Med Surg Test Bank
t t t
Thetstudenttnursetstudyingtthetgastrointestinaltsystemtunderstandstthattchymetrefersttotwh
at?
a.tHormonestthattreducetgastrictacidity
b.tLiquefiedtfoodtreadytfortdigestion
c.tNutrientstaftertbeingtabsorbed
d.tSecretionstthatthelptdigesttfoodt-tb
Atclienttscheduledtfortatpercutaneousttranshepatictcholangiographyt(PTC)tdeniestallergiest
totmedication.
Whattactiontbytthetnursetistbest?
a.tAsktthetclienttabouttshellfishtallergies.
b.tDocumenttthistinformationtontthetchart.
c.tEnsuretthattthetclientthastatridethome.
d.tInstructtthetclienttontboweltpreparation.t-tA
Atclienttisthavingtantesophagogastroduodenoscopyt(EGD)tandthastbeentgiventmidazolamth
ydrochloride
(Versed).tThetclientstrespiratorytratetist8tbreaths/min.tWhattactiontbytthetnursetistbest?
a.tAdministertnaloxonet(Narcan).
b.tCalltthetRapidtResponsetTeam.
c.tProvidetphysicaltstimulation.
d.tVentilatetwithtatbag-valve-mask.t-tC
clienttistscheduledtfortatcolonoscopytandtthetnursethastprovidedtinstructionstontthetboweltcl
eansing
regimen.tWhattstatementtbytthetclienttindicatestatneedtfortfurthertteaching?
a.tItstatgoodtthingtItlovetorangetandtcherrytgelatin
b.tMytspousetwilltbetherettotdrivetmethome.
c.tItshouldtrefrigeratetthetGoLYTELYtbeforetuse.
d.tItwilltbuytatcasetoftGatoradetbeforetthetprep.t-t
Atclientthadtatcolonoscopytandtbiopsytyesterdaytandtcallstthetgastrointestinaltclinicttotreportt
atspottof
brighttredtbloodtontthettoilettpaperttoday.tWhattresponsetbytthetnursetistbest?
a.tAsktthetclientttotcalltbacktiftthisthappenstagainttoday.
b.tInstructtthetclientttotgottotthetemergencytdepartment.
c.tRemindtthetclienttthattatsmalltamounttoftbleedingtistpossible.
d.tTelltthetclientttotcometinttotthetclinictthistafternoon.t-tc
,Antoldertclientthasthadtantinstancetoftdrugttoxicitytandtaskstwhytthisthappens,tsincetthetclient
thastbeenton
thistmedicationtfortyearstattthetsametdose.tWhattresponsetbytthetnursetistbest?
a.tChangestintyourtlivertcausetdrugsttotbetmetabolizedtdifferently.
b.tPerhapstyoutdonttneedtasthightatdosetoftthetdrugtastbefore.
c.tStomachtmusclestatrophytwithtagetandtyoutdigesttmoretslowly.
d.tYourtbodytprobablytcantttoleratetastmuchtmedicationtanymore.t-tA
Totpromotetcomforttaftertatcolonoscopy,tintwhattpositiontdoestthetnursetplacetthetclient?
a.tLefttlateral
b.tProne
c.tRighttlateral
d.tSupinet-tA
Atnursetistexaminingtatclienttreportingtrighttuppertquadrantt(RUQ)tabdominaltpain.tWhatttec
hniquetshould
thetnursetusettotassesstthistclientstabdomen?
a.tAuscultatetaftertpalpating.
b.tAvoidtanytpalpation.
c.tPalpatetthetRUQtfirst.
d.tPalpatetthetRUQtlast.t-tD
Atclienttpresentsttotthetemergencytdepartmenttreportingtseveretabdominaltpain.tOntassess
ment,tthetnurse
findstatbulging,tpulsatingtmasstintthetabdomen.tWhattactiontbytthetnursetistthetpriority?
a.tAuscultatetfortboweltsounds.
b.tNotifytthetprovidertimmediately.
c.tOrdertantabdominaltflat-platetx-ray.
d.tPalpatetthetmasstandtmeasuretitstsizet-tB
Atclienttpresentsttotthetfamilytpracticetclinictreportingtatweektoftwatery,tsomewhattbloodytdia
rrhea.tThe
nursetassiststthetclientttotobtaintatstooltsample.tWhattactiontbytthetnursetistmosttimportant?
a.tAsktthetclienttabouttrecenttexposurettotillness.
b.tAssesstthetclientststooltfortobvioustfoodtparticles.
c.tIncludetthetdatetandttimetontthetspecimentcontainer.
d.tPuttontglovestpriorttotcollectingtthetsample.t-tD
Atclienttwhothastbeenttakingtantibioticstreportstsevere,twaterytdiarrhea.tAbouttwhichttesttdo
estthetnurse
teachtthetclient?
a.tColonoscopy
b.tEnzyme-linkedtimmunosorbenttassayt(ELISA)ttoxintA+B
c.tOvatandtparasites
d.tStooltculturet-t
,Thetnursetknowstthattatclienttwithtprolongedtprothrombinttimet(PT)tvaluest(nottrelatedttotme
dication)
probablythastdysfunctiontintwhichtorgan?
a.tKidneys
b.tLiver
c.tSpleen
d.tStomacht-tb
Atclienttistrecoveringtfromtantesophagogastroduodenoscopyt(EGD)tandtrequeststsomethin
gttotdrink.tWhat
actiontbytthetnursetistbest?
a.tAllowtthetclienttcooltliquidstonly.
b.tAssesstthetclientstgagtreflex.
c.tRemindtthetclientttotremaintNPO.
d.tTelltthetclientttotwaitt4thours.t-tb
Thetnursetistawaretoftthet2014tAmericantCancertSocietytScreeningtGuidelinestfortcolontcan
cer,twhich
includetwhichttestingtmodalitiestfortpeopletovertthetagetoft50?t(Selecttalltthattapply.)
a.tColonoscopyteveryt10tyears
b.tColonoscopyteveryt5tyears
c.tComputedttomographyt(CT)tcolonographyteveryt5tyears
d.tDouble-contrasttbariumtenemateveryt10tyears
e.tFlexibletsigmoidoscopyteveryt10tyearst-ta,c
Atclientthadtantendoscopictretrogradetcholangiopancreatographyt(ERCP).tThetnursetinstru
ctstthetclienttand
familytabouttthetsignstoftpotentialtcomplications,twhichtincludetwhattproblems?t(Selecttalltth
attapply.)
a.tCholangitis
b.tPancreatitis
c.tPerforation
d.tRenaltlithiasis
e.tSepsist-ta,b,c,e
Thetnursetworkingtwithtoldertclientstunderstandstage-
relatedtchangestintthetgastrointestinaltsystem.tWhich
changestdoestthistinclude?t(Selecttalltthattapply.)
a.tDecreasedthydrochlorictacidtproduction
b.tDiminishedtsensationtthattcantleadttotconstipation
c.tFattnottdigestedtastwelltintoldertadults
d.tIncreasedtperistalsistintthetlargetintestine
e.tPancreatictvesselstbecometcalcifiedt-ta,b,c,e
Thetnursetworkingtintthetgastrointestinaltclinictseestclientstwhotaretanemic.tWhattaretcomm
ontcausestfor
, whichtthetnursetassessestintthesetclients?t(Selecttalltthattapply.)
a.tColontcancer
b.tDiverticulitis
c.tInflammatorytboweltdisease
d.tPeptictulcertdisease
e.tPernicioustanemiat-ta,b,c,d
Thetnursetworkingtwithtclientstwhothavetgastrointestinaltproblemstknowstthattwhichtlaborat
orytvaluestare
relatedttotwhattorgantdysfunctions?t(Selecttalltthattapply.)
a.tAlaninetaminotransferase:tbiliarytsystem
b.tAmmonia:tliver
c.tAmylase:tliver
d.tLipase:tpancreas
e.tUrineturobilinogen:tstomacht-tb,d
Aftertteachingtatclienttwithtirritabletboweltsyndromet(IBS),tatnursetassessestthetclientstunde
rstanding.
Whichtmenutselectiontindicatestthattthetclienttcorrectlytunderstandstthetdietarytteaching?
a.tHamtsandwichtontwhitetbread,tcuptoftapplesauce,tglasstoftdiettcola
b.tBroiledtchickentwithtbrowntrice,tsteamedtbroccoli,tglasstoftappletjuice
c.tGrilledtcheesetsandwich,tsmalltbanana,tcuptofthottteatwithtlemon
d.tBakedttilapia,tfreshtgreentbeans,tcuptoftcoffeetwithtlow-fattmilkt-tb
Atnursetassessestatclienttwhotistprescribedtalosetront(Lotronex).tWhichtassessmenttquesti
ontshouldtthe
nursetasktthistclient?
a.tHavetyoutbeentexperiencingtanytconstipation?
b.tAretyouteatingtatdietthightintfibertandtfluids?
c.tDotyouthavetathistorytofthightbloodtpressure?
d.tWhattvitaminstandtsupplementstaretyouttaking?t-ta
Aftertteachingtatclienttwhothastatfemoralthernia,tthetnursetassessestthetclientstunderstandin
g.tWhich
statementtindicatestthetclienttneedstadditionaltteachingtrelatedttotthetpropertusetoftattruss?
a.tItwilltputtontthettrusstbeforetItgottotbedteachtnight.
b.tIlltputtsometpowdertundertthettrussttotavoidtskintirritation.
c.tThettrusstwillthelptmytherniatbecausetItcantthavetsurgery.
d.tIftIthavetabdominaltpain,tIlltlettmythealthtcaretprovidertknowtrighttaway.t-ta
Atnursetassessestatclienttwhotistrecoveringtfromtathemorrhoidectomytthattwastdonetthetdayt
before.tThe
nursetnotestthattthetclientthastlowertabdominaltdistentiontaccompaniedtbytdullnessttotpercu
ssiontovertthe
distendedtarea.tWhichtactiontshouldtthetnursettake?
a.tAssesstthetclientsthearttratetandtbloodtpressure.
t t t
Thetstudenttnursetstudyingtthetgastrointestinaltsystemtunderstandstthattchymetrefersttotwh
at?
a.tHormonestthattreducetgastrictacidity
b.tLiquefiedtfoodtreadytfortdigestion
c.tNutrientstaftertbeingtabsorbed
d.tSecretionstthatthelptdigesttfoodt-tb
Atclienttscheduledtfortatpercutaneousttranshepatictcholangiographyt(PTC)tdeniestallergiest
totmedication.
Whattactiontbytthetnursetistbest?
a.tAsktthetclienttabouttshellfishtallergies.
b.tDocumenttthistinformationtontthetchart.
c.tEnsuretthattthetclientthastatridethome.
d.tInstructtthetclienttontboweltpreparation.t-tA
Atclienttisthavingtantesophagogastroduodenoscopyt(EGD)tandthastbeentgiventmidazolamth
ydrochloride
(Versed).tThetclientstrespiratorytratetist8tbreaths/min.tWhattactiontbytthetnursetistbest?
a.tAdministertnaloxonet(Narcan).
b.tCalltthetRapidtResponsetTeam.
c.tProvidetphysicaltstimulation.
d.tVentilatetwithtatbag-valve-mask.t-tC
clienttistscheduledtfortatcolonoscopytandtthetnursethastprovidedtinstructionstontthetboweltcl
eansing
regimen.tWhattstatementtbytthetclienttindicatestatneedtfortfurthertteaching?
a.tItstatgoodtthingtItlovetorangetandtcherrytgelatin
b.tMytspousetwilltbetherettotdrivetmethome.
c.tItshouldtrefrigeratetthetGoLYTELYtbeforetuse.
d.tItwilltbuytatcasetoftGatoradetbeforetthetprep.t-t
Atclientthadtatcolonoscopytandtbiopsytyesterdaytandtcallstthetgastrointestinaltclinicttotreportt
atspottof
brighttredtbloodtontthettoilettpaperttoday.tWhattresponsetbytthetnursetistbest?
a.tAsktthetclientttotcalltbacktiftthisthappenstagainttoday.
b.tInstructtthetclientttotgottotthetemergencytdepartment.
c.tRemindtthetclienttthattatsmalltamounttoftbleedingtistpossible.
d.tTelltthetclientttotcometinttotthetclinictthistafternoon.t-tc
,Antoldertclientthasthadtantinstancetoftdrugttoxicitytandtaskstwhytthisthappens,tsincetthetclient
thastbeenton
thistmedicationtfortyearstattthetsametdose.tWhattresponsetbytthetnursetistbest?
a.tChangestintyourtlivertcausetdrugsttotbetmetabolizedtdifferently.
b.tPerhapstyoutdonttneedtasthightatdosetoftthetdrugtastbefore.
c.tStomachtmusclestatrophytwithtagetandtyoutdigesttmoretslowly.
d.tYourtbodytprobablytcantttoleratetastmuchtmedicationtanymore.t-tA
Totpromotetcomforttaftertatcolonoscopy,tintwhattpositiontdoestthetnursetplacetthetclient?
a.tLefttlateral
b.tProne
c.tRighttlateral
d.tSupinet-tA
Atnursetistexaminingtatclienttreportingtrighttuppertquadrantt(RUQ)tabdominaltpain.tWhatttec
hniquetshould
thetnursetusettotassesstthistclientstabdomen?
a.tAuscultatetaftertpalpating.
b.tAvoidtanytpalpation.
c.tPalpatetthetRUQtfirst.
d.tPalpatetthetRUQtlast.t-tD
Atclienttpresentsttotthetemergencytdepartmenttreportingtseveretabdominaltpain.tOntassess
ment,tthetnurse
findstatbulging,tpulsatingtmasstintthetabdomen.tWhattactiontbytthetnursetistthetpriority?
a.tAuscultatetfortboweltsounds.
b.tNotifytthetprovidertimmediately.
c.tOrdertantabdominaltflat-platetx-ray.
d.tPalpatetthetmasstandtmeasuretitstsizet-tB
Atclienttpresentsttotthetfamilytpracticetclinictreportingtatweektoftwatery,tsomewhattbloodytdia
rrhea.tThe
nursetassiststthetclientttotobtaintatstooltsample.tWhattactiontbytthetnursetistmosttimportant?
a.tAsktthetclienttabouttrecenttexposurettotillness.
b.tAssesstthetclientststooltfortobvioustfoodtparticles.
c.tIncludetthetdatetandttimetontthetspecimentcontainer.
d.tPuttontglovestpriorttotcollectingtthetsample.t-tD
Atclienttwhothastbeenttakingtantibioticstreportstsevere,twaterytdiarrhea.tAbouttwhichttesttdo
estthetnurse
teachtthetclient?
a.tColonoscopy
b.tEnzyme-linkedtimmunosorbenttassayt(ELISA)ttoxintA+B
c.tOvatandtparasites
d.tStooltculturet-t
,Thetnursetknowstthattatclienttwithtprolongedtprothrombinttimet(PT)tvaluest(nottrelatedttotme
dication)
probablythastdysfunctiontintwhichtorgan?
a.tKidneys
b.tLiver
c.tSpleen
d.tStomacht-tb
Atclienttistrecoveringtfromtantesophagogastroduodenoscopyt(EGD)tandtrequeststsomethin
gttotdrink.tWhat
actiontbytthetnursetistbest?
a.tAllowtthetclienttcooltliquidstonly.
b.tAssesstthetclientstgagtreflex.
c.tRemindtthetclientttotremaintNPO.
d.tTelltthetclientttotwaitt4thours.t-tb
Thetnursetistawaretoftthet2014tAmericantCancertSocietytScreeningtGuidelinestfortcolontcan
cer,twhich
includetwhichttestingtmodalitiestfortpeopletovertthetagetoft50?t(Selecttalltthattapply.)
a.tColonoscopyteveryt10tyears
b.tColonoscopyteveryt5tyears
c.tComputedttomographyt(CT)tcolonographyteveryt5tyears
d.tDouble-contrasttbariumtenemateveryt10tyears
e.tFlexibletsigmoidoscopyteveryt10tyearst-ta,c
Atclientthadtantendoscopictretrogradetcholangiopancreatographyt(ERCP).tThetnursetinstru
ctstthetclienttand
familytabouttthetsignstoftpotentialtcomplications,twhichtincludetwhattproblems?t(Selecttalltth
attapply.)
a.tCholangitis
b.tPancreatitis
c.tPerforation
d.tRenaltlithiasis
e.tSepsist-ta,b,c,e
Thetnursetworkingtwithtoldertclientstunderstandstage-
relatedtchangestintthetgastrointestinaltsystem.tWhich
changestdoestthistinclude?t(Selecttalltthattapply.)
a.tDecreasedthydrochlorictacidtproduction
b.tDiminishedtsensationtthattcantleadttotconstipation
c.tFattnottdigestedtastwelltintoldertadults
d.tIncreasedtperistalsistintthetlargetintestine
e.tPancreatictvesselstbecometcalcifiedt-ta,b,c,e
Thetnursetworkingtintthetgastrointestinaltclinictseestclientstwhotaretanemic.tWhattaretcomm
ontcausestfor
, whichtthetnursetassessestintthesetclients?t(Selecttalltthattapply.)
a.tColontcancer
b.tDiverticulitis
c.tInflammatorytboweltdisease
d.tPeptictulcertdisease
e.tPernicioustanemiat-ta,b,c,d
Thetnursetworkingtwithtclientstwhothavetgastrointestinaltproblemstknowstthattwhichtlaborat
orytvaluestare
relatedttotwhattorgantdysfunctions?t(Selecttalltthattapply.)
a.tAlaninetaminotransferase:tbiliarytsystem
b.tAmmonia:tliver
c.tAmylase:tliver
d.tLipase:tpancreas
e.tUrineturobilinogen:tstomacht-tb,d
Aftertteachingtatclienttwithtirritabletboweltsyndromet(IBS),tatnursetassessestthetclientstunde
rstanding.
Whichtmenutselectiontindicatestthattthetclienttcorrectlytunderstandstthetdietarytteaching?
a.tHamtsandwichtontwhitetbread,tcuptoftapplesauce,tglasstoftdiettcola
b.tBroiledtchickentwithtbrowntrice,tsteamedtbroccoli,tglasstoftappletjuice
c.tGrilledtcheesetsandwich,tsmalltbanana,tcuptofthottteatwithtlemon
d.tBakedttilapia,tfreshtgreentbeans,tcuptoftcoffeetwithtlow-fattmilkt-tb
Atnursetassessestatclienttwhotistprescribedtalosetront(Lotronex).tWhichtassessmenttquesti
ontshouldtthe
nursetasktthistclient?
a.tHavetyoutbeentexperiencingtanytconstipation?
b.tAretyouteatingtatdietthightintfibertandtfluids?
c.tDotyouthavetathistorytofthightbloodtpressure?
d.tWhattvitaminstandtsupplementstaretyouttaking?t-ta
Aftertteachingtatclienttwhothastatfemoralthernia,tthetnursetassessestthetclientstunderstandin
g.tWhich
statementtindicatestthetclienttneedstadditionaltteachingtrelatedttotthetpropertusetoftattruss?
a.tItwilltputtontthettrusstbeforetItgottotbedteachtnight.
b.tIlltputtsometpowdertundertthettrussttotavoidtskintirritation.
c.tThettrusstwillthelptmytherniatbecausetItcantthavetsurgery.
d.tIftIthavetabdominaltpain,tIlltlettmythealthtcaretprovidertknowtrighttaway.t-ta
Atnursetassessestatclienttwhotistrecoveringtfromtathemorrhoidectomytthattwastdonetthetdayt
before.tThe
nursetnotestthattthetclientthastlowertabdominaltdistentiontaccompaniedtbytdullnessttotpercu
ssiontovertthe
distendedtarea.tWhichtactiontshouldtthetnursettake?
a.tAssesstthetclientsthearttratetandtbloodtpressure.
