GI 14th edition Test bank practice
questions fully solved & updated
A nurse is caring for a patient who is scheduled for a colonoscopy and whose bowel
preparation will include polyethylene glycol electrolyte lavage prior to the procedure.
The presence of what health problem would contraindicate the use of this form of bowel
preparation?
A) Inflammatory bowel disease
B) Intestinal polyps
C) Diverticulitis
D) Colon cancer - ANSWER-A) Inflammatory bowel disease (IBD)
A nurse is promoting increased protein intake to enhance a patients wound healing. The
nurse knows that enzymes are essential in the digestion of nutrients such as protein.
What is the enzyme that initiates the digestion of protein?
A) Pepsin
B) Intrinsic factor
C) Lipase
D) Amylase - ANSWER-A) Pepsin
A patient has been brought to the emergency department with abdominal pain and is
subsequently diagnosed with appendicitis. The patient is scheduled for an
appendectomy but questions the nurse about how his health will be affected by the
absence of an appendix. How should the nurse best respond?
A) Your appendix doesnt play a major role, so you wont notice any difference after you
recovery from surgery.
B) The surgeon will encourage you to limit your fat intake for a few weeks after the
surgery, but your body will then begin to compensate.
C) Your body will absorb slightly fewer nutrients from the food you eat, but you wont be
aware of
this.
,D) Your large intestine will adapt over time to the absence of your appendix. -
ANSWER-A) Your appendix doesn't play a major role, so you wont notice any difference
after you recovery from surgery.
A patient asks the nursing assistant for a bedpan. When the patient is finished, the
nursing assistant
notifies the nurse that the patient has bright red streaking of blood in the stool. What is
this most likely a result of?
A) Diet high in red meat
B) Upper GI bleed
C) Hemorrhoids
D) Use of iron supplements - ANSWER-C) Hemorrhoids
An adult patient is scheduled for an upper GI series that will use a barium swallow.
What teaching should the nurse include when the patient has completed the test?
A) Stool will be yellow for the first 24 hours postprocedure
B) The barium may cause diarrhea for the next 24 hours.
C) Fluids must be increased to facilitate the evacuation of the stool.
D) Slight anal bleeding may be noted as the barium is passed. - ANSWER-C) Fluids
must be increased to facilitate the evacuation of the stool.
patient has come to the outpatient radiology department for diagnostic testing. Which of
the following
diagnostic procedures will allow the care team to evaluate and remove polyps?
A) Colonoscopy
B) Barium enema
C) ERCP
D) Upper gastrointestinal fibroscopy - ANSWER-A) Colonoscopy
A nurse is caring for a patient with recurrent hematemesis who is scheduled for upper
gastrointestinal fibroscopy (UGF). How should the nurse in the radiology department
prepare this patient?
A) Insert a nasogastric tube.
B) Administer a micro Fleet enema at least 3 hours before the procedure.
C) Have the patient lie in a supine position for the procedure.
D) Apply local anesthetic to the back of the patients throat - ANSWER-D) Apply local
anesthetic to the back of the patients throat
The nurse is providing health education to a patient scheduled for a colonoscopy. The
nurse should
explain that she will be placed in what position during this diagnostic test?
,A) In a knee-chest position (lithotomy position)
B) Lying prone with legs drawn toward the chest
C) Lying on the left side with legs drawn toward the chest
D) In a prone position with two pillows elevating the buttocks - ANSWER-C) Lying on
the left side with legs drawn toward the chest
A patient has sought care because of recent dark-colored stools. As a result, a fecal
occult blood test has been ordered. The nurse should instruct the patient to avoid which
of the following prior to collecting a stool sample?
A) NSAIDs
B) Acetaminophen
C) OTC vitamin D supplements
D) Fiber supplements - ANSWER-A) NSAIDs
The nurse is preparing to perform a patients abdominal assessment. What examination
sequence should
the nurse follow?
A) Inspection, auscultation, percussion, and palpation
B) Inspection, palpation, auscultation, and percussion
C) Inspection, percussion, palpation, and auscultation
D) Inspection, palpation, percussion, and auscultation - ANSWER-A) Inspection,
auscultation, percussion, and palpation
A patient who has been experiencing changes in his bowel function is scheduled for a
barium enema.
What instruction should the nurse provide for postprocedure recovery?
A) Remain NPO for 6 hours postprocedure.
B) Administer a Fleet enema to cleanse the bowel of the barium.
C) Increase fluid intake to evacuate the barium.
D) Avoid dairy products for 24 hours postprocedure. - ANSWER-C) Increase fluid intake
to evacuate the barium.
A nurse is caring for a newly admitted patient with a suspected GI bleed. The nurse
assesses the patients stool after a bowel movement and notes it to be a tarry-black
color. This finding is suggestive of bleeding from what location?
A) Sigmoid colon
B) Upper GI tract
C) Large intestine
D) Anus or rectum - ANSWER-B) Upper GI tract
, A nursing student has auscultated a patients abdomen and noted one or two bowel
sounds in a 2-minute
period of time. How would you tell the student to document the patients bowel sounds?
A) Normal
B) Hypoactive
C) Hyperactive
D) Paralytic ileus - ANSWER-B) Hypoactive
An advanced practice nurse is assessing the size and density of a patients abdominal
organs. If the
results of palpation are unclear to the nurse, what assessment technique should be
implemented?
A) Percussion
B) Auscultation
C) Inspection
D) Rectal examination - ANSWER-A) Percussion
A nurse is caring for a patient with biliary colic and is aware that the patient may
experience referred abdominal pain. Where would the nurse most likely expect this
patient to experience referred pain?
A) Midline near the umbilicus
B) Below the right nipple
C) Left groin area
D) Right lower abdominal quadrant - ANSWER-B) Below the right nipple
An inpatient has returned to the medical unit after a barium enema. When assessing the
patients
subsequent bowel patterns and stools, what finding should the nurse report to the
physician?
A) Large, wide stools
B) Milky white stools
C) Three stools during an 8-hour period of time
D) Streaks of blood present in the stool - ANSWER-D) Streaks of blood present in the
stool
A nurse in a stroke rehabilitation facility recognizes that the brain regulates swallowing.
Damage to what area of the brain will most affect the patients ability to swallow?
A) Temporal lobe
B) Medulla oblongata
C) Cerebellum
D) Pons - ANSWER-B) Medulla oblongata
questions fully solved & updated
A nurse is caring for a patient who is scheduled for a colonoscopy and whose bowel
preparation will include polyethylene glycol electrolyte lavage prior to the procedure.
The presence of what health problem would contraindicate the use of this form of bowel
preparation?
A) Inflammatory bowel disease
B) Intestinal polyps
C) Diverticulitis
D) Colon cancer - ANSWER-A) Inflammatory bowel disease (IBD)
A nurse is promoting increased protein intake to enhance a patients wound healing. The
nurse knows that enzymes are essential in the digestion of nutrients such as protein.
What is the enzyme that initiates the digestion of protein?
A) Pepsin
B) Intrinsic factor
C) Lipase
D) Amylase - ANSWER-A) Pepsin
A patient has been brought to the emergency department with abdominal pain and is
subsequently diagnosed with appendicitis. The patient is scheduled for an
appendectomy but questions the nurse about how his health will be affected by the
absence of an appendix. How should the nurse best respond?
A) Your appendix doesnt play a major role, so you wont notice any difference after you
recovery from surgery.
B) The surgeon will encourage you to limit your fat intake for a few weeks after the
surgery, but your body will then begin to compensate.
C) Your body will absorb slightly fewer nutrients from the food you eat, but you wont be
aware of
this.
,D) Your large intestine will adapt over time to the absence of your appendix. -
ANSWER-A) Your appendix doesn't play a major role, so you wont notice any difference
after you recovery from surgery.
A patient asks the nursing assistant for a bedpan. When the patient is finished, the
nursing assistant
notifies the nurse that the patient has bright red streaking of blood in the stool. What is
this most likely a result of?
A) Diet high in red meat
B) Upper GI bleed
C) Hemorrhoids
D) Use of iron supplements - ANSWER-C) Hemorrhoids
An adult patient is scheduled for an upper GI series that will use a barium swallow.
What teaching should the nurse include when the patient has completed the test?
A) Stool will be yellow for the first 24 hours postprocedure
B) The barium may cause diarrhea for the next 24 hours.
C) Fluids must be increased to facilitate the evacuation of the stool.
D) Slight anal bleeding may be noted as the barium is passed. - ANSWER-C) Fluids
must be increased to facilitate the evacuation of the stool.
patient has come to the outpatient radiology department for diagnostic testing. Which of
the following
diagnostic procedures will allow the care team to evaluate and remove polyps?
A) Colonoscopy
B) Barium enema
C) ERCP
D) Upper gastrointestinal fibroscopy - ANSWER-A) Colonoscopy
A nurse is caring for a patient with recurrent hematemesis who is scheduled for upper
gastrointestinal fibroscopy (UGF). How should the nurse in the radiology department
prepare this patient?
A) Insert a nasogastric tube.
B) Administer a micro Fleet enema at least 3 hours before the procedure.
C) Have the patient lie in a supine position for the procedure.
D) Apply local anesthetic to the back of the patients throat - ANSWER-D) Apply local
anesthetic to the back of the patients throat
The nurse is providing health education to a patient scheduled for a colonoscopy. The
nurse should
explain that she will be placed in what position during this diagnostic test?
,A) In a knee-chest position (lithotomy position)
B) Lying prone with legs drawn toward the chest
C) Lying on the left side with legs drawn toward the chest
D) In a prone position with two pillows elevating the buttocks - ANSWER-C) Lying on
the left side with legs drawn toward the chest
A patient has sought care because of recent dark-colored stools. As a result, a fecal
occult blood test has been ordered. The nurse should instruct the patient to avoid which
of the following prior to collecting a stool sample?
A) NSAIDs
B) Acetaminophen
C) OTC vitamin D supplements
D) Fiber supplements - ANSWER-A) NSAIDs
The nurse is preparing to perform a patients abdominal assessment. What examination
sequence should
the nurse follow?
A) Inspection, auscultation, percussion, and palpation
B) Inspection, palpation, auscultation, and percussion
C) Inspection, percussion, palpation, and auscultation
D) Inspection, palpation, percussion, and auscultation - ANSWER-A) Inspection,
auscultation, percussion, and palpation
A patient who has been experiencing changes in his bowel function is scheduled for a
barium enema.
What instruction should the nurse provide for postprocedure recovery?
A) Remain NPO for 6 hours postprocedure.
B) Administer a Fleet enema to cleanse the bowel of the barium.
C) Increase fluid intake to evacuate the barium.
D) Avoid dairy products for 24 hours postprocedure. - ANSWER-C) Increase fluid intake
to evacuate the barium.
A nurse is caring for a newly admitted patient with a suspected GI bleed. The nurse
assesses the patients stool after a bowel movement and notes it to be a tarry-black
color. This finding is suggestive of bleeding from what location?
A) Sigmoid colon
B) Upper GI tract
C) Large intestine
D) Anus or rectum - ANSWER-B) Upper GI tract
, A nursing student has auscultated a patients abdomen and noted one or two bowel
sounds in a 2-minute
period of time. How would you tell the student to document the patients bowel sounds?
A) Normal
B) Hypoactive
C) Hyperactive
D) Paralytic ileus - ANSWER-B) Hypoactive
An advanced practice nurse is assessing the size and density of a patients abdominal
organs. If the
results of palpation are unclear to the nurse, what assessment technique should be
implemented?
A) Percussion
B) Auscultation
C) Inspection
D) Rectal examination - ANSWER-A) Percussion
A nurse is caring for a patient with biliary colic and is aware that the patient may
experience referred abdominal pain. Where would the nurse most likely expect this
patient to experience referred pain?
A) Midline near the umbilicus
B) Below the right nipple
C) Left groin area
D) Right lower abdominal quadrant - ANSWER-B) Below the right nipple
An inpatient has returned to the medical unit after a barium enema. When assessing the
patients
subsequent bowel patterns and stools, what finding should the nurse report to the
physician?
A) Large, wide stools
B) Milky white stools
C) Three stools during an 8-hour period of time
D) Streaks of blood present in the stool - ANSWER-D) Streaks of blood present in the
stool
A nurse in a stroke rehabilitation facility recognizes that the brain regulates swallowing.
Damage to what area of the brain will most affect the patients ability to swallow?
A) Temporal lobe
B) Medulla oblongata
C) Cerebellum
D) Pons - ANSWER-B) Medulla oblongata
