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WorksheetsGI review quiz
Total questions: 27
Worksheet time: 41mins
A nurse evaluates a patient with duodenal ulcer. Which report requires immediate follow-up?
Pain relieved by eating
Melena stools
Awakening at night with pain
Dyspepsia
A patient with IBS is prescribed anticholinergic agent, dicyclomine. Which nursing teaching is correct?
This will decrease diarrhea by slowing intestinal motility.
Take this medication with milk to prevent nausea.
Expect increased sweating and tearing as a side effect.
This medication may increase gastric acid production.
A patient with Crohn’s disease presents with severe abdominal pain and rigid abdomen, weight loss, and steatorrhea. Which complication is most concerning?
Malabsorption
Intestinal fistula
Electrolyte imbalance
Anemia
A nurse assesses a patient with suspected appendicitis. Which finding indicates perforation?
Rebound tenderness in RLQ
Pain shifting from periumbilical to RLQ
Sudden relief of pain followed by rigidity
Low-grade fever and nausea
A patient post-gastrectomy has frequent small meals. Which statement indicates teaching was effective?
"I will eat small, frequent meals to prevent discomfort."
"I will drink large amounts of fluid with my meals."
"I can return to eating three large meals a day immediately."
"I should avoid all carbohydrates after surgery."
A nurse cares for a patient with dumping syndrome. Which intervention is most effective?
High-carb diet
Eating small, frequent meals
Drinking fluids with meals
Lying flat before eating
A patient hospitalized with C. diff asks why soap and water are required for hand hygiene. The nurse responds:
Soap and water removes spores more effectively than alcohol rubs.
It helps prevent antibiotic resistance.
It's for staff safety, not for you.
Alcohol gels increase the risk of spreading it.
Which patient meal selection shows correct understanding of a gluten-free diet?
Barley soup and rye bread
Rice noodles with grilled chicken
Whole wheat pasta with vegetables
Oatmeal with honey
A patient with esophageal cancer reports progressive dysphagia. The priority nursing intervention is:
Assess airway and ability to swallow
Encourage oral intake of fluids
Administer antiemetic medication
Position patient flat in bed
Which statement is true for a patient after gastrectomy?
I should drink fluids with my meals.
I'll lie flat for 30 minutes after eating.
I'll increase my intake of high-sugar desserts.
I can expect lifelong B12 injections.
A client with suspected peritonitis has a rigid abdomen and absent bowel sounds. Which intervention is priority?
Prepare for emergency surgery
Administer oral analgesics
Start clear liquid diet
Encourage ambulation
Which lifestyle modifications should the nurse include in patient teaching for GERD?
Elevate head of bed when sleeping
Avoid caffeine and chocolate
Eat three large meals daily
Maintain ideal body weight
Lie flat after eating to aid digestion
Which lab finding best indicates gastric ulcer bleeding?
Elevated amylase
Decreased hemoglobin and hematocrit
Elevated bilirubin
Increased potassium
Which symptoms are typical of ulcerative colitis?
A. Bloody diarrhea
B. Rectal urgency
C. Cobblestone mucosa
Which symptom cluster is most characteristic of early dumping syndrome?
Pallor, diaphoresis, tachycardia after meals
Constipation, bloating, belching
Night sweats, hypoglycemia, confusion
Vomiting, hematemesis, dehydration
Which statement by a patient with diverticulosis indicates correct teaching?
I should eat a high-fiber diet with plenty of fluids.
I will avoid seeds and nuts forever.
I’ll use laxatives daily to prevent constipation.
I’ll reduce my fiber intake.
Which patient is at highest risk for colorectal cancer?
45-year-old vegetarian
50-year-old with ulcerative colitis history
30-year-old with acute appendicitis
40-year-old with GERD
A nurse is caring for a post-colectomy patient with a colostomy. Which intervention is correct?
Empty pouch when half full
Change appliance daily
Clean stoma with alcohol wipes
Expect dark purple stoma color
A client with PUD asks about preventing exacerbations. Which teaching is most appropriate?
Take NSAIDs with milk to protect your stomach.
Avoid smoking, alcohol, and excessive caffeine.
Lie down immediately after eating to rest the stomach.
Chew peppermint gum after meals to reduce acid.
The nurse differentiates GERD from PUD. Which finding is more consistent with GERD?
Epigastric pain relieved by eating
Nocturnal pain that awakens the patient
Substernal burning worsened by lying down
Melena stools and hematemesis
A client with chronic constipation asks about non-pharmacologic interventions. Which teaching is most effective?
Increase fiber gradually and drink at least 2 liters of fluid daily.
Avoid physical activity to conserve energy.
Take stimulant laxatives every day to maintain bowel function.
Restrict fiber intake to reduce bloating.
A patient with acute infectious diarrhea is admitted. Which nursing action is priority?
Encourage high-fiber diet
Provide IV fluids and electrolyte replacement
Administer antidiarrheal medications immediately
Restrict oral intake completely
The nurse teaches lifestyle modifications for GERD. Which statement shows effective learning?
I should eat my largest meal at night.
I’ll sleep with the head of my bed elevated.
I can have peppermint tea to help digestion.
I’ll lie down for 30 minutes after eating to rest my stomach.
Which teaching points should be included for a patient discharged on triple therapy (PPI + 2 antibiotics) for H. pylori?
Complete all antibiotics even if symptoms improve.
Take the proton pump inhibitor on an empty stomach.
Expect black stools as a normal side effect.
Avoid red meat while taking these medications.
The nurse compares GERD and PUD. Which finding is more typical of PUD?
Burning chest pain after lying down
Pain relieved by eating food
Regurgitation of sour fluid
Chronic cough and hoarseness
A nurse prepares a patient for an upper endoscopy (EGD). Which action is priority?
Ensure the patient completes bowel prep
Verify the patient remains NPO before procedure
Administer cleansing enema
Instruct the patient to avoid aspirin for 3 days
Which foods should the nurse instruct a patient with GERD to avoid?
Tomatoes
Chocolate
Bananas
Coffee
Peppermint
