Hinkle 15th edition Test bank Ch. 38, CH.
39, Ch. 40, Ch. 41, Ch 42, Ch. 43, Ch. 44
Questions And Verified Answers
1) hA hnurse his hcaring hfor ha hclient hwho his hscheduled hfor ha hcolonoscopy hand hwhose hpreparation
hwill hinclude hpolyethylene hglycol helectrolyte hlavage hprior hto hthe hprocedure. hThe hpresence hof
hwhat hhealth hproblem hwould hcontraindicate hthe huse hof hthis hform hof hbowel hpreparation?
A. hInflammatory hbowel hdisease h
B. hIntestinal hpolyps
C. hDiverticulitis
D. hColon hcancer h- hAnswer h- hInflamatory hbowel hdisease
A hnurse his hpromoting hincreased hprotein hintake hto henhance ha hclient's hwound hhealing. hWhat his
hthe henzyme hthat hwill hinitiate hthe hdigestion hof hthe hprotein hthat hthe hclient hconsumes?
A. hPepsin
B. hIntrinsic hfactor h
C. hLipase
D. hAmylase h- hAnswer h- hPepsin
A hclient hhas hbeen hbrought hto hthe hemergency hdepartment hwith habdominal hpain hand his
hsubsequently hdiagnosed hwith happendicitis. hThe hclient his hscheduled hfor han happendectomy hbut
hquestions hthe hnurse habout hhow ha hperson's hhealth his haffected hby hthe habsence hof hthe
happendix. hHow hshould hthe hnurse hbest hrespond?
A. h"Your happendix hdoesn't hplay ha hmajor hrole hin hhealth, hso hyou hwon't hnotice hany hdifference
hafter hyour hrecovery hfrom hsurgery."
B. h"The hsurgeon hwill hencourage hyou hto hlimit hyour hfat hintake hfor ha hfew hweeks hafter hthe
hsurgery, hbut hyour hbody hwill hthen hbegin hto hcompensate."
C. h"Your hbody hwill habsorb hslightly hfewer hnutrients hfrom hthe hfood hyou heat, hbut hyou hwon't hbe
haware hof hthis."
,D. h"Your hsmall hintestine hwill hadapt hover htime hto hthe habsence hof hyour happendix." h- hAnswer h-
h"Your happendix hdoesn't hplay ha hmajor hrole hin hhealth, hso hyou hwon't hnotice hany hdifference hafter
hyour hrecovery hfrom hsurgery."
An hadult hclient his hscheduled hfor han hupper hGI hseries hthat hwill huse ha hbarium hswallow. hWhat
hteaching hshould hthe hnurse hinclude hwhen hthe hclient hhas hcompleted hthe htest?
A. hStool hwill hbe hyellow hfor hthe hfirst h24 hhours' hpostprocedure.
B. hThe hbarium hmay hcause hdiarrhea hfor hthe hnext h24 hhours.
C. hFluids hmust hbe hincreased hto hfacilitate hthe hevacuation hof hthe hstool. h
D. hSlight hanal hbleeding hmay hbe hnoted has hthe hbarium his hpassed. h- hAnswer h- hFluids hmust hbe
hincreased hto hfacilitate hthe hevacuation hof hthe hstool.
A hnurse his hcaring hfor ha hclient hwith hrecurrent hhematemesis hwho his hscheduled hfor hupper
hgastrointestinal hfibroscopy. hHow hshould hthe hnurse hin hthe hradiology hdepartment hprepare hthis
hclient?
A. hInsert ha hnasogastric htube.
B. hAdminister ha hmicro hFleet henema hat hleast h3 hhours hbefore hthe hprocedure. h
C. hHave hthe hclient hlie hin ha hsupine hposition hfor hthe hprocedure.
D. hApply hlocal hanesthetic hto hthe hback hof hthe hclient's hthroat. h- hAnswer h- hApply hlocal hanesthetic
hto hthe hback hof hthe hclient's hthroat.
The hnurse his hcaring hfor ha hclient hscheduled hfor ha hcolonoscopy. hThe hnurse hshould hassist hthe
hclient hinto hwhat hposition hduring hthis hdiagnostic htest?
A. hIn ha hknee-chest hposition h(lithotomy hposition)
B. hLying hprone hwith hlegs hdrawn htoward hthe hchest
C. hLying hon hthe hleft hside hwith hlegs hdrawn htoward hthe hchest
D. hIn ha hprone hposition hwith htwo hpillows helevating hthe hbuttocks h- hAnswer h- hLying hon hthe hleft
hside hwith hlegs hdrawn htoward hthe hchest
A hclient hhas hsought hcare hbecause hof hrecent hdark-colored hstools. hAs ha hresult, ha hfecal hoccult
hblood htest hhas hbeen hordered. hThe hnurse hshould hgive hwhat hinstructions hto hthe hclient?
,A. h"Take hno hNSAIDs hwithin h72 hhours hof hthe htest."
B. h"Take hprescribed hmedications has husual."
C. h"Avoid hover-the-counter h(OTC) hvitamin hC hsupplements." h
D. h"Do hnot huse hfiber hsupplements hbefore hthe htest." h- hAnswer h- h"Take hno hNSAIDs hwithin h72
hhours hof hthe htest."
The hnurse his hpreparing hto hperform ha hclient's habdominal hassessment. hWhat hexamination
hsequence hshould hthe hnurse hfollow?
A. hInspection, hauscultation, hpercussion, hand hpalpation h
B. hInspection, hpalpation, hauscultation, hand hpercussion h
C. hInspection, hpercussion, hpalpation, hand hauscultation h
D. hInspection, hpalpation, hpercussion, hand hauscultation h- hAnswer h- hInspection, hauscultation,
hpercussion, hand hpalpation
A hclient hwho hhas hbeen hexperiencing hchanges hin hhis hbowel hfunction his hscheduled hfor ha hbarium
henema. hWhat hinstruction hshould hthe hnurse hprovide hfor hpostprocedure hrecovery?
A. hRemain hNPO hfor h6 hhours hpostprocedure.
B. hAdminister ha hFleet henema hto hcleanse hthe hbowel hof hthe hbarium. h
C. hIncrease hfluid hintake hto hevacuate hthe hbarium.
D. hAvoid hdairy hproducts hfor h24 hhours' hpostprocedure. h- hAnswer h- hIncrease hfluid hintake hto
hevacuate hthe hbarium.
A hnurse his hcaring hfor ha hnewly hadmitted hclient hwith ha hsuspected hGI hbleed. hThe hnurse hassesses
hthe hclient's hstool hafter ha hbowel hmovement hand hnotes hit hto hbe ha htarry-black hcolor. hThis
hfinding his hsuggestive hof hbleeding hfrom hwhat hlocation?
A. hSigmoid hcolon h
B. hUpper hGI htract h
C. hLarge hintestine h
D. hAnus hor hrectum h- hAnswer h- hUpper hGI htract
A hnurse hhas hauscultated ha hclient's habdomen hand hnoted hone hor htwo hbowel hsounds hin ha h2-
minute hperiod hof htime. hHow hshould hthe hnurse hdocument hthe hclient's hbowel hsounds?
, A. hNormal
B. hHypoactive
C. hHyperactive h
D. hParalytic hileus h- hAnswer h- hHypoactive
An hadvanced hpractice hnurse his hassessing hthe hsize hand hdensity hof ha hclient's habdominal horgans. hIf
hthe hresults hof hpalpation hare hunclear hto hthe hnurse, hwhat hassessment htechnique hshould hbe
himplemented?
A. hPercussion
B. hAuscultation
C. hInspection
D. hRectal hexamination h- hAnswer h- hPercussion
The hnurse his hcaring hfor ha hclient hwith hgastrointestinal hsymptoms hwho hreports hbeing hunder ha
hsignificant hamount hof hstress hat hhome hand hat hwork. hWhich hgastrointestinal heffect hof hstress
hshould hthe hnurse hanticipate his haffecting hthis hclient?
A. hIncreased hgastric hacid hsecretion h
B. hSlowed hperistalsis
C. hIncreased henteric hblood hflow
D. hRelaxed hsphincter hmuscles h- hAnswer h- hSlowed hperistalsis
A hclient hhas hreturned hto hthe hmedical hunit hafter ha hbarium henema. hWhen hassessing hthe hclient's
hsubsequent hbowel hpatterns hand hstools, hwhat hfinding hwould hwarrant hreporting hto hthe hhealth
hcare hprovider?
A. hLarge, hwide hstools
B. hMilky hwhite hstools
C. hThree hstools hduring han h8-hour hperiod hof htime h
D. hStreaks hof hblood hpresent hin hthe hstool h- hAnswer h- hStreaks hof hblood hpresent hin hthe hstool
A hnurse his hcaring hfor hclients hin ha hstroke hrehabilitation hfacility. hDamage hto hwhat harea hof hthe
hbrain hwill hmost haffect ha hclient's hability hto hswallow?
39, Ch. 40, Ch. 41, Ch 42, Ch. 43, Ch. 44
Questions And Verified Answers
1) hA hnurse his hcaring hfor ha hclient hwho his hscheduled hfor ha hcolonoscopy hand hwhose hpreparation
hwill hinclude hpolyethylene hglycol helectrolyte hlavage hprior hto hthe hprocedure. hThe hpresence hof
hwhat hhealth hproblem hwould hcontraindicate hthe huse hof hthis hform hof hbowel hpreparation?
A. hInflammatory hbowel hdisease h
B. hIntestinal hpolyps
C. hDiverticulitis
D. hColon hcancer h- hAnswer h- hInflamatory hbowel hdisease
A hnurse his hpromoting hincreased hprotein hintake hto henhance ha hclient's hwound hhealing. hWhat his
hthe henzyme hthat hwill hinitiate hthe hdigestion hof hthe hprotein hthat hthe hclient hconsumes?
A. hPepsin
B. hIntrinsic hfactor h
C. hLipase
D. hAmylase h- hAnswer h- hPepsin
A hclient hhas hbeen hbrought hto hthe hemergency hdepartment hwith habdominal hpain hand his
hsubsequently hdiagnosed hwith happendicitis. hThe hclient his hscheduled hfor han happendectomy hbut
hquestions hthe hnurse habout hhow ha hperson's hhealth his haffected hby hthe habsence hof hthe
happendix. hHow hshould hthe hnurse hbest hrespond?
A. h"Your happendix hdoesn't hplay ha hmajor hrole hin hhealth, hso hyou hwon't hnotice hany hdifference
hafter hyour hrecovery hfrom hsurgery."
B. h"The hsurgeon hwill hencourage hyou hto hlimit hyour hfat hintake hfor ha hfew hweeks hafter hthe
hsurgery, hbut hyour hbody hwill hthen hbegin hto hcompensate."
C. h"Your hbody hwill habsorb hslightly hfewer hnutrients hfrom hthe hfood hyou heat, hbut hyou hwon't hbe
haware hof hthis."
,D. h"Your hsmall hintestine hwill hadapt hover htime hto hthe habsence hof hyour happendix." h- hAnswer h-
h"Your happendix hdoesn't hplay ha hmajor hrole hin hhealth, hso hyou hwon't hnotice hany hdifference hafter
hyour hrecovery hfrom hsurgery."
An hadult hclient his hscheduled hfor han hupper hGI hseries hthat hwill huse ha hbarium hswallow. hWhat
hteaching hshould hthe hnurse hinclude hwhen hthe hclient hhas hcompleted hthe htest?
A. hStool hwill hbe hyellow hfor hthe hfirst h24 hhours' hpostprocedure.
B. hThe hbarium hmay hcause hdiarrhea hfor hthe hnext h24 hhours.
C. hFluids hmust hbe hincreased hto hfacilitate hthe hevacuation hof hthe hstool. h
D. hSlight hanal hbleeding hmay hbe hnoted has hthe hbarium his hpassed. h- hAnswer h- hFluids hmust hbe
hincreased hto hfacilitate hthe hevacuation hof hthe hstool.
A hnurse his hcaring hfor ha hclient hwith hrecurrent hhematemesis hwho his hscheduled hfor hupper
hgastrointestinal hfibroscopy. hHow hshould hthe hnurse hin hthe hradiology hdepartment hprepare hthis
hclient?
A. hInsert ha hnasogastric htube.
B. hAdminister ha hmicro hFleet henema hat hleast h3 hhours hbefore hthe hprocedure. h
C. hHave hthe hclient hlie hin ha hsupine hposition hfor hthe hprocedure.
D. hApply hlocal hanesthetic hto hthe hback hof hthe hclient's hthroat. h- hAnswer h- hApply hlocal hanesthetic
hto hthe hback hof hthe hclient's hthroat.
The hnurse his hcaring hfor ha hclient hscheduled hfor ha hcolonoscopy. hThe hnurse hshould hassist hthe
hclient hinto hwhat hposition hduring hthis hdiagnostic htest?
A. hIn ha hknee-chest hposition h(lithotomy hposition)
B. hLying hprone hwith hlegs hdrawn htoward hthe hchest
C. hLying hon hthe hleft hside hwith hlegs hdrawn htoward hthe hchest
D. hIn ha hprone hposition hwith htwo hpillows helevating hthe hbuttocks h- hAnswer h- hLying hon hthe hleft
hside hwith hlegs hdrawn htoward hthe hchest
A hclient hhas hsought hcare hbecause hof hrecent hdark-colored hstools. hAs ha hresult, ha hfecal hoccult
hblood htest hhas hbeen hordered. hThe hnurse hshould hgive hwhat hinstructions hto hthe hclient?
,A. h"Take hno hNSAIDs hwithin h72 hhours hof hthe htest."
B. h"Take hprescribed hmedications has husual."
C. h"Avoid hover-the-counter h(OTC) hvitamin hC hsupplements." h
D. h"Do hnot huse hfiber hsupplements hbefore hthe htest." h- hAnswer h- h"Take hno hNSAIDs hwithin h72
hhours hof hthe htest."
The hnurse his hpreparing hto hperform ha hclient's habdominal hassessment. hWhat hexamination
hsequence hshould hthe hnurse hfollow?
A. hInspection, hauscultation, hpercussion, hand hpalpation h
B. hInspection, hpalpation, hauscultation, hand hpercussion h
C. hInspection, hpercussion, hpalpation, hand hauscultation h
D. hInspection, hpalpation, hpercussion, hand hauscultation h- hAnswer h- hInspection, hauscultation,
hpercussion, hand hpalpation
A hclient hwho hhas hbeen hexperiencing hchanges hin hhis hbowel hfunction his hscheduled hfor ha hbarium
henema. hWhat hinstruction hshould hthe hnurse hprovide hfor hpostprocedure hrecovery?
A. hRemain hNPO hfor h6 hhours hpostprocedure.
B. hAdminister ha hFleet henema hto hcleanse hthe hbowel hof hthe hbarium. h
C. hIncrease hfluid hintake hto hevacuate hthe hbarium.
D. hAvoid hdairy hproducts hfor h24 hhours' hpostprocedure. h- hAnswer h- hIncrease hfluid hintake hto
hevacuate hthe hbarium.
A hnurse his hcaring hfor ha hnewly hadmitted hclient hwith ha hsuspected hGI hbleed. hThe hnurse hassesses
hthe hclient's hstool hafter ha hbowel hmovement hand hnotes hit hto hbe ha htarry-black hcolor. hThis
hfinding his hsuggestive hof hbleeding hfrom hwhat hlocation?
A. hSigmoid hcolon h
B. hUpper hGI htract h
C. hLarge hintestine h
D. hAnus hor hrectum h- hAnswer h- hUpper hGI htract
A hnurse hhas hauscultated ha hclient's habdomen hand hnoted hone hor htwo hbowel hsounds hin ha h2-
minute hperiod hof htime. hHow hshould hthe hnurse hdocument hthe hclient's hbowel hsounds?
, A. hNormal
B. hHypoactive
C. hHyperactive h
D. hParalytic hileus h- hAnswer h- hHypoactive
An hadvanced hpractice hnurse his hassessing hthe hsize hand hdensity hof ha hclient's habdominal horgans. hIf
hthe hresults hof hpalpation hare hunclear hto hthe hnurse, hwhat hassessment htechnique hshould hbe
himplemented?
A. hPercussion
B. hAuscultation
C. hInspection
D. hRectal hexamination h- hAnswer h- hPercussion
The hnurse his hcaring hfor ha hclient hwith hgastrointestinal hsymptoms hwho hreports hbeing hunder ha
hsignificant hamount hof hstress hat hhome hand hat hwork. hWhich hgastrointestinal heffect hof hstress
hshould hthe hnurse hanticipate his haffecting hthis hclient?
A. hIncreased hgastric hacid hsecretion h
B. hSlowed hperistalsis
C. hIncreased henteric hblood hflow
D. hRelaxed hsphincter hmuscles h- hAnswer h- hSlowed hperistalsis
A hclient hhas hreturned hto hthe hmedical hunit hafter ha hbarium henema. hWhen hassessing hthe hclient's
hsubsequent hbowel hpatterns hand hstools, hwhat hfinding hwould hwarrant hreporting hto hthe hhealth
hcare hprovider?
A. hLarge, hwide hstools
B. hMilky hwhite hstools
C. hThree hstools hduring han h8-hour hperiod hof htime h
D. hStreaks hof hblood hpresent hin hthe hstool h- hAnswer h- hStreaks hof hblood hpresent hin hthe hstool
A hnurse his hcaring hfor hclients hin ha hstroke hrehabilitation hfacility. hDamage hto hwhat harea hof hthe
hbrain hwill hmost haffect ha hclient's hability hto hswallow?
