WorksheetsNUR 556 GI, Renal, Endocrine Practice Questions
Total questions: 46
Worksheet time: 35mins
A nurse is caring for a patient who has been diagnosed with a hiatal hernia. Which of the following statements made by the patient indicates the need for further teaching?
I will avoid lying down for several hours after eating.
I will elevate the head of my bed while sleeping.
I can continue to drink wine with dinner each night.
I will avoid large meals late at night.
The nurse is assessing an infant suspected of having GERD. Which of the following findings is most consistent with this diagnosis?
Abdominal rigidity
Vomiting more than 4 times per day in large volume
Projectile vomiting after feeding
Failure to pass meconium within the first 24 hours
A nurse is reviewing the medication list of a patient with peptic ulcer disease (PUD). Which medication would the nurse question?
Amoxicillin
Tetracycline
Ibuprofen
Omeprazole
A patient presents with painful swallowing and reports weight loss and fatigue. The nurse suspects esophageal cancer. Which other symptom supports this diagnosis?
Constipation
Jaundice
Dysphagia
Excessive salivation
5. A client is being evaluated for Helicobacter pylori infection. Which of the following is an accurate diagnostic test for this condition?
Urea breath test
Stool occult blood test
Serum amylase test
Liver function test
A nurse is explaining the pathophysiology of vomiting. Which structure is primarily responsible for coordinating the act of vomiting?
Cerebellum
Hypothalamus
Vomiting center in the medulla
Thalamus
A nurse is caring for a child with esophageal atresia. Which of the following signs would the nurse most likely observe?
Projectile vomiting
Frequent coughing and choking during feedings
Diarrhea
Abdominal rigidity
Which of the following dietary instructions should be given to a client diagnosed with GERD?
Eat large meals to neutralize acid
Avoid eating 3 hours before bedtime
Elevate the head of the bed
Consume alcohol in moderation
Avoid caffeine and spicy foods
A nurse is teaching a patient with newly diagnosed Barrett’s esophagus. Which of the following is the greatest concern for this patient?
Vitamin B12 deficiency
Constipation
Esophageal adenocarcinoma
Hypokalemia
A patient with Crohn’s disease is undergoing evaluation. Which of the following findings is most likely to be seen during sigmoidoscopy?
Continuous inflammation in the rectum
Thickened mucosal folds with cobblestone appearance
Atrophy of gastric glands
Multiple shallow ulcers in the esophagus
A nurse is caring for a pediatric patient diagnosed with rotavirus. Which of the following interventions is the priority?
Administer antibiotics as prescribed
Start anti-diarrheal medication
Initiate IV rehydration if oral intake is inadequate
Collect a blood culture
A nurse is providing education to the parents of a 3-month-old infant about rotavirus prevention. Which statement indicates a need for further teaching?
I will make sure my child completes the rotavirus vaccine series.
I will wash my hands thoroughly after diaper changes.
I can prevent rotavirus by giving my child antibiotics if they get a fever.
I will avoid exposing my baby to sick children when possible.
Which of the following is most characteristic of infectious enterocolitis?
Large-volume, watery stools without inflammation
Small-volume diarrhea with signs of inflammation or ulceration
Constipation and rectal bleeding
Fatty stools with mucus and foul odor
A nurse is caring for an adult patient hospitalized with recurrent C. difficile infection. Which of the following treatments is most likely to be prescribed after multiple antibiotic failures?
High-dose proton pump inhibitors
Fecal microbiota transplantation (FMT)
Total parenteral nutrition
Surgical bowel resection
A nurse is teaching a group of parents about rotavirus. Which of the following statements is true?
Rotavirus primarily affects older adults.
Rotavirus spreads via respiratory droplets.
Rotavirus is prevented by a vaccine given in early infancy.
Rotavirus is treated with antiviral medication.
Which clinical finding would most likely be associated with a child suffering from a severe rotavirus infection?
Bloody stools without fever
Low urine output and dry mucous membranes
Muscle twitching and hyperreflexia
Rash and joint pain
A patient with suspected infectious enterocolitis has a stool sample showing the presence of blood and mucus. Which of the following types of pathogens is most likely responsible?
Viral
Bacterial or protozoal
Fungal
Helminthic
Which infection control measure is most important when caring for a patient with confirmed C. difficile?
Wearing a surgical mask
Using alcohol-based hand rub after patient contact
Placing the patient in airborne isolation
Washing hands with soap and water before and after contact
A urinalysis shows the presence of urinary casts. The nurse knows this finding is most commonly associated with which condition?
Dehydration
Hypertension
Urinary tract infection
Glomerulonephritis
A patient presents with dysuria, urgency, suprapubic discomfort, and a strong ammonia-smelling urine. Which condition is most likely?
Pyelonephritis
Lower urinary tract infection
Nephrolithiasis
Urosepsis
Which of the following organisms is most commonly associated with catheter-associated urinary tract infections (CAUTIs)?
Staphylococcus aureus
Klebsiella pneumoniae
Proteus mirabilis
Streptococcus pyogenes
A nurse is caring for an elderly patient who suddenly develops confusion and weakness. The patient is afebrile but has incontinence and a loss of appetite. What should the nurse suspect?
Dementia progression
Urosepsis
Hypoglycemia
Stroke
A patient is diagnosed with a uric acid kidney stone. Which of the following factors is most likely related to stone formation?
High fluid intake
Low-sodium diet
Gout and high animal protein diet
Vegetarian diet
Which of the following would the nurse expect in a patient with renal colic due to a ureteral stone?
Constant dull ache in lower back
Flank pain radiating to groin, with nausea and vomiting
Sharp pain relieved by rest
Suprapubic pressure and burning with urination
A client with a neurogenic bladder secondary to a spinal cord injury is most at risk for which complication?
Hypertension
Overflow incontinence
Hypokalemia
Respiratory failure
A nurse is teaching a client with stress incontinence. Which statement by the client indicates understanding of the condition?
This occurs when I can't sense the urge to urinate.
I leak urine when I laugh or sneeze.
It's caused by an infection in my kidneys.
It happens due to stones in the bladder.
A patient with a history of BPH is experiencing frequent dribbling of urine and a feeling of incomplete emptying. Which type of incontinence is most likely?
Stress incontinence
Urge incontinence
Overflow incontinence
Functional incontinence
A patient has a urinary stone lodged in the ureter. What is the priority nursing intervention?
Encourage low fluid intake to reduce pressure
Administer opioid analgesics as prescribed
Apply ice to the costovertebral angle
Perform a digital rectal exam
A nurse is assessing a patient with Addison’s disease. Which of the following clinical manifestations would the nurse expect?
Hypertension and hyperglycemia
Moon face and central obesity
Weight loss and hyperpigmentation
Hirsutism and fluid retention
Which lab finding would be expected in a client with Addisonian crisis?
Hypernatremia and hypokalemia
Hyponatremia and hyperkalemia
Elevated cortisol and sodium levels
Low ACTH and aldosterone levels
A patient presents with a “moon face,” thin skin, and a buffalo hump. What condition should the nurse suspect?
Addison’s disease
Hyperthyroidism
Cushing’s syndrome
SIADH
A nurse is caring for a client with pheochromocytoma. Which of the following symptoms should the nurse expect?
Bradycardia and cold intolerance
Weight gain and edema
A patient is newly diagnosed with Type 1 diabetes. The nurse explains that this condition is caused by:
Insulin resistance
Autoimmune destruction of beta cells
Poor diet and sedentary lifestyle
Overproduction of glucose by the liver
Which lab value would confirm a diagnosis of diabetes mellitus using A1C?
5.3%
5.9%
6.4%
6.6%
Which complication is most likely to result from diabetic ketoacidosis (DKA)?
Hypernatremia
Respiratory alkalosis
Metabolic acidosis
Hypoglycemia
Which of the following is a key characteristic of SIADH?
Polyuria and dehydration
Fluid retention and hyponatremia
Weight loss and low urine specific gravity
Hyperkalemia and increased thirst
A client has Graves’ disease. Which symptoms should the nurse expect?
Cold intolerance, constipation, hair loss
Weight gain, dry skin, fatigue
Exophthalmos, goiter, tachycardia
Puffy face, bradycardia, hoarseness
A child is diagnosed with congenital hypothyroidism. Which complication is the nurse most concerned about?
Diabetes
Renal failure
Intellectual disability
Hyperglycemia
Which electrolyte imbalance is most associated with hyperparathyroidism?
Hypernatremia
Hypokalemia
Hypocalcemia
Hypercalcemia
A patient has acromegaly. What symptom would the nurse expect?
Short stature and developmental delay
Enlarged hands and facial features
Low calcium and tetany
Mental retardation and goiter
A patient's ABG results are: pH 7.30, PaCO₂ 50 mmHg, HCO₃⁻ 24 mEq/L. How should the nurse interpret these results?
Metabolic acidosis
Respiratory acidosis
Metabolic alkalosis
Respiratory alkalosis
A nurse is caring for a patient with severe diarrhea. Which acid-base imbalance is most likely?
Respiratory alkalosis
Metabolic acidosis
Respiratory acidosis
Metabolic alkalosis
A patient with SIADH would be expected to have which lab findings?
Hyponatremia
Low serum osmolality
Increased urine sodium
Hypernatremia
Dehydration
A patient with Diabetes Insipidus (DI) is at risk for which of the following?
Hyperkalemia
Hyponatremia
Hypernatremia
SIADH
Which of the following would NOT be expected in a patient with DKA?
Kussmaul respirations
Elevated ketones
High serum pH
High blood glucose
A patient with SIADH is receiving 3% saline. Which is the priority nursing action?
Administer loop diuretics
Monitor for fluid overload and seizures
Encourage water intake
Administer vasopressin
