Galen NUR 170 Concepts of Medical-Surgical Nursing: Practice
Test 2 (Units 8-13) - Questions with Correct Answers
100 questions
1. Signs of upper GI bleeding include:
A. Hematemesis, coffee-ground emesis and black tarry stools
B. Bright red stool always
C. Clay-colored stool
D. Green stool
Correct Answer: A. Hematemesis, coffee-ground emesis and black tarry stools
Rationale: Upper GI.
2. Pancreatic enzymes should be taken:
A. At bedtime only
B. With meals and snacks
C. Without food
D. Once a week
Correct Answer: B. With meals and snacks
Rationale: Digestion.
3. Cholecystitis pain is often:
A. Right upper quadrant pain after fatty meals, radiating to the right shoulder
B. Left lower quadrant
C. Relieved by fatty foods
D. Only at night
Correct Answer: A. Right upper quadrant pain after fatty meals, radiating to the right shoulder
Rationale: Gallbladder.
4. The pouch opening for an ostomy should be cut:
A. About 1/8 inch (3 mm) larger than the stoma
B. Exactly the stoma size
C. 1 inch larger
D. Smaller than the stoma
Correct Answer: A. About 1/8 inch (3 mm) larger than the stoma
Rationale: Prevent skin damage.
5. Ulcerative colitis typically involves:
A. Skip lesions throughout GI
B. The esophagus
C. Small intestine only
D. Continuous inflammation of the colon and rectum with bloody diarrhea
Correct Answer: D. Continuous inflammation of the colon and rectum with bloody diarrhea
Rationale: Colon.
6. Celiac disease requires avoiding:
A. Rice
B. Corn
C. Potatoes
D. Gluten (wheat, barley, rye)
Correct Answer: D. Gluten (wheat, barley, rye)
Rationale: Diet.
,7. Lactulose is given to clients with hepatic encephalopathy to:
A. Increase ammonia
B. Treat ascites
C. Raise blood glucose
D. Reduce ammonia levels by promoting its excretion in stool
Correct Answer: D. Reduce ammonia levels by promoting its excretion in stool
Rationale: Ammonia.
8. Enteral tube feeding: before administering, the nurse should check:
A. Hair
B. Pupils
C. Reflexes
D. Tube placement and residual volume per policy
Correct Answer: D. Tube placement and residual volume per policy
Rationale: Safety.
9. Murphy's sign is associated with:
A. Cholecystitis
B. Appendicitis
C. Pancreatitis
D. Diverticulitis
Correct Answer: A. Cholecystitis
Rationale: Inspiratory arrest.
10. Small bowel obstruction may present with:
A. Diarrhea only
B. Abdominal distention, vomiting and high-pitched bowel sounds early
C. Increased appetite
D. Hypertension
Correct Answer: B. Abdominal distention, vomiting and high-pitched bowel sounds early
Rationale: Obstruction.
11. Appendicitis pain typically localizes to:
A. The left upper quadrant
B. The right lower quadrant (McBurney's point)
C. The epigastrium only
D. The back
Correct Answer: B. The right lower quadrant (McBurney's point)
Rationale: Location.
12. NSAIDs increase the risk of:
A. Constipation only
B. Hypoglycemia
C. Peptic ulcers and GI bleeding
D. Gallstones
Correct Answer: C. Peptic ulcers and GI bleeding
Rationale: Mucosal injury.
, 13. Hepatitis C is primarily transmitted by:
A. Fecal-oral route
B. Coughing
C. Blood, such as shared needles
D. Food
Correct Answer: C. Blood, such as shared needles
Rationale: Bloodborne.
14. Hemorrhoids are aggravated by:
A. High fiber
B. Fluids
C. Activity
D. Straining and constipation
Correct Answer: D. Straining and constipation
Rationale: Prevention.
15. A client with hepatic encephalopathy may need protein intake:
A. Unlimited high protein always
B. Eliminated totally
C. Adjusted per provider, not severely restricted in most cases
D. Doubled
Correct Answer: C. Adjusted per provider, not severely restricted in most cases
Rationale: Current guidance.
16. Crohn's disease differs from ulcerative colitis because Crohn's:
A. Can affect any part of the GI tract with skip lesions and full-thickness inflammation
B. Is limited to the colon and rectum
C. Never causes fistulas
D. Is continuous mucosal only
Correct Answer: A. Can affect any part of the GI tract with skip lesions and full-thickness
inflammation
Rationale: Distribution.
17. To prevent diverticulosis complications, clients should eat:
A. A high-fiber diet with adequate fluids
B. Low-fiber diet always
C. Only meat
D. No fluids
Correct Answer: A. A high-fiber diet with adequate fluids
Rationale: Prevention.
18. Postrenal acute kidney injury results from:
A. Dehydration
B. Sepsis
C. Contrast dye
D. Urinary tract obstruction such as BPH or stones
Correct Answer: D. Urinary tract obstruction such as BPH or stones
Rationale: Obstruction.
Test 2 (Units 8-13) - Questions with Correct Answers
100 questions
1. Signs of upper GI bleeding include:
A. Hematemesis, coffee-ground emesis and black tarry stools
B. Bright red stool always
C. Clay-colored stool
D. Green stool
Correct Answer: A. Hematemesis, coffee-ground emesis and black tarry stools
Rationale: Upper GI.
2. Pancreatic enzymes should be taken:
A. At bedtime only
B. With meals and snacks
C. Without food
D. Once a week
Correct Answer: B. With meals and snacks
Rationale: Digestion.
3. Cholecystitis pain is often:
A. Right upper quadrant pain after fatty meals, radiating to the right shoulder
B. Left lower quadrant
C. Relieved by fatty foods
D. Only at night
Correct Answer: A. Right upper quadrant pain after fatty meals, radiating to the right shoulder
Rationale: Gallbladder.
4. The pouch opening for an ostomy should be cut:
A. About 1/8 inch (3 mm) larger than the stoma
B. Exactly the stoma size
C. 1 inch larger
D. Smaller than the stoma
Correct Answer: A. About 1/8 inch (3 mm) larger than the stoma
Rationale: Prevent skin damage.
5. Ulcerative colitis typically involves:
A. Skip lesions throughout GI
B. The esophagus
C. Small intestine only
D. Continuous inflammation of the colon and rectum with bloody diarrhea
Correct Answer: D. Continuous inflammation of the colon and rectum with bloody diarrhea
Rationale: Colon.
6. Celiac disease requires avoiding:
A. Rice
B. Corn
C. Potatoes
D. Gluten (wheat, barley, rye)
Correct Answer: D. Gluten (wheat, barley, rye)
Rationale: Diet.
,7. Lactulose is given to clients with hepatic encephalopathy to:
A. Increase ammonia
B. Treat ascites
C. Raise blood glucose
D. Reduce ammonia levels by promoting its excretion in stool
Correct Answer: D. Reduce ammonia levels by promoting its excretion in stool
Rationale: Ammonia.
8. Enteral tube feeding: before administering, the nurse should check:
A. Hair
B. Pupils
C. Reflexes
D. Tube placement and residual volume per policy
Correct Answer: D. Tube placement and residual volume per policy
Rationale: Safety.
9. Murphy's sign is associated with:
A. Cholecystitis
B. Appendicitis
C. Pancreatitis
D. Diverticulitis
Correct Answer: A. Cholecystitis
Rationale: Inspiratory arrest.
10. Small bowel obstruction may present with:
A. Diarrhea only
B. Abdominal distention, vomiting and high-pitched bowel sounds early
C. Increased appetite
D. Hypertension
Correct Answer: B. Abdominal distention, vomiting and high-pitched bowel sounds early
Rationale: Obstruction.
11. Appendicitis pain typically localizes to:
A. The left upper quadrant
B. The right lower quadrant (McBurney's point)
C. The epigastrium only
D. The back
Correct Answer: B. The right lower quadrant (McBurney's point)
Rationale: Location.
12. NSAIDs increase the risk of:
A. Constipation only
B. Hypoglycemia
C. Peptic ulcers and GI bleeding
D. Gallstones
Correct Answer: C. Peptic ulcers and GI bleeding
Rationale: Mucosal injury.
, 13. Hepatitis C is primarily transmitted by:
A. Fecal-oral route
B. Coughing
C. Blood, such as shared needles
D. Food
Correct Answer: C. Blood, such as shared needles
Rationale: Bloodborne.
14. Hemorrhoids are aggravated by:
A. High fiber
B. Fluids
C. Activity
D. Straining and constipation
Correct Answer: D. Straining and constipation
Rationale: Prevention.
15. A client with hepatic encephalopathy may need protein intake:
A. Unlimited high protein always
B. Eliminated totally
C. Adjusted per provider, not severely restricted in most cases
D. Doubled
Correct Answer: C. Adjusted per provider, not severely restricted in most cases
Rationale: Current guidance.
16. Crohn's disease differs from ulcerative colitis because Crohn's:
A. Can affect any part of the GI tract with skip lesions and full-thickness inflammation
B. Is limited to the colon and rectum
C. Never causes fistulas
D. Is continuous mucosal only
Correct Answer: A. Can affect any part of the GI tract with skip lesions and full-thickness
inflammation
Rationale: Distribution.
17. To prevent diverticulosis complications, clients should eat:
A. A high-fiber diet with adequate fluids
B. Low-fiber diet always
C. Only meat
D. No fluids
Correct Answer: A. A high-fiber diet with adequate fluids
Rationale: Prevention.
18. Postrenal acute kidney injury results from:
A. Dehydration
B. Sepsis
C. Contrast dye
D. Urinary tract obstruction such as BPH or stones
Correct Answer: D. Urinary tract obstruction such as BPH or stones
Rationale: Obstruction.
