Med Surge GI ACTUAL UPDATED Exam
Questions and CORECT Answers
A nurse is caring for a client who has a new ileostomy. Exhibit 1: Ileostomy stoma is red.
Ostomy pouch intact. Skin surroing the stomal barrier appears intact and the same color as the
rest of the abdomen. Stoma drainng moderage brown liqid stool. Weight 80 kg.
Highlight the day 4 finding s that require immediate follow up. - CORRECT ANSWER -
Integumentary: skin around the stoma is inflamed and excoriated.
Psychosocial: Client will not look at stoma. Client states that er not interested in learning about
stoma care.
Cardivascular: Urine ourput 650ml/24hr. Weight 78.2kg
Gastrointestional: Client reports abdominal cramping, abdomen is distended and firm.
A nurse in the emergency department is caring for a male client. Exhibit 1: Nurses notes: 1000:
Client brought to the ED with report of sudden onset of sever mid-epigastric pain that radiates to
the back. Client reports nausea, vomiting and recent weight loss. Client reports drinking 4 to 4
beers each day. Abdomen soft, distended, bowel sounds hypoactive in 4 quadrants. Client reports
daily formed stools.
Lab results: Amylase 660, lipase 480, hct 45%, hgb 15, WBC 16,000, fasting blood glucose 200
- CORRECT ANSWER -Actions to take: Prepare to administer insulin to the client
Prepare to insert a NG tube for the client
Potential condition: Pancreatitis
Parameters to monitor: Amylase level
Jaundice
A nurse is caring for a client on a med surg unit. Nurses notes: Day1: client reports epigastric
pain, bloating and belching after eating that worsens when lying supine. Scheduled for open
surgical approach for Nissen fundoplication.
Diagnostic results: Day1: Barium swallow with fluoroscopy: Hiatal hernia
Vital SIGNS: DAY 1: temp 98.9, bp 118/78, hr 78/min, rr 18/min, o2 95% on room air.
Day9: temp 100.9, bp 108/68, hr 102/min, rr 24/min, o2 90% on room air.
, Highlight the findings that require immediate follow up - CORRECT ANSWER -
Coughing and hoarse voice after swallowing.
Client reports feeling of abdominal fullness and is unable to belch.
A nurse is providing discharge teaching for a client who has mild diverticulitis. Which of the
following statements by the client indicates an understanding of the teaching? - CORRECT
ANSWER -" I should eat foods that are low in fiber."
A nurse is providing teaching for a client who has cirrhosis and is new prescription for lactulose.
Which of the following instructions should the nurse include in the teaching? - CORRECT
ANSWER -Expect to have 2 to 3 soft stools per day
A nurse is caring for a client who has GERD and a new prescription for metoclopramide. The
nurse should plan to monitor for which of the following adverse effects? - CORRECT
ANSWER -Ataxia
A nurse is assessing a client who has peritonitis. Which of the following findings should the
nurse expect? - CORRECT ANSWER -board like abdomen
A nurse is providing dietary teaching for a client who is postoperative following a gastrectomy,
Which of the following foods should the nurse encourage the client to include in their diet to
reduce the risk for dumping syndrome? - CORRECT ANSWER -eggs
A nurse is caring for a client who has ulcerative colitis. The client has had several exacerbations
over the past 3 years. Which of the following instructions should the nurse include in the plan of
care to minimize the risk of further exacerbations? (select all that apply) - CORRECT
ANSWER -Use progressive relaxation techniques
Arrange activities to allow for daily rest periods
restrict intake of carbonated beverages
A nurse is reviewing the laboratory results of a client who has acute pancreatitis. Which of the
following finding should the nurse expect? - CORRECT ANSWER -Increased amylase
Questions and CORECT Answers
A nurse is caring for a client who has a new ileostomy. Exhibit 1: Ileostomy stoma is red.
Ostomy pouch intact. Skin surroing the stomal barrier appears intact and the same color as the
rest of the abdomen. Stoma drainng moderage brown liqid stool. Weight 80 kg.
Highlight the day 4 finding s that require immediate follow up. - CORRECT ANSWER -
Integumentary: skin around the stoma is inflamed and excoriated.
Psychosocial: Client will not look at stoma. Client states that er not interested in learning about
stoma care.
Cardivascular: Urine ourput 650ml/24hr. Weight 78.2kg
Gastrointestional: Client reports abdominal cramping, abdomen is distended and firm.
A nurse in the emergency department is caring for a male client. Exhibit 1: Nurses notes: 1000:
Client brought to the ED with report of sudden onset of sever mid-epigastric pain that radiates to
the back. Client reports nausea, vomiting and recent weight loss. Client reports drinking 4 to 4
beers each day. Abdomen soft, distended, bowel sounds hypoactive in 4 quadrants. Client reports
daily formed stools.
Lab results: Amylase 660, lipase 480, hct 45%, hgb 15, WBC 16,000, fasting blood glucose 200
- CORRECT ANSWER -Actions to take: Prepare to administer insulin to the client
Prepare to insert a NG tube for the client
Potential condition: Pancreatitis
Parameters to monitor: Amylase level
Jaundice
A nurse is caring for a client on a med surg unit. Nurses notes: Day1: client reports epigastric
pain, bloating and belching after eating that worsens when lying supine. Scheduled for open
surgical approach for Nissen fundoplication.
Diagnostic results: Day1: Barium swallow with fluoroscopy: Hiatal hernia
Vital SIGNS: DAY 1: temp 98.9, bp 118/78, hr 78/min, rr 18/min, o2 95% on room air.
Day9: temp 100.9, bp 108/68, hr 102/min, rr 24/min, o2 90% on room air.
, Highlight the findings that require immediate follow up - CORRECT ANSWER -
Coughing and hoarse voice after swallowing.
Client reports feeling of abdominal fullness and is unable to belch.
A nurse is providing discharge teaching for a client who has mild diverticulitis. Which of the
following statements by the client indicates an understanding of the teaching? - CORRECT
ANSWER -" I should eat foods that are low in fiber."
A nurse is providing teaching for a client who has cirrhosis and is new prescription for lactulose.
Which of the following instructions should the nurse include in the teaching? - CORRECT
ANSWER -Expect to have 2 to 3 soft stools per day
A nurse is caring for a client who has GERD and a new prescription for metoclopramide. The
nurse should plan to monitor for which of the following adverse effects? - CORRECT
ANSWER -Ataxia
A nurse is assessing a client who has peritonitis. Which of the following findings should the
nurse expect? - CORRECT ANSWER -board like abdomen
A nurse is providing dietary teaching for a client who is postoperative following a gastrectomy,
Which of the following foods should the nurse encourage the client to include in their diet to
reduce the risk for dumping syndrome? - CORRECT ANSWER -eggs
A nurse is caring for a client who has ulcerative colitis. The client has had several exacerbations
over the past 3 years. Which of the following instructions should the nurse include in the plan of
care to minimize the risk of further exacerbations? (select all that apply) - CORRECT
ANSWER -Use progressive relaxation techniques
Arrange activities to allow for daily rest periods
restrict intake of carbonated beverages
A nurse is reviewing the laboratory results of a client who has acute pancreatitis. Which of the
following finding should the nurse expect? - CORRECT ANSWER -Increased amylase
