Med-Surg: GI System exam with Answers
A client with jaundice associated with hepatitis expresses concern over the change in skin color. Which
does the nurse explain is the cause of this color change?
1. Stimulation of the liver to produce an excess quantity of bile pigments
2. Inability of the liver to remove normal amounts of bilirubin from the blood
3. Increased destruction of red blood cells during the acute phase of the disease
4. Decreased prothrombin levels, leading to multiple sites of intradermal bleeding - 2. Inability of the
liver to remove normal amounts of bilirubin from the blood
On the third postoperative day after a subtotal gastrectomy, a client reports severe abdominal pain. The
nurse palpates the client's abdomen and determines rigidity. Which action would the nurse perform
first?
1. Assist the client to ambulate.
2. Obtain the client's vital signs.
3. Administer the prescribed analgesic.
4. Encourage use of the incentive spirometer. - 2. Obtain the client's vital signs.
When admitting an older client, the stool specimen confirmed a diagnosis of a methicillin-resistant
Staphylococcus aureus (MRSA) infection. The nurse inquires about potentially assigning Room 2010, Bed
B, the same isolation room as another client (2010, Bed A) who has MRSA. Which response would the
nurse receive?
1. "The other client's infection is not contagious."
2. "This is the usual practice when antibiotic therapy is started."
3. "Placing clients with the same infection in 1 room is safe."
4. "As soon as a private room becomes available, we will move the client." - 3. "Placing clients with the
same infection in 1 room is safe."
, A client who previously resided in a foreign country has a chronic vitamin A deficiency. Which
information about vitamin A would the nurse consider when assessing the client?
1. Vitamin A is an integral part of the retina's pigment called melanin.
2. It is a component of the rods and cones, which control color visualization.
3. Vitamin A is the material in the cornea that prevents the formation of cataracts.
4. It is a necessary element of rhodopsin, which controls responses to light and dark environments. - 4. It
is a necessary element of rhodopsin, which controls responses to light and dark environments.
The nurse is preparing to insert a nasogastric (NG) tube for a client to allow continuous suction. Which
tube would the nurse select?
1. Levin
2. Dobhoff
3. Salem sump
4. Gastrostomy - 3. Salem sump
A client had a colon resection and formation of a colostomy 2 days ago. Which color indicates to the
nurse that the stoma is viable?
1. Blue
2. Gray
3. Brick red
4. Dark purple - 3. Brick red
A client with hepatic cirrhosis begins to exhibit slurred speech, confusion, drowsiness, and a flapping
tremor. Based upon this assessment, which prescribed diet would the nurse anticipate?
1. No protein
A client with jaundice associated with hepatitis expresses concern over the change in skin color. Which
does the nurse explain is the cause of this color change?
1. Stimulation of the liver to produce an excess quantity of bile pigments
2. Inability of the liver to remove normal amounts of bilirubin from the blood
3. Increased destruction of red blood cells during the acute phase of the disease
4. Decreased prothrombin levels, leading to multiple sites of intradermal bleeding - 2. Inability of the
liver to remove normal amounts of bilirubin from the blood
On the third postoperative day after a subtotal gastrectomy, a client reports severe abdominal pain. The
nurse palpates the client's abdomen and determines rigidity. Which action would the nurse perform
first?
1. Assist the client to ambulate.
2. Obtain the client's vital signs.
3. Administer the prescribed analgesic.
4. Encourage use of the incentive spirometer. - 2. Obtain the client's vital signs.
When admitting an older client, the stool specimen confirmed a diagnosis of a methicillin-resistant
Staphylococcus aureus (MRSA) infection. The nurse inquires about potentially assigning Room 2010, Bed
B, the same isolation room as another client (2010, Bed A) who has MRSA. Which response would the
nurse receive?
1. "The other client's infection is not contagious."
2. "This is the usual practice when antibiotic therapy is started."
3. "Placing clients with the same infection in 1 room is safe."
4. "As soon as a private room becomes available, we will move the client." - 3. "Placing clients with the
same infection in 1 room is safe."
, A client who previously resided in a foreign country has a chronic vitamin A deficiency. Which
information about vitamin A would the nurse consider when assessing the client?
1. Vitamin A is an integral part of the retina's pigment called melanin.
2. It is a component of the rods and cones, which control color visualization.
3. Vitamin A is the material in the cornea that prevents the formation of cataracts.
4. It is a necessary element of rhodopsin, which controls responses to light and dark environments. - 4. It
is a necessary element of rhodopsin, which controls responses to light and dark environments.
The nurse is preparing to insert a nasogastric (NG) tube for a client to allow continuous suction. Which
tube would the nurse select?
1. Levin
2. Dobhoff
3. Salem sump
4. Gastrostomy - 3. Salem sump
A client had a colon resection and formation of a colostomy 2 days ago. Which color indicates to the
nurse that the stoma is viable?
1. Blue
2. Gray
3. Brick red
4. Dark purple - 3. Brick red
A client with hepatic cirrhosis begins to exhibit slurred speech, confusion, drowsiness, and a flapping
tremor. Based upon this assessment, which prescribed diet would the nurse anticipate?
1. No protein
