NCLEX Quiz: Trivia Questions On Digestive And Gastrointestinal System Disorders
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- 1.
Which of the following treatments is used for rectal cancer but not for colon cancer?
- A.
Chemotherapy
- B.
Colonoscopy
- C.
Radiation
- D.
Surgical resection
Correct Answer
C. RadiationExplanation
A client with rectal cancer can expect to have radiation therapy in addition to chemotherapy and surgical resection of the tumor. A colonoscopy is performed to diagnose the disease. Radiation therapy isn’t usually indicated in colon cancer.Rate this question:
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- 2.
Which of the following conditions is most likely to directly cause peritonitis?
- A.
Cholelithiasis
- B.
Gastritis
- C.
Perforated ulcer
- D.
Incarcerated hernia
Correct Answer
C. Perforated ulcerExplanation
The most common cause of peritonitis is a perforated ulcer. which can pour contaminates into the peritoneal cavity. causing inflammation and infection within the cavity. The other conditions don’t by themselves cause peritonitis. However. if cholelithiasis leads to rupture of the gallbladder. gastritis leads to erosion of the stomach wall. or an incarcerated hernia leads to rupture of the intestines. peritonitis may develop.Rate this question:
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- 3.
Which of the following symptoms would a client in the early stages of peritonitis exhibit?
- A.
Abdominal distention
- B.
Abdominal pain and rigidity
- C.
Hyperactive bowel sounds
- D.
Right upper quadrant pain
Correct Answer
B. Abdominal pain and rigidityExplanation
Abdominal pain causing rigidity of the abdominal muscles is characteristic of peritonitis. Abdominal distention may occur as a late sign but not early on. Bowel sounds may be normal or decreased but not increased. Right upper quadrant pain is characteristic of cholecystitis or hepatitis.Rate this question:
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- 4.
Which of the following laboratory results would be expected in a client with peritonitis?
- A.
Partial thromboplastin time above 100 seconds
- B.
Hemoglobin level below 10 mg/dL
- C.
Potassium level above 5.5 mEq/L
- D.
White blood cell count above 15.000
Correct Answer
D. White blood cell count above 15.000Explanation
Because of infection. the client’s WBC count will be elevated. A hemoglobin level below 10 mg/dl may occur from hemorrhage. A PT time longer than 100 seconds may suggest disseminated intravascular coagulation. a serious complication of septic shock. A potassium level above 5.5 mEq/L may indicate renal failure.Rate this question:
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- 5.
Which of the following therapies is not included in the medical management of a client with peritonitis?
- A.
Broad-spectrum antibiotics
- B.
Electrolyte replacement
- C.
I.V. fluids
- D.
Regular diet
Correct Answer
D. Regular dietExplanation
The client with peritonitis usually isn’t allowed anything orally until the source of peritonitis is confirmed and treated. The client also requires broad-spectrum antibiotics to combat the infection. I.V. fluids are given to maintain hydration and hemodynamic stability and to replace electrolytes.Rate this question:
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- 6.
Which of the following aspects is the priority focus of nursing management for a client with peritonitis?
- A.
Fluid and electrolyte balance
- B.
Gastric irrigation
- C.
Pain management
- D.
Psychosocial issues
Correct Answer
A. Fluid and electrolyte balanceExplanation
Peritonitis can advance to shock and circulatory failure. so fluid and electrolyte balance is the priority focus of nursing management. Gastric irrigation may be needed periodically to ensure patency of the nasogastric tube. Although pain management is important for comfort and psychosocial care will address concerns such as anxiety. focusing on fluid and electrolyte imbalance will maintain hemodynamic stability.Rate this question:
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- 7.
A client with irritable bowel syndrome is being prepared for discharge. Which of the following meal plans should the nurse give the client?
- A.
Low fiber. low-fat
- B.
High fiber. low-fat
- C.
Low fiber. high-fat
- D.
High-fiber. high-fat
Correct Answer
B. High fiber. low-fatExplanation
The client with irritable bowel syndrome needs to be on a diet that contains at least 25 grams of fiber per day. Fatty foods are to be avoided because they may precipitate symptoms.Rate this question:
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- 8.
Colon cancer is most closely associated with which of the following conditions?
- A.
Appendicitis
- B.
Hemorrhoids
- C.
Hiatal hernia
- D.
Ulcerative colitis
Correct Answer
D. Ulcerative colitisExplanation
Gastric acid contains large amounts of potassium. chloride. and hydrogen ions. Excessive loss of these substances. such as from vomiting. can lead to metabolic alkalosis and hypokalemia.Rate this question:
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- 9.
Five days after undergoing surgery. a client develops a small-bowel obstruction. A Miller-Abbott tube is inserted for bowel decompression. Which nursing diagnosis takes priority?
- A.
Imbalanced nutrition: Less than body requirements
- B.
Acute pain
- C.
Deficient fluid volume
- D.
Excess fluid volume
Correct Answer
C. Deficient fluid volumeExplanation
Fluid shifts to the site of the bowel obstruction. causing a fluid deficit in the intravascular spaces. If the obstruction isn’t resolved immediately. the client may experience an imbalanced nutritional status (less than body requirements); however. deficient fluid volume takes priority. The client may also experience pain. but that nursing diagnosis is also of lower priority than deficient fluid volume.Rate this question:
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- 10.
When teaching an elderly client how to prevent constipation. which of the following instructions should the nurse include?
- A.
“Drink 6 glasses of fluid each day.”
- B.
“Avoid grain products and nuts.”
- C.
“Add at least 4 grams of bran to your cereal each morning.”
- D.
“Be sure to get regular exercise.”
Correct Answer
D. “Be sure to get regular exercise.”Explanation
Exercise helps prevent constipation. Fluids and dietary fiber promote normal bowel function. The client should drink eight to ten glasses of fluid each day. Although adding bran to cereal helps prevent constipation by increasing dietary fiber. the client should start with a small amount and gradually increase the amount as tolerated to a maximum of 2 grams a day.Rate this question:
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Mar 22, 2023Quiz Edited by
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Oct 01, 2017Quiz Created by
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