Hinkle 15th edition Test bank Ch. 38, CH. 39, Ch. 40, Ch. 41,
Ch 42, Ch. 43, Ch. 44
1. 1) A nurse is caring for a client who is scheduled for a colonoscopy and
whose 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: Inflamatory bowel disease
2. A nurse is promoting increased protein intake to enhance a client's wound
healing. What is the enzyme that will initiate the digestion of the protein that
the client consumes?
A. Pepsin
B. Intrinsic factor
C. Lipase
D. Amylase: Pepsin
3. A client has been brought to the emergency department with abdominal
pain and is subsequently diagnosed with appendicitis. The client is
scheduled for an appendectomy but questions the nurse about how a
person's health is affected by the absence of the appendix. How should the
nurse best respond?
A. "Your appendix doesn't play a major role in health, so you won't notice
any difference after your 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 won't be aware of this."
D. "Your small intestine will adapt over time to the absence of your appen-
dix.": "Your appendix doesn't play a major role in health, so you won't notice any
difference after your recovery from surgery."
4. An adult client is scheduled for an upper GI series that will use a barium
swallow. What teaching should the nurse include when the client has
completed the test?
, Hinkle 15th edition Test bank Ch. 38, CH. 39, Ch. 40, Ch. 41,
Ch 42, Ch. 43, Ch. 44
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.: Fluids must be
increased to facilitate the evacuation of the stool.
5. A nurse is caring for a client with recurrent hematemesis who is
scheduled for upper gastrointestinal fibroscopy. How should the nurse in
the radiology department prepare this client?
A. Insert a nasogastric tube.
B. Administer a micro Fleet enema at least 3 hours before the procedure.
C. Have the client lie in a supine position for the procedure.
D. Apply local anesthetic to the back of the client's throat.: Apply local
anesthetic to the back of the client's throat.
6. The nurse is caring for a client scheduled for a colonoscopy. The nurse
should assist the client into 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: Lying on the
left side with legs drawn toward the chest
7. A client has sought care because of recent dark-colored stools. As a result,
a fecal occult blood test has been ordered. The nurse should give what
instructions to the client?
A. "Take no NSAIDs within 72 hours of the test."
B. "Take prescribed medications as usual."
C. "Avoid over-the-counter (OTC) vitamin C supplements."
D. "Do not use fiber supplements before the test.": "Take no NSAIDs within 72
hours of the test."
, Hinkle 15th edition Test bank Ch. 38, CH. 39, Ch. 40, Ch. 41,
Ch 42, Ch. 43, Ch. 44
8. The nurse is preparing to perform a client's 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: Inspection,
auscultation, percussion, and palpation
9. A client 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.: Increase fluid intake to
evacuate the barium.
10. A nurse is caring for a newly admitted client with a suspected GI bleed.
The nurse assesses the client's 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: Upper GI tract
11. A nurse has auscultated a client's abdomen and noted one or two bowel
sounds in a 2-minute period of time. How should the nurse document the
client's bowel sounds?
A. Normal
B. Hypoactive
C. Hyperactive
D. Paralytic ileus: Hypoactive
, Hinkle 15th edition Test bank Ch. 38, CH. 39, Ch. 40, Ch. 41,
Ch 42, Ch. 43, Ch. 44
12. An advanced practice nurse is assessing the size and density of a client's
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: Percussion
13. The nurse is caring for a client with gastrointestinal symptoms who
reports being under a significant amount of stress at home and at work.
Which gastrointestinal effect of stress should the nurse anticipate is affecting
this client?
A. Increased gastric acid secretion
B. Slowed peristalsis
C. Increased enteric blood flow
D. Relaxed sphincter muscles: Slowed peristalsis
14. A client has returned to the medical unit after a barium enema. When
assessing the client's subsequent bowel patterns and stools, what finding
would warrant reporting to the health care provider?
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: Streaks of blood present in the stool
15. A nurse is caring for clients in a stroke rehabilitation facility. Damage to
what area of the brain will most affect a client's ability to swallow?
A. Temporal lobe
B. Medulla oblongata
C. Cerebellum
D. Pons: Medulla Oblongata
Ch 42, Ch. 43, Ch. 44
1. 1) A nurse is caring for a client who is scheduled for a colonoscopy and
whose 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: Inflamatory bowel disease
2. A nurse is promoting increased protein intake to enhance a client's wound
healing. What is the enzyme that will initiate the digestion of the protein that
the client consumes?
A. Pepsin
B. Intrinsic factor
C. Lipase
D. Amylase: Pepsin
3. A client has been brought to the emergency department with abdominal
pain and is subsequently diagnosed with appendicitis. The client is
scheduled for an appendectomy but questions the nurse about how a
person's health is affected by the absence of the appendix. How should the
nurse best respond?
A. "Your appendix doesn't play a major role in health, so you won't notice
any difference after your 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 won't be aware of this."
D. "Your small intestine will adapt over time to the absence of your appen-
dix.": "Your appendix doesn't play a major role in health, so you won't notice any
difference after your recovery from surgery."
4. An adult client is scheduled for an upper GI series that will use a barium
swallow. What teaching should the nurse include when the client has
completed the test?
, Hinkle 15th edition Test bank Ch. 38, CH. 39, Ch. 40, Ch. 41,
Ch 42, Ch. 43, Ch. 44
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.: Fluids must be
increased to facilitate the evacuation of the stool.
5. A nurse is caring for a client with recurrent hematemesis who is
scheduled for upper gastrointestinal fibroscopy. How should the nurse in
the radiology department prepare this client?
A. Insert a nasogastric tube.
B. Administer a micro Fleet enema at least 3 hours before the procedure.
C. Have the client lie in a supine position for the procedure.
D. Apply local anesthetic to the back of the client's throat.: Apply local
anesthetic to the back of the client's throat.
6. The nurse is caring for a client scheduled for a colonoscopy. The nurse
should assist the client into 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: Lying on the
left side with legs drawn toward the chest
7. A client has sought care because of recent dark-colored stools. As a result,
a fecal occult blood test has been ordered. The nurse should give what
instructions to the client?
A. "Take no NSAIDs within 72 hours of the test."
B. "Take prescribed medications as usual."
C. "Avoid over-the-counter (OTC) vitamin C supplements."
D. "Do not use fiber supplements before the test.": "Take no NSAIDs within 72
hours of the test."
, Hinkle 15th edition Test bank Ch. 38, CH. 39, Ch. 40, Ch. 41,
Ch 42, Ch. 43, Ch. 44
8. The nurse is preparing to perform a client's 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: Inspection,
auscultation, percussion, and palpation
9. A client 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.: Increase fluid intake to
evacuate the barium.
10. A nurse is caring for a newly admitted client with a suspected GI bleed.
The nurse assesses the client's 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: Upper GI tract
11. A nurse has auscultated a client's abdomen and noted one or two bowel
sounds in a 2-minute period of time. How should the nurse document the
client's bowel sounds?
A. Normal
B. Hypoactive
C. Hyperactive
D. Paralytic ileus: Hypoactive
, Hinkle 15th edition Test bank Ch. 38, CH. 39, Ch. 40, Ch. 41,
Ch 42, Ch. 43, Ch. 44
12. An advanced practice nurse is assessing the size and density of a client's
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: Percussion
13. The nurse is caring for a client with gastrointestinal symptoms who
reports being under a significant amount of stress at home and at work.
Which gastrointestinal effect of stress should the nurse anticipate is affecting
this client?
A. Increased gastric acid secretion
B. Slowed peristalsis
C. Increased enteric blood flow
D. Relaxed sphincter muscles: Slowed peristalsis
14. A client has returned to the medical unit after a barium enema. When
assessing the client's subsequent bowel patterns and stools, what finding
would warrant reporting to the health care provider?
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: Streaks of blood present in the stool
15. A nurse is caring for clients in a stroke rehabilitation facility. Damage to
what area of the brain will most affect a client's ability to swallow?
A. Temporal lobe
B. Medulla oblongata
C. Cerebellum
D. Pons: Medulla Oblongata
