Digestive & Gastrointestinal System Disorders: NCLEX Quiz
Embark on an educational journey through the complexities of the digestive tract with our Digestive & Gastrointestinal System Disorders Quiz. This carefully structured assessment is crafted for medical students, practicing gastroenterologists, and healthcare professionals who are keen to test and broaden their knowledge of a variety of conditions that can affect the gastrointestinal (GI) system.
This quiz is not only a tool to review what you already know but also a means to discover and learn about less familiar disorders. It provides immediate feedback, enriching explanations, and insight into the latest research findings in the field of gastroenterology. Sharpen your Read morediagnostic skills, expand your clinical knowledge, and prepare to tackle real-world cases with confidence. Get ready to put your expertise to the test and gain a deeper understanding of digestive health.
Digestive & Gastrointestinal System Disorders Questions and Answers
- 1.
Which of the following complications is thought to be the most common cause of appendicitis?
- A.
A fecalith
- B.
Bowel kinking
- C.
Internal bowel occlusion
- D.
Abdominal bowel swelling
Correct Answer
A. A fecalithExplanation
A fecalith is a fecal calculus. or stone. that occludes the lumen of the appendix and is the most common cause of appendicitis. Bowel wall swelling. kinking of the appendix. and external occlusion. not internal occlusion. of the bowel by adhesions can also be causes of appendicitis.Rate this question:
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- 2.
Which of the following terms best describes the pain associated with appendicitis?
- A.
Aching
- B.
Fleeting
- C.
Intermittent
- D.
Steady
Correct Answer
D. SteadyExplanation
The initial pain typically starts in the epigastric or periumbilical region, which is the area just below the sternum or around the navel, respectively. As the condition progresses, the pain tends to migrate toward the right lower quadrant of the abdomen, where it localizes and intensifies. This shift is often a key indicator of the underlying issue at hand.Rate this question:
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- 3.
Which of the following nursing interventions should be implemented to manage a client with appendicitis?
- A.
Assessing for pain
- B.
Encouraging oral intake of clear fluids
- C.
Providing discharge teaching
- D.
Assessing for symptoms of peritonitis
Correct Answer
D. Assessing for symptoms of peritonitisExplanation
The focus of care is to assess for peritonitis. or inflammation of the peritoneal cavity. Peritonitis is most commonly caused by appendix rupture and invasion of bacteria. which could be lethal. The client with appendicitis will have pain that should be controlled with analgesia. The nurse should discourage oral intake in preparation for surgery. Discharge teaching is important; however. in the acute phase. management should focus on minimizing perioperative complications and recognizing when such may be occurring.Rate this question:
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- 4.
Which of the following definitions best describes gastritis?
- A.
Erosion of the gastric mucosa
- B.
Inflammation of a diverticulum
- C.
Inflammation of the gastric mucosa
- D.
Reflux of stomach acid into the esophagus
Correct Answer
C. Inflammation of the gastric mucosaExplanation
Gastritis is an inflammation of the gastric mucosa that may be acute (often resulting from exposure to local irritants) or chronic (associated with autoimmune infections or atrophic disorders of the stomach). Erosion of the mucosa results in ulceration. Inflammation of a diverticulum is called diverticulitis; reflux of stomach acid is known as gastroesophageal disease.Rate this question:
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- 5.
Which of the following substances is most likely to cause gastritis?
- A.
Milk
- B.
Bicarbonate of soda. or baking soda
- C.
Enteric-coated aspirin
- D.
Nonsteroidal anti-inflammatory drugs
Correct Answer
D. Nonsteroidal anti-inflammatory drugsExplanation
NSAIDS are a common cause of gastritis because they inhibit prostaglandin synthesis. Milk. once thought to help gastritis. has little effect on the stomach mucosa. Bicarbonate of soda. or baking soda. may be used to neutralize stomach acid. but it should be used cautiously because it may lead to metabolic acidosis. ASA with enteric coating shouldn’t contribute significantly to gastritis because the coating limits the aspirin’s effect on the gastric mucosa.Rate this question:
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- 6.
Which of the following definitions best describes diverticulosis?
- A.
An inflamed outpouching of the intestine
- B.
A noninflamed outpouching of the intestine
- C.
The partial impairment of the forward flow of intestinal contents
- D.
An abnormal protrusion of an organ through the structure that usually holds it.
Correct Answer
B. A noninflamed outpouching of the intestineExplanation
Diverticulosis involves a noninflamed outpouchings of the intestine. Diverticulitis involves an inflamed outpouching. The partial impairment of forward flow of the intestine is an obstruction; abnormal protrusion of an organ is a hernia.Rate this question:
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- 7.
Which of the following types of diets is implicated in the development of diverticulosis?
- A.
Low-fiber diet
- B.
High-fiber diet
- C.
High-protein diet
- D.
Low-carbohydrate diet
Correct Answer
A. Low-fiber dietExplanation
Low-fiber diets have been implicated in the development of diverticula because these diets decrease the bulk in the stool and predispose the person to the development of constipation. A high-fiber diet is recommended to help prevent diverticulosis. A high-protein or low-carbohydrate diet has no effect on the development of diverticulosis.Rate this question:
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- 8.
Which of the following mechanisms can facilitate the development of diverticulosis into diverticulitis?
- A.
Treating constipation with chronic laxative use. leading to dependence on laxatives
- B.
Chronic constipation causing an obstruction. reducing forward flow of intestinal contents
- C.
Herniation of the intestinal mucosa. rupturing the wall of the intestine
- D.
Undigested food blocking the diverticulum. predisposing the area to bacterial invasion.
Correct Answer
D. Undigested food blocking the diverticulum. predisposing the area to bacterial invasion.Explanation
Undigested food can block the diverticulum. decreasing blood supply to the area and predisposing the area to invasion of bacteria. Chronic laxative use is a common problem in elderly clients. but it doesn’t cause diverticulitis. Chronic constipation can cause an obstruction—not diverticulitis. Herniation of the intestinal mucosa causes an intestinal perforation.Rate this question:
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- 9.
Which of the following symptoms indicated diverticulosis?
- A.
No symptoms exist
- B.
Change in bowel habits
- C.
Anorexia with low-grade fever
- D.
Episodic. dull. or steady midabdominal pain
Correct Answer
A. No symptoms existExplanation
Diverticulosis is an asymptomatic condition. The other choices are signs and symptoms of diverticulitis.Rate this question:
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- 10.
Which of the following tests should be administered to a client suspected of having diverticulosis?
- A.
Abdominal ultrasound
- B.
Barium enema
- C.
Barium swallow
- D.
Gastroscopy
Correct Answer
B. Barium enemaExplanation
A barium enema will cause diverticula to fill with barium and be easily seen on x-ray. An abdominal US can tell more about structures. such as the gallbladder. liver. and spleen. than the intestine. A barium swallow and gastroscopy view upper GI structures.Rate this question:
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Current Version
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Aug 22, 2024Quiz Edited by
ProProfs Editorial Team -
Oct 01, 2017Quiz Created by
Santepro