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WorksheetsGI study lab
Total questions: 30
Worksheet time: 15mins
Name
Class
Date
1.
When assessing a patient who just returned from having an EGD, the nurse knows to withhold PO fluids until:
a)
A. the patient is able to urinate
b)
B. the patient’s gag reflex returns
c)
C. the doctor talks to the patient and family
d)
D. the next scheduled meal time
2.
The new grad nurse is caring for a patient with a continual tube feeding. The experienced nurse realizes further education is needed when the new grad nurse states:
a)
A. "The HOB is to remain at or above 30 degrees at all times"
b)
B. "The HOB may be lowered to less than 30 degrees when the patient wants to sleep"
c)
C. "Maintaining accurate I’s & O’s is necessary"
d)
D. "Feeding rates start slow and are increased gradually"
3.
Assessment of your patient post colonoscopy reveals a hard, distended abdomen, the pt c/o 10/10 abdominal pain, with a BP of 92/48. What does the nurse suspect is the problem?
a)
A. Pt has a paralytic ileus
b)
B. Pt has flatulence and needs to ambulate
c)
C. Pt has a perforated bowel
d)
D. Pt has a large amount of retained stool
4.
At what age is it recommended a person with no family history of colon cancer to have a screening colonoscopy?
a)
A. 40
b)
B. 55
c)
C. 65
d)
D. 50
5.
What type of suction would the nurse expect to be ordered for gastric decompression?
a)
A. Low intermittent
b)
B. Low continuous
c)
C. High intermittent
d)
D. Medium continuous
6.
The RN is administering orlistat, what would be an expected effect of this drug?
a)
A. difficulty with balance
b)
B. frequent bouts of constipation
c)
C. passage of more frequent stools
d)
D. fatigue
7.
Tenderness at McBurney’s point, fever, and rebound tenderness are assessment findings in what condition?
a)
A. peptic ulcer disease
b)
B. appendicitis
c)
C. ulcerative colitis
d)
D. hiatal hernia
8.
During the nurse’s 0730 med pass, which medication should have priority?
a)
A. a proton pump inhibitor
b)
B. a narcotic analgesic
c)
C. a histamine receptor antagonist
d)
D. a mucosal barrier agent
9.
Being diagnosed with GERD increases a patient’s risk for developing:
a)
A. a hiatal hernia
b)
B. gastroenteritis
c)
C. esophageal cancer
d)
D. gastric cancer
10.
What can be an expected symptom of ulcerative colitis?
a)
A. 6 or more bloody liquid stools/day
b)
B. fever of 102 degrees F
c)
C. hard, rigid abdomen
d)
D. urinary stress incontinence
11.
Which medication is not typically prescribed for PUD caused by H. pylori?
a)
A. sucralfate (Carafate)
b)
B. esomeprazole (Nexium)
c)
C. amoxicillin (Amoxil)
d)
D. clarithromycin (Biaxin)
12.
A patient is prescribed TPN. What is the priority nursing intervention?
a)
A. assess the peripheral IV line
b)
B. perform fingerstick glucose checks on the patient
c)
C. administer an oral hypoglycemic
d)
D. monitor the patient’s oral food intake
13.
During an inflammatory bowel disease exacerbation, which intervention should the RN implement?
a)
A. provide mouth care every 12 hours
b)
B. rest the client’s bowel
c)
C. assess vital signs once a shift
d)
D. administer oral antacids
14.
A patient is scheduled for a complete colectomy with ileostomy. The nurse knows the stoma will be located where?
a)
A. LLQ
b)
B. RLQ
c)
C. RUQ
d)
D. LUQ
15.
The nurse caring for the patient with an NG tube to low intermittent suction notices there has been no output in the canister for 4 hours. What nursing intervention is a priority?
a)
A. do nothing, as this can be a normal finding
b)
B. turn up the suction, as it is probably not high enough
c)
C. call the doctor stat with the finding
d)
D. trace the line for kinks, auscultate for bowel sounds, and flush the tube
16.
What is NOT a risk factor for oral cancer?
a)
A. HPV
b)
B. Mumps
c)
C. Excessive alcohol use
d)
D. Tobacco use
17.
The RN is caring for a patient with a SBO. The nurse knows all of these are signs of improvement except:
a)
A. increased thirst and palpitations
b)
B. passing flatus
c)
C. decreasing pain
d)
D. removal of the NG tube
18.
The RN is preparing education for the community about preventing colon cancer. Which information should be included?
a)
A. Do not engage in high-risk sexual activity
b)
B. Take a multi-vitamin daily
c)
C. Eat several servings of high fiber vegetables daily
d)
D. Get the Flu vaccine every year
19.
The RN is discussing a therapeutic diet for the patient diagnosed with diverticulosis. Which meal indicates the pt understands the discharge teaching?
a)
A. Chicken salad on whole-wheat bread and water
b)
B. Fried fish, mashed potatoes, iced tea
c)
C. Lettuce, tomato, cucumber salad and coffee
d)
D. Ham sandwich, applesauce, whole milk
20.
The RN, a licensed practical nurse (LPN), and an unlicensed assistive personnel (UAP) are caring for patients on a medical floor. Which nursing task would be most appropriate for the LPN?
a)
A. Monitor the potassium level for a pt with diarrhea
b)
B. Assist the UAP to learn to perform blood glucose checks
c)
C. Assess the abdomen of a pt who has been complaining of pain
d)
D. Administer a bulk laxative to a pt diagnosed with constipation
21.
Which patient information should the RN report to the physician immediately?
a)
A. The pt with diarrhea who had 2 semiliquid stools totaling 300 mL
b)
B. The pt with diarrhea and a serum potassium of 3.6 mEq/L
c)
C. The pt with obstipation and a serum sodium of 128 mEq/L
d)
D. The pt with a fecal impaction who had 2 hard formed stools
22.
The RN is caring for a 1 day post-op bariatric patient. What physician order would the RN question?
a)
A. Ambulate the pt
b)
B. Clear liquid diet
c)
C. Insert NG tube if vomiting
d)
D. Administer promethazine (Phenergan) for nausea
23.
A patient is admitted to the medical floor with a hiatal hernia. The nurse should provide further education when the patient states:
a)
A. "I usually eat small meals throughout the day"
b)
B. "I keep my f/u appts with my physician to monitor my condition"
c)
C. "I usually eat a meal while lying down in bed"
d)
D. I may need surgery to resolve my symptoms"
24.
Which problem is a priority for an elderly patient with acute gastritis?
a)
A. Alteration in comfort
b)
B. Fluid volume deficit
c)
C. Altered nutrition: less than body requires
d)
D. Impaired tissue perfusion
25.
Which statement from the patient about stomatitis indicates the nurse's teaching is effective?
a)
A. "I do not need to brush my teeth with a soft bristle toothbrush"
b)
B. "I will rinse my mouth with Listerine mouthwash"
c)
C. "I will swish with antifungal solution and then swallow before bedtime"
d)
D. "I will avoid spicy foods, tobacco, and alcohol"
26.
A patient has been diagnosed with acute gastritis. What would be a priority nursing intervention?
a)
A. keep the patient calm and reduce stress
b)
B. monitor O2 sat%
c)
C. insert a foley catheter for accurate I&O's
d)
D. regularly assess pain
27.
Which symptoms support the diagnosis of chronic gastritis?
a)
A. Rapid onset of midsternal discomfort
b)
B. Epigastric pain relieved by eating food
c)
C. Dyspepsia and hematemesis
d)
D. Nausea and projectile vomiting
28.
Which information is most important for the RN to teach the patient just diagnosed with Crohn's disease?
a)
A. Explain the care of the ileostomy and necessary equipment
b)
B. Teach about dietary changes and increasing fluids
c)
C. Discuss coping skills to assist with adaptation to lifestyle modifications
d)
D. Teach about drug administration, dosages, and scheduled times
29.
A patient has just returned from surgery and is complaining of nausea. The physician prescribes a drug to promote gastric motility. What drug will the RN administer?
a)
A. metoclopramide (Reglan)
b)
B. linagliptin (Tradjenta)
c)
C. cyclobenzaprine (Amrix)
d)
D. pantoprazole (Protonix)
30.
The RN is caring for a patient with a radical neck dissection. What would be the priority?
a)
A. Assessing the patient for pain
b)
B. Assessing for signs and symptoms of infection
c)
C. Assessing knowledge about recent surgery
d)
D. Assessing lung sounds and O2 sat %
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