Question 1

MATCHING
Match the purpose of nasogastric tubes with its description.

-Lavage

Accepted Answer

A)  Internal application of pressure by means of inflated balloon to prevent GI bleeding 
B)  Irrigation of stomach to remove secretions 
C)  Relieve abdominal distention 
D)  Instillation of liquid nutritional supplements into stomach

Question 2

Constipation is a problem for many older adults. The medical management to prevent constipation includes (Select all that apply):

Accepted Answer

A)  Decreasing physical activity 
B)  Decreasing fluid intake 
C)  Nutritional diet high in fiber 
D)  Increasing fluid intake 
E)  Increasing daily activity
F) Decreasing strict daily routines

Question 3

MATCHING
Match the purpose of nasogastric tubes with its description.

-Decompression

Accepted Answer

A)  Internal application of pressure by means of inflated balloon to prevent GI bleeding 
B)  Irrigation of stomach to remove secretions 
C)  Relieve abdominal distention 
D)  Instillation of liquid nutritional supplements into stomach

Question 4

After barium swallow contrast studies are performed, the nurse should ensure that the patient

Accepted Answer

A)  drinks adequate amounts of water. 
B)  remains in bed for 6 hours. 
C)  eats nothing until the gag reflex returns. 
D)  expels all barium rectally.

Question 5

Dumping syndrome after a Billroth II procedure occurs when high-carbohydrate foods are ingested over a period of less than 20 minutes. A nursing measure that will prevent or minimize dumping syndrome is to administer the feeding

Accepted Answer

A)  by bolus to prevent continuous intestinal distention. 
B)  with large amounts of fluids to maintain hydration. 
C)  high in carbohydrates and protein. 
D)  in six small daily meals high in protein and fat.

Question 6

The purpose of antibiotic therapy in treating stomach disorders is that it

Accepted Answer

A)  eradicates H. pylori. 
B)  inhibits gastric acid secretion. 
C)  protects the gastric mucosa. 
D)  neutralizes or reduces the acidity of stomach contents.

Question 7

Peptic ulcers are often common in the aging population. Which medications should be taken with caution to help prevent this problem?

Accepted Answer

A)  Antibiotics 
B)  Antacids 
C)  NSAIDs 
D)  Laxatives

Question 8

A 63-year-old patient is admitted with acute diverticulitis. The most appropriate nursing intervention to lessen this patient's signs and symptoms of increased flatus and chronic constipation alternating with diarrhea, anorexia, and nausea would be to

Accepted Answer

A)  encourage a diet high in fiber content. 
B)  reduce oral intake to rest the bowel. 
C)  encourage fluids to prevent dehydration. 
D)  administer laxatives to prevent secondary constipation.

Question 9

Which nursing intervention would be the highest priority in evaluating a patient with peritonitis from a ruptured appendix?

Accepted Answer

A)  Assessment of severity, location, and duration of pain 
B)  Assessment of vital signs 
C)  Preventing wound infection 
D)  Promoting balanced nutrition

Question 10

What nursing interventions would be appropriate for inflammatory bowel disease diagnoses of Imbalanced Nutrition: less than body requirements related to bowel hypermotility and decreased absorption?

Accepted Answer

A)  Provide three specific balanced meals a day. 
B)  Restrict fluid to 1000 mL per day. 
C)  Provide at least six small frequent meals per day. 
D)  Allow alcohol and caffeine products.

Question 11

Bowel sound assessment is especially important for a postoperative patient who has had abdominal surgery as it can determine the:

Accepted Answer

A)  need for a cathartic. 
B)  return of peristalsis. 
C)  presence of singultus. 
D)  presence of eructation.

Question 12

Flexible sigmoidoscopy should be performed every ________ years.

Accepted Answer

The answer of Flexible sigmoidoscopy should be performed every ________...

Question 13

Symptoms of GERD (gastroesophageal reflux disease) can be modified or eliminated by which nursing interventions?

Accepted Answer

A)  Eat three large meals daily. 
B)  Follow a high-protein, high-fat diet. 
C)  Remain upright for 1 to 2 hours post meals. 
D)  Eat a snack 1 hour before bedtime.

Question 14

The end-products of carbohydrate and protein digestion are absorbed by the

Accepted Answer

A)  bloodstream. 
B)  blood vessels in the villi. 
C)  lymphatic system. 
D)  lymph vessels in the villi.

Question 15

A patient, age 36, is admitted with diarrhea and dehydration. The physician has ordered several diagnostic studies of the patient's stools. When obtaining a stool specimen to be examined for ova and parasites, the nurse should

Accepted Answer

A)  use an oil retention enema to facilitate collection. 
B)  refrigerate the specimen immediately. 
C)  instruct the patient to obtain three different stool specimens on subsequent days. 
D)  check the specimen for the presence of occult blood.

Question 16

A 56-year-old patient with diverticulitis has been admitted to the medical unit. The nurse will most likely document which assessment in the charting?

Accepted Answer

A)  Chest pain 
B)  Pain in the upper right quadrant 
C)  Pain in the left lower quadrant 
D)  Progressive weight loss

Question 17

The patient, age 32, is admitted with possible appendicitis after being evaluated by the physician. It is appropriate for the nurse to administer

Accepted Answer

A)  fluid and electrolyte replacement. 
B)  heat to decrease discomfort. 
C)  a cleansing enema. 
D)  an oral laxative.

Question 18

A patient with cancer of the esophagus has been receiving radiation therapy. The nurse realizes that this patient should be assessed for

Accepted Answer

A)  aspiration from fistula formation. 
B)  hemorrhage. 
C)  incompetence of the suture line. 
D)  dumping syndrome.

Question 19

An ileostomy was performed on a patient for the treatment of debilitating ulcerative colitis disease. A problem the nurse should watch for in patients after this surgery is

Accepted Answer

A)  fluid imbalance. 
B)  sexual activity restriction. 
C)  skin excoriation. 
D)  the collecting appliance being bulky and large.

Exam 5: Care of the Patient With a Gastrointestinal Disorder

MATCHING Match the purpose of nasogastric tubes with its description. -Lavage

Constipation is a problem for many older adults. The medical management to prevent constipation includes (Select all that apply) :

MATCHING Match the purpose of nasogastric tubes with its description. -Decompression