NCLEX Questions: Digestive And Gastrointestinal System Disorders
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- 1.
The correct sequence for abdominal assessment is:
- A.
Inspection. percussion. palpation. auscultation.
- B.
Inspection. auscultation. palpation. percussion.
- C.
Inspection. palpation. auscultation. percussion.
- D.
Inspection. percussion. auscultation. palpation.
Correct Answer
B. Inspection. auscultation. palpation. percussion.Explanation
Auscultation is done before palpation to avoid stimulating peristaltic movements and distorting auscultatory sounds.Rate this question:
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- 2.
Peritonitis can occur as a complication of:
- A.
Septicemia
- B.
Multiple organ failure
- C.
Hypovolemic shock
- D.
Peptic ulcer disease
Correct Answer
D. Peptic ulcer diseaseExplanation
Perforation is a life-threatening complication of peptic ulcer disease and can result in peritonitis.Rate this question:
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- 3.
A patient has become very depressed postoperatively after receiving colostomy for GI cancer. He does not participate in his colostomy care or look at the stoma. An appropriate nursing diagnosis for this situation is:
- A.
Ineffective Individual Coping
- B.
Knowledge Deficit
- C.
Impaired Adjustment
- D.
Anxiety
Correct Answer
A. Ineffective Individual CopingExplanation
The patient is dealing with a disturbance in self-concept and difficulty coping with the newly established stoma.Rate this question:
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- 4.
Patients with esophageal varices would reveal the following assessment:
- A.
Increased blood pressure.
- B.
Increased heart rate.
- C.
Decreased respiratory rate.
- D.
Increased urinary output.
Correct Answer
B. Increased heart rate.Explanation
Tachycardia is an early sign of compensation for patients with esophageal varices.Rate this question:
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- 5.
The nurse would anticipate using which medication if sclerotherapy has not been used?
- A.
Neomycin
- B.
Propranolol
- C.
Vasopressin
- D.
Cimetidine
Correct Answer
C. VasopressinExplanation
Vasopressin is the drug of choice when sclerotherapy is contraindicated. Neomycin is used in preventing encephalopathy when blood is broken down. Propranolol may or may not be used to decrease cardiac output and hepatic venous pressure.Rate this question:
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- 6.
The nurse must be alert for complications with Sengstaken-Blakemore intubation including:
- A.
Pulmonary obstruction.
- B.
Pericardiectomy syndrome
- C.
Pulmonary embolization
- D.
Cor pulmonale
Correct Answer
A. Pulmonary obstruction.Explanation
Rupture or deflation of the balloon could result in upper airway obstruction. The other choices are not related to the tube.Rate this question:
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- 7.
Peptic ulcer disease may be caused by which of the following?
- A.
Helicobacter pylori
- B.
Clostridium difficile
- C.
Candida albicans
- D.
Staphylococcus aureus
Correct Answer
A. Helicobacter pyloriExplanation
Helicobacter pylori is considered to be the major cause of ulcer formation. Other choices are not related to ulcer formation.Rate this question:
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- 8.
Pain control with peptic ulcer disease includes all of the following except:
- A.
Promoting physical and emotional rest.
- B.
Identifying stressful situations.
- C.
Eating meals when desired.
- D.
Administering medications that decrease gastric acidity.
Correct Answer
C. Eating meals when desired.Explanation
Meals should be regularly spaced in a relaxed environment. Choices A. B. and D are proper interventions in providing pain control.Rate this question:
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- 9.
Nitrosocarcinogen production can be inhibited with intake of:
- A.
Vitamin C.
- B.
Vitamin E.
- C.
Carbohydrates.
- D.
Fiber.
Correct Answer
A. Vitamin C.Explanation
Vitamin C and refrigeration of foods inhibit nitroso carcinogen.Rate this question:
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- 10.
The nurse can expect a 60-year old patient with ischemic bowel to report a history of:
- A.
Diabetes mellitus
- B.
Asthma
- C.
Addison’s Disease
- D.
Cancer of the bowel
Correct Answer
A. Diabetes mellitusExplanation
Ischemic bowel occurs in patient over 50 with a history of diabetes mellitus.Rate this question:
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Mar 21, 2023Quiz Edited by
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Oct 03, 2017Quiz Created by
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