Med Surge GI Actual Questions and Correct Answers
Q1
A nurse educator of a college health course is discussing tattoos with the class. Which type of
hepatitis associated with tattoos should the nurse include in the teaching plan?
Answer: Hepatitis-C
Q2
A nurse is planning care for a client admitted to the hospital with abdominal spasms and pain
associated with severe diarrhea. What primary serum blood level should the nurse monitor?
Answer: Potassium
Q3
A client is admitted to the hospital with ascites. The client reports drinking a quart of vodka
mixed in orange juice every day for the past three months. To assess the potential for
withdrawal symptoms, which question would be appropriate for the nurse to ask the client?
Answer: "When was your last drink of vodka?
Q4
A client has a body mass index (BMI) of 35 and verbalizes the need to lose weight. The nurse
encourages the client to lose weight safely by changing which dietary habits?
Answer: Decrease portion size and fat intake
Q5
A self-help group of clients with irritable bowel syndrome have invited a nurse to present a
program on nutrition. Which substance should the nurse teach the clients to minimize in the
diet to decrease gastrointestinal (GI) irritability?
Answer: Cola drinks
Q6
The postoperative prescriptions for a client who had repair of an inguinal hernia include
docusate sodium (Colace) daily. Before discharge, the nurse teaches the client that an
intermittent side effect of this medication may be:
Answer: Mild abdominal cramping
,Q7
A nurse is caring for a client who is recovering from an acute episode of alcoholism. Which
component of a therapeutic diet should the nurse encourage the client to consume?
Answer: High protein
Q8
A client is scheduled to begin chemotherapy two weeks after the client had surgery for colon
cancer. The nurse explains to the client that the delay in instituting drug therapy is planned
because the chemotherapy:
Answer: Interferes with cell growth and delays wound healing
Q9
A nurse is caring for a client with a diagnosis of cholecystitis. For which clinical manifestation of
obstructive jaundice should the nurse assess the client?
Answer: Clay-colored stools
Q10
A health care provider prescribes a sigmoidoscopy for one client and a barium enema for
another client. What is a nursing responsibility common to preparing both of these clients for
these procedures?
Answer: Ensuring an understanding of the procedure
Q11
A client has a paracentesis during which 1500 mL of fluid is removed. The nurse should monitor
the client carefully for
Answer: Hypovolemic shock
Q12
A client who had abdominal surgery asks the nurse about when the client can return to work
after discharge. The most appropriate response by the nurse is:
Answer: "What type of work did you have in mind?"
, Q13
A client with gastric ulcer disease asks the nurse why the health care provider has prescribed
metronidazole (Flagyl). The nurse explains, "Antibiotics are prescribed to:
Answer: Treat Helicobacter pylori infection."
Q14
After a bilateral inguinal hernia repair (herniorrhaphy) the nurse should assess the client for the
development of:
Answer: Urinary retention
Q15
A client is admitted with a diagnosis of cancer of the colon. What information about malignant
tumors of the colon should the nurse consider when caring for this client?
Answer: Intestinal obstructions usually are malignant
Q16
An 85-year-old client has a three- day history of nausea, vomiting, and diarrhea. The client
develops weakness and confusion and is admitted to the hospital. To best monitor the client's
rehydration status, the nurse should assess the client's:
Answer: Daily weight
Q17
A client is admitted via the emergency department with the tentative diagnosis of diverticulitis.
Which test commonly is prescribed to assess for this problem?
Answer: CT scan
Q18
A nurse is obtaining a history and performing a physical assessment of a client who has cancer
of the tongue. Which clinical findings should the nurse expect to identify? (Select all that apply.)
Answer: Leukoplakia Alterations in taste Enlarged cervical lymph nodes
Q1
A nurse educator of a college health course is discussing tattoos with the class. Which type of
hepatitis associated with tattoos should the nurse include in the teaching plan?
Answer: Hepatitis-C
Q2
A nurse is planning care for a client admitted to the hospital with abdominal spasms and pain
associated with severe diarrhea. What primary serum blood level should the nurse monitor?
Answer: Potassium
Q3
A client is admitted to the hospital with ascites. The client reports drinking a quart of vodka
mixed in orange juice every day for the past three months. To assess the potential for
withdrawal symptoms, which question would be appropriate for the nurse to ask the client?
Answer: "When was your last drink of vodka?
Q4
A client has a body mass index (BMI) of 35 and verbalizes the need to lose weight. The nurse
encourages the client to lose weight safely by changing which dietary habits?
Answer: Decrease portion size and fat intake
Q5
A self-help group of clients with irritable bowel syndrome have invited a nurse to present a
program on nutrition. Which substance should the nurse teach the clients to minimize in the
diet to decrease gastrointestinal (GI) irritability?
Answer: Cola drinks
Q6
The postoperative prescriptions for a client who had repair of an inguinal hernia include
docusate sodium (Colace) daily. Before discharge, the nurse teaches the client that an
intermittent side effect of this medication may be:
Answer: Mild abdominal cramping
,Q7
A nurse is caring for a client who is recovering from an acute episode of alcoholism. Which
component of a therapeutic diet should the nurse encourage the client to consume?
Answer: High protein
Q8
A client is scheduled to begin chemotherapy two weeks after the client had surgery for colon
cancer. The nurse explains to the client that the delay in instituting drug therapy is planned
because the chemotherapy:
Answer: Interferes with cell growth and delays wound healing
Q9
A nurse is caring for a client with a diagnosis of cholecystitis. For which clinical manifestation of
obstructive jaundice should the nurse assess the client?
Answer: Clay-colored stools
Q10
A health care provider prescribes a sigmoidoscopy for one client and a barium enema for
another client. What is a nursing responsibility common to preparing both of these clients for
these procedures?
Answer: Ensuring an understanding of the procedure
Q11
A client has a paracentesis during which 1500 mL of fluid is removed. The nurse should monitor
the client carefully for
Answer: Hypovolemic shock
Q12
A client who had abdominal surgery asks the nurse about when the client can return to work
after discharge. The most appropriate response by the nurse is:
Answer: "What type of work did you have in mind?"
, Q13
A client with gastric ulcer disease asks the nurse why the health care provider has prescribed
metronidazole (Flagyl). The nurse explains, "Antibiotics are prescribed to:
Answer: Treat Helicobacter pylori infection."
Q14
After a bilateral inguinal hernia repair (herniorrhaphy) the nurse should assess the client for the
development of:
Answer: Urinary retention
Q15
A client is admitted with a diagnosis of cancer of the colon. What information about malignant
tumors of the colon should the nurse consider when caring for this client?
Answer: Intestinal obstructions usually are malignant
Q16
An 85-year-old client has a three- day history of nausea, vomiting, and diarrhea. The client
develops weakness and confusion and is admitted to the hospital. To best monitor the client's
rehydration status, the nurse should assess the client's:
Answer: Daily weight
Q17
A client is admitted via the emergency department with the tentative diagnosis of diverticulitis.
Which test commonly is prescribed to assess for this problem?
Answer: CT scan
Q18
A nurse is obtaining a history and performing a physical assessment of a client who has cancer
of the tongue. Which clinical findings should the nurse expect to identify? (Select all that apply.)
Answer: Leukoplakia Alterations in taste Enlarged cervical lymph nodes
