NUR 120 Exam 3 Questions With
Correct Answers
1. A patient is admitted to the hospital with diarrhea and dehydration.
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The nurse recognizes that increased peristalsis resulting in diarrhea can
| | | | | | | | | |
be related to
| |
a. sympathetic inhibition.
| |
b. mixing and propulsion.
| | |
c. sympathetic stimulation.
| |
d. parasympathetic stimulation.
| |
parasympathetic stimulation. |
2. A patient has a high blood level of indirect (unconjugated) bilirubin.
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One cause of this finding is that
| | | | | |
a. the gallbladder is unable to contract to release stored bile.
| | | | | | | | | |
b. bilirubin is not being conjugated and excreted into the bile by the
| | | | | | | | | | | | |
liver.
c. the Kupffer cells in the liver are unable to remove bilirubin from the
| | | | | | | | | | | | | |
blood.
,d. there is an obstruction in the biliary tract preventing flow of bile into
| | | | | | | | | | | | | |
the small intestine.
| |
bilirubin is not being conjugated and excreted into the bile by the liver.
| | | | | | | | | | | |
3. As gastric contents move into the small intestine, the bowel is
| | | | | | | | | | | |
normally protected from the acidity of gastric contents by the
| | | | | | | | |
a. inhibition of secretin release.
| | | |
b. secretion of mucus by goblet cells.
| | | | | |
c. release of pancreatic digestive enzymes.
| | | | |
d. release of gastrin by the duodenal mucosa.
| | | | | | |
secretion of mucus by goblet cells.
| | | | |
4. A patient has jaundice with pale colored stools. This is most likely
| | | | | | | | | | | | |
related to |
a. decreased bile flow into the intestine.
| | | | | |
b. increased production of urobilinogen.
| | | |
c. increased bile and bilirubin in the blood.
| | | | | | |
d. increased production of cholecystokinin.
| | | |
decreased bile flow into the intestine. | | | | |
,5. An 80-year-old man states that, although he adds a lot of salt to his
| | | | | | | | | | | | | | |
food, it still does not have much taste. The nurse's response is based on
| | | | | | | | | | | | | |
the knowledge that the older adult
| | | | |
a. should not have any changes in taste.
| | | | | | |
b. has a loss of taste buds, especially for sweet and salt.
| | | | | | | | | | |
c. has some loss of taste but no problems chewing food.
| | | | | | | | | |
d. loses some sense of taste related to the increased ability to smell.
| | | | | | | | | | | |
has a loss of taste buds, especially for sweet and salt.
| | | | | | | | | |
6. When the nurse is assessing the health perception-health
| | | | | | | | |
maintenance pattern as related to gastrointestinal function, an
| | | | | | | |
appropriate question to ask is | | | |
a. "What is your usual bowel elimination pattern?"
| | | | | | |
b. "What percentage of your income is spent on food?"
| | | | | | | | |
c. "Have you traveled to a foreign country in the last year?"
| | | | | | | | | | |
d. "Do you have diarrhea when you are under a lot of stress?"
| | | | | | | | | | | |
"Have you traveled to a foreign country in the last year?"
| | | | | | | | | |
7. When assessing the abdomen, the nurse should
| | | | | | |
, a. position the patient in the supine position with the bed flat and knees
| | | | | | | | | | | | |
straight.
|
b. listen for bowel sounds in the epigastrium and all 4 quadrants for 2
| | | | | | | | | | | | | |
minutes.
c. describe bowel sounds as absent if no sound is heard in a quadrant
| | | | | | | | | | | | | |
after 2 minutes.
| |
d. use the following order of techniques: inspection, palpation,
| | | | | | | | |
percussion, auscultation. |
listen for bowel sounds in the epigastrium and all 4 quadrants for 2
| | | | | | | | | | | | |
minutes.
8. Normal physical assessment findings of the gastrointestinal system
| | | | | | | | |
are (select all that apply)
| | | |
a. nonpalpable spleen.
| |
b. borborygmi in upper right quadrant.
| | | | |
c. tympany on percussion of the abdomen.
| | | | | |
d. liver edge 2 to 4 cm below the costal margin.
| | | | | | | | | |
e. finding of a firm, nodular edge on the rectal examination.
| | | | | | | | | |
nonpalpable spleen. |
tympany on percussion of the abdomen.
| | | | |
Correct Answers
1. A patient is admitted to the hospital with diarrhea and dehydration.
| | | | | | | | | | | |
The nurse recognizes that increased peristalsis resulting in diarrhea can
| | | | | | | | | |
be related to
| |
a. sympathetic inhibition.
| |
b. mixing and propulsion.
| | |
c. sympathetic stimulation.
| |
d. parasympathetic stimulation.
| |
parasympathetic stimulation. |
2. A patient has a high blood level of indirect (unconjugated) bilirubin.
| | | | | | | | | | | |
One cause of this finding is that
| | | | | |
a. the gallbladder is unable to contract to release stored bile.
| | | | | | | | | |
b. bilirubin is not being conjugated and excreted into the bile by the
| | | | | | | | | | | | |
liver.
c. the Kupffer cells in the liver are unable to remove bilirubin from the
| | | | | | | | | | | | | |
blood.
,d. there is an obstruction in the biliary tract preventing flow of bile into
| | | | | | | | | | | | | |
the small intestine.
| |
bilirubin is not being conjugated and excreted into the bile by the liver.
| | | | | | | | | | | |
3. As gastric contents move into the small intestine, the bowel is
| | | | | | | | | | | |
normally protected from the acidity of gastric contents by the
| | | | | | | | |
a. inhibition of secretin release.
| | | |
b. secretion of mucus by goblet cells.
| | | | | |
c. release of pancreatic digestive enzymes.
| | | | |
d. release of gastrin by the duodenal mucosa.
| | | | | | |
secretion of mucus by goblet cells.
| | | | |
4. A patient has jaundice with pale colored stools. This is most likely
| | | | | | | | | | | | |
related to |
a. decreased bile flow into the intestine.
| | | | | |
b. increased production of urobilinogen.
| | | |
c. increased bile and bilirubin in the blood.
| | | | | | |
d. increased production of cholecystokinin.
| | | |
decreased bile flow into the intestine. | | | | |
,5. An 80-year-old man states that, although he adds a lot of salt to his
| | | | | | | | | | | | | | |
food, it still does not have much taste. The nurse's response is based on
| | | | | | | | | | | | | |
the knowledge that the older adult
| | | | |
a. should not have any changes in taste.
| | | | | | |
b. has a loss of taste buds, especially for sweet and salt.
| | | | | | | | | | |
c. has some loss of taste but no problems chewing food.
| | | | | | | | | |
d. loses some sense of taste related to the increased ability to smell.
| | | | | | | | | | | |
has a loss of taste buds, especially for sweet and salt.
| | | | | | | | | |
6. When the nurse is assessing the health perception-health
| | | | | | | | |
maintenance pattern as related to gastrointestinal function, an
| | | | | | | |
appropriate question to ask is | | | |
a. "What is your usual bowel elimination pattern?"
| | | | | | |
b. "What percentage of your income is spent on food?"
| | | | | | | | |
c. "Have you traveled to a foreign country in the last year?"
| | | | | | | | | | |
d. "Do you have diarrhea when you are under a lot of stress?"
| | | | | | | | | | | |
"Have you traveled to a foreign country in the last year?"
| | | | | | | | | |
7. When assessing the abdomen, the nurse should
| | | | | | |
, a. position the patient in the supine position with the bed flat and knees
| | | | | | | | | | | | |
straight.
|
b. listen for bowel sounds in the epigastrium and all 4 quadrants for 2
| | | | | | | | | | | | | |
minutes.
c. describe bowel sounds as absent if no sound is heard in a quadrant
| | | | | | | | | | | | | |
after 2 minutes.
| |
d. use the following order of techniques: inspection, palpation,
| | | | | | | | |
percussion, auscultation. |
listen for bowel sounds in the epigastrium and all 4 quadrants for 2
| | | | | | | | | | | | |
minutes.
8. Normal physical assessment findings of the gastrointestinal system
| | | | | | | | |
are (select all that apply)
| | | |
a. nonpalpable spleen.
| |
b. borborygmi in upper right quadrant.
| | | | |
c. tympany on percussion of the abdomen.
| | | | | |
d. liver edge 2 to 4 cm below the costal margin.
| | | | | | | | | |
e. finding of a firm, nodular edge on the rectal examination.
| | | | | | | | | |
nonpalpable spleen. |
tympany on percussion of the abdomen.
| | | | |
