Nursing 225 Final Exam - Clicker
Questions and Correct Answers
A diagnosis of Barrett's esophagus is made following endoscopic examination of a
patient experiencing symptoms of gastroesophageal reflux disease (GERD). The nurse
understands that this diagnosis is indicative of:
A. pre-malignant tissue in the esophagus
B. Presence of esophageal stictures
C. Fine tears in the distal esophagus
D. Ulcerated and inflamed esophageal tissue ✅A. Pre-malignant tissue in the
esophagus
cell mutations that have high risk to become cancerous
A patient is being evaluated for possible peptic ulcer disease (PUD). Which of the
following factors is most likely to contribute to the development of PUD?
A. Eating spicy foods
B. Consuming a high fat diet
C. A family history of PUD
D. H Pylori infection ✅D. H Pylori infection
A patient with a diagnosis of peptic ulcer disease reports vomiting coffee grounds
material. What should the nurse do first?
A. Notify the physician
B. Test the next stool for occult blood
C. Take vital signs
D. Inset an NG tube ✅C. Take vital signs
- indicate blood that is sitting in the stomach
- concerned they have a GI bleed --> hypovolemic shock and anemia
- depending on how stable they are will determine next steps
A 70 year old female presents to the emergency department for evaluation of melena.
Which of the following does the nurse identify as a significant risk factor for upper GI
bleed?
A. A high fat diet
B. Use of Ibuprofen for osteoarthritis
C. Chronic Constipation
D. Eating spicy foods
, E. All of the above ✅B. Use of Ibuprofen for osteoporosis
Which of these clinical manifestations is more common in UC than Crohn's disease?
A. Bloody diarrhea
B. B-12 deficiency
C. Fistulas
D. Strictures ✅A. Bloody diarrhea
A patient is diagnosed with Celiac Disease. Which of the following foods should the
patient avoid?
A. Cornbread
B. Rice Cakes
C. Pasta
D. Dairy Products ✅C. Pasta
Which of the following is though to be the most common cause of appendicitis?
A. Fecalith
B. Intussusception
C. Volvulus
D. Viral Infection ✅A. Fecalith
Intussusception = telescoping of the bowel; happens in children
Volvulus = twisting of the bowel
Viral Infection = appendicitis is bacterial; not viral
Which of the following definitions best describes diverticulitis?
A. An inflamed out pouching of the intestine
B. A non-inflamed out pouching of the intestine
C. The partial impairment of the forward flow of intestinal contents
D. An abnormal protrusion of an organ through the structure that usually holds it ✅A.
An inflamed out pouching of the intestine
B = diverticulosis
C = partial bowel obstruction
D = hernia
The manifestations of a bowel obstruction are primarily related to which of the
following?
A. Decreased absorption of nutrients
Questions and Correct Answers
A diagnosis of Barrett's esophagus is made following endoscopic examination of a
patient experiencing symptoms of gastroesophageal reflux disease (GERD). The nurse
understands that this diagnosis is indicative of:
A. pre-malignant tissue in the esophagus
B. Presence of esophageal stictures
C. Fine tears in the distal esophagus
D. Ulcerated and inflamed esophageal tissue ✅A. Pre-malignant tissue in the
esophagus
cell mutations that have high risk to become cancerous
A patient is being evaluated for possible peptic ulcer disease (PUD). Which of the
following factors is most likely to contribute to the development of PUD?
A. Eating spicy foods
B. Consuming a high fat diet
C. A family history of PUD
D. H Pylori infection ✅D. H Pylori infection
A patient with a diagnosis of peptic ulcer disease reports vomiting coffee grounds
material. What should the nurse do first?
A. Notify the physician
B. Test the next stool for occult blood
C. Take vital signs
D. Inset an NG tube ✅C. Take vital signs
- indicate blood that is sitting in the stomach
- concerned they have a GI bleed --> hypovolemic shock and anemia
- depending on how stable they are will determine next steps
A 70 year old female presents to the emergency department for evaluation of melena.
Which of the following does the nurse identify as a significant risk factor for upper GI
bleed?
A. A high fat diet
B. Use of Ibuprofen for osteoarthritis
C. Chronic Constipation
D. Eating spicy foods
, E. All of the above ✅B. Use of Ibuprofen for osteoporosis
Which of these clinical manifestations is more common in UC than Crohn's disease?
A. Bloody diarrhea
B. B-12 deficiency
C. Fistulas
D. Strictures ✅A. Bloody diarrhea
A patient is diagnosed with Celiac Disease. Which of the following foods should the
patient avoid?
A. Cornbread
B. Rice Cakes
C. Pasta
D. Dairy Products ✅C. Pasta
Which of the following is though to be the most common cause of appendicitis?
A. Fecalith
B. Intussusception
C. Volvulus
D. Viral Infection ✅A. Fecalith
Intussusception = telescoping of the bowel; happens in children
Volvulus = twisting of the bowel
Viral Infection = appendicitis is bacterial; not viral
Which of the following definitions best describes diverticulitis?
A. An inflamed out pouching of the intestine
B. A non-inflamed out pouching of the intestine
C. The partial impairment of the forward flow of intestinal contents
D. An abnormal protrusion of an organ through the structure that usually holds it ✅A.
An inflamed out pouching of the intestine
B = diverticulosis
C = partial bowel obstruction
D = hernia
The manifestations of a bowel obstruction are primarily related to which of the
following?
A. Decreased absorption of nutrients
