Med Surge GI UPDATED ACTUAL Exam
Questions and CORECT Answers
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? - CORRECT
ANSWER -Hepatitis-C
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? -
CORRECT ANSWER -Potassium
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? - CORRECT
ANSWER -"When was your last drink of vodka?
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? - CORRECT
ANSWER -Decrease portion size and fat intake
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? - CORRECT ANSWER -Cola drinks
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: - CORRECT ANSWER -Mild abdominal cramping
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? - CORRECT
ANSWER -High protein
, 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: - CORRECT ANSWER -Interferes with cell growth and delays
wound healing
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? - CORRECT ANSWER -Clay-
colored stools
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? - CORRECT ANSWER -Ensuring an understanding of the procedure
A client has a paracentesis during which 1500 mL of fluid is removed. The nurse should monitor
the client carefully for - CORRECT ANSWER -Hypovolemic shock
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: - CORRECT ANSWER -"What
type of work did you have in mind?"
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: - CORRECT
ANSWER -Treat Helicobacter pylori infection."
After a bilateral inguinal hernia repair (herniorrhaphy) the nurse should assess the client for the
development of: - CORRECT ANSWER -Urinary retention
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? - CORRECT
ANSWER -Intestinal obstructions usually are malignant
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
Questions and CORECT Answers
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? - CORRECT
ANSWER -Hepatitis-C
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? -
CORRECT ANSWER -Potassium
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? - CORRECT
ANSWER -"When was your last drink of vodka?
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? - CORRECT
ANSWER -Decrease portion size and fat intake
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? - CORRECT ANSWER -Cola drinks
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: - CORRECT ANSWER -Mild abdominal cramping
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? - CORRECT
ANSWER -High protein
, 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: - CORRECT ANSWER -Interferes with cell growth and delays
wound healing
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? - CORRECT ANSWER -Clay-
colored stools
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? - CORRECT ANSWER -Ensuring an understanding of the procedure
A client has a paracentesis during which 1500 mL of fluid is removed. The nurse should monitor
the client carefully for - CORRECT ANSWER -Hypovolemic shock
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: - CORRECT ANSWER -"What
type of work did you have in mind?"
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: - CORRECT
ANSWER -Treat Helicobacter pylori infection."
After a bilateral inguinal hernia repair (herniorrhaphy) the nurse should assess the client for the
development of: - CORRECT ANSWER -Urinary retention
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? - CORRECT
ANSWER -Intestinal obstructions usually are malignant
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
