Medical-Surgical: Gastrointestinal Practice Quiz with Answers 2025

Medical-Surgical: Gastrointestinal Practice
Quiz with Answers 2025
AAnurseAisAcaringAforAaAclientAwhoAhasAaApercutaneousAendoscopicAgastrostomyA(PEG)AtubeAandAisAreceivi
ngAintermittentAfeedings.APriorAtoAinitiatingAtheAfeeding,AwhichAofAtheAfollowingAactionsAshouldAtheAnurse
AtakeAfirst?A



-AFlushAtheAtubeAwithAwater.A

-APlaceAtheAclientAinAsemi-Fowlers'sAposition.A

-ACleanseAtheAskinAaroundAtheAtubeAsite.A

-AAspirateAtheAtubeAforAresidualAcontents.A-AcorrectAanswers-PlaceAtheAclientAinAsemi-Fowlers'sAposition.A



Rationale:ATheAnurseAshouldAapplyAtheAABCApriority-
settingAframework.AThisAframeworkAemphasizesAtheAbasicAcoreAofAhumanAfunctioning:AhavingAanAopenAai
rway,AbeingAableAtoAbreatheAinAadequateAamountsAofAoxygen,AandAcirculatingAoxygenAtoAtheAbody'sAorga
nsAviaAtheAblood.AAnAalterationAinAanyAofAtheseAcanAindicateAaAthreatAtoAlifeAandAisAthereforeAtheAnurse'sAp
riorityAconcern.AWhenAapplyingAtheAABCApriority-
settingAframework,AairwayAisAalwaysAtheAhighestApriorityAbecauseAtheAairwayAmustAbeAclearAandAopenAfor
AoxygenAexchangeAtoAoccur.ABreathingAisAtheAsecondApriorityAinAtheAABCApriority-

settingAframeworkAbecauseAadequateAventilatoryAeffortAisAessentialAforAoxygenAexchangeAtoAoccur.ACircul
ationAisAtheAthirdApriorityAinAtheAABCApriority-
settingAframeworkAbecauseAdeliveryAofAoxygenAtoAcriticalAorgansAonlyAoccursAifAtheAheartAandAbloodAvess
elsAareAcapableAofAefficientlyAcarryingAoxygenAtoAthem.AAAclientAwhoAisAreceivingAPEGAtubeAfeedingsAshoul
dAbeApositionedAwithAtheAheadAofAtheAbedAelevatedAatAleastA30°AduringAandAafterAfeedingsAtoAdecreaseAth
eAriskAofAaspiration.ATherefore,AthisAisAtheApriorityAactionAbyAtheAnurse.

AAnurseAisAcaringAforAaAclientAwhoAisAscheduledAtoAundergoAanAesophagogastroduodenoscopyA(EGD).ATheA
nurseAshouldAidentifyAthatAthisAprocedureAisAusedAtoAdoAwhichAofAtheAfollowing?A

-AToAvisualizeApolypsAinAtheAcolon

-AToAdetectAanAulcerationAinAtheAstomach

-AToAidentifyAanAobstructionAinAtheAbiliaryAtract

-AToAdetermineAtheApresenceAofAfreeAairAinAtheAabdomenA-AcorrectAanswers-
ToAdetectAanAulcerationAinAtheAstomach



Rationale:AAnAEGDAisAusedAtoAvisualizeAtheAesophagus,Astomach,AandAduodenumAwithAaAlightedAtubeAtoAd
etectAaAtumor,Aulceration,AorAobstruction.

AAnurseAisAteachingAaAclientAwhoAhasABarrett'sAesophagusAandAisAscheduledAtoAundergoAanAesophagogastr
oduidenoscopyA(EGD).AWhichAofAtheAfollowingAstatementsAshouldAtheAnurseAincludeAinAtheAteaching?A

, -A"ThisAprocedureAisAperformedAtoAmeasureAtheApresenceAofAacidAinAyourAesophagus."

-A"ThisAprocedureAcanAdetermineAhowAwellAtheAlowerApartAofAyourAesophagusAworks."

-A"ThisAprocedureAisAperformedAwhileAyouAareAunderAgeneralAanesthesia."

-A"ThisAprocedureAcanAdetermineAifAyouAhaveAcolonAcancer."A-AcorrectAanswers-
"ThisAprocedureAcanAdetermineAhowAwellAtheAlowerApartAofAyourAesophagusAworks."



Rationale:AAnAEGDAisAusefulAinAdeterminingAtheAfunctionAofAtheAesophagealAliningAandAtheAextentAofAinfla
mmation,ApotentialAscarring,AandAstrictures.

AAnurseAisAcaringAforAaAclientAwhoAisAdehydratedAandAisAreceivingAcontinuousAtubeAfeedingAthroughAaApu
mpAatA75AmL/hr.AWhenAtheAnurseAassessesAtheAclientAatA0800,AwhichAofAtheAfollowingAfindingsArequiresAin
terventionAbyAtheAnurse?A

-AAAfullApitcherAofAwaterAisAsittingAonAtheAclient'sAbedsideAtableAwithinAtheAclient'sAreach.

-ATheAdisposableAfeedingAbagAisAfromAtheApreviousAdayAatA1000AandAcontainsA200AmLAofAfeeding.A

-ATheAclientAisAlyingAonAtheArightAsideAwithAaAvisibleAdependentAloopAinAtheAfeedingAtube.

-ATheAheadAofAtheAbedAisAelevatedA20°.A-AcorrectAanswers-TheAheadAofAtheAbedAisAelevatedA20°.



Rationale:ATheAheadAofAtheAbedAshouldAbeAelevatedAatAleastA30°A(semi-
Fowler'sAposition)AwhileAtheAtubeAfeedingAisAadministered.AThisApositionAusesAgravityAtoAhelpAtheAfeedingA
moveAdownAthroughAtheAdigestiveAsystemAandAlessensAtheApossibilityAofAregurgitation.

AAnurseAisAcaringAforAaAclientAwhoAisAreceivingAtotalAparenteralAnutritionA(TPN)AtherapyAandAhasAjustAretur
nedAtoAtheAroomAfollowingAphysicalAtherapy.ATheAnurseAnotesAthatAtheAinfusionApumpAforAtheAclient'sATP
NAisAturnedAoff.AAfterArestartingAtheAinfusionApump,AtheAnurseAshouldAmonitorAtheAclientAforAwhichAofAthe
AfollowingAfindings?A



-AHypertensionA

-AExcessiveAthirstA

-AFeverA

-ADiaphoresisA-AcorrectAanswers-DiaphoresisA



Rationale:ATheAnurseAshouldArecognizeAthatAtheAclientAhasAtheApotentialAforAtheAdevelopmentAofAhypogly
cemiaAdueAtoAtheAsuddenAwithdrawalAofAtheATPNAsolution.AInAadditionAtoAdiaphoresis,AotherApotentialAma
nifestationsAofAhypoglycemiaAcanAincludeAweakness,Aanxiety,Aconfusion,AandAhunger.

AAnurseAisAcaringAforAaAclientAwhoAhasAceliacAdisease.AWhichAofAtheAfollowingAfoodsAshouldAtheAnurseArem
oveAfromAtheAclient'sAmealAtray?A