GI ADULT 1 EXAM QUESTIONS & ANSWERS
30-year-old patient with ulcerative colitis is scheduled for a proctosigmoidoscopy. Which
finding should cause the nurse to clarify routine preparation orders with the physician?
A. The patients age
B. presence of sever diarrhea
C. complaints of abdominal cramping
D. Patients weight is 10% below ideal body weight - Answer -B
The nurse is preparing to initiate a tube feeding through a patients nasogastric (NG)
tube. Prior to initiating this feeding what should the nurse use to irrigate the tube?
A. Sterile water
B. Normal saline
C. Cranberry juice
D. Carbonated water - Answer -B
The nurse is inspecting a patients oral cavity. What is the most important safety reason
for the nurse to inspect for loose teeth when collecting data on the oral cavity of a
patient?
A. Loose teeth are unsightly to the patient
B. Loose teeth can cause dental abscesses.
C. Loose teeth can be aspirated into the airway
D. Loose teeth can prevent the patient from eating - Answer -C
The nurse is collecting data from a patient who is scheduled for an ileostomy. Which
technique should the nurse use to help identify optimal stoma placement?
a. Palpation
b. Inspection
c. Percussion
d. Auscultation - Answer -B
A licensed practical nurse (LPN) who typically works on a medical unit has been
assigned to cover staffing deficits on a surgical unit. After obtaining report, the nurse
realizes that one of the assigned patients is currently receiving parenteral nutrition (PN).
Which action should the nurse take?
a. Provide patient care as assigned
.b. Ask another nurse to trade patients for the shift.
c. Notify the supervisor that another nurse will need to be pulled
.d. Notify the charge nurse that an adjustment in the patient assignment is necessary. -
Answer -D
The nurse is collecting data from a patient who reports right upper abdominal quadrant
warmth and tenderness. When the nurse touches the area lightly to assess for warmth
and tenderness, what data collection technique is being used?a. Palpation
b. Inspection
,c. Percussion
d. Auscultation - Answer -A
The nurse is caring for a patient whose NG tube, attached to low intermittent suction to
decompress a bowel obstruction, is not draining. After checking placement, which action
should the nurse take?
a. Advance the NG tube 2 inches.
b. Change the suction setting to high
.c. Reinsert the NG tube in the other nare.
d. Irrigate the NG tube with 30 milliliters of normal saline. - Answer -D
A patient receiving 70 mL of tube feeding per hour has a residual amount of 120 mL.
What action should the nurse take?
a. Slow the feeding to 35 mL/hr.
b. Continue the feeding as ordered.
c. Increase the feeding to 100 mL/hr.
d. Hold the feeding, and notify the physician. - Answer -D
The nurse is auscultating bowel sounds and hears two bowel sounds over 5 minutes.
How should the nurse document this finding?
a. Absent bowel sounds
b. Normal bowel sounds
c. Hypoactive bowel sounds
d. Hyperactive bowel sounds - Answer -C
. A patient receiving a tube feeding at 60 mL/hr has a residual of 10 mL. What action
should the nurse take?a. Continue the feeding as ordered.
b. Slow the feeding to 35 mL/hour.
c. Decrease the feeding to 10 mL/hour.
d. Hold the feeding, and notify the physician. - Answer -A
While providing care for a patient who has recently completed chemotherapy for
colorectal cancer, the nurse notes the patient has an elevated carcinoembryonic antigen
(CEA) level. How should the nurse interpret this test result?
a. The patient is cured
.b. The patient has a residual or recurrent tumor.
c. The liver has been damaged by chemotherapy.
d. The patient should be placed in protective isolation - Answer -B
The nurse is reinforcing teaching for a patient who is scheduled for an upper GI series.
Which patient statement indicates teaching has been effective?
a. It is an estimated rectal cholangiopancreatophonography.
b. It is a scope inserted into the duodenum with dye injection.
c. It is a sigmoidoscopy with radiography after injection of dye.
d. It is an x-ray of the esophagus, stomach, and duodenum using barium. - Answer -D
, A patient is being prepared for an upper GI series. Which statement indicates that the
patient understands the preparation for this test?
a. I should eat a soft diet the night before the procedure.
b. I must not eat or drink for 4 hours after the procedure
.c. Ill be given a clear liquid diet the night after the procedure
.d. I cant have anything to eat or drink for 6 to 8 hours before the procedure. - Answer -
D
The nurse is ready to begin a tube feeding via a nasogastric feeding tube for a patient
who is comatose. Which action should the nurse take?a. Lay the patient supine
.b. Elevate the head of the bed 10 degrees
.c. Place the patient in high Fowlers position.
d. Place the patient onto the left side with knees flexed. - Answer -C
The nurse is ready to begin a tube feeding via an NG feeding tube for a patient who is
comatose. What action should the nurse take before starting the feeding?a. Listen to
bowel sounds.
b. Check the pH of gastric aspirate
.c. Secure the NG tube with additional tape.
d. Irrigate the tube with 10 mL of sterile water. - Answer -B
The nurse is caring for a patient with cultural dietary needs. Which question should the
nurse include in a cultural dietary assessment?
a. What restaurants do you go to?
b. Which foods do you most commonly eat?
c. Which unavailable cultural foods do you prefer to eat?
d. What foods are available in the country where you lived? - Answer -B
A patient receiving tube feedings at 50 mL/hour has a residual volume of 250 mL of
undigested tube feeding. What action should the nurse take?a. Discard aspirated tube
feeding, and run tube feeding as ordered by the physician.
b. Report amount of aspirated tube feeding to the RN for consultation with the
physician.
c. Return aspirated tube feeding to the patient, and run feeding at a slower rate of 20
mL/hour
.d. Return aspirated tube feeding to the patient, and wait 2 hours before restarting tube
feeding at 50 mL/hr. - Answer -B
The nurse is reviewing GI function with a patient. Which body structure should the nurse
emphasize as accomplishing mechanical digestion in the stomach?
a. Mucosa
b. Gastric glands
c. Smooth muscle layers
d. Striated muscle layers - Answer -C
30-year-old patient with ulcerative colitis is scheduled for a proctosigmoidoscopy. Which
finding should cause the nurse to clarify routine preparation orders with the physician?
A. The patients age
B. presence of sever diarrhea
C. complaints of abdominal cramping
D. Patients weight is 10% below ideal body weight - Answer -B
The nurse is preparing to initiate a tube feeding through a patients nasogastric (NG)
tube. Prior to initiating this feeding what should the nurse use to irrigate the tube?
A. Sterile water
B. Normal saline
C. Cranberry juice
D. Carbonated water - Answer -B
The nurse is inspecting a patients oral cavity. What is the most important safety reason
for the nurse to inspect for loose teeth when collecting data on the oral cavity of a
patient?
A. Loose teeth are unsightly to the patient
B. Loose teeth can cause dental abscesses.
C. Loose teeth can be aspirated into the airway
D. Loose teeth can prevent the patient from eating - Answer -C
The nurse is collecting data from a patient who is scheduled for an ileostomy. Which
technique should the nurse use to help identify optimal stoma placement?
a. Palpation
b. Inspection
c. Percussion
d. Auscultation - Answer -B
A licensed practical nurse (LPN) who typically works on a medical unit has been
assigned to cover staffing deficits on a surgical unit. After obtaining report, the nurse
realizes that one of the assigned patients is currently receiving parenteral nutrition (PN).
Which action should the nurse take?
a. Provide patient care as assigned
.b. Ask another nurse to trade patients for the shift.
c. Notify the supervisor that another nurse will need to be pulled
.d. Notify the charge nurse that an adjustment in the patient assignment is necessary. -
Answer -D
The nurse is collecting data from a patient who reports right upper abdominal quadrant
warmth and tenderness. When the nurse touches the area lightly to assess for warmth
and tenderness, what data collection technique is being used?a. Palpation
b. Inspection
,c. Percussion
d. Auscultation - Answer -A
The nurse is caring for a patient whose NG tube, attached to low intermittent suction to
decompress a bowel obstruction, is not draining. After checking placement, which action
should the nurse take?
a. Advance the NG tube 2 inches.
b. Change the suction setting to high
.c. Reinsert the NG tube in the other nare.
d. Irrigate the NG tube with 30 milliliters of normal saline. - Answer -D
A patient receiving 70 mL of tube feeding per hour has a residual amount of 120 mL.
What action should the nurse take?
a. Slow the feeding to 35 mL/hr.
b. Continue the feeding as ordered.
c. Increase the feeding to 100 mL/hr.
d. Hold the feeding, and notify the physician. - Answer -D
The nurse is auscultating bowel sounds and hears two bowel sounds over 5 minutes.
How should the nurse document this finding?
a. Absent bowel sounds
b. Normal bowel sounds
c. Hypoactive bowel sounds
d. Hyperactive bowel sounds - Answer -C
. A patient receiving a tube feeding at 60 mL/hr has a residual of 10 mL. What action
should the nurse take?a. Continue the feeding as ordered.
b. Slow the feeding to 35 mL/hour.
c. Decrease the feeding to 10 mL/hour.
d. Hold the feeding, and notify the physician. - Answer -A
While providing care for a patient who has recently completed chemotherapy for
colorectal cancer, the nurse notes the patient has an elevated carcinoembryonic antigen
(CEA) level. How should the nurse interpret this test result?
a. The patient is cured
.b. The patient has a residual or recurrent tumor.
c. The liver has been damaged by chemotherapy.
d. The patient should be placed in protective isolation - Answer -B
The nurse is reinforcing teaching for a patient who is scheduled for an upper GI series.
Which patient statement indicates teaching has been effective?
a. It is an estimated rectal cholangiopancreatophonography.
b. It is a scope inserted into the duodenum with dye injection.
c. It is a sigmoidoscopy with radiography after injection of dye.
d. It is an x-ray of the esophagus, stomach, and duodenum using barium. - Answer -D
, A patient is being prepared for an upper GI series. Which statement indicates that the
patient understands the preparation for this test?
a. I should eat a soft diet the night before the procedure.
b. I must not eat or drink for 4 hours after the procedure
.c. Ill be given a clear liquid diet the night after the procedure
.d. I cant have anything to eat or drink for 6 to 8 hours before the procedure. - Answer -
D
The nurse is ready to begin a tube feeding via a nasogastric feeding tube for a patient
who is comatose. Which action should the nurse take?a. Lay the patient supine
.b. Elevate the head of the bed 10 degrees
.c. Place the patient in high Fowlers position.
d. Place the patient onto the left side with knees flexed. - Answer -C
The nurse is ready to begin a tube feeding via an NG feeding tube for a patient who is
comatose. What action should the nurse take before starting the feeding?a. Listen to
bowel sounds.
b. Check the pH of gastric aspirate
.c. Secure the NG tube with additional tape.
d. Irrigate the tube with 10 mL of sterile water. - Answer -B
The nurse is caring for a patient with cultural dietary needs. Which question should the
nurse include in a cultural dietary assessment?
a. What restaurants do you go to?
b. Which foods do you most commonly eat?
c. Which unavailable cultural foods do you prefer to eat?
d. What foods are available in the country where you lived? - Answer -B
A patient receiving tube feedings at 50 mL/hour has a residual volume of 250 mL of
undigested tube feeding. What action should the nurse take?a. Discard aspirated tube
feeding, and run tube feeding as ordered by the physician.
b. Report amount of aspirated tube feeding to the RN for consultation with the
physician.
c. Return aspirated tube feeding to the patient, and run feeding at a slower rate of 20
mL/hour
.d. Return aspirated tube feeding to the patient, and wait 2 hours before restarting tube
feeding at 50 mL/hr. - Answer -B
The nurse is reviewing GI function with a patient. Which body structure should the nurse
emphasize as accomplishing mechanical digestion in the stomach?
a. Mucosa
b. Gastric glands
c. Smooth muscle layers
d. Striated muscle layers - Answer -C
