevention of dry mouth. 
C)  prevention of ulceration of the nares. 
D)  irrigating the tube every 4 hours or as ordered by the health care provider. 
A)  prevention of esophageal erosion and stricture. 
B)  prevention of dry mouth. 
C)  prevention of ulceration of the nares. 
D)  irrigating the tube every 4 hours or as ordered by the health care provider.

Question 18

Which of the following interventions would you expect in the management of hepatic failure?

Accepted Answer

A)  Benzodiazepines for agitation 
B)  Pulse oximetry and serial arterial blood gas measurements 
C)  Insulin drip for hyperglycemia and hyperkalemia 
D)  Monitor electrolyte blood levels 
E)  Assess for signs of cerebral edema 
A)  Benzodiazepines for agitation 
B)  Pulse oximetry and serial arterial blood gas measurements 
C)  Insulin drip for hyperglycemia and hyperkalemia 
D)  Monitor electrolyte blood levels 
E)  Assess for signs of cerebral edema

Question 19

A patient with a 10-year history of alcoholism was admitted to the critical care unit with the diagnosis of acute pancreatitis.The patient is preparing for discharge.Nursing intervention should include

Accepted Answer

A)  diabetes management. 
B)  alcohol cessation program. 
C)  frequency of hemoccult testing. 
D)  frequency of PT and PTT testing. 
A)  diabetes management. 
B)  alcohol cessation program. 
C)  frequency of hemoccult testing. 
D)  frequency of PT and PTT testing.

Question 20

A major side effect of vasopressin is

Accepted Answer

A)  constipation. 
B)  diarrhea. 
C)  dysrhythmias. 
D)  bleeding. 
A)  constipation. 
B)  diarrhea. 
C)  dysrhythmias. 
D)  bleeding.

Exam 30: Gastrointestinal Disorders and Therapeutic Management

To administer sucralfate through a gastric tube it should be

Which of the following is a potential cause for acute liver failure?

Signs and symptoms of an anastomotic leak include

A nursing priority for a patient with GI hemorrhage is

Absorption of Prilosec and Prevacid occurs in the

Esophagectomy is usually performed for

A patient is admitted with the diagnosis of acute pancreatitis.The nurse expects which of the following laboratory test results to be elevated?

Which of the following medications is/are given to help control ammonia levels in a patient with acute liver failure (ALF)?

Verification of feeding tube placement includes

Esophagogastric varices are the result of

A patient with a 10-year history of alcoholism was admitted to the critical care unit with the diagnosis of acute pancreatitis.The physiologic alteration that occurs in acute pancreatitis is

A patient with a 10-year history of alcoholism was admitted to the critical care unit with the diagnosis of acute pancreatitis.Based on the diagnosis,the patient

Which of the following disorders is the leading cause of upper GI hemorrhage?

The physician orders gastric lavage to control GI bleeding.The nurse has inserted a large-bore NG tube.What temperature and irrigating fluid would be used to obtain the best results?

The patient at risk for GI hemorrhage should be monitored for which of the following signs and symptoms?

A patient has a Salem sump to lower intermittent suction.Nursing interventions include

Which of the following interventions would you expect in the management of hepatic failure?

A patient with a 10-year history of alcoholism was admitted to the critical care unit with the diagnosis of acute pancreatitis.The patient is preparing for discharge.Nursing intervention should include

A major side effect of vasopressin is

Critical Care Nursing Practice

Ethical Issues

Legal Issues

Genetics and Genomics in Critical Care

Patient and Family Education

Psychosocial and Spiritual Alterations and Management

Sleep Alterations and Management

Nutrition Alterations and Management

Pain and Pain Management

Sedation,Agitation,Delirium: Assessment and Management

End-Of-Life Issues

Cardiovascular Anatomy and Physiology

Cardiovascular Clinical Assessment

Cardiovascular Diagnostic Procedures

Cardiovascular Disorders

Cardiovascular Therapeutic Management

Pulmonary Anatomy and Physiology

Pulmonary Clinical Assessment

Pulmonary Diagnostic Procedures

Pulmonary Disorders

Pulmonary Therapeutic Management

Neurologic Anatomy and Physiology

Neurologic Clinical Assessment and Diagnostic Procedures

Neurologic Disorders and Therapeutic Management

Kidney Anatomy and Physiology

Kidney Clinical Assessment and Diagnostic Procedures

Kidney Disorders and Therapeutic Management

Gastrointestinal Anatomy and Physiology

Gastrointestinal Clinical Assessment and Diagnostic Procedures

Endocrine Anatomy and Physiology

Endocrine Clinical Assessment and Diagnostic Procedures

Endocrine Disorders and Therapeutic Management

Trauma

Shock,sepsis,and Multiple Organ Dysfunction Syndrome

Burns

Organ Donation and Transplantation

Hematologic Disorders and Oncologic Emergencies

The Obstetric Patient

The Pediatric Patient

The Older Adult Patient

The Perianesthesia Patient

Filters