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Lewis Chapters 38, 39, 40, 41, 42 Evolve GI Unit Exam Questions Verified and Provided with A+ Graded Answers | Updated 2026/2027 | Instant Download

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Lewis Chapters 38, 39, 40, 41, 42 Evolve GI Unit Exam Questions Verified and Provided with A+ Graded Answers | Updated 2026/2027 | Instant Download. This comprehensive gastrointestinal nursing exam resource covers high-yield Lewis Medical-Surgical Nursing concepts including abdominal assessment techniques, auscultation before palpation, abdominal inspection and percussion, bowel sounds, capsule endoscopy preparation, bowel preparation, oral candidiasis and Candida albicans, acute pancreatitis, elevated serum amylase, focused abdominal assessment, liver palpation, right upper quadrant assessment, sympathetic nervous system effects on gastrointestinal motility, age-related gastrointestinal changes, xerostomia, decreased gastric secretions, gastrin, gastric resection, stomach cancer, common bile duct stones, choledocholithotomy, cholecystectomy, rebound tenderness, peritoneal inflammation, preoperative abdominal assessment, gastrointestinal sounds, cardiac output and gastrointestinal absorption, aging and swallowing difficulties, hepatic failure, hepatotoxic medications, acetaminophen, bowel obstruction, tympany, high-pitched bowel sounds, GI assessment, GI disorders, nutritional status, clinical manifestations, nursing interventions, patient preparation, diagnostic procedures, and clinical judgment. Designed for nursing students preparing for Lewis Evolve GI Unit examinations, Medical-Surgical Nursing, Adult Health, gastrointestinal nursing, and related nursing coursework, this resource provides exam-focused questions, verified answers, and key rationales covering assessment, pathophysiology, diagnostic procedures, pharmacology, patient preparation, and priority nursing care. Ideal for students reviewing Lewis Chapters 38–42 and seeking a focused, comprehensive resource for gastrointestinal system exam preparation.

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Lewis Chapter 38, 39,
40, 41, 42 - EVOLVE GI
UNIT Exam Questions
Verified and Provided
with A+ Graded Answers

,The nurse is performing an abdominal assessment for a patient. Which assessment
technique by the nurse is most accurate?


A. Palpate the abdomen before auscultation.
B. Percuss the abdomen before auscultation.
C. Auscultate the abdomen before palpation.
D. Perform deep palpation before light palpation.


C. Auscultate the abdomen before palpation.



The nurse is preparing a patient for a capsule endoscopy. What should the nurse ensure
is included in the preparation?


A. Ensure the patient understands the required bowel preparation.
B. the patient return to the procedure room for removal of the capsule.
C. Teach the patient to maintain a clear liquid diet throughout the procedure.
D. Explain to the patient that conscious sedation will be used during capsule placement.


A. Ensure the patient understands the required bowel preparation.



Inspection of an older patient's mouth reveals the presence of white, curd-like lesions on
the patient's tongue. What does the nurse recognize is the most likely etiology for this
abnormal assessment finding?


A. Herpes virus
B. Candida albicans
C. Vitamin deficiency
D. Irritation from ill-fitting dentures


B. Candida albicans

,A patient is suspected of having acute pancreatitis after presenting to the emergency
department with severe abdominal pain. Which laboratory result would best indicate the
presence of acute pancreatitis?


A. Gastric pH of 1.4
B. Blood glucose of 104
C. Serum amylase of 420 U/L
D. Serum potassium of 3.5 mEq/L


C. Serum amylase of 420 U/L



The nurse is performing a focused abdominal assessment of a patient who has been
recently admitted. In order to palpate the patient's liver, where should the nurse palpate
the patient's abdomen?


A. Left lower quadrant
B. Left upper quadrant
C. Right lower quadrant
D. Right upper quadrant


D. Right upper quadrant



A patient was involved in a motor vehicle crash and reports an inability to have a bowel
movement. What is the best response by the nurse?


A. "You are just too nervous to eat or drink, so there is no stool."
B. "Your parasympathetic nervous system is now working to slow the GI tract."
C. "The circulation in the GI system has been increased, so less waste is removed."
D. "Your sympathetic nervous system was activated, so there is slowing of the GI tract."


D. "Your sympathetic nervous system was activated, so there is slowing of the GI tract."

, An older adult patient reports difficulty swallowing. Which age-related change does the
nurse teach the patient about?


A. Xerostomia
B. Esophageal cancer
C. Decreased taste buds
D. Thinner abdominal wall


A. Xerostomia



A patient had a gastric resection for stomach cancer. The nurse plans to teach the patient
about decreased secretion of which hormone?


A. Gastrin
B. Secretin
C. Cholecystokinin
D. Gastric inhibitory peptide


A. Gastrin



A patient with abdominal pain is being prepared for surgery to make an incision into
the common bile duct to remove stones. What procedure will the nurse prepare the
patient for?


A. Colectomy
B. Cholecystectomy
C. Choledocholithotomy
D. Choledochojejunostomy


C. Choledocholithotomy

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