Siena Kathleen V.

Placino 113

GASTROINTESTINAL SYSTEM

REVIEW QUESTIONS
1. Which of the following terms best describes the pain associated with
appendicitis?
a. Aching
b. Fleeting
c. Intermittent
d. Steady
2. Which of the following symptoms is the most common in acute appendicitis?
a. Bradycardia
b. Fever
c. Pain descending to the left lower quadrant
d. Pain radiating down the legs
3. Post op care of a child with ruptured appendix would include which of the
following treatment or interventions?
a. Liquid diet
b. Oral antibiotics for 7-10 days
c. Position the child on the left side
d. Parenteral antibiotics for 7-10 days
4. The nurse is doing his/her routine assessment in a client with liver cirrhosis.
Which observation by the nurse requires immediate notification with the other
health team members?
a. Diminished breath sounds in a patient with previously normal breath
sounds
b. A client says to the nurse “I don’t fell like eating today.”
c. Change in a patient’s heart rate from 72 to 90
d. Relief noted by a patient form prescribed nausea medications
5. If the client is experiencing serious complication related to specific liver
function, which of these findings should the nurse anticipate?
a. No bowel movement in 3 days
b. Elevated blood glucose
c. Frequent nosebleeds and bruising

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d. Increased, intense hunger

6. The doctor wants A.J’s weight, a patient who had liver cirrhosis to be
monitored on a daily basis. The nurse recognized that the reason behind this
is to:
a. allow correction of nutritional deficiency
b. monitor enlargement of the liver and spleen
c. asses breakdown of tissue protein
d. monitor accumulation of edema and ascites
7. Which of the following statement best described the final stage of liver
cirrhosis?
a. Strict abstinence from alcohol can lead to full recovery
b. There is scar formation after healing process
c. The damage is irreversible
d. The damage can be treated by surgery
8. Appropriate diet for patient with cholelithiasis is:
a. Low fat
b. low carbohydrate
c. low protein
d. high protein
9. A patient undergone cholecystectomy asks the nurse how she can live without
her gall bladder. In order to respond to this client, the nurse must have which
understanding of the hepatobiliary system.
a. The liver produces about 1,000 ml of bile per day
b. The gall bladder makes about 90 ml of bile per day
c. The liver concentrate bile more than 10times
d. The gall bladder dilutes and release bile
10.Nurse Rica assessed that the client has Cullen’s sign. Which of the following
findings did she note?
a. Jaundice sclera
b. Pain that occurs with movement
c. Bluish discoloration of the left flank area
d. Bluish discoloration of the peri-umbillical area

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11.Lactulose (Cephulac) is ordered for the client with cirrhosis. Which of the
following serum laboratory test should the nurse monitor to determine if the
drug is having the desired effect?
a. Albumin
b. Ammonia
c. Sodium
d. Lactose
12.A patient with liver cirrhosis will undergo paracentesis, the nurse should
place the client in a position of:
a. Recumbent so that the fluid will pool to the lower abdomen
b. Lying on her left side so that fluid will not exert pressure to the liver
c. Semi fowler’s to avoid shock and provide the most comfortable position
d. Upright with feet resting on the support so that the puncture site will be
readily visible.

REVIEW QUESTIONS

1. Colon cancer is mostly associated with which of the following conditions?

a. Appendicitis
b. Hemorrhoids
c. Hiatal hernia
d. Ulcerative colitis
2. Which of the following diet is commonly associated with colorectal cancer?
a. Low fiber, high fat diet
b. Low fat, high fiber diet
c. Low protein, high carbohydrate
d. Low carbohydrate, high protein diet
3. Radiation therapy is used to treat colon cancer before surgery for which of
the following reasons?
a. Reducing the size of the tumor
b. Eliminating the malignant cells
c. Curing the cancer

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d. Helping heal the bowel after surgery

4. A client with rectal cancer may exhibit which of the following symptoms?
a. Abdominal fullness
b. Gastric fullness
c. Rectal bleeding
d. Right upper quadrant pain
5. Which of the following type of diet is associated with the development of
diverticulosis?
a. Low fiber diet
b. High fiber diet
c. High protein diet
d. Low carbohydrate diet
6. Which of the following test should be administered to a client suspected of
having diverticulosis?
a. Abdominal ultrasound
b. Barium enema
c. Barium swallow
d. Gastroscopy
7. Medical management for a client with acute diverticulitis should include
which of the following treatments?
a. Reduce fluid intake
b. Increase fiber diet
c. Administration of antibiotics
d. Exercises to increase intra-abdominal pressure
8. Which of the following areas of the G.I system is involved in Crohn’s Disease?
a. The entire length of the large colon
b. Only the sigmoid colon
c. The entire large colon through the layers of the mucosa and sub-mucosa
d. The small intestine and colon, affecting the entire thickness of the
bowel

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REVIEW QUESTIONS

1. Which of the following definition best describe gastritis?

a. Erosion of the gastric mucosa
b. Inflammation of the diverticulum
c. Inflammation of the gastric mucosa
d. Reflux of the stomach acid into the esophagus
2. Which of the following substances is most likely to cause gastritis?
a. Milk
b. Bicarbonate soda
c. Enteric coated aspirin
d. Non-steroidal an-inflammatory drugs
3. Which of the following task should be included in the immediate post-op
management of a client who has undergone gastric resection?
a. Monitoring gastric ph to detect complications
b. Assessing for bowel sounds
c. Providing nutritional support
d. Monitoring for symptoms of hemorrhage
4. Which of the following treatments should be included in the immediate
management of acute gastritis?
a. Reducing work stress
b. Completing gastric resection
c. Treating the underlying cause
d. Administering enteral tube feedings
5. Which of the following risk factors can lead to chronic gastritis?
a. Young age
b. Antibiotic usage
c. Gall bladder disease
d. H. pylori infection
6. A client with gastric cancer may exhibit which of the following symptoms?
a. Abdominal cramping
b. Constant hunger

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c. Feeling of fullness
d. Weight gain
7. Which of the following diagnostic test may be performed to determine if the
client has gastric cancer?
a. Barium enema
b. Colonoscopy
c. Gastroscopy
d. Serum chemistry levels
8. Care of the post-operative client after gastric resection should focus on which of
the following problems?
a. Body image
b. Nutritional needs
c. Skin care
d. Spiritual needs

REVIEW QUESTIONS
1. An infant has been admitted to the hospital with gastroenteritis. In caring for
this client the nurse should first consider which of the following nursing
diagnosis first?
a. Acute pain
b. Diarrhea
c. Deficient fluid volume
d. Imbalance nutrition less than body requirements
2. Which of the following is the most common bacteria that can cause
gastroenteritis?
a. S. aureus
b. Entamoeba histolytica
c. Salmonella typhosa
d. E. coli
3. Which of the following intervention in a child with gastro-esophageal reflux
would alleviate the discomfort related to feeding?
a. Apply warmth to the abdominal area after feeding
b. Schedule feeding every 4 hours

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c. Elevate the head of the bed after meals

d. Feed rice cereal by spoon before each feeding
4. A client went to the clinic for a follow up check-up after being diagnosed with
GERD. Which instruction should the nurse provide?
a. Lie down and rest after each meal
b. Avoid alcohol and caffeine
c. Drink small amount of water each meal
d. Eat three well-balance meals every day
5. Which of the following condition is most likely to cause hepatitis?
a. Bacterial infection
b. Biliary dysfunction
c. Metastasis
d. Viral infection
6. Which of the following factors can cause hepatitis A?
a. Blood contact
b. Blood transfusion
c. Contaminated shellfish
d. Sexual contact
7. A client with viral hepatitis and developing hepatic encephalopathy may
exhibit which of the following symptoms?
a. Asterixis
b. Good concentration
c. Increase energy
d. Talkativeness
8. Which of the following signs and symptoms of liver disease is related to
bilirubin excretion?
a. Edema
b. Jaundice
c. Abdominal pain
d. Ascites
REVIEW QUESTIONS

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1. Which of the following condition can commonly cause hiatal hernia?

a. Increased intrathoracic pressure
b. Weakness of the esophageal muscle
c. Increase esophageal pressure
d. Weakness of the diaphragmatic muscle
2. Risk factors for the development of hiatal hernia are those that increase intra-
abdominal pressure. Which of the following complications can cause increase
abdominal pressure?
a. Obesity
b. Diarrhea
c. Constipation
d. Intestinal obstruction
3. Which of the following symptom is common in hiatal hernia?
a. Left arm pain
b. Low back pain
c. Esophageal reflux
d. Abdominal cramping
4. Which of the following medications is most effective for treating the pain
associated with irritable bowel disease?
a. Acetaminophen
b. Opiates
c. Steroids
d. Stool softeners
5. A client with irritable bowel syndrome usually exhibit which of the following
symptoms?
a. Abdominal bloating
b. Alternating episodes of constipation and diarrhea
c. Right upper quadrant abdominal pain
d. Inability to pass mucus
6. Which of the following intervention should the nurse prioritized in taking care
of a client with irritable bowel disease?
a. Elimination diet to determine if symptoms result from food
intolerance

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b. Administration of antispasmodic drugs

c. Instruct the client to minimized use of sedatives
d. Give anti-diarrheal drug
7. Which of the following post-op intervention is important in promoting lung
expansion for client with intestinal obstruction?
a. Measure and record the patient’s abdominal girth.
b. Maintain the position, patency, and low intermittent suction of NG tube
c. Monitor vital signs and intake output
d. Assist with turning, coughing, and deep breathing;

REVIEW QUESTIONS
1. Which of the following risk factors is most commonly associated with the
development of pancreatitis?
a. Alcohol abuse
b. Hypercalcemia
c. Hyperlipidemia
d. Pancreatic duct obstruction
2. Which of the following actions of pancreatic enzymes can cause pancreatic
damage?
a. Utilization by the intestine
b. Autodigestion of the pancreas
c. Reflux into the pancreas
d. Clogging of the pancreatic duct
3. Which of the following laboratory test is use to diagnose pancreatitis?
a. Amylase level
b. Hemoglobin level
c. Blood glucose level
d. WBC count
4. Mucosal barrier fortifiers are used in the management of peptic ulcer disease for
which of the following reasons?
a. To inhibit mucus production
b. To neutralize acid production
c. To stimulate mucus production
d. To stimulate hydrogen ion diffusion back into the mucosa
5. The client with duodenal ulcer may develop may exhibit which of the following
findings on assessment?
a. Hematemesis
b. Malnourishment
c. Melena
d. Pain with eating
6. The pain of duodenal ulcer can be distinguish from that of gastric ulcer by which
of the following characteristics?
a. Early satiety

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b. Pain on eating
c. Dull upper epigastric pain
d. Pain on an empty stomach
7. Which of the following test can be used to confirm diagnosis of ulcer?
a. Abdominal x-ray
b. Barium swallow
c. Computerized tomography scan
d. Esophagogastroduodenoscopy
8. Which of the following condition is most likely to directly cause peritonitis?
a. Cholelithiasis
b. Gastritis
c. Perforated ulcer
d. Incarcerated hernia
9. Which of the following symptoms would a client in the early stage of peritonitis
exhibit?
a. Abdominal distention
b. Abdominal pain and rigidity
c. Hyperactive bowel sounds
d. Right upper quadrant pain
10. Which of the following therapies is not included in the medical management of a
client with peritonitis?
a. Broad spectrum antibiotics
b. Electrolyte replacement
c. I.V fluids
d. Regular diet
11. Which of the following aspects is the priority focus of nursing management for a
client with peritonitis?
a. Fluids and electrolyte balance
b. Gastric irrigation
c. Pain management
d. Psychosocial issues
12.Which of the following factors is believed to cause ulcerative colitis?
a. Acidic diet
b. Altered immunity
c. Chronic constipation
d. Emotional stress
13. Which of the following symptoms is commonly associated with ulcerative colitis?
a. Dumping syndrome
b. Rectal bleeding
c. Soft stools
d. Presence of fistula
14.Surgical management of ulcerative colitis may be performed to treat which of the
following complication?
a. Gastritis
b. Bowel herniation
c. Bowel outpouching
d. Bowel perforation

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