2024 GASTRO 162B FINAL EXAM / ACTUAL 162B
GASTRO FINAL EXAM REAL QUESTIONS AND CORRECT
DETAILED ANSWERS (100% CORRECT VERIFIED
ANSWERS) A NEW UPDATED VERSION 2024 |ALREADY
GRADED A+ (BRAND NEW!!)
The nurse is monitoring a client admitted to the hospital with a diagnosis of
appendicitis who is scheduled for surgery in 2 hours. The client begins to complain of
increased abdominal pain and begins to vomit. On assessment, the nurse notes that
the abdomen is distended and bowel sounds are diminished. Which is the most
appropriate nursing intervention?
1.Notify the health care provider (HCP).
2.Administer the prescribed pain medication.
3.Call and ask the operating room team to perform surgery as soon as possible.
4.Reposition the client and apply a heating pad on the warm setting to the client's
abdomen. - ANSWER: 1
A client admitted to the hospital with a suspected diagnosis of acute pancreatitis is
being assessed by the nurse. Which assessment findings would be consistent with
acute pancreatitis? Select all that apply.
1.Diarrhea
2.Black, tarry stools
3.Hyperactive bowel sounds
4.Gray-blue color at the flank
5.Abdominal guarding and tenderness
6.Left upper quadrant pain with radiation to the back - ANSWER: 4,5,6
A client is diagnosed with viral hepatitis, complaining of "no appetite" and "losing my
taste for food." What instruction should the nurse give the client to provide
adequate nutrition?
1.
Select foods high in fat.
2.
,Increase intake of fluids, including juices.
3.
Eat a good supper when anorexia is not as severe.
4.
Eat less often, preferably only 3 large meals daily - ANSWER: 2
A client has developed hepatitis A after eating contaminated oysters. The nurse
assesses the client for which expected assessment finding?
1.
Malaise
2.
Dark stools
3.
Weight gain
4.
Left upper quadrant discomfort - ANSWER: 1
A client has just had a hemorrhoidectomy. Which nursing interventions are
appropriate for this client? Select all that apply.
1.
Administer stool softeners as prescribed.
2.
Instruct the client to limit fluid intake to avoid urinary retention.
3.
Encourage a high-fiber diet to promote bowel movements without straining.
4.
Apply cold packs to the anal-rectal area over the dressing until the packing is
removed.
5.
Help the client to a Fowler's position to place pressure on the rectal area and
decrease bleeding. - ANSWER: 1,3,4
The nurse is planning to teach a client with gastroesophageal reflux disease (GERD)
about substances to avoid. Which items should the nurse include on this list? Select
all that apply.
,1.
Coffee
2.
Chocolate
3.
Peppermint
4.
Nonfat milk
5.
Fried chicken
6.
Scrambled eggs - ANSWER: 1,2,3,5
A client has undergone esophagogastroduodenoscopy. The nurse should place
highest priority on which item as part of the client's care plan?
1.
Monitoring the temperature
2.
Monitoring complaints of heartburn
3.
Giving warm gargles for a sore throat
4.
Assessing for the return of the gag reflex - ANSWER: 4
The nurse has taught the client about an upcoming endoscopic retrograde
cholangiopancreatography (ERCP) procedure. The nurse determines that the client
needs further information if the client makes which statement?
1.
"I know I must sign the consent form."
2.
"I hope the throat spray keeps me from gagging."
3.
"I'm glad I don't have to lie still for this procedure."
4.
, "I'm glad some intravenous medication will be given to relax me." - ANSWER: 3
The health care provider has determined that a client has contracted hepatitis A
based on flulike symptoms and jaundice. Which statement made by the client
supports this medical diagnosis?
1.
"I have had unprotected sex with multiple partners."
2.
"I ate shellfish about 2 weeks ago at a local restaurant."
3.
"I was an intravenous drug abuser in the past and shared needles."
4.
"I had a blood transfusion 30 years ago after major abdominal surgery." - ANSWER: 2
The nurse is providing dietary teaching for a client with a diagnosis of chronic
gastritis. The nurse instructs the client to include which foods rich in vitamin B12 in
the diet? Select all that apply.
1.
Nuts
2.
Corn
3.
Liver
4.
Apples
5.
Lentils
6.
Bananas - ANSWER: 1,3,5
The nurse is assessing a client 24 hours following a cholecystectomy. The nurse notes
that the T-tube has drained 750 mL of green-brown drainage since the surgery.
Which nursing intervention is most appropriate?
1.
Clamp the T-tube.
2.
GASTRO FINAL EXAM REAL QUESTIONS AND CORRECT
DETAILED ANSWERS (100% CORRECT VERIFIED
ANSWERS) A NEW UPDATED VERSION 2024 |ALREADY
GRADED A+ (BRAND NEW!!)
The nurse is monitoring a client admitted to the hospital with a diagnosis of
appendicitis who is scheduled for surgery in 2 hours. The client begins to complain of
increased abdominal pain and begins to vomit. On assessment, the nurse notes that
the abdomen is distended and bowel sounds are diminished. Which is the most
appropriate nursing intervention?
1.Notify the health care provider (HCP).
2.Administer the prescribed pain medication.
3.Call and ask the operating room team to perform surgery as soon as possible.
4.Reposition the client and apply a heating pad on the warm setting to the client's
abdomen. - ANSWER: 1
A client admitted to the hospital with a suspected diagnosis of acute pancreatitis is
being assessed by the nurse. Which assessment findings would be consistent with
acute pancreatitis? Select all that apply.
1.Diarrhea
2.Black, tarry stools
3.Hyperactive bowel sounds
4.Gray-blue color at the flank
5.Abdominal guarding and tenderness
6.Left upper quadrant pain with radiation to the back - ANSWER: 4,5,6
A client is diagnosed with viral hepatitis, complaining of "no appetite" and "losing my
taste for food." What instruction should the nurse give the client to provide
adequate nutrition?
1.
Select foods high in fat.
2.
,Increase intake of fluids, including juices.
3.
Eat a good supper when anorexia is not as severe.
4.
Eat less often, preferably only 3 large meals daily - ANSWER: 2
A client has developed hepatitis A after eating contaminated oysters. The nurse
assesses the client for which expected assessment finding?
1.
Malaise
2.
Dark stools
3.
Weight gain
4.
Left upper quadrant discomfort - ANSWER: 1
A client has just had a hemorrhoidectomy. Which nursing interventions are
appropriate for this client? Select all that apply.
1.
Administer stool softeners as prescribed.
2.
Instruct the client to limit fluid intake to avoid urinary retention.
3.
Encourage a high-fiber diet to promote bowel movements without straining.
4.
Apply cold packs to the anal-rectal area over the dressing until the packing is
removed.
5.
Help the client to a Fowler's position to place pressure on the rectal area and
decrease bleeding. - ANSWER: 1,3,4
The nurse is planning to teach a client with gastroesophageal reflux disease (GERD)
about substances to avoid. Which items should the nurse include on this list? Select
all that apply.
,1.
Coffee
2.
Chocolate
3.
Peppermint
4.
Nonfat milk
5.
Fried chicken
6.
Scrambled eggs - ANSWER: 1,2,3,5
A client has undergone esophagogastroduodenoscopy. The nurse should place
highest priority on which item as part of the client's care plan?
1.
Monitoring the temperature
2.
Monitoring complaints of heartburn
3.
Giving warm gargles for a sore throat
4.
Assessing for the return of the gag reflex - ANSWER: 4
The nurse has taught the client about an upcoming endoscopic retrograde
cholangiopancreatography (ERCP) procedure. The nurse determines that the client
needs further information if the client makes which statement?
1.
"I know I must sign the consent form."
2.
"I hope the throat spray keeps me from gagging."
3.
"I'm glad I don't have to lie still for this procedure."
4.
, "I'm glad some intravenous medication will be given to relax me." - ANSWER: 3
The health care provider has determined that a client has contracted hepatitis A
based on flulike symptoms and jaundice. Which statement made by the client
supports this medical diagnosis?
1.
"I have had unprotected sex with multiple partners."
2.
"I ate shellfish about 2 weeks ago at a local restaurant."
3.
"I was an intravenous drug abuser in the past and shared needles."
4.
"I had a blood transfusion 30 years ago after major abdominal surgery." - ANSWER: 2
The nurse is providing dietary teaching for a client with a diagnosis of chronic
gastritis. The nurse instructs the client to include which foods rich in vitamin B12 in
the diet? Select all that apply.
1.
Nuts
2.
Corn
3.
Liver
4.
Apples
5.
Lentils
6.
Bananas - ANSWER: 1,3,5
The nurse is assessing a client 24 hours following a cholecystectomy. The nurse notes
that the T-tube has drained 750 mL of green-brown drainage since the surgery.
Which nursing intervention is most appropriate?
1.
Clamp the T-tube.
2.
