NCLEX Practice Test Questions On Gastrointestinal Disorders
Do you want to prepare for your nursing examinations in comprehensive & up to date method? Try our NCLEX Practice Test Questions On Gastrointestinal Disorders. NCLEX is a tough nursing exam that every aspiring nursing student aims to clear. This quiz is specially made for nursing students to test their knowledge of the basics and advanced curriculum in gastro intestinal disorders. Get a good score by picking the correct option. Good Luck!
- 1.
Radiation therapy is used to treat colon cancer before surgery for which of the following reasons?
- A.
Reducing the size of the tumor
- B.
Eliminating the malignant cells
- C.
Curing the cancer
- D.
Helping the bowel heal after surgery
Correct Answer
A. Reducing the size of the tumorExplanation
Radiation therapy is used to treat colon cancer before surgery to reduce the size of the tumor. making it easier to be resected. Radiation therapy isn’t curative. can’t eliminate the malignant cells (though it helps define tumor margins). can could slow postoperative healing.Rate this question:
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- 2.
Which of the following symptoms is a client with colon cancer most likely to exhibit?
- A.
A change in appetite
- B.
A change in bowel habits
- C.
An increase in body weight
- D.
An increase in body temperature
Correct Answer
B. A change in bowel habitsExplanation
The most common complaint of the client with colon cancer is a change in bowel habits. The client may have anorexia. secondary abdominal distention. or weight loss. Fever isn’t associated with colon cancer.Rate this question:
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- 3.
A client has just had surgery for colon cancer. Which of the following disorders might the client develop?
- A.
Peritonitis
- B.
Diverticulosis
- C.
Partial bowel obstruction
- D.
Complete bowel obstruction
Correct Answer
A. PeritonitisExplanation
Bowel spillage could occur during surgery. resulting in peritonitis. Complete or partial bowel obstruction may occur before bowel resection. Diverticulosis doesn’t result from surgery or colon cancer.Rate this question:
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- 4.
A client with gastric cancer may exhibit which of the following symptoms?
- A.
Abdominal cramping
- B.
Constant hunger
- C.
Feeling of fullness
- D.
Weight gain
Correct Answer
C. Feeling of fullnessExplanation
The client with gastric cancer may report a feeling of fullness in the stomach. but not enough to cause him to seek medical attention. Abdominal cramping isn’t associated with gastric cancer. Anorexia and weight loss (not increased hunger or weight gain) are common symptoms of gastric cancer.Rate this question:
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- 5.
Which of the following diagnostic tests may be performed to determine if a client has gastric cancer?
- A.
Barium enema
- B.
Colonoscopy
- C.
Gastroscopy
- D.
Serum chemistry levels
Correct Answer
C. GastroscopyExplanation
A gastroscopy will allow direct visualization of the tumor. A colonoscopy or a barium enema would help diagnose colon cancer. Serum chemistry levels don’t contribute data useful to the assessment of gastric cancer.Rate this question:
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- 6.
A client with gastric cancer can expect to have surgery for resection. Which of the following should be the nursing management priority for the preoperative client with gastric cancer?
- A.
Discharge planning
- B.
Correction of nutritional deficits
- C.
Prevention of DVT
- D.
Instruction regarding radiation treatment
Correct Answer
B. Correction of nutritional deficitsExplanation
Client’s with gastric cancer commonly have nutritional deficits and may be cachectic. Discharge planning before surgery is important. but correcting the nutrition deficit is a higher priority. At present. radiation therapy hasn’t been proven effective for gastric cancer. and teaching about it preoperatively wouldn’t be appropriate. Prevention of DVT also isn’t a high priority to surgery. though it assumes greater importance after surgery.Rate this question:
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- 7.
Care for the postoperative client after gastric resection should focus on which of the following problems?
- A.
Body image
- B.
Nutritional needs
- C.
Skin care
- D.
Spiritual needs
Correct Answer
B. Nutritional needsExplanation
After gastric resection. a client may require total parenteral nutrition or jejunostomy tube feedings to maintain adequate nutritional status.Rate this question:
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- 8.
Which of the following complications of gastric resection should the nurse teach the client to watch for?
- A.
Constipation
- B.
Dumping syndrome
- C.
Gastric spasm
- D.
Intestinal spasms
Correct Answer
B. Dumping syndromeExplanation
Dumping syndrome is a problem that occurs postprandially after gastric resection because ingested food rapidly enters the jejunum without proper mixing and without the normal duodenal digestive processing. Diarrhea. not constipation. may also be a symptom. Gastric or intestinal spasms don’t occur. but antispasmodics may be given to slow gastric emptying.Rate this question:
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- 9.
A client with rectal cancer may exhibit which of the following symptoms?
- A.
Abdominal fullness
- B.
Gastric fullness
- C.
Rectal bleeding
- D.
Right upper quadrant pain
Correct Answer
C. Rectal bleedingExplanation
Rectal bleeding is a common symptom of rectal cancer. Rectal cancer may be missed because other conditions such as hemorrhoids can cause rectal bleeding. Abdominal fullness may occur with colon cancer. gastric fullness may occur with gastric cancer. and right upper quadrant pain may occur with liver cancer.Rate this question:
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- 10.
A client with which of the following conditions may be likely to develop rectal cancer?
- A.
Adenomatous polyps
- B.
Diverticulitis
- C.
Hemorrhoids
- D.
Peptic ulcer disease
Correct Answer
A. Adenomatous polypsExplanation
A client with adenomatous polyps has a higher risk for developing rectal cancer than others do. Clients with diverticulitis are more likely to develop colon cancer. Hemorrhoids don’t increase the chance of any type of cancer. Clients with peptic ulcer disease have a higher incidence of gastric cancer.Rate this question:
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May 29, 2023Quiz Edited by
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Oct 01, 2017Quiz Created by
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