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NUR114 Exam 2 Practice GI System

Total questions: 91

Worksheet time: 58mins

Name
Class
Date
1.

Discomfort and distention (internal pressure or swelling), ache or pain.

a)

Heartburn

b)

Peritonitis

c)

Indigestion

d)

Flatulence

2.

A break in the mucous membrane of the stomach or duodenum producing gnawing or burning pain.

a)

Peptic ulcers

b)

Appendicitis

c)

Piles (hemorrhoids)

d)

Irritable Bowel syndrome

3.

Inflammation of the membrane which surrounds the organs within the abdomen and links them together.

a)

Heartburn

b)

Peritonitis

c)

Appendicitis

d)

Irritable Bowel Syndrome

4.

When acid from the stomach flows backwards (refluxes) into the oesohagus.

a)

Constipation

b)

Peptic Ulcers

c)

Indigestion

d)

Heartburn

5.

What are the signs of bleeding peptic ulcers?

a)

Green vomit and reddish brown stool

b)

Coffee ground or red vomit and brown stool

c)

Coffee ground or red vomit and black stools

d)

Brown vomit and red stools

6.

What is peptic ulcer?

a)

Sores or wounds that develop inside lining of the stomach, upper portion small intestine or esophagus

b)

Sores or wounds that develop inside lining of the lung, upper portion testes or vagina

7.

Types of peptic ulcer?

a)

Gastric ulcer

b)

Genital ulcer

c)

Esophageal ulcer

d)

Duodenal ulcer

8.

Symptom of peptic ulcer?

a)

Burning pain

b)

Bloating

c)

Getting fat

d)

Sleepy

9.

Indigestion is also known as ____________

a)

Dysphagia

b)

Dyspepsia

c)

Dyspnea

d)

Dyslexia

10.

Peptic ulcers are developed ____________

a)

Inside lining of stomach, Upper portion of Small Intestine

b)

Outside lining of stomach, Lower portion of Small Intestine

c)

Inside lining of stomach, Lower portion of Small Intestine

d)

Outside lining of stomach, Upper portion of Small Intestine

11.

Helicobacter pylori is a __________

a)

Virus

b)

Fungi

c)

Bacteria

d)

Algae

12.

Dark blood in stools occur usually in person with ______________

a)

GERD

b)

Peptic Ulcer

c)

Celiac Disease

d)

IBD

13.

An open sore in the lining of the upper digestive tract is referred to as a(n) _______.These sores may be caused by a bacterium or specific lifestyle issues.

a)

Peptic ulcer

b)

Polyps

c)

Gallstones

d)

Diverticulitis

14.

Crystallized cholesterol deposits may form stones in the  ________. These stones are very painful when passed.

a)

Large intestine

b)

small intestine

c)

gallbladder

d)

stomach

15.

What is Chron’s Disease?

a)

Inflammation of the digestive tract

b)

Hard stool

c)

Inflamed throat

d)

Stomach acid flows up

16.

Inflammation of the pancreas is called...

a)

Pancreatitis Disease

b)

GERD

c)

Gallstones

d)

Cirrhosis

17.

What is it called when stomach acid frequently flows back into the tube connecting your mouth and stomach due to the weakness of the  valve in between the two.

a)

GERD

b)

Peptic Ulcer

c)

IBS

d)

Gallstones

18.

What disease/disorder is pictured below? 

a)

Crohn's Disease

b)

Rectal Disease

c)

Colon Cancer

d)

Peptic Ulcer

19.

What disease/disorder is pictured below? 

a)

Crohn's

b)

Colon Cancer

c)

Gallstones

d)

IBS

20.

The nurse is performing an abdominal assessement and inspects the skin on the abdomen. The nurse performs which assessment technique next?

a)

Palpate the abdomen for size

b)

Palpates the liver at the right rib margin

c)

Listen to bowel sounds in all four quadrants

d)

Percuss the right lower abdominal quadrant

21.

The nurse is doing an admission assessment on a client with a history of duodenal ulcer. To determine whether the problem is currently active, the nurse should assess the client for which symptom (s) of duodenal ulcer?

a)

Weight loss

b)

Nausea and vomiting

c)

Pain relieved by food intake

d)

Pain radiating down the right arm

22.

The medication history of a client with peptic ulcer disease reveals intermittent use of several medications. The nurse would teach the client to avoid which of these medications becasue of the irritating effects on the lining of the gastrointestinal tract?

a)

Nizatidine (Axid)

b)

Ibufrofen (Motrin)

c)

Sucralfate (Carafate)

d)

Omeprazole (Prilosec)

23.

The nurse is monitoring a client with a diagnosis of peptic ulcer. Which assessment fiinding would most likely indicate perforation of the ulcer?

a)

Bradycardia

b)

Numbness in the legs

c)

Nausea and vomiting

d)

A rigid, board-like abdomen

24.

The nurse is providing discharge instructions to a client following gastrectomy and instructs the client to take which measure to assist in preventing dumping syndrome?

a)

Ambulate following a meal

b)

Eat high carbohydrate foods

c)

Limit the fluids taken with meals

d)

Sit in a high Fowler's position during meals

25.

Is an ulceration in the mucosal wall of the stomach, pylorus, duodenum or esophagus in portions accessible to gastric secretions.

a)

Diverticulitis

b)

Peptic Ulcer

c)

Crohns disease

d)

Hirchsprung disease

26.

Describe as burning pain that occurs in midepigastric area 1/2 to 3 hours after a meal and during the night (often awakens the client)

a)

Duodenal ulcer

b)

Gastritis

c)

Gastric ulcer

d)

Hiatal Hernia

27.

The following medications are effective antimicrobials for Helicobacter pylori infection, Except.

a)

Levsin

b)

Amoxil

c)

Flagyl

d)

Achromycin

28.
What is one of the signs of Pancreatitis?
a)
Edema
b)
Fatigue
c)
Severe abdominal pain that radiates to the back
d)
Myalgia
29.

During digestion, ________ are broken down into _________ which provides ________ for the cells.

a)

Fats, amino acids, oxygen

b)

Fibers, fatty acids, free radicals

c)

Carbohydrates, glucose, energy

d)

Proteins, sugar, fuel

30.

If you haven't eaten all day, what hormone is your pancreas most likely secreting?

a)

Insulin

b)

Hemoglobin

c)

Glucagon

d)

Betadine

31.

Inflammatory bowel disease is an autoimmune disease

a)

true

b)

false

32.

Types of IBD

a)

ulcerative colitis

b)

crohn's disease

c)

both

d)

none of the above

33.

which one is called transmural disease

a)

crohn's disease

b)

ulcerative colitis

c)

both

d)

none of the above

34.

2. Continuous involvement of colonic mucosa is seen in

a)

Crohns disease

b)

Ulcerative colitis

35.

5. Fistulas are more common in

a)

Crohns

b)

Ulcerative colitis

36.

Which of the IBD's always involves the rectum?

a)

Ulcerative Colitis

b)

Crohn's Disease

37.

Which area does Crohn's Disease most commonly affect?

a)

Transverse Colon

b)

Rectum

c)

Ileum

d)

Duodenum

38.

Which of the following IBD's starts at the bottom (rectum) and moves continuously up the colon?

a)

Ulcerative Colitis

b)

Crohn's Disease

39.

In which of the IBD's do we most commonly see the development of fistulas and strictures?

a)

Ulcerative Colitis

b)

Crohn's Disease

40.

Bloody diarrhea is the hallmark of which of the following?

a)

Ulcerative Colitis

b)

Crohn's Disease

41.

What is the first step after reviewing a patient's labs that have elevated liver enzymes?

a)

Refer to GI

b)

MRI

c)

Repeat LFT's

d)

Repeat LFT's in 6 months

42.

Which of the following might indicate liver disease due to alcohol

a)

High ALT, Low AST

b)

AST elevation > ALT elevation

c)

ALT elevation < ALT elevation

d)

Low ALT, High AST

43.

Ulcerative colitis is usually found in the

a)

Rectosigmoid colon

b)

Anywhere in the colon

c)

Never in the rectum

d)

Transverse colon

44.

IBD is:

a)

chron's disease

b)

Ulcerative colitis

c)

immune mediated disease

d)

all of the above

45.

The most common lab anaylsis of Pancreatitis includes:

a)

amylase level

b)

lipase level

c)

lactase level

d)

1&2

46.

Which of the following discharge instructions would be appropriate for a patient who has had a laparoscopic cholecystectomy?

a)

Use acetaminophen (Tylenol) to control any fever.

b)

Leave dressings in place until post-op visit.

c)

Return to work within 1 week.

d)

Avoid showering for 48 hours after surgery.

47.

The patient with chronic pancreatitis should be monitored closely from the development of which of the following disorders?

a)

Renal stones

b)

Arthritis

c)

Alcoholism

d)

Diabetes mellitus

48.

A nurse is preparing the teaching plan for a patient with Crohn's disease. Which factor should the nurse include as a possible factor in the development of this disease?

a)

Constipation

b)

Diet

c)

Smoking

d)

Lack of exercise

49.

Which of the following diets would be most appropriate for the patient with ulcerative colitis?

a)

Low-sodium, high-carbohydrate

b)

Low-fat, high fiber

c)

High-protein, low-residue

d)

High-calorie, low-protein

50.

Your patient is a 45 year-old female who has a history of ulcerative colitis and non-surgical treatment no longer relieves her symptoms. She underwent a total proctocolectomy and a permanent ileostomy 12 hours ago. The nurse should contact the physician immediatley

a)

The stoma appears pale and dry

b)

The stoma appears red and shiny

c)

There is 200 ml of dark green drainage from the stoma

d)

There are 50 ml of serosanguninous from the stoma

51.

When changing the previous patient's ileostomy bag, you notice the peristomal skin is irritated. Which of these actions by the nurse would be appropriate before replacing the device?

a)

Wash the area with antiseptic soap and water

b)

Cleanse the area with Dakin's solution

c)

Use a solid skin barrier

d)

Obtain an order for a topical antibiotic

52.

This is a part of the small intestine that neutralizes acid in food transported from the stomach and mixes pancreatic juice and bile with food.

a)

Ilium

b)

Duodenum

c)

Jejunum

d)

Ileum

53.

Structure that stores bile.

a)

Liver

b)

Ampulla of Vater

c)

Gallbladder

d)

Spleen

54.

The patient complains of pain in the upper abdomen and middle lumbar spine, what structure may be most likely affected?

a)

Small intestine

b)

Common hepatic duct

c)

Common bile duct

d)

Large intestine

55.

The descending colon and sigmoid colon is found in what abdominal quadrant?

a)

Left upper

b)

Right Upper

c)

Left Lower

d)

Right Lower

56.

Accumulation of fluid in the peritoneal cavity is known as____

a)

Pericardial tamponade

b)

Ascites

c)

Anasarca

d)

Peritonitis

57.

Stimulates parietal cells to secrete HCl and chief cells to secrete pepsinogen

a)

Gastrin

b)

Secretin

c)

Mucus

d)

Pepsin

58.

This structure prevents backflow of chyme from duodenum to stomach.

a)

Sphincter of Oddi

b)

Iliocecal sphincter

c)

Pyloric sphincter

d)

Lower esophageal sphincter

59.

Two ducts that form the ampulla of Vater.

a)

Common hepatic duct and pancreatic duct

b)

Pancreatic duct and duct of santorini

c)

Common bile duct and pancreatic duct

d)

None of these

60.

Abnormal amounts of fat in feces

a)

Steatorrhea

b)

Sialorrhea

c)

Lipiduria

d)

Hematochezia

61.
After abdominal surgery, your patient has a severe coughing episode that causes wound evisceration. In addition to calling the doctor, which intervention is most appropriate?
a)
Irrigate the wound & organs with Betadine
b)
Cover the wound with a saline soaked sterile dressing
c)
Apply a dry sterile dressing & binder.
d)
Push the organs back & cover with moist sterile dressings
62.
"A client has an appendectomy and develops peritonitis. The nurse should asses the client for an elevated temperature and which additional clinical indication commonly associated with peritonitis?
a)
hyperactivity
b)
extreme hunger
c)
urinary retention
d)
local muscular rigidity
63.
Jerod is experiencing an acute episode of ulcerative colitis. Which is priority for this patient?
a)
Replace lost fluid and sodium.
b)
Monitor for increased serum glucose level from steroid therapy
c)
Restrict the dietary intake of foods high in potassium
d)
Note any change in the color and consistency of stools
64.
A 29 y.o. patient has an acute episode of ulcerative colitis. What diagnostic test confirms this diagnosis?
a)
Barium Swallow
b)
Stool examination
c)
Gastric analysis
d)
Sigmoidoscopy
65.
Regina is a 46 y.o. woman with ulcerative colitis. You expect her stools to look like:
a)
Watery and frothy
b)
Bloody and mucous
c)
Firm and well-formed
d)
Alternating constipation and diarrhea
66.
Anna is 45 y.o. and has a bleeding ulcer. Despite multiple blood transfusions, her HGB is 7.5g/dl and HCT is 27%. Her doctor determines that surgical intervention is necessary and she undergoes partial gastrectomy. Postoperative nursing care includes:
a)
Giving pain medication Q6H
b)
Flushing the NG tube with sterile water
c)
Positioning her in high Fowler’s position
d)
Keeping her NPO until the return of peristalsis
67.
Findings during an endoscopic exam include a cobblestone appearance of the colon in your patient. The findings are characteristic of which disorder?
a)
Ulcer
b)
Crohn's disease
c)
Chronic gastritis
d)
Ulcerative colitis
68.
Dark, tarry stools indicate bleeding in which location of the GI tract
a)
Upper colon
b)
Lower colon
c)
Upper GI tract
d)
Small intestine
69.
A patient has an acute upper GI hemorrhage. Your interventions include:
a)
Treating hypovolemia
b)
Treating hypervolemia
c)
Controlling the bleeding source
d)
Treating shock and diagnosing the bleeding source
70.
Your patient, Christopher, has a diagnosis of ulcerative colitis and has severe abdominal pain aggravated by movement, rebound tenderness, fever, nausea, and decreased urine output. This may indicate which complication
a)
Fistula
b)
Bowel perforation
c)
Bowel obstruction
d)
Abscess
71.
A patient has a severe exacerbation of ulcerative colitis. Long-term medications will probably include:
a)
Antacids
b)
Antibiotics
c)
Corticosteroids
d)
Histamine2-receptor blockers
72.
Kevin has a history of peptic ulcer disease and vomits coffee-ground emesis. What does this indicate
a)
He has fresh, active upper GI bleeding
b)
He needs immediate saline gastric lavage
c)
His gastric bleeding occurred 2 hours earlier
d)
He needs a transfusion of packed RBC’s
73.

A patient diagnosed with ulcerative colitis is experiencing extreme abdominal distension, pain 10 on 1-10 scale in the abdomen, temperature of 103.6 ‘F, HR 120, and profuse diarrhea. What complication due you suspect the pain is experiencing?

a)

Fistula

b)

Stricture

c)

Bowel obstruction

d)

Toxic megacolon

74.

A patient arrives to the clinic for evaluation of epigastric pain. The patient describes the pain to be relieved by food intake. In addition, the patient reports awaking in the middle of the night with a gnawing pain in the stomach. Based on the patient’s description this appears to be what type of peptic ulcer?

a)

Duodenal

b)

Gastric

c)

Esophageal

d)

Refractory

75.

A patient arrives to the clinic for evaluation of epigastric pain. The patient describes the pain to be relieved by food intake. In addition, the patient reports awaking in the middle of the night with a gnawing pain in the stomach. Based on the patient’s description this appears to be what type of peptic ulcer?

a)

Duodenal

b)

Gastric

c)

Esophageal

d)

Refractory

76.

The medical term for burping or belching

a)

deglutition

b)

flatus or flatulence

c)

mastication

d)

eructation

77.
Which of these assigned clients does the nurse assess first after receiving the change-of-shift report?
a)
Young adult admitted the previous day with abdominal pain who is scheduled for a computed tomography (CT) scan in 30 minutes
b)
Adult with gastroesophageal reflux disease (GERD) who is describing epigastric pain at a level of 6 (0-to-10 pain scale)
c)
 Middle-aged adult with an esophagogastrectomy done 2 days earlier who has bright-red drainage from the nasogastric (NG) tube
d)
Older adult admitted with an ileus who has absent bowel sounds and a prescription for metoclopramide (Reglan) on an as-needed (PRN) basis
78.
A client has vague symptoms that indicate an acute inflammatory bowel disorder. Which symptom is most indicative of Crohn’s disease (CD)?
a)
Abdominal pain relieved by bending the knees
b)
Chronic diarrhea, abdominal pain, and fever
c)
Epigastric cramping
d)
Hypotension with vomiting
79.
The nurse suspects that which client is at highest risk for developing gallstones?
a)
 Obese male with a history of chronic obstructive pulmonary disease
b)
Obese female on hormone replacement therapy
c)
 Thin male with a history of coronary artery bypass grafting
d)
Thin female who has recently given birth
80.
Which diagnostic results lead the nurse to suspect that a client may have gallbladder disease?
a)
Increased white blood cell (WBC) count, visualization of calcified gallstones, edema of the gallbladder wall
b)
 Decreased WBC count, visualization of calcified gallstones, increased alkaline phosphatase
c)
Increased WBC count, visualization of noncalcified gallstones, edema of the gallbladder wal
d)
Decreased WBC count, visualization of noncalcified gallstones, increased alkaline phosphatase
81.

Pt teaching post CT with barium contrast

a)

Drink plenty of fluids for several days post test

b)

Don't eat or drink 6-8 hours after the test

c)

Don't take blood thinners at all with this test

d)

You may not drive before or after this test

82.

Pt with PUD now had hematemesis what is probably happening to the pt

a)

stomach pain

b)

stomach perforation

c)

stomach obstruction

d)

hemorrhage

83.

GERD medication that is a PPI

a)

Ranitidine

b)

Omeprazole

c)

Magnesium agglutinate

d)

Famotidine

84.

Priority pt care for pt who has a perforated duodenal ulcer

a)

Give the patient Pepcid stat

b)

Place a NG tube and connect it to suction

c)

Apply foot stockings

d)

Insert a indwelling catheter into the patient

85.
______________ means the presence or formation of gallstones.
a)
cholecystectomy
b)
colostomy
c)
cholelithiasis
d)
colonoscopy
86.
Stores bile
a)
pancreas
b)
liver
c)
stomach 
d)
gallbladder
87.
Produces insulin and enzymes to help digest food
a)
liver
b)
pancreas
c)
gallbladder
d)
esophagus
88.

What is the generic name for Ditropan?

a)

Tamsulosin hydrochloride

b)

Estradiol

c)

Oxybutin

d)

Finasteride

89.

H.pylori is classified as a

a)

Gram positive Bacilli

b)

Gram negative Spiral

c)

Gram negative cocci

d)

Gram positive cocci

90.

Which is true about H.pylori bacteria?

a)

It is urease negative

b)

it is catalase negative

c)

it is urease positive

d)

it is oxidase negative

91.

Which diagnostic test is NOT preferred in H.pylori?

a)

Fecal antigen test

b)

Urease breath test

c)

Culture from gastric biopsy

d)

Upper GI endoscopy

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