Pathophysiology Exam 3: ALL GI Practice EXAM 2025
QUESTIONS AND CORRECT ANSWER
A patient returns to the surgical unit with nasogastric tube to low intermittent suction, IV fluids,
and a Jackson-Pratt drain at the surgical site following an exploratory laparotomy and repair of
a bowel perforation. Four hours after admission, the patient experiences nausea and vomiting.
What is a priority nursing intervention for the patient? - answer>>>Check the amount and
character of gastric drainage and the patency of the NG tube
A postoperative patient has a nursing diagnosis of pain related to effects of medication and
decreased GI motility as evidenced by abdominal pain and distention and inability to pass
flatus. Which nursing intervention is most appropriate for this patient? - answer>>>Ambulate
the patient more frequently
A 22yo patient calls the outpatient clinic complaining of nausea and vomiting and right lower
abdominal pain. What should the nurse advise the patient to do? - answer>>>Have the
symptoms evaluated by a health care provider right away
When caring for a patient with irritable bowel syndrome, What is most important for the nurse
to do? - answer>>>Develop a trusting relationship with the patient to provide support and
symptomatic care
A patient with a gunshot wound to the abdomen complains of increasing abdominal pain
several hours after surgery to repair the bowel. What action should the nurse take first? -
answer>>>Take the patient's vital signs
The patient has persistent and continuous pain at McBurney's point. The nursing assessment
reveals rebound tenderness and muscle guarding with the patient preferring to lie still with the
right leg flexed. What should the nursing interventions for this patient include? -
answer>>>NPO status in preparation for possible appendectomy
The patient has peritonitis, which is a major complication of appendicitis. What treatment will
the nurse plan to include? - answer>>>IV fluid replacement
, a 20yo patient with history of Crohn's disease comes to the clinic with persistent diarrhea.
What are characteristics of Crohn's disease? - answer>>>-weight loss
-abdominal pain
-has segmented distribution
-involves the entire thickness of the bowel wall
What laboratory finding are expected in ulcerative colitis as a result of diarrhea and vomiting? -
answer>>>Decreased Na, K, Mg, Cl, and HCO3
What extraintestinal manifestations are seen in both ulcerative colitis and Crohn's disease? -
answer>>>Erythema nodosum and osteoporopsis
For the patient hospitalized with inflammatory bowel disease, which treatment would be used
to rest the bowel? - answer>>>-NPO
-IV fluids
-Nasogastric suction
- Parenteral nurtition
The medications prescribed for the patient with inflammatory bowel disease include cobalamin
and iron injections. What is the rationale for using these drugs? - answer>>>Correct
malnutrition
The patient is receiving the following medications. Which one is prescribed to relieve symptoms
rather than threat a disease? - answer>>>Antidiarrheal agents
A patient with uclerative colitis undergoes the first phase of total proctocolectomy with ileal
pouch and anal anastomosis. On postoperative assessment of the patient, what should the
nurse expect to find ? - answer>>>A loop ileostomy with plastic rod to hold it in place
QUESTIONS AND CORRECT ANSWER
A patient returns to the surgical unit with nasogastric tube to low intermittent suction, IV fluids,
and a Jackson-Pratt drain at the surgical site following an exploratory laparotomy and repair of
a bowel perforation. Four hours after admission, the patient experiences nausea and vomiting.
What is a priority nursing intervention for the patient? - answer>>>Check the amount and
character of gastric drainage and the patency of the NG tube
A postoperative patient has a nursing diagnosis of pain related to effects of medication and
decreased GI motility as evidenced by abdominal pain and distention and inability to pass
flatus. Which nursing intervention is most appropriate for this patient? - answer>>>Ambulate
the patient more frequently
A 22yo patient calls the outpatient clinic complaining of nausea and vomiting and right lower
abdominal pain. What should the nurse advise the patient to do? - answer>>>Have the
symptoms evaluated by a health care provider right away
When caring for a patient with irritable bowel syndrome, What is most important for the nurse
to do? - answer>>>Develop a trusting relationship with the patient to provide support and
symptomatic care
A patient with a gunshot wound to the abdomen complains of increasing abdominal pain
several hours after surgery to repair the bowel. What action should the nurse take first? -
answer>>>Take the patient's vital signs
The patient has persistent and continuous pain at McBurney's point. The nursing assessment
reveals rebound tenderness and muscle guarding with the patient preferring to lie still with the
right leg flexed. What should the nursing interventions for this patient include? -
answer>>>NPO status in preparation for possible appendectomy
The patient has peritonitis, which is a major complication of appendicitis. What treatment will
the nurse plan to include? - answer>>>IV fluid replacement
, a 20yo patient with history of Crohn's disease comes to the clinic with persistent diarrhea.
What are characteristics of Crohn's disease? - answer>>>-weight loss
-abdominal pain
-has segmented distribution
-involves the entire thickness of the bowel wall
What laboratory finding are expected in ulcerative colitis as a result of diarrhea and vomiting? -
answer>>>Decreased Na, K, Mg, Cl, and HCO3
What extraintestinal manifestations are seen in both ulcerative colitis and Crohn's disease? -
answer>>>Erythema nodosum and osteoporopsis
For the patient hospitalized with inflammatory bowel disease, which treatment would be used
to rest the bowel? - answer>>>-NPO
-IV fluids
-Nasogastric suction
- Parenteral nurtition
The medications prescribed for the patient with inflammatory bowel disease include cobalamin
and iron injections. What is the rationale for using these drugs? - answer>>>Correct
malnutrition
The patient is receiving the following medications. Which one is prescribed to relieve symptoms
rather than threat a disease? - answer>>>Antidiarrheal agents
A patient with uclerative colitis undergoes the first phase of total proctocolectomy with ileal
pouch and anal anastomosis. On postoperative assessment of the patient, what should the
nurse expect to find ? - answer>>>A loop ileostomy with plastic rod to hold it in place
