MS2 Exam 2 Practice Questions (GI)
Which of the following symptoms indicates diverticulosis? A. No symptoms B. Change in bowel habits C. Anorexia, low grade fever D. Dull mid abdominal pain
a
report which of the following for the patient with portal hypertension: A. Heart rate 122 B. Urine output 68cc/hr C. Jaundice D. Respirations 17 breaths/min
a
The client with a hiatal hernia chronically experiences heartburn following meals. The nurse plans to teach the client to avoid which action because it is contraindicated with hiatal hernia? A. Lying recumbent following meals B. Taking in small, frequent, bland meals C. Raising the head of the bed on 6-inch blocks D. Taking H2-receptor antagonist medication
a
What is the best time to teach a client to take proton pump inhibitors? 30 minutes before a meal With a meal Immediately after the meal One to three hours after a meal
a
A nurse is completing discharge teaching with a client who has Crohn's disease. Which of the following instructions should the nurse include in the teaching? A. decrease intake of calorie‐dense foods. B. drink canned protein supplements. C. increase intake of high fiber foods. d. eat high‐residue foods.
b
A nurse in a clinic is reviewing the laboratory reports of a client who has suspected cholelithiasis. Which of the following is an expected finding? A. Blood amylase 80 units/L B. WBC 9,000/mm3 C. direct bilirubin 2.1 mg/dL d. Alkaline phosphatase 25 units/L
c
A nurse is admitting a client who has bleeding esophageal varices. The nurse should expect a prescription for which of the following medications? A. Propranolol B. Metoclopramide C. Famotidine d. Vasopressin
d
A nurse is preparing to administer pancrelipase to a client who has pancreatitis. Which of the following actions should the nurse take? A. instruct the client to chew the medication before swallowing. B. Offer a glass of water following medication administration. C. Administer the medication 30 min before meals. d. sprinkle the contents on peanut butter.
b
A nurse is teaching a client who has a hiatal hernia. Which of the following client statements indicates an understanding of the teaching? A. "I can take my medications with soda." B. "Peppermint tea will increase my indigestion" C. "Wearing an abdominal binder will limit my manifestations." d. "I will drink hot chocolate at bedtime to help me sleep." e. "I can lift weights as a way to exercise."
b
Which medication would the nurse expect to administer for treating pain associated with irritable bowel disease? A. Steroids B. Acetaminophen C. Opiates D. Stool softeners
a
which lab value would be a priority to report for a client with cirrhosis? A. Elevated ammonia B. Elevated ALT and AST C. Elevated bilirubin D. Decreased albumin
a
A nurse is teaching a client who has a duodenal ulcer and a new prescription for esomeprazole. Which of the following information should the nurse include in the teaching? (select all that apply.) A. Take the medication 1 hr before a meal. B. Limit NsAids when taking this medication. C. expect skin flushing when taking this medication. d. increase fiber intake when taking this medication. e. Chew the medication thoroughly before swallowing.
a b
A nurse is caring for a client who has a small bowel obstruction from adhesions. Which of the following findings are consistent with this diagnosis? (select all that apply.) A. emesis greater than 500 mL with a fecal odor B. report of spasmodic abdominal pain C. High‐pitched bowel sounds d. Abdomen flat with rebound tenderness to palpation e. Laboratory Findings Indicating Metabolic Acidosis
a b c
A client with peptic ulcer disease tells the nurse that he has black stools, which he has not reported to his physician. Based on this information, which nursing diagnosis would be appropriate for this client? A. Deficient knowledge r/t unfamiliarity with significant signs and symptoms B. Constipation related to decreased gastric motility C. Imbalanced nutrition: Less than body requirements r/t gastric bleeding D. Ineffective coping related to fear of diagnosis of chronic illness
a
A female client who has just been diagnosed with hepatitis A asks, "How could I have gotten this disease?" What is the nurse's best response? A. "You may have eaten contaminated restaurant food" B. "You could have gotten it by using I.V. drugs" C. "You must have received an infected blood transfusion" D. "You probably got it by engaging in unprotected sex"
a
A nurse in a clinic is teaching a client who has ulcerative colitis. Which of the following statements by the client indicates understanding of the teaching? A. "I plan to limit fiber in my diet." B. "I will restrict fluid intake during meals." C. "I will switch to black tea instead of drinking coffee." D. "I will try to eat cold foods rather than warm ones when my stomach feels upset."
a
A nurse is completing discharge teaching with a client who has irritable bowel syndrome (iBs). Which of the following instructions should the nurse include? A. Keep a food diary to identify triggers to exacerbation. B. Consume 15 to 20 g of fiber daily. C. Plan three moderate to large meals per day. d. Limit fluid intake to 1 L each day.
a
A nurse is reviewing risk factors with a client who has cholecystitis. The nurse should identify that which of the following as a risk factor for cholecystitis? A. Obesity B. Rapid weight gain C. Decreased blood triglycerides D. Male sex
a
A nurse is reviewing risk factors with a client who has cholecystitis. The nurse should identify that which of the following as a risk factor for cholecystitis? A. Obesity B. rapid weight gain C. decreased blood triglyceride level d. Male sex
a
A patient, who has recovered from cholecystitis, is being discharged home. What meal options below are best for this patient? A. Baked chicken with steamed carrots and rice B. Broccoli/cheese casserole, gravy and mashed potatoes C. Cheeseburger with French Fries D. Fried chicken with a baked potato
a
Client with diverticulosis being discharged. Client asked the nurse what type of diet contributed to my condition of diverticulosis? A. Low fiber B. High fiber C. High protein D. Low carbohydrates
a
Sharon has cirrhosis of the liver and develops ascites. What intervention is necessary to decrease the excessive accumulation of serous fluid in her peritoneal cavity? A. Restrict fluids B. Encourage ambulation C. Increase sodium in the diet D. Give antacids as prescribed
a
A nurse is completing nutrition teaching for a client who has pancreatitis. Which of the following statements by the client indicates an understanding of the teaching? (select all that apply.) A. "i plan to eat small, frequent meals." B. "i will eat easy‐to‐digest foods with limited spice." C. "i will use skim milk when cooking." d. "i plan to drink regular cola." e. "i will limit alcohol intake to two drinks per day."
a b c
The nurse will teach client with GERD about what to avoid (select all) Coffee Chocolate Peppermint Nonfat milk Fried chicken Scrambled eggs
a b c e
A nurse is caring for a client who has cirrhosis. Which of the following medications can the nurse expect to administer to this client? (select all that apply.) A. diuretic B. Beta blocking agent C. Opioid analgesic d. Lactulose e. sedative
a b d
A nurse in the emergency department is completing an assessment of a client who has suspected stomach perforation due to a peptic ulcer. Which of the following findings should the nurse expect? (select all that apply.) A. rigid abdomen B. Tachycardia C. elevated blood pressure d. Circumoral cyanosis e. Rebound Tenderness
a b e
A nurse is caring for a client who has a new diagnosis of gastroesophageal reflux disease (Gerd). The nurse should expect prescriptions for which of the following medications? (select all that apply.) A. Antacids B. Histamine2 receptor antagonists C. Opioid analgesics d. Fiber laxatives e. Proton pump inhibitors
a b e
A nurse is planning care for a client who has acute gastritis. Which of the following nursing interventions should the nurse include in the plan of care? (select all that apply.) A. evaluate intake and output. B. Monitor laboratory reports of electrolytes. C. Provide three large meals a day. d. Administer ibuprofen for pain. e. Observe Stool Characteristics.
a b e
A nurse is teaching a client who has hepatitis B about home care. Which of the following instructions should the nurse include in the teaching? (select all that apply.) A. Limit physical activity. B. Avoid alcohol. C. Take acetaminophen for comfort. d. Wear a mask when in public places. e. eat small frequent meals.
a b e
A nurse is planning care for a client who has a small bowel obstruction and a nasogastric (NG) tube in place. Which of the following interventions should the nurse include? (select all that apply.) A. document the NG drainage with the client's output B. irrigate the NG tube every 8 hr. C. Assess bowel sounds d. Provide oral hygiene every 2 hr. e. MonitoriNG tube for placement
a c e
A 40-year-old client is admitted to the hospital with cholecystitis. The nurse should contact the Healthcare Provider to question which of the following prescriptions? A. IV fluid therapy of normal saline solution to be infused at 100 mL/h until further prescriptions B. Administer morphine sulfate 10 mg IM every 4 hours as needed for sever abdominal pain C. Nothing by mouth (NPO) until further prescriptions D. Insert a nasogastric tube and connect to low intermittent suction
b
A charge nurse is teaching a group of nurses about a client who has chronic gastritis and is scheduled for a selective vagotomy. Which of the following statements by a unit nurse indicates understanding of the purpose of the procedure? A. "The client will have increased duodenal gastric emptying." B. "The client will have a reduction of gastric acid secretions." C. "The client will have an increase of gastric mucus secretion." d. "The client will have an increased secretion of hydrogen/potassium ATPase enzymes."
b
A chronic cause of gastritis is infection with a microorganism known as... A. E. coli B. Heliobacter pylori C. Salmonella D. Staphylococcus
b
A nurse is assessing a client in an extended care facility. The nurse should recognize which of the following findings is a manifestation of an obstruction of the large intestine due to a fecal impaction? A. The client reports one bowel movement yesterday. B. The client is having small, frequent liquid stools. C. The client is flatulent. d. The client indicates vomiting once this morning.
b
A nurse is caring for a client who has a new diagnosis of hepatitis C. Which of the following laboratory findings should the nurse expect? A. Presence of immunoglobulin G antibodies (igG) B. Positive eiA test C. Aspartate aminotransferase (AsT) 35 units/L d. Alanine aminotransferase (ALT) 15 iU/L
b
A nurse is completing an assessment of a client who has Gerd. Which of the following is an expected finding? A. Absence of saliva B. Painful swallowing C. sweet taste in mouth d. Absence of eructation
b
A nurse is completing preoperative teaching for a client who is scheduled for a laparoscopic cholecystectomy. Which of the following should be included in the teaching? A. "The scope will be passed through your rectum." B. "you might have shoulder pain after surgery." C. "you will have a Jackson‐Pratt drain in place after surgery." d. "you should limit how often you walk for 1 to 2 weeks."
b
A nurse is completing preoperative teaching for a client who is scheduled for a laparoscopic cholecystectomy. Which of the following should be included in the teaching? A. "The scope will past through your rectum" B. "You might have shoulder pain after surgery" C. " You will have a Jackson-Pratt drain in place after surgery" D. "You should limit how often you walk for 1-2 weeks"
b
A nurse is teaching about pernicious anemia with a client who has chronic gastritis. Which of the following information should the nurse include in the teaching? A. Pernicious anemia is caused when the cells producing gastric acid are damaged. B. expect a monthly injection of vitamin B12. C. Plan to take vitamin K supplements. d. Pernicious anemia is caused by an increased production of intrinsic factors.
b
Client admitted with Crohn's (fever, weight loss, leg cramping, diarrhea). Which lab value needs immediate intervention? A. Hypoalbuminemia B. Hypokalemia C. Leukocytosis D. Increased sedimentation rate
b
Client with obstruction in the large intestine is being assessed by the nurse. Which symptom is most indicative of this obstruction? Pain Abdominal distention Vomiting Low-grade fever
b
Nurse completing discharge teaching with a client who has Crohn's disease. Which should be included? Decrease calorie intake Drink protein supplements Increase intake high fiber Take bulk-forming laxative daily
b
On the third day after major abdominal surgery, a client develops dyspnea, chest pain, and anxiety. Which action should the nurse take initially? Obtain STAT EKG to determine cause of chest pain Assessment of cardiac and respiratory status Assessment for s/s of DVT STAT page the attending physician
b
The client with a duodenal ulcer may exhibit which of the following findings on assessment? A. Pain with eating B. Melena C. Malnourishment D. Hematemesis
b
The nurse is caring for a client with chronic gastritis. The nurse monitors the client, knowing that this client is at risk for which of the following vitamin deficiencies? A. Vitamin E B. Vitamin B12 C. Vitamin C D. Vitamin A
b
The nurse is teaching the patient a client with peptic ulcer discharge instructions. The client asks the nurse which type of analgesic he may take. Which of the following responses by the nurse would be most accurate? A. Aspirin B. Acetaminophen C. Naproxen D. Ibuprofen
b
What laboratory finding is the primary diagnostic indicator for pancreatitis? A. Elevated blood urea nitrogen (BUN) B. Elevated serum lipase C. Elevated aspartate aminotransferase (AST) D. Increased lactate dehydrogenase (LD)
b
Which condition is most likely to have a nursing diagnosis of fluid volume deficit? A. Appendicitis B. Pancreatitis C. Cholecystitis D. Gastric ulcer
b
A nurse is reviewing the laboratory data of a client who has an acute exacerbation of Crohn's disease. Which of the following blood laboratory results should the nurse expect to be elevated? (select all that apply.) A. Hematocrit B. erythrocyte sedimentation rate C. WBC d. Folic acid e. Albumin
b c
Nurse reviewing serum lab data for clients with acute exacerbation of Crohn's disease. Which of the following laboratory tests should the nurse expect to be elevated (Select all that apply) Hematocrit Erythrocyte sed rate WBC Folic acid Albumin
b c
what discharge information should be included for a client with hepatitis B? select all that apply A. Spread by ingestion of contaminated food or water B. Caution with needles during substance use C. Use protection during sex D. Infected mothers can not transmit to infants
b c
A nurse is completing an admission assessment for a client who has a small bowel obstruction. Which of the following findings should the nurse report to the provider? (select all that apply.) A. emesis prior to insertion of the nasogastric tube B. Urine specific gravity 1.040 C. Hematocrit 60% d. Blood potassium 3.0 meq/L e. WBC10,000/uL
b c d
Your recent admission has acute cholecystitis. The patient is awaiting a cholecystectomy. What signs and symptoms are associated with this condition? Select all that apply... A. Right lower quadrant pain with rebound tenderness B. Sharp pain that radiates to the right shoulder C. Pain/fullness increases after greasy/spicy meal D. Nausea
b c d
A nurse is assessing a client who has advanced cirrhosis. The nurse should identify which of the following findings as indicators of hepatic encephalopathy? (select all that apply.) A. Anorexia B. Change in orientation C. Asterixis d. Ascites e. Fetorhepaticus
b c e
A nurse is providing discharge teaching to a client who is postoperative following a laparoscopic cholecystectomy. Which of the following instructions should the nurse include in the teaching? (select all that apply.) A. Take baths rather than showers. B. resume a diet of choice. C. Cleanse the puncture site using mild soap and water. d. remove adhesive strips from the puncture site in 24 hr. e. report nausea and vomiting to the surgeon.
b c e
A client is admitted to the hospital with a diagnosis of cholecystitis from cholelithiasis. The client has severe abdominal pain and nausea and has vomited several times. Based on these data, which nursing action would have been the highest priority for intervention at this time? A. Manage anxiety B. Restore fluid loss C. Manage the pain D. Replace nutritional loss
c
A nurse is assessing a client who has been taking prednisone following an exacerbation of inflammatory bowel disease. The nurse should recognize which of the following findings as the priority? A. Client reports difficulty sleeping. B. The client's urine is positive for glucose. C. Client reports having an elevated body temperature. D. Client reports gaining 4 lb in the last 6 months.
c
A nurse is assessing a client who has pancreatitis. Which of the following findings should the nurse identify as a manifestation of pancreatitis? A. Generalized cyanosis B. Hyperactive bowel sounds C. Gray blue discoloration of the skin around the umbilicus d. Wheezing in the lower lung fields
c
A nurse is completing discharge teaching for a client who has an infection due to Helicobacter pylori (H. pylori). Which of the following statements by the client indicates understanding of the teaching? A. "I will continue my prescription for corticosteroids." B. "I will schedule a CT scan to monitor improvement." C. "I will take a combination of medications for treatment." d. "I will have my throat swabbed to recheck for this bacteria."
c
A nurse is completing discharge teaching with a client who is postoperative following fundoplication. Which of the following statements by the client indicates understanding of the teaching? A. "When sitting in my lounge chair after a meal, I will lower the back of it." B. "I will try to eat three large meals a day." C. "I will elevate the head of my bed on blocks." d. "I will avoid eating within 1 hour before bedtime."
c
A nurse is providing discharge teaching to a client who has a new prescription for aluminum hydroxide. Which of the following information should the nurse include in the teaching? A. Take the medication with food. B. Monitor for diarrhea. C. Wait 1 hr before taking other oral medications. d. Maintain a low‐fiber diet.
c
A nurse is teaching a client who has a new prescription for famotidine. Which of the following statements by the client indicates understanding of the teaching? A. "The medicine coats the lining of my stomach." B. "The medication should stop the pain right away." C. "I will take my pill at bedtime." d. "I will monitor the bleeding from my nose."
c
A nurse is teaching a client who has a new prescription for sulfasalazine. Which of the following instructions should the nurse include in the teaching? A. "Take the medication 2 hours after eating." B. "discontinue this medication if your skin turns yellow‐orange." C. "Notify the provider if you experience a sore throat." d. "expect your stools to turn black."
c
Clients with Ulcerative Colitis experience 20 watery stools per day. Nurse should anticipate what to find? A. Decreased heart rate B. Dilute urine C. Tenting skin turgor D. Elevated BP
c
Nurse assessing client who has been taking prednisone following exacerbation of inflammatory bowel disease. The nurse should recognize which of the following findings as a priority? Difficulty sleeping Glucose positive in urine Elevated temperature Gaining 4 pounds in last 6 months
c
Nurse will expect to prepare a client with ulcerative colitis for surgery if the client develops which condition? A. Gastritis B. Bowel herniation C. Bowel perforation D. Bowel outpouching
c
The client is diagnosed with acute pancreatitis. Which intervention should the nurse include in the care plan for the client? A. Administration of vasopressin and insertion of a balloon tamponade B. Preparation for a paracentesis and administration of diuretics C. Maintenance of nothing-by-mouth status and insertion of nasogastric (NG) tube with low intermittent suction D. Dietary plan of a low-fat diet and increased fluid intake to 2,000 ml/day
c
The nurse determines that a patient has experienced the beneficial effects of medication therapy with famotidine when which of the following symptoms is relieved? A. Nausea B. Belching C. Epigastric pain D. Difficulty swallowing
c
The nurse is reviewing the medication record of a client with acute gastritis. Which medication, if noted on the client's record, would the nurse question? A. Digoxin (Lanoxin) B. Indomethacin (Indocin). C. Propranolol hydrochloride (Inderal) D. Furosemide (Lasix)
c
While caring for a client with peptic ulcer disease, the client reports that he has been nauseated most of the day and is now feeling lightheaded and dizzy. Based upon these findings, which nursing actions would be most appropriate for the nurse to take? Select all that apply. A. Initiating oxygen therapy B. Reassessing the client on an hour C. Monitoring the client's vital signs D. Notifying the physician of the client's symptoms
c d
4. A nurse is completing an assessment of a client who has a gastric ulcer. Which of the following findings should the nurse expect? (select all that apply.) A. Client reports pain relieved by eating. B. Client states that pain often occurs at night. C. Client reports a sensation of bloating. d. Client states that pain occurs 30 min to 1 hr after a meal. e. Client experiences pain upon palpation of the epigastric region.
c d e
A nurse is completing an admission assessment of a client who has pancreatitis. Which of the following findings should the nurse expect? A. Pain in right upper quadrant radiating to right shoulder B. report of pain being worse when sitting upright C. Pain relieved with defecation d. epigastric pain radiating to the left shoulder
d
A nurse is reviewing a new prescription for chenodiol with a client who has cholelithiasis. Which of the following information should the nurse include in the teaching? A. This medication is used to decrease acute biliary pain. B. This medication requires thyroid function monitoring every 6 months. C. This medication is not recommended for clients who have diabetes mellitus. d. This medication dissolves gallstones gradually over a period of up to 2 years.
d
A nurse is reviewing the admission laboratory results of a client who has acute pancreatitis. Which of the following findings should the nurse expect? A. decreased blood lipase level B. decreased blood amylase level C. increased blood calcium level d. increased blood glucose level
d
A nurse is teaching a client who has a new diagnosis of dumping syndrome following gastric surgery. Which of the following information should the nurse include in the teaching? A. eat three moderate‐sized meals a day. B. drink at least one glass of water with each meal. C. eat a bedtime snack that contains a milk product. d. increase protein in the diet
d
A nurse on a medical‐surgical unit is admitting a client who has hepatitis B with ascites. Which of the following actions should the nurse include in the plan of care? A. initiate contact precautions. B. Weigh the client weekly. C. Measure abdominal girth at the base of the ribcage. d. Provide a high calorie, high carbohydrate diet.
d
Client had EGD - highest priority for client's care plan? Monitor temperature Monitor c/o heartburn Give warm gargles for sore throat Assess for return of gag reflex
d
Client returns from PACU after abdominal surgery. The initial nursing action is to assess which of the following? Abdominal dressing Urinary output in Foley bag IV fluids at accurate flow rate Vital signs
d
The nurse has done preoperative teaching for a client who will have a hemicolectomy and transverse colostomy. The client will require further teaching when he states: "I will need to be aware of skin irritation and use protective measures" "The colostomy will take approximately 3-6 days before it begins to function" "My stools will be soft and mushy once the colostomy begins to have stool" "In the beginning, I will be on a high-residue diet until the colostomy functions"
d
Which clinical manifestation would the nurse expect a client diagnosed with acute cholecystitis to exhibit? A. Jaundice, dark urine, and steatorrhea B. Acute right lower quadrant (RLQ) pain, diarrhea, and dehydration C. Ecchymosis petechiae, and coffee-ground emesis D. Nausea, vomiting, and anorexia
d
Which of the following past medical history is common for a client with colon cancer? A. Appendicitis B. Hemorrhoids C. Hiatal hernia D. Ulcerative colitis
d
