GI Practice Questions

The client who has ulcerative colitis is scheduled for an ileostomy. When the client asks the nurse what to expect related to bowel function and care after surgery, what response should the nurse make? 1. "You will be able to have control over your bowel movements with careful diet management." 2. "The stoma will require that you wear a collection device all the time." 3. "After the stoma heals, you can irrigate your bowel so you will not have to wear a pouch." 4. "The drainage will be liquid initially, and gradually become semisolid and formed."

"The stoma will require that you wear a collection device all the time."

The nurse is reviewing orders for a client admitted to the hospital with acute pancreatitis. Which of the following interventions does the nurse anticipate including in the care plan? 1. Small, frequent meals 2. High fat diet 3. Administer antacids 4. Encourage ambulation

Administer antacids

A client who underwent abdominal surgery who has a nasogastric (NG) tube in place begins to complain of abdominal pain that he describes as "feeling full and uncomfortable." Which assessment should the nurse perform first? 1. Assess the patency of the NG tube 2. Auscultate bowel sounds 3. Assess vital signs 4. Measure abdominal girth

Assess the patency of the NG tube

The nurse understands that which of the following lab results would explain why a client with liver disease appears jaundiced? 1. Total protein 2. Ammonia 3. Bilirubin 4. Prothrombin time

Bilirubin

The nurse is caring for a client admitted with complaints of right upper quadrant pain after eating food containing fat. Which of the following diagnoses does the nurse anticipate? 1. Pancreatitis 2. Hepatitis 3. Appendicitis 4. Cholecystitis

Cholecystitis

A client with active diverticulitis is scheduled for a number of diagnostic tests. Which of the following order should the nurse question? 1. Colonoscopy 2. Abdominal x-ray 3. Guaiac stool 4. Abdominal CT

Colonoscopy

Peritonitis can occur as a complication of which of the following conditions? 1. Irritable bowel syndrome 2. Duodenal ulcer 3. Uncontrolled diabetes 4. TPN administration

Duodenal ulcer

The client with diverticular disease is scheduled for a sigmoidoscopy. He suddenly complains of severe abdominal pain. On examination, the nurse notes a rigid abdomen with guarding. What action should the nurse take next? 1. Evaluate the client's most recent lab values 2. Keep the client distracted until the procedure begins 3. Elevate the head of the bed and call the provider 4. Tell the client this is expected with diverticular disease

Elevate the head of the bed and call the provider

The nurse is caring for a client with a diagnosis of liver disease. Which of the following findings would indicate a complication related to portal hypertension? 1. Jaundice 2. GI bleeding 3. Increased blood pressure 4. Decreased heart rate

GI bleeding

A client with a diagnosis of pancreatitis is noted to have muscle spasms and tremors. Which of the following electrolyte abnormalities does the nurse assess for? 1. Hypokalemia 2. Hypocalcemia 3. Hypomagnesemia 4. Hyponatremia

Hypocalcemia

A client is scheduled for bariatric surgery. Which of the following is the priority nursing action as the client receives his preoperative teaching? 1. Incentive spirometer use 2. Signs of malnutrition 3. Use of the pain rating scale 4. Importance of adhering to dietary restrictions

Incentive spirometer use

A client with a diagnosis of a small bowel obstruction is complaining of nausea and vomiting. Which of the following nursing interventions would be most appropriate? 1. Insert an NG tube to suction 2. Administer an antiemetic 3. Assess the client's abdomen 4. Administer an antacid

Insert an NG tube to suction

A nurse is reviewing the health records of a client who has pancreatitis. The physical exam report by the provider indicates the presence of Cullen's sign. Which of the following assessments would identify this finding? 1. Inspect the skin around the umbilicus 2. Tap lightly on the costovertebral margin on the client's back 3. Palpate the client's right lower quadrant 4. Auscultate the area below the client's scapula

Inspect the skin around the umbilicus

The nurse is educating a client with gastroesophageal reflux disease (GERD) about ways to minimize symptoms. Which information in the client's history should the nurse address as an indicator that needs to be changed? 1. Taking calcium carbonate tablets 2. Being a vegetarian 3. Having a body mass index of 23 4. Lifting weights for exercise

Lifting weights for exercise

Which of the following dietary recommendations would benefit a client with ulcerative colitis? 1. Low fiber 2. High carbohydrates 3. Low protein 4. Low calorie

Low fiber

Which of the following interventions would be included when caring for a client with liver failure and ascites? 1. Weigh the client weekly 2. Insert a foley catheter 3. Increase fluid intake 4. Measure abdominal girth daily

Measure abdominal girth daily

A client with a small bowel obstruction is made NPO with a nasogastric tube to suction. Which of the following ABG abnormalities does the nurse monitor for? 1. Metabolic acidosis 2. Respiratory acidosis 3. Respiratory alkalosis 4. Metabolic alkalosis

Metabolic alkalosis

The nurse is educating a patient with a new diagnosis of gastroesophageal reflux disease (GERD). The nurse evaluates the teaching as effective when the patient states that which of the following items lower esophageal sphincter control? 1. Nicotine 2. Carbohydrates 3. Fiber 4. Dairy

Nicotine

A client is being evaluated for possible duodenal ulcer. The nurse assesses the client for which of the following manifestations that would support this diagnosis? 1. Distended abdomen 2. History of chronic NSAID use 3. Pain relieved with food 4. Positive fluid wave

Pain relieved with food

The nurse is evaluating the effect of dietary counseling on the client with hepatic encephalopathy. The nurse would evaluate that the client understands the instructions given if the client stated that which of the following food items should be restricted in this diet? 1. Fat 2. Carbohydrates 3. Minerals 4. Protein

Protein

Which of the following lab values would be the priority to assess before a liver biopsy in a client with hepatitis? 1. Bilirubin 2. Prothrombin time 3. White blood cell count 4. Ammonia

Prothrombin time

The client with a diagnosis of diverticulosis is ordering his lunch. Which of the following food choices would require the nurse to intervene? 1. Corn flakes with whole milk 2. Baked fish 3. Steak and potatoes 4. Strawberries and yogurt

Strawberries and yogurt

The nurse is caring for a client with cirrhosis. Which of the following assessment findings requires the most immediate intervention? 1. The client appears confused 2. The client has diarrhea 3. The client reports abdominal pain 4. The client skin appears yellow

The client appears confused

The client with severe acute pancreatitis is anticipated to a long hospitalization. Which of the following methods of providing nutrition would the nurse anticipate being prescribed? 1. J-tube feedings 2. Low fat diet 3. Total Parenteral Nutrition 4. NG Tube feedings

Total Parenteral Nutrition

Following a cholecystectomy, the client has a t-tube in place. When does the nurse anticipate removing the tube? 1. When the client can eat without nausea and his stool is brown in color. 2. When the tube stops draining bile 3. On the day the client is ready for discharge 4. When the sutures are removed and there is no sign of infection

When the client can eat without nausea and his stool is brown in color.