TEST BANK OPERATIONS MANAGEMENT,14TH
EDITION BY WILLIAM STEVENSON CHAPTERS 1 –
19/NEWEST EDITION 2025
A vnurse vis vcaring vfor va vpatient vwho vis vscheduled vfor va vcolonoscopy vand vwhose vbowel
vpreparation v will v include vpolyethylene v glycol velectrolyte vlavage vprior vto vthe vprocedure.
vThe vpresence vof v what vhealth vproblem v would vcontraindicate vthe vuse vof vthis vform vof
vbowel vpreparation?
A) vInflammatory vbowel vdisease
B) vIntestinal vpolyps
C) vDiverticulitis
D) vColon vcancer v- vA) vInflammatory vbowel vdisease v(IBD)
A vnurse vis vpromoting vincreased vprotein vintake vto venhance va vpatients vwound vhealing.
vThe vnurse vknows v that venzymes vare vessential vin vthe vdigestion vof vnutrients vsuch vas
vprotein. vWhat vis vthe venzyme vthat vinitiates vthe vdigestion vof vprotein?
A) vPepsin
B) vIntrinsic vfactor
C) vLipase
D) vAmylase v- vA) vPepsin
A vpatient vhas vbeen vbrought vto vthe vemergency vdepartment vwith vabdominal vpain vand vis
vsubsequently vdiagnosed v with vappendicitis. vThe vpatient v is vscheduled vfor van
vappendectomy vbut vquestions vthe vnurse vabout vhow vhis vhealth v will vbe vaffected vby vthe
vabsence vof van vappendix. v How v should vthe vnurse vbest v respond?
A) vYour vappendix vdoesnt vplay va vmajor vrole, vso vyou vwont vnotice vany vdifference vafter vyou
vrecovery vfrom vsurgery.
B) vThe vsurgeon vwill vencourage vyou vto vlimit vyour vfat vintake vfor va vfew vweeks vafter vthe
vsurgery, vbut v your vbody v will vthen vbegin vto vcompensate.
C) vYour vbody vwill vabsorb vslightly vfewer vnutrients vfrom vthe vfood vyou veat, vbut vyou vwont
vbe vaware vof
this.
D) vYour vlarge vintestine vwill vadapt vover vtime vto vthe vabsence vof vyour vappendix. v- vA) vYour
vappendix vdoesn't vplay va vmajor v role, vso v you v wont vnotice vany vdifference vafter v you
vrecovery vfrom vsurgery.
A vpatient vasks vthe vnursing vassistant vfor va vbedpan. vWhen vthe vpatient vis vfinished, vthe
vnursing vassistant
notifies vthe vnurse vthat vthe vpatient vhas vbright vred vstreaking vof vblood vin vthe vstool. vWhat vis
vthis vmost vlikely va vresult vof?
A) vDiet vhigh vin vred vmeat
B) vUpper vGI vbleed
C) vHemorrhoids
,D) vUse vof viron vsupplements v- vC) vHemorrhoids
An vadult vpatient vis vscheduled vfor van vupper vGI vseries vthat vwill vuse va vbarium vswallow.
vWhat vteaching vshould vthe vnurse vinclude v when vthe vpatient vhas vcompleted vthe vtest?
A) vStool vwill vbe vyellow vfor vthe vfirst v24 vhours vpostprocedure
B) vThe vbarium vmay vcause vdiarrhea vfor vthe vnext v24 vhours.
C) vFluids vmust vbe vincreased vto vfacilitate vthe vevacuation vof vthe vstool.
D) vSlight vanal vbleeding vmay vbe vnoted vas vthe vbarium vis vpassed. v- vC) vFluids vmust vbe
vincreased vto vfacilitate vthe vevacuation vof vthe vstool.
patient vhas vcome vto vthe voutpatient vradiology vdepartment vfor vdiagnostic vtesting. vWhich
vof vthe vfollowing
diagnostic vprocedures vwill vallow vthe vcare vteam vto vevaluate vand vremove vpolyps?
A) vColonoscopy
B) vBarium venema
C) vERCP
D) vUpper vgastrointestinal vfibroscopy v- vA) vColonoscopy
A vnurse vis vcaring vfor va vpatient vwith vrecurrent vhematemesis vwho vis vscheduled vfor vupper
vgastrointestinal vfibroscopy v (UGF). vHow v should vthe vnurse vin vthe vradiology v department
vprepare vthis vpatient?
A) vInsert va vnasogastric vtube.
B) vAdminister va vmicro vFleet venema vat vleast v3 vhours vbefore vthe vprocedure.
C) vHave vthe vpatient vlie vin va vsupine vposition vfor vthe vprocedure.
D) vApply vlocal vanesthetic vto vthe vback vof vthe vpatients vthroat v- vD) vApply vlocal vanesthetic
vto vthe vback vof vthe vpatients vthroat
The vnurse vis vproviding vhealth veducation vto va vpatient vscheduled vfor va vcolonoscopy. vThe
vnurse vshould
explain vthat vshe vwill vbe vplaced vin vwhat vposition vduring vthis vdiagnostic vtest?
A) vIn va vknee-chest vposition v(lithotomy vposition)
B) vLying vprone vwith vlegs vdrawn vtoward vthe vchest
C) vLying von vthe vleft vside vwith vlegs vdrawn vtoward vthe vchest
D) vIn va vprone vposition vwith vtwo vpillows velevating vthe vbuttocks v- vC) vLying von vthe vleft vside
v with vlegs vdrawn vtoward vthe vchest
A vpatient vhas vsought vcare vbecause vof vrecent vdark-colored vstools. vAs va vresult, va vfecal
voccult vblood vtest vhas vbeen vordered. vThe vnurse vshould vinstruct vthe vpatient vto vavoid
v which vof vthe vfollowing vprior vto vcollecting va vstool vsample?
A) vNSAIDs
B) vAcetaminophen
C) vOTC vvitamin vD vsupplements
D) vFiber vsupplements v- vA) vNSAIDs
The vnurse vis vpreparing vto vperform va vpatients vabdominal vassessment. vWhat
vexamination v sequence vshould
,the vnurse vfollow?
A) vInspection, vauscultation, vpercussion, vand vpalpation
B) vInspection, vpalpation, vauscultation, vand vpercussion
C) vInspection, vpercussion, vpalpation, vand vauscultation
D) vInspection, vpalpation, vpercussion, vand vauscultation v- vA) vInspection, vauscultation,
vpercussion, vand vpalpation
A vpatient vwho vhas vbeen vexperiencing vchanges vin vhis vbowel vfunction vis vscheduled vfor va
vbarium venema.
What vinstruction vshould vthe vnurse vprovide vfor vpostprocedure vrecovery?
A) vRemain vNPO vfor v6 vhours vpostprocedure.
B) vAdminister va vFleet venema vto vcleanse vthe vbowel vof vthe vbarium.
C) vIncrease vfluid vintake vto vevacuate vthe vbarium.
D) vAvoid vdairy vproducts vfor v24 vhours vpostprocedure. v- vC) vIncrease vfluid vintake vto
vevacuate vthe vbarium.
A vnurse vis vcaring vfor va vnewly vadmitted vpatient vwith va vsuspected vGI vbleed. vThe vnurse
vassesses vthe vpatients vstool vafter va vbowel vmovement vand vnotes vit vto vbe va vtarry-black
vcolor. vThis vfinding vis vsuggestive vof vbleeding vfrom v what v location?
A) vSigmoid vcolon
B) vUpper vGI vtract
C) vLarge vintestine
D) vAnus vor vrectum v- vB) vUpper vGI vtract
A vnursing vstudent vhas vauscultated va vpatients vabdomen vand vnoted vone vor vtwo vbowel
vsounds vin va v2-minute
period vof vtime. vHow vwould vyou vtell vthe vstudent vto vdocument vthe vpatients vbowel
vsounds?
A) vNormal
B) vHypoactive
C) vHyperactive
D) vParalytic vileus v- vB) vHypoactive
An vadvanced vpractice vnurse vis vassessing vthe vsize vand vdensity vof va vpatients vabdominal
vorgans. vIf vthe
results vof vpalpation vare vunclear vto vthe vnurse, vwhat vassessment vtechnique vshould vbe
vimplemented?
A) vPercussion
B) vAuscultation
C) vInspection
D) vRectal vexamination v- vA) vPercussion
A vnurse vis vcaring vfor va vpatient vwith vbiliary vcolic vand vis vaware vthat vthe vpatient vmay
vexperience v referred vabdominal vpain. vWhere vwould vthe vnurse vmost vlikely v expect vthis
vpatient vto vexperience vreferred vpain?
A) vMidline vnear vthe vumbilicus
, B) vBelow vthe vright vnipple
C) vLeft vgroin varea
D) vRight vlower vabdominal vquadrant v- vB) vBelow vthe vright vnipple
An vinpatient vhas vreturned vto vthe vmedical vunit vafter va vbarium venema. vWhen vassessing
vthe vpatients
subsequent vbowel vpatterns vand vstools, vwhat vfinding vshould vthe vnurse vreport vto vthe
vphysician?
A) vLarge, vwide vstools
B) vMilky vwhite vstools
C) vThree vstools vduring van v8-hour vperiod vof vtime
D) vStreaks vof vblood vpresent vin vthe vstool v- vD) vStreaks vof vblood vpresent vin vthe vstool
A vnurse vin va vstroke vrehabilitation vfacility vrecognizes vthat vthe vbrain vregulates vswallowing.
vDamage vto v what varea vof vthe vbrain v will vmost vaffect vthe vpatients vability v to vswallow?
A) vTemporal vlobe
B) vMedulla voblongata
C) vCerebellum
D) vPons v- vB) vMedulla voblongata
A vpatient vis vbeing vassessed vfor va vsuspected vdeficit vin vintrinsic vfactor vsynthesis. vWhat
vdiagnostic vor
assessment vfinding vis vthe vmost vlikely vrationale vfor vthis vexamination vof vintrinsic vfactor
vproduction?
A) vMuscle vwasting
B) vChronic vjaundice vin vthe vabsence vof vliver vdisease
C) vThe vpresence vof vfat vin vthe vpatients vstool
D) vPersistently vlow vhemoglobin vand vhematocrit v- vD) vPersistently vlow vhemoglobin vand
vhematocrit
A vpatient vwith va vrecent vhistory vof vintermittent vbleeding vis vundergoing vcapsule
vendoscopy vto vdetermine vthe vsource vof vthe vbleeding. vWhen vexplaining vthis vdiagnostic
vtest vto vthe vpatient, v what vadvantage vshould vthe vnurse vdescribe?
vA) vThe vtest vallows v visualization vof vthe ventire vperitoneal vcavity.
B) vThe vtest vallows vfor vpainless vbiopsy vcollection.
C) vThe vtest vdoes vnot vrequire vfasting.
D) vThe vtest vis vnoninvasive v- vD) vThe vtest vis vnoninvasive
A vnurse vis vcaring vfor va vpatient vadmitted vwith va vsuspected vmalabsorption vdisorder. vThe
vnurse vknows vthat
one vof vthe vaccessory vorgans vof vthe vdigestive vsystem vis vthe vpancreas. vWhat vdigestive
venzymes vdoes vthe
pancreas vsecrete? vSelect vall vthat vapply.
A) vPepsin
B) vLipase
EDITION BY WILLIAM STEVENSON CHAPTERS 1 –
19/NEWEST EDITION 2025
A vnurse vis vcaring vfor va vpatient vwho vis vscheduled vfor va vcolonoscopy vand vwhose vbowel
vpreparation v will v include vpolyethylene v glycol velectrolyte vlavage vprior vto vthe vprocedure.
vThe vpresence vof v what vhealth vproblem v would vcontraindicate vthe vuse vof vthis vform vof
vbowel vpreparation?
A) vInflammatory vbowel vdisease
B) vIntestinal vpolyps
C) vDiverticulitis
D) vColon vcancer v- vA) vInflammatory vbowel vdisease v(IBD)
A vnurse vis vpromoting vincreased vprotein vintake vto venhance va vpatients vwound vhealing.
vThe vnurse vknows v that venzymes vare vessential vin vthe vdigestion vof vnutrients vsuch vas
vprotein. vWhat vis vthe venzyme vthat vinitiates vthe vdigestion vof vprotein?
A) vPepsin
B) vIntrinsic vfactor
C) vLipase
D) vAmylase v- vA) vPepsin
A vpatient vhas vbeen vbrought vto vthe vemergency vdepartment vwith vabdominal vpain vand vis
vsubsequently vdiagnosed v with vappendicitis. vThe vpatient v is vscheduled vfor van
vappendectomy vbut vquestions vthe vnurse vabout vhow vhis vhealth v will vbe vaffected vby vthe
vabsence vof van vappendix. v How v should vthe vnurse vbest v respond?
A) vYour vappendix vdoesnt vplay va vmajor vrole, vso vyou vwont vnotice vany vdifference vafter vyou
vrecovery vfrom vsurgery.
B) vThe vsurgeon vwill vencourage vyou vto vlimit vyour vfat vintake vfor va vfew vweeks vafter vthe
vsurgery, vbut v your vbody v will vthen vbegin vto vcompensate.
C) vYour vbody vwill vabsorb vslightly vfewer vnutrients vfrom vthe vfood vyou veat, vbut vyou vwont
vbe vaware vof
this.
D) vYour vlarge vintestine vwill vadapt vover vtime vto vthe vabsence vof vyour vappendix. v- vA) vYour
vappendix vdoesn't vplay va vmajor v role, vso v you v wont vnotice vany vdifference vafter v you
vrecovery vfrom vsurgery.
A vpatient vasks vthe vnursing vassistant vfor va vbedpan. vWhen vthe vpatient vis vfinished, vthe
vnursing vassistant
notifies vthe vnurse vthat vthe vpatient vhas vbright vred vstreaking vof vblood vin vthe vstool. vWhat vis
vthis vmost vlikely va vresult vof?
A) vDiet vhigh vin vred vmeat
B) vUpper vGI vbleed
C) vHemorrhoids
,D) vUse vof viron vsupplements v- vC) vHemorrhoids
An vadult vpatient vis vscheduled vfor van vupper vGI vseries vthat vwill vuse va vbarium vswallow.
vWhat vteaching vshould vthe vnurse vinclude v when vthe vpatient vhas vcompleted vthe vtest?
A) vStool vwill vbe vyellow vfor vthe vfirst v24 vhours vpostprocedure
B) vThe vbarium vmay vcause vdiarrhea vfor vthe vnext v24 vhours.
C) vFluids vmust vbe vincreased vto vfacilitate vthe vevacuation vof vthe vstool.
D) vSlight vanal vbleeding vmay vbe vnoted vas vthe vbarium vis vpassed. v- vC) vFluids vmust vbe
vincreased vto vfacilitate vthe vevacuation vof vthe vstool.
patient vhas vcome vto vthe voutpatient vradiology vdepartment vfor vdiagnostic vtesting. vWhich
vof vthe vfollowing
diagnostic vprocedures vwill vallow vthe vcare vteam vto vevaluate vand vremove vpolyps?
A) vColonoscopy
B) vBarium venema
C) vERCP
D) vUpper vgastrointestinal vfibroscopy v- vA) vColonoscopy
A vnurse vis vcaring vfor va vpatient vwith vrecurrent vhematemesis vwho vis vscheduled vfor vupper
vgastrointestinal vfibroscopy v (UGF). vHow v should vthe vnurse vin vthe vradiology v department
vprepare vthis vpatient?
A) vInsert va vnasogastric vtube.
B) vAdminister va vmicro vFleet venema vat vleast v3 vhours vbefore vthe vprocedure.
C) vHave vthe vpatient vlie vin va vsupine vposition vfor vthe vprocedure.
D) vApply vlocal vanesthetic vto vthe vback vof vthe vpatients vthroat v- vD) vApply vlocal vanesthetic
vto vthe vback vof vthe vpatients vthroat
The vnurse vis vproviding vhealth veducation vto va vpatient vscheduled vfor va vcolonoscopy. vThe
vnurse vshould
explain vthat vshe vwill vbe vplaced vin vwhat vposition vduring vthis vdiagnostic vtest?
A) vIn va vknee-chest vposition v(lithotomy vposition)
B) vLying vprone vwith vlegs vdrawn vtoward vthe vchest
C) vLying von vthe vleft vside vwith vlegs vdrawn vtoward vthe vchest
D) vIn va vprone vposition vwith vtwo vpillows velevating vthe vbuttocks v- vC) vLying von vthe vleft vside
v with vlegs vdrawn vtoward vthe vchest
A vpatient vhas vsought vcare vbecause vof vrecent vdark-colored vstools. vAs va vresult, va vfecal
voccult vblood vtest vhas vbeen vordered. vThe vnurse vshould vinstruct vthe vpatient vto vavoid
v which vof vthe vfollowing vprior vto vcollecting va vstool vsample?
A) vNSAIDs
B) vAcetaminophen
C) vOTC vvitamin vD vsupplements
D) vFiber vsupplements v- vA) vNSAIDs
The vnurse vis vpreparing vto vperform va vpatients vabdominal vassessment. vWhat
vexamination v sequence vshould
,the vnurse vfollow?
A) vInspection, vauscultation, vpercussion, vand vpalpation
B) vInspection, vpalpation, vauscultation, vand vpercussion
C) vInspection, vpercussion, vpalpation, vand vauscultation
D) vInspection, vpalpation, vpercussion, vand vauscultation v- vA) vInspection, vauscultation,
vpercussion, vand vpalpation
A vpatient vwho vhas vbeen vexperiencing vchanges vin vhis vbowel vfunction vis vscheduled vfor va
vbarium venema.
What vinstruction vshould vthe vnurse vprovide vfor vpostprocedure vrecovery?
A) vRemain vNPO vfor v6 vhours vpostprocedure.
B) vAdminister va vFleet venema vto vcleanse vthe vbowel vof vthe vbarium.
C) vIncrease vfluid vintake vto vevacuate vthe vbarium.
D) vAvoid vdairy vproducts vfor v24 vhours vpostprocedure. v- vC) vIncrease vfluid vintake vto
vevacuate vthe vbarium.
A vnurse vis vcaring vfor va vnewly vadmitted vpatient vwith va vsuspected vGI vbleed. vThe vnurse
vassesses vthe vpatients vstool vafter va vbowel vmovement vand vnotes vit vto vbe va vtarry-black
vcolor. vThis vfinding vis vsuggestive vof vbleeding vfrom v what v location?
A) vSigmoid vcolon
B) vUpper vGI vtract
C) vLarge vintestine
D) vAnus vor vrectum v- vB) vUpper vGI vtract
A vnursing vstudent vhas vauscultated va vpatients vabdomen vand vnoted vone vor vtwo vbowel
vsounds vin va v2-minute
period vof vtime. vHow vwould vyou vtell vthe vstudent vto vdocument vthe vpatients vbowel
vsounds?
A) vNormal
B) vHypoactive
C) vHyperactive
D) vParalytic vileus v- vB) vHypoactive
An vadvanced vpractice vnurse vis vassessing vthe vsize vand vdensity vof va vpatients vabdominal
vorgans. vIf vthe
results vof vpalpation vare vunclear vto vthe vnurse, vwhat vassessment vtechnique vshould vbe
vimplemented?
A) vPercussion
B) vAuscultation
C) vInspection
D) vRectal vexamination v- vA) vPercussion
A vnurse vis vcaring vfor va vpatient vwith vbiliary vcolic vand vis vaware vthat vthe vpatient vmay
vexperience v referred vabdominal vpain. vWhere vwould vthe vnurse vmost vlikely v expect vthis
vpatient vto vexperience vreferred vpain?
A) vMidline vnear vthe vumbilicus
, B) vBelow vthe vright vnipple
C) vLeft vgroin varea
D) vRight vlower vabdominal vquadrant v- vB) vBelow vthe vright vnipple
An vinpatient vhas vreturned vto vthe vmedical vunit vafter va vbarium venema. vWhen vassessing
vthe vpatients
subsequent vbowel vpatterns vand vstools, vwhat vfinding vshould vthe vnurse vreport vto vthe
vphysician?
A) vLarge, vwide vstools
B) vMilky vwhite vstools
C) vThree vstools vduring van v8-hour vperiod vof vtime
D) vStreaks vof vblood vpresent vin vthe vstool v- vD) vStreaks vof vblood vpresent vin vthe vstool
A vnurse vin va vstroke vrehabilitation vfacility vrecognizes vthat vthe vbrain vregulates vswallowing.
vDamage vto v what varea vof vthe vbrain v will vmost vaffect vthe vpatients vability v to vswallow?
A) vTemporal vlobe
B) vMedulla voblongata
C) vCerebellum
D) vPons v- vB) vMedulla voblongata
A vpatient vis vbeing vassessed vfor va vsuspected vdeficit vin vintrinsic vfactor vsynthesis. vWhat
vdiagnostic vor
assessment vfinding vis vthe vmost vlikely vrationale vfor vthis vexamination vof vintrinsic vfactor
vproduction?
A) vMuscle vwasting
B) vChronic vjaundice vin vthe vabsence vof vliver vdisease
C) vThe vpresence vof vfat vin vthe vpatients vstool
D) vPersistently vlow vhemoglobin vand vhematocrit v- vD) vPersistently vlow vhemoglobin vand
vhematocrit
A vpatient vwith va vrecent vhistory vof vintermittent vbleeding vis vundergoing vcapsule
vendoscopy vto vdetermine vthe vsource vof vthe vbleeding. vWhen vexplaining vthis vdiagnostic
vtest vto vthe vpatient, v what vadvantage vshould vthe vnurse vdescribe?
vA) vThe vtest vallows v visualization vof vthe ventire vperitoneal vcavity.
B) vThe vtest vallows vfor vpainless vbiopsy vcollection.
C) vThe vtest vdoes vnot vrequire vfasting.
D) vThe vtest vis vnoninvasive v- vD) vThe vtest vis vnoninvasive
A vnurse vis vcaring vfor va vpatient vadmitted vwith va vsuspected vmalabsorption vdisorder. vThe
vnurse vknows vthat
one vof vthe vaccessory vorgans vof vthe vdigestive vsystem vis vthe vpancreas. vWhat vdigestive
venzymes vdoes vthe
pancreas vsecrete? vSelect vall vthat vapply.
A) vPepsin
B) vLipase
