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Medical-Surgical Nursing Quiz

Total questions: 25

Worksheet time: 13mins

Name
Class
Date
1.

Chemical breakdown of food starts in the mouth by the action of lingual enzymes that digest:

a)

Carbohydrates

b)

Proteins

c)

Fats

d)

Vitamins

2.

Pancreatic secretion of digestive enzymes occurs in the:

a)

Islet cells

b)

Acinar cells

c)

Ductal cells

d)

Parietal cells

3.

Which of the following macronutrient must first be emulsified by bile?

a)

Proteins

b)

Lipids

c)

Starches

d)

Fiber

4.

The enzymes in the GI tract that assist with the digestion of starches are:

a)

ptyalin and amylase

b)

trypsin and ptyalin

c)

bile salts and hydrochloric acid

d)

pepsin and protease

5.

Which of the following terms describes a gastric secretion that combines with vitamin B12 so that it can be absorbed?

a)

Amylase

b)

Pepsin

c)

Trypsin

d)

Intrinsic factor

6.

The lower esophageal sphincter is also known as:

a)

Pyloric sphincter

b)

Cardiac sphincter

c)

Cricopharyngeal sphincter

d)

Sphincter of Oddi

7.

What structure in the intestines is vital for absorption of nutrients?

a)

serosa

b)

villi

c)

rugae

d)

ganglion

8.

Abdominal assessment follows the sequence:

a)

Inspection, Auscultation, Palpation, Percussion

b)

Inspection, Palpation, Percussion, Auscultation

c)

Inspection, Percussion, Palpation, Auscultation

d)

Inspection, Auscultation, Percussion, Palpation

9.

The correct sequence when auscultating for bowel sounds is.

a)

RLQ, LLQ, LUQ, RUQ

b)

LLQ, LUQ, RUQ, RLQ

c)

RLQ, RUQ, LUQ, LLQ

d)

LLQ, RLQ, RUQ, LUQ

10.

Protrusion or upward displacement of the stomach thru the hiatus results to:

a)

Atresia

b)

Achalasia

c)

GERD

d)

Hernia

11.

When bowel sounds are heard twice in a minute, the nurse would record that the bowel sounds are:

a)

Normal

b)

Hypoactive

c)

Hyperactive

d)

Absent

12.

A client complains of abdominal pain after eating fatty foods. Which of the following will the nurse elicit to aid in the identification of a gallbladder problem?

a)

Rovsing's Sign

b)

Cullen's Sign

c)

Blumberg's Sign

d)

Murphy's Sign

13.

Rebound tenderness at the McBurney's point in a case of acute abdomen assesses for:

a)

Psoas Sign

b)

Obturator Sign

c)

Turner's Sign

d)

Blumberg's Sign

14.

which of the is a parasympathetic response in the GI tract?

a)

Decreased gastric secretion

b)

Blood vessel constriction

c)

Increased peristalsis

d)

Decreased motility

15.

Gastrin is secreted by the _________of the stomach.

a)

Mucosal cells

b)

Parietal cells

c)

Enteroendocrine cells

d)

Chief cells

16.

Which hormone effects bile ejection?

a)

Gastrin

b)

Acetylcholine

c)

Secretin

d)

Cholecystokinin

17.

Most ulcers in the stomach forms at the:

a)

Antrum

b)

Pylorus

c)

Corpus

d)

Fundus

18.

Brunner's glands secretes:

a)

Mucus in the duodenum

b)

Alkaline juice in the duodenum

c)

Mucus and acidic juice in the duodenum

d)

Mucus and alkaline juice in the duodenum

19.

Absorption of Vitamin B12 occurs in the:

a)

Proximal colon

b)

Distal colon

c)

Proximal jejunum

d)

Terminal ileum

20.

Lack of intrinsic factor leads to:

a)

Aplastic anemia

b)

Megaloblastic anemia

c)

Hemolytic anemia

d)

Microcytic anemia

21.

The diet ordered for a client with a metabolic condition permits 220g of carbohydrates, 100g of fats, and 100g of protein. The nurse understands that this diet contains approximately:

a)

2200 calories

b)

2000 calories

c)

1800 calories

d)

1600 calories

22.

The most common problem brought by chronic intestinal inflammation is:

a)

Malabsorption

b)

Indigestion

c)

Herniation

d)

Paralysis

23.

Malignant tumors of the colon commonly appears in the:

a)

Ascending portion

b)

Transverse portion

c)

Descending portion

d)

Sigmoid portion

24.

Bile obstruction into the intestines results to___________ stools.

a)

Bright red

b)

Black tarry

c)

Clay colored

d)

Dark green

25.

Fatty stools due to malabsorption results to:

a)

Steatorrhea

b)

Acholic stool

c)

Rice-watery stool

d)

Hematochezia