Gastrointestinal disorders
1. A patient with peptic ulcer disease secondary to chronic NSAID use is prescribed misoprostol (Cytotec). The nurse would be most accurate in informing the patient that the drug: ?
A. reduces the stomach’s volume of hydrochloric acid.
B. increases the speed of gastric emptying.
C. protects the stomach’s lining .
D. increases LES pressure.
2. The nurse is caring for a patient with active upper-GI bleeding. What is the appropriate diet for this patient during the rst 24 hours after admission ?
A. Regular diet
B. Skim milk
C. Nothing by mouth
D. Clear liquids
3. A patient is scheduled to have a descending colostomy. He is anxious and has many questions concerning the surgery, the care of a stoma, and lifestyle changes. It would be most appropriate for the nurse to refer the patient to which member of the health care team?
A. Social worker
B. Registered dietitian
C. Occupational therapist
D. Enterostomal nurse therapist
4. The nurse is planning care for a female patient with acute hepatitis A. What is the primary mode of trans-mission for hepatitis A ?
A. Fecal contamination and oral ingestion
B. Exposure to contaminated blood
C. Sexual activity with an infected partner
D. Sharing a contaminated needle or syringe
5. A patient experiences an exacerbation of ulcerative colitis. Test results reveal elevated serum osmolality and urine speci c gravity. What is the most likely explanation for these test results?
A. Renal insuf ciency
B. Hypoaldosteronism
C. Diabetes insipidus
D. De cient uid volume
6. A patient has just had a surgical revision of his intestinal tract. What type of procedure would the patient have undergone if his stools are formed?
A. Continent ileostomy
B. Conventional ileostomy
C. Double-barrel and loop colostomy
D. Single-barrel, or end, colostomy
7. Which nursing intervention should take priority when caring for a patient with appendicitis?
A. Assessing for pain
B. Encouraging oral intake of clear uids
C. Providing discharge teaching
D. Assessing for signs and symptoms of peritonitis
8. When teaching a patient about GERD, the nurse describes the disorder as:
A. erosion of the gastric mucosa.
B. in ammation of a diverticulum.
C. in ammation of the gastric mucosa.
D. re ux of stomach acid into the esophagus.
9. Which type of diet is implicated in the development of diverticulosis?
A. A low- ber diet
B. A high- ber diet
C. A high-protein diet
D. A low-carbohydrate diet
10. Crohn’s disease can be described as a chronic relapsing disease. Which area of the GI system may be involved with this disease?
A. The entire length of the large colon
B. Only the sigmoid area
C. The entire large colon through the layers of mucosa and submucosa
D. The small intestine and colon, affecting the entire thickness of the bowel