Passpoint-gastrointestinal
Question 1 See full question
A nurse is caring for a client with gastroenteritis. The nurse
administers an as-needed dose of kaolin and pectin mixture as
ordered. The nurse should complete which assessment 30
minutes after administering the medication?
You Selected:
• Perform a pain assessment.
Correct response:
• Determine if the client has had any more loose stools.
Explanation:
Question 2 See full question
A client has had a nasogastric tube connected to low intermittent
suction. The client is at risk for:
You Selected:
• muscle cramping.
Correct response:
• muscle cramping.
Explanation:
Remediation:
Question 3 See full question
The nurse is developing a plan of care for a client with Crohn’s
disease who is receiving total parenteral nutrition (TPN). Which
interventions should the nurse include? Select all that apply.
You Selected:
• Monitor vital signs once a shift.
• Weigh the client daily.
• Monitor the IV infusion rate hourly.
Correct response:
• Weigh the client daily.
• Monitor the IV infusion rate hourly.
,• Tape all IV tubing connections securely.
, Explanation:
Remediation:
Question 4 See full question
A client with peptic ulcer disease is taking ranitidine. What is the
expected outcome of this drug?
You Selected:
• Reduce acid concentration.
Correct response:
• Limit gastric acid secretion.
Explanation:
Remediation:
Question 5 See full question
The nurse develops a plan of care for a client with a t-tube. Which
nursing intervention should be included?
You Selected:
• Inspect skin around the t-tube daily for irritation.
Correct response:
• Inspect skin around the t-tube daily for irritation.
Explanation:
Remediation:
Question 6 See full question
Which expected outcome about nutrition would be appropriate for
a client who has had a total gastrectomy for gastric cancer? The
client will:
You Selected:
• learn to self-administer enteral feedings every 4 hours.
Correct response:
• maintain adequate nutrition through oral or parenteral feedings.
Explanation:
Remediation:
, Question 7 See full question
A client with a history of alcohol abuse comes to the emergency
department and complains of abdominal pain. Laboratory studies
help confirm a diagnosis of acute pancreatitis. The client's vital
signs are stable, but the client's pain is worsening and radiating to
his back. Which intervention takes priority for this client?
You Selected:
• Administering morphine I.V. as ordered
Correct response:
• Administering morphine I.V. as ordered
Explanation:
Remediation:
Question 8 See full question
The client has been taking magnesium hydroxide to control hiatal
hernia symptoms. The nurse should assess the client for which
condition most commonly associated with the ongoing use of
magnesium-based antacids?
You Selected:
• constipation
Correct response:
• diarrhea
Explanation:
Remediation:
Question 9 See full question
A nurse is assessing the abdomen of a client who was admitted to
the emergency department with suspected appendicitis. Identify
the area of the abdomen that the nurse would palpate last.
You Selected:
Question 1 See full question
A nurse is caring for a client with gastroenteritis. The nurse
administers an as-needed dose of kaolin and pectin mixture as
ordered. The nurse should complete which assessment 30
minutes after administering the medication?
You Selected:
• Perform a pain assessment.
Correct response:
• Determine if the client has had any more loose stools.
Explanation:
Question 2 See full question
A client has had a nasogastric tube connected to low intermittent
suction. The client is at risk for:
You Selected:
• muscle cramping.
Correct response:
• muscle cramping.
Explanation:
Remediation:
Question 3 See full question
The nurse is developing a plan of care for a client with Crohn’s
disease who is receiving total parenteral nutrition (TPN). Which
interventions should the nurse include? Select all that apply.
You Selected:
• Monitor vital signs once a shift.
• Weigh the client daily.
• Monitor the IV infusion rate hourly.
Correct response:
• Weigh the client daily.
• Monitor the IV infusion rate hourly.
,• Tape all IV tubing connections securely.
, Explanation:
Remediation:
Question 4 See full question
A client with peptic ulcer disease is taking ranitidine. What is the
expected outcome of this drug?
You Selected:
• Reduce acid concentration.
Correct response:
• Limit gastric acid secretion.
Explanation:
Remediation:
Question 5 See full question
The nurse develops a plan of care for a client with a t-tube. Which
nursing intervention should be included?
You Selected:
• Inspect skin around the t-tube daily for irritation.
Correct response:
• Inspect skin around the t-tube daily for irritation.
Explanation:
Remediation:
Question 6 See full question
Which expected outcome about nutrition would be appropriate for
a client who has had a total gastrectomy for gastric cancer? The
client will:
You Selected:
• learn to self-administer enteral feedings every 4 hours.
Correct response:
• maintain adequate nutrition through oral or parenteral feedings.
Explanation:
Remediation:
, Question 7 See full question
A client with a history of alcohol abuse comes to the emergency
department and complains of abdominal pain. Laboratory studies
help confirm a diagnosis of acute pancreatitis. The client's vital
signs are stable, but the client's pain is worsening and radiating to
his back. Which intervention takes priority for this client?
You Selected:
• Administering morphine I.V. as ordered
Correct response:
• Administering morphine I.V. as ordered
Explanation:
Remediation:
Question 8 See full question
The client has been taking magnesium hydroxide to control hiatal
hernia symptoms. The nurse should assess the client for which
condition most commonly associated with the ongoing use of
magnesium-based antacids?
You Selected:
• constipation
Correct response:
• diarrhea
Explanation:
Remediation:
Question 9 See full question
A nurse is assessing the abdomen of a client who was admitted to
the emergency department with suspected appendicitis. Identify
the area of the abdomen that the nurse would palpate last.
You Selected:
