Surgical Nursing Exam Prep & Study Guide
1.xThexstudentxnursexstudyingxthexgastrointestinalxsystemxunderstandsxthatxchymexrefersxtoxwhat?
a.xHormonesxthatxreducexgastricxacidity
b.xLiquefiedxfoodxreadyxforxdigestion
c.xNutrientsxafterxbeingxabsorbed
d.xSecretionsxthatxhelpxdigestxfoodx-xcorrectxanswerx ✅b
Axclientxscheduledxforxaxpercutaneousxtranshepaticxcholangiographyx(PTC)xdeniesxallergiesxtoxmedicatio
n.
Whatxactionxbyxthexnursexisxbest?
a.xAskxthexclientxaboutxshellfishxallergies.
b.xDocumentxthisxinformationxonxthexchart.
c.xEnsurexthatxthexclientxhasxaxridexhome.
d.xInstructxthexclientxonxbowelxpreparationx-xcorrectxanswerx ✅a
Axclientxisxhavingxanxesophagogastroduodenoscopyx(EGD)xandxhasxbeenxgivenxmidazolamxhydrochloride
(Versed).xThexclientsxrespiratoryxratexisx8xbreaths/min.xWhatxactionxbyxthexnursexisxbest?
a.xAdministerxnaloxonex(Narcan).
b.xCallxthexRapidxResponsexTeam.
c.xProvidexphysicalxstimulation.
d.xVentilatexwithxaxbag-valve-mask.x-xcorrectxanswerx ✅c
Axclientxisxscheduledxforxaxcolonoscopyxandxthexnursexhasxprovidedxinstructionsxonxthexbowelxcleansing
regimen.xWhatxstatementxbyxthexclientxindicatesxaxneedxforxfurtherxteaching?
a.xItsxaxgoodxthingxIxlovexorangexandxcherryxgelatin.
TestxBankx-xMedical-SurgicalxNursing:xConceptsxforxInterprofessionalxCollaborativexCarex9ex435
b.xMyxspousexwillxbexherextoxdrivexmexhome.
c.xIxshouldxrefrigeratexthexGoLYTELYxbeforexuse.
,d.xIxwillxbuyxaxcasexofxGatoradexbeforexthexprepx-xcorrectxanswerx ✅a
Axclientxhadxaxcolonoscopyxandxbiopsyxyesterdayxandxcallsxthexgastrointestinalxclinicxtoxreportxaxspotxof
brightxredxbloodxonxthextoiletxpaperxtoday.xWhatxresponsexbyxthexnursexisxbest?
a.xAskxthexclientxtoxcallxbackxifxthisxhappensxagainxtoday.
b.xInstructxthexclientxtoxgoxtoxthexemergencyxdepartment.
c.xRemindxthexclientxthatxaxsmallxamountxofxbleedingxisxpossible.
d.xTellxthexclientxtoxcomexinxtoxthexclinicxthisxafternoon.x-xcorrectxanswerx ✅c
Anxolderxclientxhasxhadxanxinstancexofxdrugxtoxicityxandxasksxwhyxthisxhappens,xsincexthexclientxhasxbee
nxon
thisxmedicationxforxyearsxatxthexsamexdose.xWhatxresponsexbyxthexnursexisxbest?
a.xChangesxinxyourxliverxcausexdrugsxtoxbexmetabolizedxdifferently.
b.xPerhapsxyouxdontxneedxasxhighxaxdosexofxthexdrugxasxbefore.
c.xStomachxmusclesxatrophyxwithxagexandxyouxdigestxmorexslowly.
d.xYourxbodyxprobablyxcantxtoleratexasxmuchxmedicationxanymorex-xcorrectxanswerx ✅a
Toxpromotexcomfortxafterxaxcolonoscopy,xinxwhatxpositionxdoesxthexnursexplacexthexclient?
a.xLeftxlateral
b.xProne
c.xRightxlateral
d.xSupinex-xcorrectxanswerx ✅a
Axnursexisxexaminingxaxclientxreportingxrightxupperxquadrantx(RUQ)xabdominalxpain.xWhatxtechniquexsh
ould
thexnursexusextoxassessxthisxclientsxabdomen?
a.xAuscultatexafterxpalpating.
b.xAvoidxanyxpalpation.
c.xPalpatexthexRUQxfirst.
,d.xPalpatexthexRUQxlast.x-xcorrectxanswerx ✅d
Axclientxpresentsxtoxthexemergencyxdepartmentxreportingxseverexabdominalxpain.xOnxassessment,xthex
nurse
findsxaxbulging,xpulsatingxmassxinxthexabdomen.xWhatxactionxbyxthexnursexisxthexpriority?
a.xAuscultatexforxbowelxsounds.
b.xNotifyxthexproviderximmediately.
c.xOrderxanxabdominalxflat-platexx-ray.
d.xPalpatexthexmassxandxmeasurexitsxsizex-xcorrectxanswerx ✅b
Axclientxpresentsxtoxthexfamilyxpracticexclinicxreportingxaxweekxofxwatery,xsomewhatxbloodyxdiarrhea.xT
he
nursexassistsxthexclientxtoxobtainxaxstoolxsample.xWhatxactionxbyxthexnursexisxmostximportant?
a.xAskxthexclientxaboutxrecentxexposurextoxillness.
b.xAssessxthexclientsxstoolxforxobviousxfoodxparticles.
c.xIncludexthexdatexandxtimexonxthexspecimenxcontainer.
d.xPutxonxglovesxpriorxtoxcollectingxthexsample.x-xcorrectxanswerx ✅d
Axclientxwhoxhasxbeenxtakingxantibioticsxreportsxsevere,xwateryxdiarrhea.xAboutxwhichxtestxdoesxthexnu
rse
teachxthexclient?
a.xColonoscopy
b.xEnzyme-linkedximmunosorbentxassayx(ELISA)xtoxinxA+B
c.xOvaxandxparasites
d.xStoolxculturex-xcorrectxanswerx ✅b
Thexnursexknowsxthatxaxclientxwithxprolongedxprothrombinxtimex(PT)xvaluesx(notxrelatedxtoxmedication)
probablyxhasxdysfunctionxinxwhichxorgan?
a.xKidneys
b.xLiver
, c.xSpleen
d.xStomachx-xcorrectxanswerx ✅b
Axclientxisxrecoveringxfromxanxesophagogastroduodenoscopyx(EGD)xandxrequestsxsomethingxtoxdrink.x
What
actionxbyxthexnursexisxbest?
a.xAllowxthexclientxcoolxliquidsxonly.
b.xAssessxthexclientsxgagxreflex.
c.xRemindxthexclientxtoxremainxNPO.
d.xTellxthexclientxtoxwaitx4xhours.x-xcorrectxanswerx ✅b
Thexnursexisxawarexofxthex2014xAmericanxCancerxSocietyxScreeningxGuidelinesxforxcolonxcancer,xwhich
includexwhichxtestingxmodalitiesxforxpeoplexoverxthexagexofx50?x(Selectxallxthatxapply.)
a.xColonoscopyxeveryx10xyears
b.xColonoscopyxeveryx5xyears
c.xComputedxtomographyx(CT)xcolonographyxeveryx5xyears
d.xDouble-contrastxbariumxenemaxeveryx10xyears
e.xFlexiblexsigmoidoscopyxeveryx10xyex-xcorrectxanswerx ✅a,c
Axclientxhadxanxendoscopicxretrogradexcholangiopancreatographyx(ERCP).xThexnursexinstructsxthexclient
xand
familyxaboutxthexsignsxofxpotentialxcomplications,xwhichxincludexwhatxproblems?x(Selectxallxthatxapply.)
a.xCholangitis
b.xPancreatitis
c.xPerforation
d.xRenalxlithiasis
e.xSepsisx-xcorrectxanswerx ✅a,b,c,e
Thexnursexworkingxwithxolderxclientsxunderstandsxage-
relatedxchangesxinxthexgastrointestinalxsystem.xWhich