Amoylen-MS2 compiled

1. What diagnostic test would confirm the diagnosis of GERD? Select all that apply 1. BARIUM ENEMA 2. BARIUM SWALLOW 3. FLOUROSCOPY 4. LOWER GI SERIES 5. ENDOSCOPY

2. What symptoms will validate the diagnosis of gastric ulcer?

3. When teaching an elderly client how to prevent constipation, which of the following instructions should the nurse include?

4. Nursing suggestions to help a person break the constipation habit include all of the following except:

5. What diagnostic test would yield good visualization of the ulcer crater?

6. Peptic ulcer disease particularly gastric ulcer is thought to be cause by which of the following microorganisms?

7. An experienced nurse is most likely to teach a new nurse that surgery to repair a hiatal hernia is becoming more common to prevent the emergency complication of:

8. All of the following are considered complications of constipations except:

9. In a client with diarrhea, which outcome indicates that fluid resuscitation is successful?

10. Which of the following measures helps control fecal incontinence?

11. Which of the following drugs may be administered to patient with diarrhea?

12. An experienced nurse explains to a new nurse that the definitive diagnosis of peptic ulcer disease (PUD) involves:

13. During a hospital admission history, a nurse suspects gastrointestinal reflux disease (GERD)

14. A nurse is assigned to four clients who have been diagnosed with gastric ulcers. Which one of these clients should the nurse conclude is most at risk to develop gastrointestinal (GI) bleeding?

15. The nurse is caring for a client who has just had an upper GI endoscopy. The client's vital signs must be taken every 30 minutes for 2 hours after the procedure. The nurse assigns an unlicensed nursing personnel (UAP) to take the vital signs. One hour later, the UAP reports the client, who was previously afebrile, has developed a temprerature of 101.8F (38.8C). What should the nurse do in response to this reported assessment data?

18. A client with peptic ulcer disease is taking ranitidine (Zantac). What is the expected outcome of this drug?

19. The client is scheduled to have an upper gastrointestinal tract series of x-rays. Following the x-rays, the nurse should instruct the client to:

21. To assist a client to manage and decrease the sensation of nausea, which nonpharmacological intervention should a nurse recommend?

23. A client with peptic ulcer disease tells the nurse that he has black stools, which he has not reported to his physician. Based on this info. Which nursing diagnosis would be appropriate for this client?

25. Which of the following instructions should the nurse include in the teaching plan for a client who is experiencing gastroesophageal reflux disease (GERD)?

26. A client who has been diagnosed with gastroesophageal reflux disease (GERD) complains of heartburn. To decrease the heartburn, the nurse should instruct the client to eliminate which of the following items from the diet.

27. The client with gastroesophageal reflux disease (GERD) complains of a chronic cough. The nurse understands that in a client with GERD this symptoms may be indicative of which of the following conditions?

28. Bethanechol (Urecholine) has been ordered for a client with gastroesophageal refluc disease (GERD). The nurse should assess the client for which of the following adverse effects?

29. The client attends two sessions with the dietitian to learn about diet modifications to minimize gastroesophageal reflux. The teaching would be considered successful if the client says that she will decrease er intake of which of the following foods?

30. Which of the following dietary measures would be useful in preventing esophageal reflux?

31. The registered nurse is preparing to insert a nasogastric tube in an adult client. To determine the accurate measurement of the length of the tube to be inserted, the nurse should take which action?

33. The nurse is preparing to administer medication through a nasogastric tibe that is connected to suction. To administer the medication, the nurse should take which action?

34. This diagnostic procedure produces an image of the abdominal organs and structures onn the oscilloscope by using sound waves.

35. This provides cross-sectional images of abdominal organs and structures

36. This is useful in evaluating abdominal soft tissues and provides supplement to UTZ and CT

37. This refers to a direct visualization of internal GI structures using a long, flexible tube containing a fiber optic light source

38. In preparing the patient for MRI, the following are your nursing actions, except.

39. The following are nursing interventions in preparing patient for endoscopic procedure, except.

40. This is used to determine the stage and extent of the disease and prognosis for those with GI and colorectal cancer

41. This is used to describe an abnormal infrequency or defecation.

42. The following are complications of constipation, except

43. Which of the following statements best describes fecal incontinence?

44. Which of the following drugs may be administered to patients with diarrhea

45. The client has a dark, watery, and shiny appearing stool. Which intervention should the nurse implement first?

46. The nurse is preparing to administer medication using a client's nasogastric tube. The following are actions should the nurse take before administering the medication, except.

47. The client has been experiencing difficulty and straining when expelling feces. Which intervention should be taught to the client?

48. The client is placed on percutaneous gastrostomy (PEG) tube feedings, Which occurrence would warrant immediate intervention by the nurse?

49. Which if the following conditions described as presence of calculi in the salivary glands?

50. Parotitis caused by bacteria is treated with which of the following drug classifications?

51. Which of the following diagnostic test confirms malabsorption syndrome?

52. Which of the following best describes malabsorption syndrome?

53. A patient complains of abdominal pain and distention is suspected of having malabsorption syndrome when he/she has:

54. A client with irritable bowel syndrome is being prepared for discharge. Which of the following meal plans should the nurse give the client?

55. A patient with IBS asks, "how can I manage abdominal discomfort?" your best response would be:

57. During assessment, the nurse is looking for positive indicators of appendicitis, which include all of the following except:

58. On physical examination, the nurse should be looking for tenderness on palpation at mcburney's point, which is located in the:

59. Which of the following complications is thought to be the most common cause of appendicitis?

60. An enema is prescribed for a client with suspected appendicitis. Which of the following actions should the nurse take?

61.The nurse is teaching about irritable bowel syndrome (IBS). Which of the following would be most important

62. In planning care for the patient with ulcerative colitis, the nurse identifies which nursing diagnosis as a priority?

63. The nurse is caring for a patient with a colostomy. The patient asks, "will I ever be able to swim again?" The nurse's best response would be:

64. The nurse asks a patient about current medications. Which one of the patient's medications is most likely to cause abdominal pain?

65. A client with an ileostomy is being discharged. Which teaching should be included inn the plan of care?

66. The nurse is caring for a patient with suspected diverticulitis. The nurse would be most prudent in questioning an order for which of the following diagnostic tests?

67. During a hospital admission history, a nurse suspects irritable bowel syndrome (IBS) when the client says:

68. A health-care provider writes the following admission orders for a client with possible appendicitis. Which order should the nurse question?

69. A 22-year-old college seniors has just been diagnosed with acute appendicitis requiring surgery. The client has been nauseated for 2 days, rates the pain as 4 out 10 on a numeric scale, and tells the nurse, "I can't believe this is happening. I have final exams starting in 3 days. What am I going to do?" A nurse develops the following preoperative diagnoses for this client. Which nursing diagnosis should be priority?

70. A nurse is reviewing the history and physical of a teenager admitted to a hospital with a diagnosis of ulcerative colitis. Based on this diagnosis, which information should the nurse expect to see on this client's medical record?

72. A nurse is caring for a client diagnosed with Crohn's disease, who has undergone a barium enema that demonstrated the presence of strictures in the ileum. Based on this finding, the nurse should monitor the client closely for signs of:

73. While discharging a 25yr old female client after a small bowel resection for Crohn's disease, a nurse overhears the client talking to her husband and realizes that the client needs more education when the client says:

74. A client is being admitted to a post surgical unit following anorectal surgery. A nurse reviews the following postoperative orders from the surgery. A nurse reviews the following postoperative orders from the surgeon. Which order should the nurse question?

76. A patient with Crohn's disease is most likey to have the disease. What part of the GI tract?

77. You're providing teaching to a patient who has been newly diagnosed with Crohn's disease. Which statement by the patient's spouse requires re-education?

78. The following are complications of Chron's Disease, Except:

79. A patient experiencing a flare-up with Crohn's Disease is ordered complete bowel rest by the physician. You are administering TPN per physician's order. When developing the patient's nursing care plan of care, Which nursing diagnosis is most important to include in the care plan?

80. A physician has prescribed a patient with a severe case of Crohn's Disease to take a drug that works by suppressing the immune system. This medication achieves this by blocking a protein that plays a role in the inflammatory process. Which drug does this describe?

81. A patient with Crohn's Disease is taking a corticosteroids. The patient is complaining of extreme thirst, polyuria and blurred vision. What is your next nursing action?

82. A patient is admitted with ulcerative colitis. Barium enema results showed the patient has colitis that starts in the rectum and extends into the sigmoid and descending colon. As the nurse, you know that this is what type of ulcerative colitis?

83. You're educating a group of outpatients about signs and symptoms of ulcerative colitis. Which of the following are not typical signs and symptoms of ulcerative colitis? 1. Rectal bleeding 2. Abdominal mass 3. Bloody diarrhea 4. fistulae 5. Extremely hungry 6. anemia

84. A patient is newly diagnosed with mild ulcerative colitis. What type of anti-inflammatory medication is typically prescribed as first-line treatment for this condition?

85. You're providing education to a patient with severe ulcerative colitis about Adalimumab. Which statement by the patient is correct?

86. A patient is receiving treatment for ulcerative colitis by taking Azathioprine. Which physician's order would the nurse question if received?

87. A nurse is assessing a client who has been admitted with a diagnosis of an obstruction in the small intestine. The nurse should assess the client for? 1. Projectile vomiting 2. Significant abdominal distention 3. Copious diarrhea 4. Rapid onset of dehydration 5. Increased bowel sounds

88. The nurse caring for a client with small-bowel obstruction would plan to implement which nursing intervention first?

89. The client states, I am afraid I'll never get to go out with my friends again because I can't be away from the toilet. Which is the appropriate nursing response?

90. A 71-year-old male patient tells the nurse that growing old causes constipation so he has been using a suppository for constipation every morning. Which action should the nurse take first?

91. The nurse is caring for a 68-year-old patient admitted with abdominal pain, nausea and vomiting. The patient has abdominal mass and a bowel obstruction is suspected. The nurse auscultating the abdomen listens for which type of bowel sounds that are consistent with the patient's clinical picture?

92. A 26-year-old woman is being evaluated for vomiting and abdominal pain. Which question from the nurse will be the most useful in determining the cause of the patient's symptoms?

93. Which nursing action will the nurse include in the plan of care for a 35-year-old male patient admitted with an exacerbation of inflammatory bowel disease?

94. A 27-year-old female patient is admitted to the hospital for evaluation of right lower quadrant abdominal pain with nausea and vomiting. Which action should the nurse take?

95. The nurse is assessing a patient with massive ascites. What related complications must the nurse monitor with this patient?

96. The nurse identifies which laboratory value as the usual indication of hepatic encephalopathy?

97. You're advising a 21-year-old with colostomy who reports problems with flatus. What food should you recommend?

98. A patient admitted with inflammatory bowel disease asks the nurse for help with menu selections. What menu selection is most likely the best choice for this patient?

99. Which of the following positions would be appropriate for a client with severe ascites?

100. Immediately after a liver biopsy, Which of the following should the client be closely monitored for?