Saunders Gastrointestinal Practice Test

These questions are part of the practice quiz. Start practicing

• What finding in the drainage from a nasogastric tube requires notifying the health care provider?
• A client with an ileostomy presents with dehydration. Which contraindicated medication may have contributed to their condition?
• What is the highest priority nursing action after a client has undergone esophagogastroduodenoscopy?
• Which factor is most critical to consider when planning care for a client with a newly diagnosed gastrointestinal disorder?
• Which symptom is most supportive of a diagnosis of acute pancreatitis in a client?
• Before initiating enteral feeding via an NG tube, which action must the nurse take first?
• Which fruit is commonly recommended for its potential to alleviate constipation?
• Which client statement suggests that stress contributes to the exacerbation of peptic ulcer disease?
• What is a common symptom that may indicate a complication for a client with liver dysfunction?
• In a case of suspected appendicitis, what prescription should the nurse question?
• A client receiving a cleansing enema complains of pain and cramping. What is the nurse's best corrective action?
• After undergoing a hemorrhoidectomy, which nursing intervention is appropriate?
• What assessment finding would alert the nurse to potential paralytic ileus in a client with acute pancreatitis?
• When providing education for a client with colostomy care, what should the nurse emphasize regarding the stoma?
• Which beverage is considered helpful in managing constipation?
• Which food should a client with pancreatitis be instructed to avoid?
• Which lifestyle change may support overall digestive health and prevent constipation?
• Which laboratory result should the nurse expect if the client has appendicitis?
• Which laboratory finding is most associated with hepatitis, necessitating contact with the health care provider?
• Clients with which gastrointestinal condition should be monitored for signs of malnutrition?
• A client preparing for discharge is concerned about continuing tube feedings at home. What is the most appropriate nursing response?
• Which characteristic of pain might a client with acute pancreatitis report?
• During care for a postoperative client with a colostomy, what assessment finding would the nurse recognize as normal?
• What white blood cell count might indicate appendicitis in a client with suspected acute appendicitis?
• What action should the nurse take upon assessing a gastric aspirate pH of 4.5 in a client with a nasogastric tube?
• A client with cirrhosis and ascites shows a 10-lb weight gain. What is the most appropriate client problem at this time?
• Which substances should a nurse advise a client with gastroesophageal reflux disease (GERD) to avoid?
• A client with cholecystitis typically exhibits which of the following clinical manifestations?
• What therapeutic effect should a nurse monitor for in a client prescribed diphenoxylate hydrochloride with atropine sulfate for ulcerative colitis?
• Which action should a client with acute pancreatitis avoid to effectively manage their pain?
• What should the nurse suggest for reducing ammonia levels in a client with cirrhosis through diet?
• A client recovering from hemigastrectomy states, "I will drink plenty of liquids with meals." What does this indicate?
• When can a nasogastric tube be removed after surgery, according to the client’s understanding?
• In a client with acute pancreatitis, how is the pain typically described?
• After an upper gastrointestinal endoscopy, which assessment is essential for the nurse to monitor?
• What client statement supports a diagnosis of hepatitis A?
• What dietary change is recommended to prevent dumping syndrome for a postgastrectomy client?
• What vitamin should a nurse anticipate being prescribed for a client with pernicious anemia?
• What is the expected initial dietary guideline for a client diagnosed with acute diverticulitis?
• What is a common symptom in clients with irritable bowel syndrome requiring dietary management?
• What is the correct interpretation for malodorous flatus passing from a colostomy 2 days post-surgery?
• What dietary instruction is appropriate for a client recovering from hepatitis?
• Following a cholecystectomy, what is the most appropriate nursing intervention for a T-tube draining 750 mL?
• What is a common post-operative complication after a colonoscopy?
• In a client showing signs of hepatic encephalopathy due to cirrhosis, what ingredient in the diet should be limited?
• Which symptom is typically associated with acute appendicitis?
• What nursing intervention is appropriate for a client with viral hepatitis who experiences nausea and loss of appetite?
• Which of the following is a sign of chronic constipation?
• What dietary modification should a nurse teach a client with chronic pancreatitis to limit?
• Which action is essential for the care of the stoma in a client with an ileostomy?
• What nursing intervention is typically prescribed for a client with acute pancreatitis?
• Which statement indicates that a new nurse understands pernicious anemia caused by gastrectomy?
• When managing a client with an exacerbation of Crohn's disease, which treatment should the nurse anticipate being prescribed?
• Which finding would be consistent with a diagnosis of ulcerative colitis?
• What characteristic of stool should the nurse expect to assess in a client with Crohn's disease?
• Which prescription for a client with acute pancreatitis requires follow-up by the nurse?
• Why is it important to consult a healthcare professional for chronic constipation?
• What dietary choice is recommended for a client with elevated ammonia levels?
• Which analgesic is unlikely to cause epigastric distress in a client with gastritis?
• Which statement from a client with chronic dumping syndrome indicates they need further teaching?
• Which of the following should the nurse include in discharge instructions for a client after Roux-en-Y gastric bypass?
• Following the deflation of a Sengstaken-Blakemore tube, which finding should be reported to the healthcare provider immediately?
• Which client statement supports a diagnosis of gastric ulcer?
• Which nursing actions should be included in the care plan for a client with cirrhosis and ascites?
• Which method is best for evaluating a bowel maintenance program for an unconscious client?
• What statement indicates that a client understands the purpose of a nasogastric tube attached to continuous gastric suction?
• Which statement indicates that an older client needs further teaching about preventing constipation?
• Which quadrant should the nurse auscultate first when performing an abdominal assessment?
• What is the most appropriate nursing intervention following a client’s ileostomy surgery when assessing for complications?
• What dietary modification should a nurse recommend for a client with inflammatory bowel syndrome (IBS)?
• A client with viral hepatitis states, "I am so yellow." What is the best nursing action?
• What is a recommended daily water intake to help prevent constipation?
• What food should a client with irritable bowel syndrome avoid?
• What information should a nurse include in a teaching plan for a client with viral hepatitis?
• What is a common non-food strategy to help manage constipation in adults?
• For a client with irritable bowel syndrome, which foods should the nurse recommend avoiding?
• A client undergoing an endoscopic retrograde cholangiopancreatography (ERCP) procedure needs further instruction if they make which statement?
• In the management of a client with acute gastritis, which medication is likely to cause irritation and should be avoided?
• Which of the following conditions could contribute to chronic constipation?
• What color is considered normal for a colostomy stoma after surgery?
• Which statement by a client with a colostomy indicates effective education on odor control measures?
• What type of suction should be anticipated for a client with a nasogastric tube for stomach decompression?
• Which food should a client with a new colostomy consume to help reduce odor from the ostomy drainage bag?
• Which medications should a nurse expect to be prescribed for a client with acute pancreatitis?
• What factor should a client with chronic pancreatitis control to reduce the incidence of recurrences?
• What potential client problem should a nurse plan for after the creation of a colostomy?
• Which observation related to a newly created transverse colostomy requires immediate notification of the health care provider?
• In the immediate postoperative period after ileostomy creation, which complication should the nurse monitor for most frequently?
• What assessment question should the nurse ask to best capture pain characteristics in a client with acute pancreatitis?
• What medication will a client with pernicious anemia need due to decreased intrinsic factor production?
• What type of foods are often encouraged to increase stool bulk?
• For a client uncertain about effective bowel management techniques, which should a nurse advise as a first step?
• What treatment should be anticipated for a client with pernicious anemia?
• For gastrointestinal intubation, which item should the nurse obtain for a Salem sump tube?
• For a patient with liver disease, what finding would suggest a consequence of low protein?
• What symptom is most consistent with a duodenal ulcer presentation?
• Which statement made by a client undergoing an admission assessment indicates a risk factor for esophageal cancer?
• Which dietary practice should a nurse promote for a client in the acute phase of hepatitis?
• Which sign should the nurse expect when assessing a client with low albumin due to liver disease?
• What instruction should a nurse give a client with ulcerative colitis regarding the timing of a salicylate compound medication?
• After which surgical procedure is the client most likely to experience long-term absorption difficulties?
• What type of products should be limited for someone dealing with constipation?
• Following a Roux-en-Y gastric bypass surgery, what is an appropriate nursing intervention?
• Which clinical manifestation is characteristic of the preicteric phase of viral hepatitis?
• Which snack is most appropriate for a client with acute ulcerative colitis?
• If a nurse checks a gastric residual in an unconscious client receiving nasogastric tube feedings and finds it increasing, what complication does this indicate?
• Which classes of medications might be prescribed to treat inflammatory bowel disease and induce remission?
• What explanation can the nurse provide for why acid has not caused an ulcer in the small intestine?
• When caring for a client with hepatic encephalopathy, which assessment finding should be reported immediately?
• What indicates significant progress toward body image goals for a client who has undergone a colostomy?
• What is a key factor to monitor in a client on continuous enteral feedings?
• Postoperatively, which emotional state should the nurse monitor in a client who has undergone a colostomy?
• What is a common consequence of having biliary obstruction?
• Which is a key nursing intervention for a client experiencing ascites?
• Which medication is not part of the treatment plan for a client with peptic ulcer disease due to its irritating effects on the gastrointestinal lining?
• After a Roux-en-Y gastric bypass, which instruction should the nurse provide regarding fluid intake with meals?
• What important question should the nurse ask a client with Laënnec's cirrhosis history?
• How should a nurse advise a client to take cholestyramine resin for elevated cholesterol levels?
• What indicates that a client undergoing post-discharge management after hepatitis still needs further teaching?
• Which laboratory results should the nurse expect to see elevated in a client with pancreatitis?
• What symptom should a nurse expect to observe in a client diagnosed with acute viral hepatitis?
• What observation would indicate a prolapsed stoma in a client after colostomy surgery?
• What assessment finding would indicate perforation of a peptic ulcer?
• Which food is rich in vitamin B12 and appropriate for a client with chronic gastritis?
• What should be the priority nursing action for a client presenting with upper gastrointestinal bleeding?
• Which of the following assessments indicates potential complications from an ileostomy?
• How should a nurse schedule the administration of magnesium hydroxide and cimetidine for a client with a gastric ulcer?
• What is the appropriate nursing action upon finding serosanguineous drainage from a new colostomy?
• What coping mechanism is being used by a client who refuses to participate in care and avoids eye contact?
• Which statement by a client indicates a need for further teaching about sulfasalazine prescribed for ulcerative colitis?
• Where is the appendix located in relation to the gastrointestinal system?
• What finding should the nurse expect after assessing a client with nausea and vomiting?
• What symptom would the nurse assess to determine if a duodenal ulcer is currently active?
• Which client factor increases the risk for peptic ulcer disease (PUD)?
• What postoperative complication might the nurse suspect in a client who experienced fatigue and tingling in the feet after Billroth I surgery?
• After a liver biopsy, in which position should the client be placed?
• What is the appropriate position for a client receiving bolus feedings via a nasogastric tube who requests to sleep?
• In a client with ascites and slight jaundice, which medication history should be assessed?
• In caring for a client with cirrhosis, which food should the nurse encourage for adequate thiamine intake?
• When reviewing laboratory results for a client with acute pancreatitis, which lab result is expected?
• After a gastrojejunostomy, which activity is least appropriate for the client?
• A therapeutic effect of pancreatin in a client with postgastrectomy syndrome is indicated by what finding?
• What is a potential client problem for a patient postoperatively after a colostomy?
• In evaluating a client with peptic ulcer disease, which outcome indicates that care is effective?
• Which client statement indicates a need for further teaching about managing gastroesophageal reflux disease (GERD)?
• What appropriate nursing intervention can help prevent dumping syndrome in a client on a solid diet after subtotal gastrectomy?
• What statement by a client with cirrhosis indicates a need for further instruction?
• In assessing a client with ulcerative colitis, which finding should be reported to the health care provider?
• In the context of liver disease, what condition can increase the risk of bleeding?
• How does dietary fiber aid in preventing constipation?
• What is the priority assessment for a client with suspected gastrointestinal perforation?
• In a surgery for gastric hypersecretion, which structure's alteration reduces stomach acid production?
• Which food choice indicates a need for further teaching for a client with a bile duct blockage?
• What is an essential dietary recommendation for a patient with a history of peptic ulcer disease?
• What sign would indicate portal hypertension in a client with cirrhosis?
• If a client is diagnosed with cholecystitis, which symptom would be most relevant for the nurse to assess?
• In a post-procedure assessment of a client with a duodenal ulcer, which symptom indicates a potential complication?
• What symptom is commonly associated with pernicious anemia?
• When teaching a client with a new colostomy about colostomy irrigation, what should be included in the teaching?
• Which findings indicate early signs of dumping syndrome?
• Which prescription should the nurse question for a client suspected of having appendicitis with an elevated WBC count?
• How should the nurse assess for asterixis in a client with cirrhosis?
• Which statement from a client with viral hepatitis indicates the need for further teaching?
• What should the nurse inform a client scheduled for a small bowel biopsy about the procedure?
• Which statement reflects proper dietary understanding in a client with peptic ulcer disease?
• After a colonoscopy, which client statement indicates further teaching is necessary?
• What is the recommended protocol if a client’s T-tube drainage unexpectedly increases post-surgery?
• What action should the nurse take if a client begins to cough and gag while inserting a nasogastric tube?
• During a physical assessment, which finding would indicate a complication in a client with cirrhosis?
• What is the most appropriate question for a nurse to assess a client’s coping problem with viral hepatitis?
• What is the most appropriate nursing intervention for a client with a Penrose drain and serosanguineous drainage observed?
• What action should a client with a hiatal hernia avoid due to its contraindication?
• Which intervention is beneficial for managing abdominal distention in clients with irritable bowel syndrome?
• In an older client with organ dysfunction, which organ's impairment would most likely require medication dosage adjustments?
• For a client with common bile duct obstruction, what type of diet should the healthcare provider prescribe?
• In caring for a client with upper GI bleeding, what is the priority nursing action?
• Which postoperative prescription should be questioned after a gastrojejunostomy?
• Which statement by a client about managing inflammatory bowel syndrome (IBS) indicates a need for further teaching?
• What dietary change should a nurse recommend to an adult client experiencing chronic constipation?
• What nursing action is focused on the consequence of low albumin levels in a client with liver disease?
• What action is advisable if dietary changes do not relieve chronic constipation?
• Which laboratory finding should the nurse expect in a client diagnosed with pancreatitis?
• Which statement by a postgastrectomy client indicates a need for further teaching regarding dumping syndrome?
• What early sign of hepatic encephalopathy might the nurse observe?
• What assessment findings should the nurse anticipate in a client with cirrhosis and ascites due to increased abdominal pressure?
• What condition should the nurse suspect in a client with severe weight loss due to dieting?
• Which medication, if noted on a client's record with acute gastritis, should the nurse question?
• In assessing a client with a history of viral hepatitis, what condition would the nurse most likely expect the client to have?
• What key information should a nurse include in discharge teaching for a client with chronic pancreatitis?
• For a client diagnosed with acute diverticulitis, which dietary recommendation should the nurse expect?
• Which expected finding should the nurse assess for in a client who has developed hepatitis A?
• In the context of cirrhosis, which nutrient is essential for recovery and should be increased in the client’s diet?
• What dietary measure should a client follow after gastrectomy to prevent dumping syndrome?
• Which statement by a client with Crohn's disease indicates a need for further teaching about pain relief measures?
• In a client with altered protein metabolism due to liver dysfunction, what laboratory finding should the nurse expect?
• What is the most important complication to monitor for in a client with a low thrombin level due to liver dysfunction?