GI EXAM 2 QUESTIONS AND ANSWERS
If the nurse identified a patient's pain at one of these locations, which site would indicate
to the nurse that the patient might have appendicitis? - Answer -Right lower quadrant
Which type of food would your recommend for a client with diarrhea? - Answer -
Bananas
Which laboratory test result should the nurse expect in a patient with acute pancreatitis?
- Answer -Elevated serum amylase
Which of these, if stated by a patient, indicates to the nurse correct understanding of the
purpose of a nasogastric tube in a patient with a bowel obstruction? - Answer -"To
relieve distention"
A patient with a colostomy says, "My pouch blows like a balloon when I pass gas." What
is an appropriate response by the nurse? - Answer -"Empty the gas like you would if
the pouch was full of stool."
A patient reports feeling constipated yet passes frequent small liquid stools. Which of
these actions by the nurse is appropriate? - Answer -Check for fecal impaction
The nurse is caring for a patient who has a sudden onset of diarrhea with black tarry
stools. Which action should the nurse take? - Answer -Obtain vital signs
The nurse is caring for a patient after an appendectomy. Which of the following
interventions should the nurse include in the patient's plan of care to prevent respiratory
complications? Select all that apply. - Answer -Pain control
Early ambulation
Coughing and deep breathing Incentive spirometer
A patient with Crohn disease is to receive sulfasalazine (Azulfıdine) 500 mg oral
suspension four times daily. The oral suspension is available as 250mg/5mL. How
many milliliters should the nurse give for the 0800 dose? - Answer -10 mL
Which of these diet modifications will help prevent exacerbations of inflammatory bowel
disease? - Answer -Avoid caffeine and high fiber foods
The nurse is providing care for a patient diagnosed with obstipation. Which condition is
the nurse aware as being unrelated to the patient's diagnosis? - Answer -Medical
history of obesity and cardiovascular disorders
The nurse is providing care for a client postoperative for the placement of a colostomy
for colon cancer. When examining the stoma, which finding causes the nurse to
, immediately contact the health care provider (HCP)? - Answer -Dusky color, dryness
noted
The nurse is contributing to the plan of care for a patient with gluten enteropathy (celiac
disease). Which food(s) does the nurse recommend be eliminated from the diet of the
patient? - Answer -Wheat, rye, oats, and barley
The nurse is collecting data from a patient who is reporting abdominal pain. Which
symptom suggests that the patient is experiencing appendicitis? - Answer -Pain in the
right lower abdominal quadrant
On admission, a patient with gastrointestinal bleeding had the following vital signs:
blood pressure (BP) 140/80 mm Hg, pulse 72 beats/min, respirations 14 breaths/min,
and temperature 98.8°F (37.1°C) orally. Which finding does the licensed practical
nurse/licensed vocational nurse (LPN/LVN) report immediately to the registered nurse
(RN) or HCP? - Answer -BP 104/68 mm Hg
The nurse provides care to older adult residents in an extended-care facility. One
resident is experiencing diarrhea. The resident reports loss of appetite, weakness, and
drowsiness. Which body system is most important for the nurse examine? - Answer -
Cardiovascular system
The nurse is reinforcing teaching to a patient newly diagnosed with ulcerative colitis
about triggers for exacerbation of the disease. Which recommendation does the nurse
make to the patient to prevent a future exacerbation? (Select all that apply.) - Answer -
Do not use tobacco.
Reduce exposure to stress.
A Read food labels to avoid food additives.
Avoid ingesting foods sprayed with pesticides
The nurse is gathering information severe arthritis, but I control the pain about a new
patient in an adult clinic. The patient states, "I have with two 650-mg acetaminophen
tablets four times a day." Which condition does the nurse associate with the patient's
medication regimen? - Answer -Liver failure
A patient presents at the HCP's office with epigastric pain. The patient's temperature
and pulse and respiration rates are all elevated. Which additional symptom will the
nurse associate as a possible sign of cholelithiasis? - Answer -Jaundice
The nurse is providing care for a patient diagnosed with chronic signs are blood
pressure 130/78 mm Hg, respirations 28 breaths/min and labored with O2 pancreatitis.
The patient's vital saturation rate of 90%, pulse 102 beats/min, and pain level of 7 on a
0-to-10 scale. Which immediate nursing action is appropriate? - Answer -Place in an
upright or slightly leaning forward position.
If the nurse identified a patient's pain at one of these locations, which site would indicate
to the nurse that the patient might have appendicitis? - Answer -Right lower quadrant
Which type of food would your recommend for a client with diarrhea? - Answer -
Bananas
Which laboratory test result should the nurse expect in a patient with acute pancreatitis?
- Answer -Elevated serum amylase
Which of these, if stated by a patient, indicates to the nurse correct understanding of the
purpose of a nasogastric tube in a patient with a bowel obstruction? - Answer -"To
relieve distention"
A patient with a colostomy says, "My pouch blows like a balloon when I pass gas." What
is an appropriate response by the nurse? - Answer -"Empty the gas like you would if
the pouch was full of stool."
A patient reports feeling constipated yet passes frequent small liquid stools. Which of
these actions by the nurse is appropriate? - Answer -Check for fecal impaction
The nurse is caring for a patient who has a sudden onset of diarrhea with black tarry
stools. Which action should the nurse take? - Answer -Obtain vital signs
The nurse is caring for a patient after an appendectomy. Which of the following
interventions should the nurse include in the patient's plan of care to prevent respiratory
complications? Select all that apply. - Answer -Pain control
Early ambulation
Coughing and deep breathing Incentive spirometer
A patient with Crohn disease is to receive sulfasalazine (Azulfıdine) 500 mg oral
suspension four times daily. The oral suspension is available as 250mg/5mL. How
many milliliters should the nurse give for the 0800 dose? - Answer -10 mL
Which of these diet modifications will help prevent exacerbations of inflammatory bowel
disease? - Answer -Avoid caffeine and high fiber foods
The nurse is providing care for a patient diagnosed with obstipation. Which condition is
the nurse aware as being unrelated to the patient's diagnosis? - Answer -Medical
history of obesity and cardiovascular disorders
The nurse is providing care for a client postoperative for the placement of a colostomy
for colon cancer. When examining the stoma, which finding causes the nurse to
, immediately contact the health care provider (HCP)? - Answer -Dusky color, dryness
noted
The nurse is contributing to the plan of care for a patient with gluten enteropathy (celiac
disease). Which food(s) does the nurse recommend be eliminated from the diet of the
patient? - Answer -Wheat, rye, oats, and barley
The nurse is collecting data from a patient who is reporting abdominal pain. Which
symptom suggests that the patient is experiencing appendicitis? - Answer -Pain in the
right lower abdominal quadrant
On admission, a patient with gastrointestinal bleeding had the following vital signs:
blood pressure (BP) 140/80 mm Hg, pulse 72 beats/min, respirations 14 breaths/min,
and temperature 98.8°F (37.1°C) orally. Which finding does the licensed practical
nurse/licensed vocational nurse (LPN/LVN) report immediately to the registered nurse
(RN) or HCP? - Answer -BP 104/68 mm Hg
The nurse provides care to older adult residents in an extended-care facility. One
resident is experiencing diarrhea. The resident reports loss of appetite, weakness, and
drowsiness. Which body system is most important for the nurse examine? - Answer -
Cardiovascular system
The nurse is reinforcing teaching to a patient newly diagnosed with ulcerative colitis
about triggers for exacerbation of the disease. Which recommendation does the nurse
make to the patient to prevent a future exacerbation? (Select all that apply.) - Answer -
Do not use tobacco.
Reduce exposure to stress.
A Read food labels to avoid food additives.
Avoid ingesting foods sprayed with pesticides
The nurse is gathering information severe arthritis, but I control the pain about a new
patient in an adult clinic. The patient states, "I have with two 650-mg acetaminophen
tablets four times a day." Which condition does the nurse associate with the patient's
medication regimen? - Answer -Liver failure
A patient presents at the HCP's office with epigastric pain. The patient's temperature
and pulse and respiration rates are all elevated. Which additional symptom will the
nurse associate as a possible sign of cholelithiasis? - Answer -Jaundice
The nurse is providing care for a patient diagnosed with chronic signs are blood
pressure 130/78 mm Hg, respirations 28 breaths/min and labored with O2 pancreatitis.
The patient's vital saturation rate of 90%, pulse 102 beats/min, and pain level of 7 on a
0-to-10 scale. Which immediate nursing action is appropriate? - Answer -Place in an
upright or slightly leaning forward position.
