MED SURG EXAM 3 (GI) ACTUAL EXAM.
MED SURG EXAM 3 (GI)
ACTUAL EXAM. GRADED A+.
WITH QUESTIONS AND 100%
VERIFIED ANSWERS. LATEST
2025/2026 UPDATE
A nurse is providing discharge teaching for a client who has GERD. Which of the
following statements by the client indicates an understanding of the teaching?
- Ans✔✔-A. "I will decrease the amount of carbonated beverages I drink."
-The nurse should instruct the client to limit or eliminate fatty foods, coffee,
cola, tea, carbonated beverages, & chocolate from his diet because they
irrigate the lining of the stomach. Client should drink a glass of water
immediately after taking an antacid tablet. The client should eat 4-6 small
meals/day & avoid snacking before bed. Client should sit upright for 1-2 hr
after meals.
A nurse is teaching a client how to prepare for a colonoscopy. Which of the
following instructions should the nurse include in the teaching? - Ans✔✔-C.
,MED SURG EXAM 3 (GI) ACTUAL EXAM.
Drink clear liquids for 24 hr prior to the procedure, and then take nothing by
mouth for 6 hr before the procedure.
-The nurse should instruct the client to drink clear liquids for 24 hr prior to the
colonoscopy to promote adequate bowel cleansing. Maintaining NPO status for
4-6 hr prior to the colonoscopy preserves the bowel's cleansed state. Client
needs to drink oral liquid preparation the day before the colonoscopy to ensure
adequate time for bowel cleansing. Client should drink the oral liquid
preparation quickly to prevent nausea.
A nurse is admitting a client who has acute pancreatitis. Which of the following
actions should the nurse take first? - Ans✔✔-C. Identify the client's current
level of pain.
-The first action the nurse should take when using the nursing process is to
assess the client. Clients who have acute pancreatitis often have severe
abdominal pain. By assessing the client's level of pain, the nurse can identify
the need for and implement interventions to alleviate the client's pain.
A nurse is assessing a client who has appendicitis. Which of the following
findings should the nurse expect? (Select all that apply) - Ans✔✔-A. Oral temp
38.4C (101.1F)D. Nausea and vomitingE. Right lower quadrant pain
-Low-grade temperature, nausea and vomiting, and right lower quadrant pain
are expected. WBC 10,000-18,000/mm3 is expected and bloody diarrhea (sign
of colorectal cancer) is NOT expected.
A nurse is reviewing the laboratory values of a client who has colorectal cancer.
Which of the following findings should the nurse expect? - Ans✔✔-D.
Hemoglobin 9.1 g/dL
, MED SURG EXAM 3 (GI) ACTUAL EXAM.
-Decreased Hgb is an expected finding in pt with colorectal cancer bc of occult
intestinal bleeding. Fecal occult blood test should be positive bc colorectal
cancer causes GI bleeding. Elevated CEA level is expected. Hct 43% is w/in
expected reference range, hct should be decreased due to occult intestinal
bleeding.
A nurse is assessing a client who has peritonitis. Which of the following findings
should the nurse expect? - Ans✔✔-B. Board-like abdomen
-A board-like, distended abdomen, accompanied by extreme pain and
tenderness, is expected. Bloody diarrhea = colorectal cancer, periumbilical
cyanosis = pancreatitis, diminished bowel sounds = peritonitis
A nurse is reviewing the laboratory results of a client who has hepatic cirrhosis.
Which of the following laboratory findings should the nurse report to the
provider? - Ans✔✔-D. Ammonia 180 mcg/dL
-Above expected reference range of 10-80 mcg/dL. The RN should report an
increased serum ammonia level b/c it can indicate port-systemic
encephalopathy.
A nurse is assessing a client who has acute hepatitis B. Which of the following
findings should the nurse expect? - Ans✔✔-A. Joint pain
-Obstipation (failure to pass stools) = complete bowel obstruction, abdominal
distention = small bowel obstruction, periumbilical discoloration =
intraperitoneal bleeding.
MED SURG EXAM 3 (GI)
ACTUAL EXAM. GRADED A+.
WITH QUESTIONS AND 100%
VERIFIED ANSWERS. LATEST
2025/2026 UPDATE
A nurse is providing discharge teaching for a client who has GERD. Which of the
following statements by the client indicates an understanding of the teaching?
- Ans✔✔-A. "I will decrease the amount of carbonated beverages I drink."
-The nurse should instruct the client to limit or eliminate fatty foods, coffee,
cola, tea, carbonated beverages, & chocolate from his diet because they
irrigate the lining of the stomach. Client should drink a glass of water
immediately after taking an antacid tablet. The client should eat 4-6 small
meals/day & avoid snacking before bed. Client should sit upright for 1-2 hr
after meals.
A nurse is teaching a client how to prepare for a colonoscopy. Which of the
following instructions should the nurse include in the teaching? - Ans✔✔-C.
,MED SURG EXAM 3 (GI) ACTUAL EXAM.
Drink clear liquids for 24 hr prior to the procedure, and then take nothing by
mouth for 6 hr before the procedure.
-The nurse should instruct the client to drink clear liquids for 24 hr prior to the
colonoscopy to promote adequate bowel cleansing. Maintaining NPO status for
4-6 hr prior to the colonoscopy preserves the bowel's cleansed state. Client
needs to drink oral liquid preparation the day before the colonoscopy to ensure
adequate time for bowel cleansing. Client should drink the oral liquid
preparation quickly to prevent nausea.
A nurse is admitting a client who has acute pancreatitis. Which of the following
actions should the nurse take first? - Ans✔✔-C. Identify the client's current
level of pain.
-The first action the nurse should take when using the nursing process is to
assess the client. Clients who have acute pancreatitis often have severe
abdominal pain. By assessing the client's level of pain, the nurse can identify
the need for and implement interventions to alleviate the client's pain.
A nurse is assessing a client who has appendicitis. Which of the following
findings should the nurse expect? (Select all that apply) - Ans✔✔-A. Oral temp
38.4C (101.1F)D. Nausea and vomitingE. Right lower quadrant pain
-Low-grade temperature, nausea and vomiting, and right lower quadrant pain
are expected. WBC 10,000-18,000/mm3 is expected and bloody diarrhea (sign
of colorectal cancer) is NOT expected.
A nurse is reviewing the laboratory values of a client who has colorectal cancer.
Which of the following findings should the nurse expect? - Ans✔✔-D.
Hemoglobin 9.1 g/dL
, MED SURG EXAM 3 (GI) ACTUAL EXAM.
-Decreased Hgb is an expected finding in pt with colorectal cancer bc of occult
intestinal bleeding. Fecal occult blood test should be positive bc colorectal
cancer causes GI bleeding. Elevated CEA level is expected. Hct 43% is w/in
expected reference range, hct should be decreased due to occult intestinal
bleeding.
A nurse is assessing a client who has peritonitis. Which of the following findings
should the nurse expect? - Ans✔✔-B. Board-like abdomen
-A board-like, distended abdomen, accompanied by extreme pain and
tenderness, is expected. Bloody diarrhea = colorectal cancer, periumbilical
cyanosis = pancreatitis, diminished bowel sounds = peritonitis
A nurse is reviewing the laboratory results of a client who has hepatic cirrhosis.
Which of the following laboratory findings should the nurse report to the
provider? - Ans✔✔-D. Ammonia 180 mcg/dL
-Above expected reference range of 10-80 mcg/dL. The RN should report an
increased serum ammonia level b/c it can indicate port-systemic
encephalopathy.
A nurse is assessing a client who has acute hepatitis B. Which of the following
findings should the nurse expect? - Ans✔✔-A. Joint pain
-Obstipation (failure to pass stools) = complete bowel obstruction, abdominal
distention = small bowel obstruction, periumbilical discoloration =
intraperitoneal bleeding.
