CCRN GI Questions
A new patient just arrived to the health center s/p acute abdominal trauma. The patient is
now experiencing Kehr's signal. Which of the subsequent can be the motive of Kehr's sign?
A) diaphragmatic irritation
b) liver contusion
c) ruptured kidney
d) ruptured bladder - ANS-a) diaphragmatic irritation
--Trauma that reasons splenic rupture additionally causes diaphragmatic infection and
subsequent referred pain to the left shoulder (Kehr's sign). The different picks do not reason
Kehr's sign.
Ava is a 20 month old being transferred to the PICU because of intense dehydration. She
had an ileostomy positioned 2 days previous and has had immoderate drainage from her
ileostomy. A blood gasoline was obtained previous to her transfer. Which of the following is
seen in dehydration secondary to excessive ileostomy drainage?
A. Metabolic acidosis
b. Metabolic alkalosis
c. Respiratory acidosis
d. Respiratory alkalosis - ANS-A. For the reason that drainage of an ileostomy includes
sodium bicarbonate excessive fluid loss can lead to metabolic acidosis.
Chloe is receiving cimetidine. All of the following are real except
a. It could purpose bradycardia and tachycardia
b. It could cause accelerated liver enzymes
c. It's far a proton pump inhibitor
d. It decreases the secretion of acid. - ANS-c. Cimetidine is a Histamine-2 receptor
antagonist, no longer a proton pump inhibitor. It decreases the secretion of acid and its
aspect results include heart fee adjustments and improved liver enzymes
Dominic is a 4 month vintage dx's with hypertrophic pyloric stenosis. Which of the following
manifestations would the nurse count on to find?
A. Projectile, bilious vomiting
b. Olive shaped mass in epigastrium to left of umbilicus
c. Peristaltic waves referred to within the abdomen after a feeding from proper to left
d. Upper GI reporting the string signal - ANS-D. The string signal is referred to on an top GI.
Although projectile vomiting happens, the emesis does now not incorporate bile. There is an
olive fashioned mass in the epigastrium to the right of the umbilicus. The peristaltic waves
are referred to to move from left to right.
Jason is a 6 12 months antique with hepatic failure. He is receiving lactulose. Which of the
following is an correct declaration regarding lactulose?
A. Lactulose gets rid of ammonia with the aid of making the intestinal plants more acidic
b. Lactulose removes ammonia with the aid of making the intestinal flowers much less acidic
c. Lactulose maintains ammonia shops by making the intestinal flora more acidic
, d. Lactulose maintains ammonia shops by means of making the intestinal flora much less
acidic. - ANS-A. Lactulose removes ammonia by way of making the intestinal flowers more
acidic.
Lucy is a 10 month old in th ePICU with a dx of bowel obstruction. The nurse suspects that
Lucy's bowel obstruction has perforated while which of the following are present?
A. Respiration misery ad alkalosis
b. Breathing misery and acidosis
c. Flaccid abdomen and acidosis
d. Flaccid abdomen and alkalosis - ANS-B. Respiratory distress and acidosis are associated
with bowel perforation. The stomach is company, now not flaccid.
Sarah is a four year antique admitted to the PICU with a lower GI bleed. Which of the
subsequent manifestations is the maximum regarding
a. Vibrant red blood consistent with recut
b. Complaints of cramp like pain
c. Inflexible stomach
d. Heart fee of 142 - ANS-C. A rigid abdomen can also suggest perforation that's a surgical
emergency. Although a heart fee of 142 may imply that the child is progressing to surprise. A
capability perforation needs to be right away addressed. Bright crimson blood and cramp like
ache want to be attended to but isn't always the highest precedence.
Stanford has been given octreotide to manage esophageal varices. All of the following are
real besides:
a. It has vasoconstrictive residences
b. It increases splanchnic blood go with the flow
c. It inhibits the synthesis of gastrin and gastric acid
d. It reduces portal venous stress - ANS-B. Octreotide reduces portal venous stress. It
decreases splanchnic blood float and has vasoconstrictive homes. IT additionally inhibits the
synthesis of gastrin and gastric acid.
The following answers are TRUE in the putting of liver failure except for...
A) pancytopenia can be d/t liver failure
b) the improvement of hepatic-renal syndrome is r/t excessive mortality
c) a GIB will increase the serum ammonia stage
d) alcohol abuse is the leading motive of acute liver failure - ANS-d) alcohol abuse is the
main cause of acute liver failure
--This is bc alcohol abuse is the main purpose of CHRONIC liver failure (complicated
problematic). Acetaminophen is the main purpose of ACUTE liver failure. All of the
alternative picks are true.
The MD simply ordered a vasopressin gtt on your pt who currently developed an acute GI
bleed. After starting the vasopressin gtt, what's now a priority evaluation for the affected
person?
A) screen for bowel obstruction
b) monitor for cardiac arrhythmias
c) screen for hypotension
d) screen the ECG for ST adjustments - ANS-d) display the ECG for ST changes
A new patient just arrived to the health center s/p acute abdominal trauma. The patient is
now experiencing Kehr's signal. Which of the subsequent can be the motive of Kehr's sign?
A) diaphragmatic irritation
b) liver contusion
c) ruptured kidney
d) ruptured bladder - ANS-a) diaphragmatic irritation
--Trauma that reasons splenic rupture additionally causes diaphragmatic infection and
subsequent referred pain to the left shoulder (Kehr's sign). The different picks do not reason
Kehr's sign.
Ava is a 20 month old being transferred to the PICU because of intense dehydration. She
had an ileostomy positioned 2 days previous and has had immoderate drainage from her
ileostomy. A blood gasoline was obtained previous to her transfer. Which of the following is
seen in dehydration secondary to excessive ileostomy drainage?
A. Metabolic acidosis
b. Metabolic alkalosis
c. Respiratory acidosis
d. Respiratory alkalosis - ANS-A. For the reason that drainage of an ileostomy includes
sodium bicarbonate excessive fluid loss can lead to metabolic acidosis.
Chloe is receiving cimetidine. All of the following are real except
a. It could purpose bradycardia and tachycardia
b. It could cause accelerated liver enzymes
c. It's far a proton pump inhibitor
d. It decreases the secretion of acid. - ANS-c. Cimetidine is a Histamine-2 receptor
antagonist, no longer a proton pump inhibitor. It decreases the secretion of acid and its
aspect results include heart fee adjustments and improved liver enzymes
Dominic is a 4 month vintage dx's with hypertrophic pyloric stenosis. Which of the following
manifestations would the nurse count on to find?
A. Projectile, bilious vomiting
b. Olive shaped mass in epigastrium to left of umbilicus
c. Peristaltic waves referred to within the abdomen after a feeding from proper to left
d. Upper GI reporting the string signal - ANS-D. The string signal is referred to on an top GI.
Although projectile vomiting happens, the emesis does now not incorporate bile. There is an
olive fashioned mass in the epigastrium to the right of the umbilicus. The peristaltic waves
are referred to to move from left to right.
Jason is a 6 12 months antique with hepatic failure. He is receiving lactulose. Which of the
following is an correct declaration regarding lactulose?
A. Lactulose gets rid of ammonia with the aid of making the intestinal plants more acidic
b. Lactulose removes ammonia with the aid of making the intestinal flowers much less acidic
c. Lactulose maintains ammonia shops by making the intestinal flora more acidic
, d. Lactulose maintains ammonia shops by means of making the intestinal flora much less
acidic. - ANS-A. Lactulose removes ammonia by way of making the intestinal flowers more
acidic.
Lucy is a 10 month old in th ePICU with a dx of bowel obstruction. The nurse suspects that
Lucy's bowel obstruction has perforated while which of the following are present?
A. Respiration misery ad alkalosis
b. Breathing misery and acidosis
c. Flaccid abdomen and acidosis
d. Flaccid abdomen and alkalosis - ANS-B. Respiratory distress and acidosis are associated
with bowel perforation. The stomach is company, now not flaccid.
Sarah is a four year antique admitted to the PICU with a lower GI bleed. Which of the
subsequent manifestations is the maximum regarding
a. Vibrant red blood consistent with recut
b. Complaints of cramp like pain
c. Inflexible stomach
d. Heart fee of 142 - ANS-C. A rigid abdomen can also suggest perforation that's a surgical
emergency. Although a heart fee of 142 may imply that the child is progressing to surprise. A
capability perforation needs to be right away addressed. Bright crimson blood and cramp like
ache want to be attended to but isn't always the highest precedence.
Stanford has been given octreotide to manage esophageal varices. All of the following are
real besides:
a. It has vasoconstrictive residences
b. It increases splanchnic blood go with the flow
c. It inhibits the synthesis of gastrin and gastric acid
d. It reduces portal venous stress - ANS-B. Octreotide reduces portal venous stress. It
decreases splanchnic blood float and has vasoconstrictive homes. IT additionally inhibits the
synthesis of gastrin and gastric acid.
The following answers are TRUE in the putting of liver failure except for...
A) pancytopenia can be d/t liver failure
b) the improvement of hepatic-renal syndrome is r/t excessive mortality
c) a GIB will increase the serum ammonia stage
d) alcohol abuse is the leading motive of acute liver failure - ANS-d) alcohol abuse is the
main cause of acute liver failure
--This is bc alcohol abuse is the main purpose of CHRONIC liver failure (complicated
problematic). Acetaminophen is the main purpose of ACUTE liver failure. All of the
alternative picks are true.
The MD simply ordered a vasopressin gtt on your pt who currently developed an acute GI
bleed. After starting the vasopressin gtt, what's now a priority evaluation for the affected
person?
A) screen for bowel obstruction
b) monitor for cardiac arrhythmias
c) screen for hypotension
d) screen the ECG for ST adjustments - ANS-d) display the ECG for ST changes
