RN Targeted Medical Surgical Gastrointestinal Online Practice 2019
1. A nurse is assessing a client who has peritonitis. B. board-like ab-
Which of the following findings should the nurse ex- domen
pect?
A. Bloody diarrhea
B. Board-like abdomen
C. Periumbilical cyanosis
D. Increased bowel sounds
2. A nurse is assessing a client who has acute hepatitis A. joint pain
"B". Which of the following findings should the nurse
expect?
A. Joint pain
B. Obstipation
C. Abdominal distention
C. Periumbilical discoloration
3. A nurse is reviewing the laboratory values of a client D. hemoglobin 9.1
who has colorectal cancer. Which of the following g/dL
findings should the nurse expect?
A. Negative fecal occult blood test
B. Decreased serum carcinoembryonic antigen (CEA)
level
C. Hematocrit 43%
D. Hemoglobin 9.1 g/dL
4. A nurse is developing a plan of care for a client who A. Measure the
has cirrhosis and ascites. Which of the following in- client's abdominal
terventions should the nurse include in the plan? girth daily
A. Measure the client's abdominal girth daily.
B. Check mental status once daily.
C. Provide a daily intake of 4 g of sodium for the client.
D. Assess the client's breath sounds every 12 hr.
5. A nurse is providing discharge teaching for a client B. "I will avoid
who has chronic hepatitis C. Which of the following medications that
statements by the client indicates an understanding contain aceta-
of the teaching? minophen."
A. "I will avoid alcohol until I'm no longer contagious."
B. "I will avoid medications that contain aceta-
1/8
, RN Targeted Medical Surgical Gastrointestinal Online Practice 2019
minophen."
C. "I will decrease my intake of calories."
D. "I can donate blood once when I am in remission."
6. A nurse is teaching a client how to prepare for C. "Drink clear liq-
a colonoscopy. Which of the following instructions uids for 24 hr
should the nurse include in the teaching? prior to the pro-
A. "Refrain from eating or drinking for 2 hr prior to the cedure, and then
procedure." take nothing by
B. "Stop taking aspirin the day before the procedure." mouth for 6 hr
C. "Drink clear liquids for 24 hr prior to the procedure, before the proce-
and then take nothing by mouth for 6 hr before the dure."
procedure."
D. "Drink the oral liquid preparation for bowel cleans-
ing slowly the night before the procedure."
7. A nurse is reviewing the prescriptions for a client B. Magnesium hy-
who has Campylobacter enteritis. Which of the fol- droxide
lowing prescriptions should the nurse clarify with the
provider?
A. 0.45% sodium chloride IV
B. Magnesium hydroxide
C. Ciprofloxacin
D. Potassium
8. A nurse is providing discharge teaching for a client C. Dark purple
following an ileostomy. The nurse should instruct the stoma
client to report which of the following findings to the
provider?
A. Intolerance to high-fiber foods
B. Liquid ileostomy output
C. Dark purple stoma
D. Sensation of burning during bowel elimination
9. A nurse is admitting a client who has acute pancreati- C. Identify the
tis. Which of the following actions should the nurse client's current lev-
take first? el of pain
A. Insert a nasogastric tube for the client.
B. Administer ceftazidime to the client.
2/8
1. A nurse is assessing a client who has peritonitis. B. board-like ab-
Which of the following findings should the nurse ex- domen
pect?
A. Bloody diarrhea
B. Board-like abdomen
C. Periumbilical cyanosis
D. Increased bowel sounds
2. A nurse is assessing a client who has acute hepatitis A. joint pain
"B". Which of the following findings should the nurse
expect?
A. Joint pain
B. Obstipation
C. Abdominal distention
C. Periumbilical discoloration
3. A nurse is reviewing the laboratory values of a client D. hemoglobin 9.1
who has colorectal cancer. Which of the following g/dL
findings should the nurse expect?
A. Negative fecal occult blood test
B. Decreased serum carcinoembryonic antigen (CEA)
level
C. Hematocrit 43%
D. Hemoglobin 9.1 g/dL
4. A nurse is developing a plan of care for a client who A. Measure the
has cirrhosis and ascites. Which of the following in- client's abdominal
terventions should the nurse include in the plan? girth daily
A. Measure the client's abdominal girth daily.
B. Check mental status once daily.
C. Provide a daily intake of 4 g of sodium for the client.
D. Assess the client's breath sounds every 12 hr.
5. A nurse is providing discharge teaching for a client B. "I will avoid
who has chronic hepatitis C. Which of the following medications that
statements by the client indicates an understanding contain aceta-
of the teaching? minophen."
A. "I will avoid alcohol until I'm no longer contagious."
B. "I will avoid medications that contain aceta-
1/8
, RN Targeted Medical Surgical Gastrointestinal Online Practice 2019
minophen."
C. "I will decrease my intake of calories."
D. "I can donate blood once when I am in remission."
6. A nurse is teaching a client how to prepare for C. "Drink clear liq-
a colonoscopy. Which of the following instructions uids for 24 hr
should the nurse include in the teaching? prior to the pro-
A. "Refrain from eating or drinking for 2 hr prior to the cedure, and then
procedure." take nothing by
B. "Stop taking aspirin the day before the procedure." mouth for 6 hr
C. "Drink clear liquids for 24 hr prior to the procedure, before the proce-
and then take nothing by mouth for 6 hr before the dure."
procedure."
D. "Drink the oral liquid preparation for bowel cleans-
ing slowly the night before the procedure."
7. A nurse is reviewing the prescriptions for a client B. Magnesium hy-
who has Campylobacter enteritis. Which of the fol- droxide
lowing prescriptions should the nurse clarify with the
provider?
A. 0.45% sodium chloride IV
B. Magnesium hydroxide
C. Ciprofloxacin
D. Potassium
8. A nurse is providing discharge teaching for a client C. Dark purple
following an ileostomy. The nurse should instruct the stoma
client to report which of the following findings to the
provider?
A. Intolerance to high-fiber foods
B. Liquid ileostomy output
C. Dark purple stoma
D. Sensation of burning during bowel elimination
9. A nurse is admitting a client who has acute pancreati- C. Identify the
tis. Which of the following actions should the nurse client's current lev-
take first? el of pain
A. Insert a nasogastric tube for the client.
B. Administer ceftazidime to the client.
2/8