RN Targeted Medical Surgical Gastrointestinal Test Questions Fully Solved
A nurse is teaching a client to prepare for a colonoscopy. Which of the following instructions should the
nurse include in the teaching - Answers "Drink clear liquids for 24 hr prior to the procedure, then take
nothing by mouth for 6 hr before the procedure
The nurse should instruct the client to drink clear liquids for 24 hr prior to the colonoscopy to promote
adequate bowel cleansing.
A nurse is providing discharge teaching for a client who has mild diverticulitis. Which of the following
statements made by the client indicates an understanding of the teaching - Answers "I should eat foods
that are low in fiber
The nurse should instruct a client who has diverticulitis to follow a low-fiber diet. When the
inflammation subsides, the client should consume foods that are high in fiber.
A nurse is providing discharge teaching for a client following an ileostomy. The nurse should instruct the
client to report which of the following to the provider? - Answers Dark purple stoma
The nurse should instruct the client to contact the provider if the stoma is a dark purple color, which is
an indication of bowel ischemia.
A nurse is assessing a client who has a duodenal ulcer. Which of the following findings should the nurse
expect? - Answers The client reports that the pain occurs during the night
Pain associated with a duodenal ulcer occurs when the stomach is empty, which is typically 1.5 to 3 hr
after meals and during the night.
A nurse is reviewing the laboratory results of a client whose has acute pancreatitis. Which of the
following findings should the nurse expect? - Answers Increased amylase
Serum amylase levels are increased in a client who has acute pancreatitis due to pancreatic cell injury.
A nurse is caring for a client who has GERD and a new prescription for metoclopramide. The nurse
should plan to monitor for which of the following adverse effects? - Answers Ataxia
, The nurse should plan to monitor the client for extrapyramidal symptoms, such as ataxia, and should
report any of these findings to the provider.
A nurse is caring for a client who has colorectal cancer and is having chemotherapy. The client ask the
nurse why blood is being drawn for a carcinoembryonic antigen (CEA) level. Which of the following
responses should the nurse make - Answers "The CEA determines the efficacy of your chemotherapy"
A provider uses the CEA level to determine the efficacy of the chemotherapy. The client's CEA levels will
decrease if the chemotherapy is effective.
A nurse is assessing a client who has acute hepatitis B. Which of the following findings should the nurse
expect? - Answers Joint pain
Joint pain is an expected finding in a client who has acute hepatitis B.
A nurse is providing discharge teaching for a client who has GERD. Which of the following statements by
the client indicates an understanding of the teaching? - Answers "I will decrease the amount of
carbonated beverages I drink"
The nurse should instruct the client to limit or eliminate fatty foods, coffee, tea, carbonated beverages,
and chocolate from the diet because they irritate the lining of the stomach.
A nurse is providing discharge teaching for a client who has chronic hepatitis C. Which of the following
statements by the client indicates understanding of the teaching? - Answers "I will avoid medications
that contain acetaminophen"
A client who has hepatitis C should avoid medications that contain acetaminophen, which can cause
additional liver damage.
A nurse is assessing a client who has upper gastrointestinal bleeding. Which of the following findings
should the nurse expect? - Answers Hypotension
A client who has upper gastrointestinal bleeding is at risk for hemorrhagic shock. Hypotension is a
manifestation of hemorrhagic shock.
A nurse is reviewing the laboratory values of a client who has colorectal cancer. Which of the following
findings should the nurse expect? - Answers Hemoglobin 9.1 g.dL
A nurse is teaching a client to prepare for a colonoscopy. Which of the following instructions should the
nurse include in the teaching - Answers "Drink clear liquids for 24 hr prior to the procedure, then take
nothing by mouth for 6 hr before the procedure
The nurse should instruct the client to drink clear liquids for 24 hr prior to the colonoscopy to promote
adequate bowel cleansing.
A nurse is providing discharge teaching for a client who has mild diverticulitis. Which of the following
statements made by the client indicates an understanding of the teaching - Answers "I should eat foods
that are low in fiber
The nurse should instruct a client who has diverticulitis to follow a low-fiber diet. When the
inflammation subsides, the client should consume foods that are high in fiber.
A nurse is providing discharge teaching for a client following an ileostomy. The nurse should instruct the
client to report which of the following to the provider? - Answers Dark purple stoma
The nurse should instruct the client to contact the provider if the stoma is a dark purple color, which is
an indication of bowel ischemia.
A nurse is assessing a client who has a duodenal ulcer. Which of the following findings should the nurse
expect? - Answers The client reports that the pain occurs during the night
Pain associated with a duodenal ulcer occurs when the stomach is empty, which is typically 1.5 to 3 hr
after meals and during the night.
A nurse is reviewing the laboratory results of a client whose has acute pancreatitis. Which of the
following findings should the nurse expect? - Answers Increased amylase
Serum amylase levels are increased in a client who has acute pancreatitis due to pancreatic cell injury.
A nurse is caring for a client who has GERD and a new prescription for metoclopramide. The nurse
should plan to monitor for which of the following adverse effects? - Answers Ataxia
, The nurse should plan to monitor the client for extrapyramidal symptoms, such as ataxia, and should
report any of these findings to the provider.
A nurse is caring for a client who has colorectal cancer and is having chemotherapy. The client ask the
nurse why blood is being drawn for a carcinoembryonic antigen (CEA) level. Which of the following
responses should the nurse make - Answers "The CEA determines the efficacy of your chemotherapy"
A provider uses the CEA level to determine the efficacy of the chemotherapy. The client's CEA levels will
decrease if the chemotherapy is effective.
A nurse is assessing a client who has acute hepatitis B. Which of the following findings should the nurse
expect? - Answers Joint pain
Joint pain is an expected finding in a client who has acute hepatitis B.
A nurse is providing discharge teaching for a client who has GERD. Which of the following statements by
the client indicates an understanding of the teaching? - Answers "I will decrease the amount of
carbonated beverages I drink"
The nurse should instruct the client to limit or eliminate fatty foods, coffee, tea, carbonated beverages,
and chocolate from the diet because they irritate the lining of the stomach.
A nurse is providing discharge teaching for a client who has chronic hepatitis C. Which of the following
statements by the client indicates understanding of the teaching? - Answers "I will avoid medications
that contain acetaminophen"
A client who has hepatitis C should avoid medications that contain acetaminophen, which can cause
additional liver damage.
A nurse is assessing a client who has upper gastrointestinal bleeding. Which of the following findings
should the nurse expect? - Answers Hypotension
A client who has upper gastrointestinal bleeding is at risk for hemorrhagic shock. Hypotension is a
manifestation of hemorrhagic shock.
A nurse is reviewing the laboratory values of a client who has colorectal cancer. Which of the following
findings should the nurse expect? - Answers Hemoglobin 9.1 g.dL
