Gastrointestinal Actual Questions and Correct Answers
Q1
Assessment of GI tract abdominal pain dyspepsia- indigestion intestinal gas- bloating,
distention, intolerance nausea/vomitting changes in bowel habits and characteritics -
constipation, diarrhea oral care and dental visits senstive to any foods dentures alcohol and
tobacco use
Answer: intestinal gas- bloating, distention, intolerance nausea/vomitting
Q2
physical assessment
Answer: lips, gums tongue assess the abdomen four quadrants auscultate percuss
palpated normal: 5-30 sounds per min rectal inspection abnormal: distension. bulging,
peristaltic waves
Q3
Diagnostic tests of the GI system
Answer: serum lab studies- CBC, CMP, CEA, CA stool tests breath tests abdominal
ultrasound genetic testing CT, MRI, PET radionuclide imaging colonoscopy upper GI
series lower GI series
Q4
breath tests
Answer: detects presence of h. pylori in the mucosal lining and cause peptic ulcer
proton pump inhibitors- held for 2 weeks before test famotidine- 24 hours before test
Q5
MRI
Answer: nursing interventions: NPO. 8 hours prior 60-90 mins
Q6
motility study
Answer: assess gastric emptying radionuclide testing with radioactive scrambled eggs
good for diagnosing dumping syndrome
, Q7
endosopic procedures
Answer: nursing interventions: NPO 8 hours local anesthetic gargle or spray atropine
may be given to reduce secretions and glucagon to. relax smooth muscle left lateral
position assessment: LOC vitals. o2 pain monitor for signs or perforation temp loss of
gag. reflex after reflex is back, lozenges, salon gargle, oral analgesics, may be offered
to. relive minor throat discomfort
Q8
Signs of perforation for endoscope
Answer: rising temp pain rectal bleeding difficulty swallowing
Q9
Colonoscopy Nursing Interventions
Answer: Patient should be on a clear liquid diet 1-3 days prior to exam NPO 8 hours
prior to procedure Administer bowel cleansers as ordered Assess after procedure for
signs of bowel perforation cannot be preformed. if there is suspected perforation,
diverticulitis, acute colitis
Q10
procedures
Answer: difficult to arose tachycardia hypo/hyper hypoxemia poor resp effort
hemorrhage bleeding tachys clamy diizzy hypotensive aspiration adventious breath
sounds dyspnea fever tachypnea perforation chest or abdominal pain fever
nausea/vomiting pain distention
Q11
Gastritis
Answer: inflammation of the lining of the stomach acute: meds (NSAIDS) alcohol bile
reflux radiation therapy ingestion of strong acids chronic: erosive bening or malignant
ulcers h. pylori autoimmune diseases meds (NSAIDS) alcohol smoking scarring can
result in pyloric stenosis malabsorption. of B12 vitamin may need injections
Q12
pharmacological management
Answer: antibiotics famotidine (h2) pantoprazole (PPI) sucralafatte (mucosal
protectant)
Q1
Assessment of GI tract abdominal pain dyspepsia- indigestion intestinal gas- bloating,
distention, intolerance nausea/vomitting changes in bowel habits and characteritics -
constipation, diarrhea oral care and dental visits senstive to any foods dentures alcohol and
tobacco use
Answer: intestinal gas- bloating, distention, intolerance nausea/vomitting
Q2
physical assessment
Answer: lips, gums tongue assess the abdomen four quadrants auscultate percuss
palpated normal: 5-30 sounds per min rectal inspection abnormal: distension. bulging,
peristaltic waves
Q3
Diagnostic tests of the GI system
Answer: serum lab studies- CBC, CMP, CEA, CA stool tests breath tests abdominal
ultrasound genetic testing CT, MRI, PET radionuclide imaging colonoscopy upper GI
series lower GI series
Q4
breath tests
Answer: detects presence of h. pylori in the mucosal lining and cause peptic ulcer
proton pump inhibitors- held for 2 weeks before test famotidine- 24 hours before test
Q5
MRI
Answer: nursing interventions: NPO. 8 hours prior 60-90 mins
Q6
motility study
Answer: assess gastric emptying radionuclide testing with radioactive scrambled eggs
good for diagnosing dumping syndrome
, Q7
endosopic procedures
Answer: nursing interventions: NPO 8 hours local anesthetic gargle or spray atropine
may be given to reduce secretions and glucagon to. relax smooth muscle left lateral
position assessment: LOC vitals. o2 pain monitor for signs or perforation temp loss of
gag. reflex after reflex is back, lozenges, salon gargle, oral analgesics, may be offered
to. relive minor throat discomfort
Q8
Signs of perforation for endoscope
Answer: rising temp pain rectal bleeding difficulty swallowing
Q9
Colonoscopy Nursing Interventions
Answer: Patient should be on a clear liquid diet 1-3 days prior to exam NPO 8 hours
prior to procedure Administer bowel cleansers as ordered Assess after procedure for
signs of bowel perforation cannot be preformed. if there is suspected perforation,
diverticulitis, acute colitis
Q10
procedures
Answer: difficult to arose tachycardia hypo/hyper hypoxemia poor resp effort
hemorrhage bleeding tachys clamy diizzy hypotensive aspiration adventious breath
sounds dyspnea fever tachypnea perforation chest or abdominal pain fever
nausea/vomiting pain distention
Q11
Gastritis
Answer: inflammation of the lining of the stomach acute: meds (NSAIDS) alcohol bile
reflux radiation therapy ingestion of strong acids chronic: erosive bening or malignant
ulcers h. pylori autoimmune diseases meds (NSAIDS) alcohol smoking scarring can
result in pyloric stenosis malabsorption. of B12 vitamin may need injections
Q12
pharmacological management
Answer: antibiotics famotidine (h2) pantoprazole (PPI) sucralafatte (mucosal
protectant)
