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Worksheetsdigestive
Total questions: 27
Worksheet time: 54mins
Which of the following breaks protein down into peptides?
Amylase
Peptidase
Lactase
Trypsin
Which of the following stimulates increased peristalsis and secretions in the digestive tract?
Sympathetic nervous system
Vagus nerve
Increased saliva
Absence of food in the system
The early stage of vomiting causes:
metabolic alkalosis.
metabolic acidosis.
increased respirations.
increased excretion of hydrogen ions.
Bilirubin is a product of:
hemolysis of red blood cells (RBCs) and breakdown of hemoglobin.
production of excess chyme and bile.
mixing of undigested food and gastric secretions.
accumulation of white blood cells (WBCs) due to infection.
Which of the following applies to hepatitis A infection?
It is also called serum hepatitis.
It is transmitted by the fecal-oral route.
It contains a double strand of DNA.
It frequently leads to chronic hepatitis.
A factor that may precipitate encephalopathy with cirrhosis is the elevated:
serum urea.
conjugated bilirubin.
serum ammonia.
serum pH.
What is the primary cause of esophageal varices?
Increased hydrostatic pressure in the veins
Alcohol irritating the mucosa
Failure to inactivate estrogen
Poor nutritional status
What is the primary cause of increased bleeding tendencies associated with cirrhosis?
Anemia and leucopenia
Jaundice and pruritus
Recurrent infections
Deficit of vitamin K and prothrombin
Which factors contribute to ascites in patients with cirrhosis?
Increased aldosterone and deficit of albumin
Severe anemia and increased serum bilirubin
Hypokalemia and increased serum ammonia
Hyperproteinemia and persistent hypotension
Which of the following best describes steatorrhea?
A light gray-colored stool
A tarry black stool
Bulky, fatty, foul-smelling stools
Watery stools with mucus and blood
What are the typical changes occurring with Crohn’s disease?
Degeneration and flattening of the villi in the small intestine
Multiple herniations of the mucosa through weak areas of the muscularis
A continuous area of mucosal inflammation and ulceration in the rectum and colon
Inflamed areas of the wall of the ileum alternating with thick fibrotic or normal areas
Stools that are more liquid and contain mucus and frank blood are typical of:
diverticulitis
ulcerative colitis.
Crohn’s disease.
celiac disease.
What pain is typical of diverticulitis?
Lower left quadrant
Lower right quadrant
Sharp, colicky, periumbilical
Lower abdominal pain, radiating into the groin
How does a volvulus cause localized gangrene in the intestine?
Hypotension and shock cause ischemia.
The mesenteric arteries are compressed in the twisted section of intestine.
A section of intestine herniates between the muscles of the abdominal wall.
The distention of the intestinal wall causes increased permeability of the tissue.
Identify a major reason making it difficult to prevent the spread of hepatitis B.
A vaccine is not available.
The incubation period is too short to track contacts.
Infection is often asymptomatic.
Antibodies are not produced.
Although many factors may precipitate pancreatitis, the two major causes are:
obesity and smoking.
high-fat diet and hypertension.
congenital defects and drug abuse.
gallstones and alcohol abuse.
The telescoping of one section of bowel inside another section is called:
volvulus
hernia
adhesion
intussusceptions
The nursing faculty is discussing digestion and indicates it begins in the mouth with salivary -amylase (ptyalin) that initiates the digestion of:
Proteins
Carbohydrates
Fats
Amino acids
Complete obstruction of bile flow to the liver would be manifested by:
Elevated hemoglobin and hematocrit
Lower-leg edema
Clay-colored stools
Hypotension
A 39-year-old female presents with abdominal pain and jaundice. She is diagnosed with gallstones and undergoes cholecystectomy. An analysis of her gallstones would most likely reveal a high concentration of:
Phosphate
Bilirubin
Urate
Cholesterol
The primary complication of enterocolitis associated with Hirschsprung disease is related to which finding?
Fecal impaction
Pancreatic insufficiency
Hyperactive peristalsis
Ileal atresia
An 8-week-old male was recently diagnosed with cystic fibrosis. Which of the following digestive alterations would be expected?
Insufficient bile production
Gastric atrophy
Hypersecretion of stomach acid
Malabsorption
Kwashiorkor is a severe dietary deficiency of:
Fat-soluble vitamins
Carbohydrates
Protein
Calcium and magnesium
The nurse assessing the patient with biliary atresia would expect to find which primary clinical manifestation?
Anemia
Jaundice
Hypobilirubinemia
Ascites
The late manifestations of cirrhosis are related to liver failure and:
hepatomegaly
diffuse liver fibrosis.
portal hypertension.
hepatorenal syndrome.
Individuals with liver disease often experience the effects of excess serum ammonia as a result of impairment of the liver’s ability to process ammonia. How does the liver process ammonia in healthy individuals?
By converting it into bilirubin which is then excreted intestinally
By processing ammonia into nitrogen and hydrogen ions for excretion
By processing it into urea and releasing it into the circulation
By combining it with oxygen to create ammonium oxide
A decrease in the serum level of which of the following substances is suggestive of liver injury?
g-Glutamyltransferase (GGT)
Albumin
Alanine aminotransferase (ALT)
Alkaline phosphatase
