MED SURG EXAM 3 (GI) LATEST EXAM
2024-2025 QUESTIONS AND DETAILED
CORRECT ANSWERS ( VERIFIED
ANSWERS) | A+ GRADE ALREADY
PASSED
A nurse in the ED is completing an assessment of a client
who has suspected stomach perforation due to a peptic
ulcer. Which findings should the nurse expect? (sata)
Correct Answer Rigid abdomenTachycardiaRebound
tenderness
A nurse is completing discharge teaching for a client who
has an infection due to H. pylori. Which statements by the
client indicates understanding of the teaching? Correct
Answer "I will take a combination of medications for
treatment."
A nurse is completing an assessment of a client who has a
gastric ulcer. Which findings should the nurse expect?
(sata) Correct Answer -Client reports a sensation of
bloating
-Client states that pain occurs 30 min to 1 hr after a meal
-Client experiences pain upon palpation of the epigastric
region
,A nurse is teaching a client who has a duodenal ulcer and
a new prescription for esomeprazole. Which information
should the nurse include in the teaching? (sata) Correct
Answer Take the medication 1 hr before a mealLimit
NSAIDs when taking this medication
A nurse is teaching about pernicious anemia with a client
who has chronic gastritis. Which information should the
nurse include in the teaching? Correct Answer Expect a
monthly injection of vitamin B12
A nurse is planning care for a client who has acute
gastritis. Which nursing interventions should the nurse
include in the plan of care? (sata) Correct Answer -
Evaluate intake and output
-Monitor laboratory reports of electrolytes
-Observe stool characteristics
A charge nurse is teaching a group of unit nurses about a
client who has chronic gastritis and is scheduled for a
selective vagotomy. Which statements by a unit nurse
indicates understanding of the purpose of the procedure?
Correct Answer "The client will have a reduction of gastric
acid secretions"
A nurse is planning care for a client who has a SBO and a
NG tube in place. Which interventions should the nurse
include in the client's plan of care? (sata) Correct Answer -
Document the NG drainage with the client's output.
,-Assess bowel sounds
-Provide oral hygiene every 2 hoursMonitor NG tube for
placement
A nurse is assessing an older adult client in an extended
care facility. The nurse should recognize which of the
following findings as a manifestation of an obstruction of
the large intestine due to a fecal impaction? Correct
Answer The client is having small frequent liquid stools
A nurse is completing discharge teaching with a client who
has IBS. Which instructions should the nurse include in
the teaching? Correct Answer Avoid foods that trigger
exacerbation
A nurse is reviewing the serum laboratory data of a client
who has an acute exacerbation of Crohn's disease. Which
laboratory tests should the nurse expect to be elevated?
(sata) Correct Answer Erythrocyte sedimentation rateWBC
A nurse in a clinic is teaching a client who has ulcerative
colitis. Which statements by the client indicates an
understanding of the teaching? Correct Answer "I will plan
to limit fiber in my diet"
To promote comfort after a colonoscopy, in what position
does the nurse place the client? Correct Answer Left
lateral
, A nurse is examining a client reporting right upper
quadrant (RUQ) abdominal pain. What technique should
the nurse use to assess this clients abdomen? Correct
Answer Palpate the RUQ last.
A client presents to the emergency department reporting
severe abdominal pain. On assessment, the nurse finds a
bulging, pulsating mass in the abdomen. What action by
the nurse is the priority? Correct Answer Notify the
provider immediately.
-This observation could indicate an abdominal aortic
aneurysm, which could be life threatening and should
never be palpated. The nurse notifies the provider at once.
An x-ray may be indicated. Auscultation is part of
assessment, but the nurses priority action is to notify the
provider.
A client presents to the family practice clinic reporting a
week of watery, somewhat bloody diarrhea. The nurse
assists the client to obtain a stool sample. What action by
the nurse is most important? Correct Answer Put on
gloves prior to collecting the sample.
A client is recovering from an
esophagogastroduodenoscopy (EGD) and requests
something to drink. What action by the nurse is best?
Correct Answer Assess the clients gag reflex.
-The local anesthetic used during this procedure will
depress the clients gag reflex. After the procedure, the
2024-2025 QUESTIONS AND DETAILED
CORRECT ANSWERS ( VERIFIED
ANSWERS) | A+ GRADE ALREADY
PASSED
A nurse in the ED is completing an assessment of a client
who has suspected stomach perforation due to a peptic
ulcer. Which findings should the nurse expect? (sata)
Correct Answer Rigid abdomenTachycardiaRebound
tenderness
A nurse is completing discharge teaching for a client who
has an infection due to H. pylori. Which statements by the
client indicates understanding of the teaching? Correct
Answer "I will take a combination of medications for
treatment."
A nurse is completing an assessment of a client who has a
gastric ulcer. Which findings should the nurse expect?
(sata) Correct Answer -Client reports a sensation of
bloating
-Client states that pain occurs 30 min to 1 hr after a meal
-Client experiences pain upon palpation of the epigastric
region
,A nurse is teaching a client who has a duodenal ulcer and
a new prescription for esomeprazole. Which information
should the nurse include in the teaching? (sata) Correct
Answer Take the medication 1 hr before a mealLimit
NSAIDs when taking this medication
A nurse is teaching about pernicious anemia with a client
who has chronic gastritis. Which information should the
nurse include in the teaching? Correct Answer Expect a
monthly injection of vitamin B12
A nurse is planning care for a client who has acute
gastritis. Which nursing interventions should the nurse
include in the plan of care? (sata) Correct Answer -
Evaluate intake and output
-Monitor laboratory reports of electrolytes
-Observe stool characteristics
A charge nurse is teaching a group of unit nurses about a
client who has chronic gastritis and is scheduled for a
selective vagotomy. Which statements by a unit nurse
indicates understanding of the purpose of the procedure?
Correct Answer "The client will have a reduction of gastric
acid secretions"
A nurse is planning care for a client who has a SBO and a
NG tube in place. Which interventions should the nurse
include in the client's plan of care? (sata) Correct Answer -
Document the NG drainage with the client's output.
,-Assess bowel sounds
-Provide oral hygiene every 2 hoursMonitor NG tube for
placement
A nurse is assessing an older adult client in an extended
care facility. The nurse should recognize which of the
following findings as a manifestation of an obstruction of
the large intestine due to a fecal impaction? Correct
Answer The client is having small frequent liquid stools
A nurse is completing discharge teaching with a client who
has IBS. Which instructions should the nurse include in
the teaching? Correct Answer Avoid foods that trigger
exacerbation
A nurse is reviewing the serum laboratory data of a client
who has an acute exacerbation of Crohn's disease. Which
laboratory tests should the nurse expect to be elevated?
(sata) Correct Answer Erythrocyte sedimentation rateWBC
A nurse in a clinic is teaching a client who has ulcerative
colitis. Which statements by the client indicates an
understanding of the teaching? Correct Answer "I will plan
to limit fiber in my diet"
To promote comfort after a colonoscopy, in what position
does the nurse place the client? Correct Answer Left
lateral
, A nurse is examining a client reporting right upper
quadrant (RUQ) abdominal pain. What technique should
the nurse use to assess this clients abdomen? Correct
Answer Palpate the RUQ last.
A client presents to the emergency department reporting
severe abdominal pain. On assessment, the nurse finds a
bulging, pulsating mass in the abdomen. What action by
the nurse is the priority? Correct Answer Notify the
provider immediately.
-This observation could indicate an abdominal aortic
aneurysm, which could be life threatening and should
never be palpated. The nurse notifies the provider at once.
An x-ray may be indicated. Auscultation is part of
assessment, but the nurses priority action is to notify the
provider.
A client presents to the family practice clinic reporting a
week of watery, somewhat bloody diarrhea. The nurse
assists the client to obtain a stool sample. What action by
the nurse is most important? Correct Answer Put on
gloves prior to collecting the sample.
A client is recovering from an
esophagogastroduodenoscopy (EGD) and requests
something to drink. What action by the nurse is best?
Correct Answer Assess the clients gag reflex.
-The local anesthetic used during this procedure will
depress the clients gag reflex. After the procedure, the
