NR 1720 GI TEST EXAM QUESTIONS AND CORRECT ANSWERS 2023A+, Exams of Nursing

Download NR 1720 GI TEST EXAM QUESTIONS AND CORRECT ANSWERS 2023A+ and more Exams Nursing in PDF only on Docsity!

CORRECT ANSWERS 2023A+

1. A patient has completed the Hepatitis B vaccine series. What blood results below would demonstrate the vaccine series was successful at providing immunity? - A. Positive IgG - B. Positive HBsAg - C. Positive IgM - D. Positive anti-HBs Positive anti-HBs
2. A patient has lab work drawn and it shows a positive HBsAg. What education would a nurse provide to the patient? - A. Avoid sexual intercourse or intimacy such as kissing until blood work is negative. - B. The patient is now recovered from a previous Hepatitis B infection and is now immune. - C. The patient is not a candidate from antiviral or interferon medications. - D. The patient is less likely to develop a chronic infection. Avoid sexual intercourse or intimacy such as kissing until bloodwork is negative.
3. The nurse is providing care to a patient who is being admitted to rule out acute pancreatitis. Which item found in the patient's history increases the patient's risk for this process? - 1) Systemic lupus - 2) Alcoholism - 3) Cystic fibrosis - 4) Hypertriglyceridemia Alcoholism

CORRECT ANSWERS 2023A+

4. Which assessment data indicates to the nurse that the patient may be experiencing an increased ammonia level, a complication of cirrhosis? - A.) Epistaxis - B.) Yellow skin - C.) Clay-color stool - D.) Personality changes Personality changes
5. Which information should the nurse provide a patient who will be receiving the hepatitis A vaccine? - 1) "The vaccine is considered effective for 15 years or longer." - 2) "You will receive a series of three shots over 6 to 12 months." - 3) "You will receive one shot with a booster 6 to 12 months later." - 4) "The vaccine is recommended for everyone including newborns." You will receive one shot with a booster 6 to 12 months later.
6. The nurse is caring for a client with acute pancreatitis. Which nursing intervention will best reduce discomfort for the care of the client? - A. Administering morphine sulfate IV every 4 to 6 hours as needed. - B. Maintaining NPO status for the client with IV fluids. - C. Providing small, frequent feedings, with no concentrated sweets. - D. Placing the client in semi-Fowler's position at elevation of 30 degrees. Maintaining NPO status for the client with IV fluids.

CORRECT ANSWERS 2023A+

7. The nurse manager is rounding with a new employee during morning care. Which action by the nurse is incorrect in the management of a new T tube? - The new nurse attempts to irrigate the T tube with 20mL of normal Saline (Correct: This should be done with 10mL)
8. In assessing for the presence of asterixis, the nurse instructs the patient to perform which action. - Extend your arm flex your wrist upward and extend your fingers.
9. The nurse is asked to explain the common lab values associated with acute pancreatitis. Which should the nurse include as the cause of decreased albumin? - 1) Poor nutrition - 2) Bile flow obstruction - 3) Gallstone pancreatitis - 4) Fat necrosis and malnutrition Poor nutrition
10. The nurse monitors what lab data in the client reporting 7 loose stools in 12 hours after receiving lactulose:
    • A. Hypokalemia
    • B. Hyponatremia
    • C. Hypercalcemia
    • D. Hyperglycemia Hypokalemia (↓ K+)

CORRECT ANSWERS 2023A+

11. Which statement is incorrect regarding the nursing care of intravenous total parenteral nutrition (TPN)?
    • TPN can hang for 48 hours before changing to the next bag. (Correct: 12 hours)
12. The nurse correlates which rationale for a protein-restricted diet in the patient with portal- systemic encephalopathy (PSE)
    • A. A low-protein diet will help reduce the amount of ammonia in the blood.
    • B. The diet will give the liver a chance to rest and decrease hepatomegaly.
    • C. A low-protein diet will help restore liver function and metabolism.
    • D. Once albumin levels are normal, less protein is needed to prevent fluid from leaking into the abdomen. A low-protein diet will help reduce the amount of ammonia in the blood.
13. The nurse is providing discharge teaching for a patient who has just undergone laparoscopic cholecystectomy surgery. Which statement by the patient indicates understanding of the instructions?
    • a."I will drink at least 2 liters of fluid a day."
    • b." I will eat a low-fat diet with small, frequent meals.”
    • c."I should drink fluids between meals rather than with meals."
    • d."I will avoid concentrated sweets and simple carbohydrates." I will eat a low-fat diet with small, frequent meals.
14. The nurse is caring for a postoperative patient who complains of pain in the shoulder blades following laparoscopic cholecystectomy surgery. Which direction will the

CORRECT ANSWERS 2023A+

nurse give to the nursing assistant to help relieve the patients pain?

• A."Ambulate the client in the hallway."
• B."Apply a cold compress to the client's back."
• C."Encourage the client to take sips of hot tea or broth."
• D."Remind the client to cough and deep breathe every hour." "Ambulate the patient in the hallway."

15. The client diagnosed with liver failure is experiencing pruritis secondary to severe jaundice. Which action by the unlicensed assistive personnel (UAP) warrants intervention by the nurse?

• 1. The UAP is assisting the client to take a hot soapy shower.
• 2. The UAP applies an emollient to the client's legs and back.
• 3. The UAP puts mittens on both hands of the client.
• 4. The UAP pats the client's skin dry with a clean towel. The UAP is assisting the client to take a hot soapy shower.

16. A nurse is caring for a client who just has been diagnosed with a peptic ulcer. When teaching the client about this new diagnosis, how should the nurse best describe it?

• A) Inflammation of the lining of the stomach
• B) Erosion of the lining of the stomach or intestine
• C) Bleeding from the mucosa in the stomach
• D) Viral invasion of the stomach wall Erosion of the lining of the stomach or intestine

CORRECT ANSWERS 2023A+

17. A nurse is addressing the prevention of esophageal cancer in response to a question posed by a participant in a health promotion workshop. What action should the nurse recommend as having the greatest potential to prevent esophageal cancer?
    • A) Promotion of a nutrient-dense, low-fat diet
    • B) Annual screening endoscopy for patients over 50 with a family history of esophageal cancer
    • C) Early diagnosis and treatment of gastroesophageal reflux disease
    • D) Adequate fluid intake and avoidance of spicy foods. Early diagnosis and treatment of gastroesophageal reflux disease
18. Which data collected by the nurse after a liver biopsy indicates the need for immediate action by the nurse?
    • 1)The patient is awake and alert.
    • 2)The patient's blood pressure is 90/60 mm Hg.
    • 3)The patient's heart rate is 80 beats per minute.
    • 4)The patients respiratory rate is 16 breaths per minute. The patient's blood pressure is 90/60 mm Hg

CORRECT ANSWERS 2023A+

19. A patient who received treatment for pancreatitis is being discharged home. You're providing diet teaching to the patient. Which statement by the patient requires immediate re-education about the diet restriction?
    • A. "It will be hard, but I will eat a diet low in fat and avoid greasy foods."
    • B. "It is very important I limit my alcohol intake to no more than 2-3 glasses of wine a week."
    • C. "I will concentrate on eating complex carbohydrates rather than refined carbohydrates."
    • D. "I will purchase foods that are high in protein." It is very important I limit my alcohol intake to no more than 2-3 glasses of wine a week.
20. A patient is admitted to the ER with the following signs and symptoms: very painful mid- epigastric pain felt in the back, elevated glucose, fever, and vomiting. During the head- to- toe assessment, you notice bluish discoloration around the belly button. As the nurse, you know this is called:
    • A. Grey-Turner's Sign
    • B. McBurney's Sign
    • C. Homan's Sign
    • D. Cullen's Sign Cullen's sign
21. The patient has a Jackson-Pratt (JP) drain in place post cholecystectomy surgery. The nurse notes that there is serosanguineous drainage present in the drain. How should the nurse empty the drain and re-establish the suction?
    • Open the port on the bulb, empty into a calibrated container, then squeeze the bulb prior to closing the port plug.

CORRECT ANSWERS 2023A+

22. The nurse is providing education for a patient who is diagnosed with gastritis. Which statement indicates the need for further education?
    • "I will take aspirin for headaches from now on."
23. A nurse is caring for a patient with hepatic encephalopathy. While making the initial shift assessment, the nurse notes that the patient has a flapping tremor of the hands. The nurse should document the presence of what sign of liver disease?
    • Asterixis
    • B. Constructional apraxia
    • C. Fector hepaticus
    • D. Palmar erythema Asterixis
24. A nurse is providing oral care to a patient who is comatose. What action best addresses the patient’s risk of tooth decay and plaque accumulation?
    • A. Irrigating the mouth using a syringe filled with a bactericidal mouthwash.
    • B. Applying a water-soluble gel to the teeth and gums.
    • C. Wiping the teeth and gums clean with a gauze pad.

CORRECT ANSWERS 2023A+

• D. Brushing the patient’s teeth with a toothbrush and small amount of toothpaste. Brushing the patient’s teeth with a toothbrush and small amount of toothpaste

25. A patient asked the nursing assistant for a bedpan. When the patient is finished, the nursing assistant notify centers that the patient has bright red streaking of blood in the stool. What does this most likely result from?

• A) Diet high in red meat
• B) Upper GI bleed
• C) Hemorrhoids
• D) Use of iron supplements Hemorrhoids

26. A nurse is caring for a newly admitted patient with a suspected GI bleed. The nurse assesses the patients stool after a bowel movement and notes it to be a tarry-black color. This finding is suggestive of bleeding from what location?

• A) Sigmoid colon
• B) Upper GI tract
• C) Large intestine
• D) Anus or rectum Upper GI tract.

CORRECT ANSWERS 2023A+

27. A patient with GERD has a diagnosis of Barrett’s esophagus with minor cell changes. Which of the following principles should be integrated into the patient subsequent care?
    • A. The patient will require an upper endoscopy every 6 months to detect malignant changes.
    • B. Liver enzymes must be checked regularly, as H2 receptor antagonists may cause hepatic damage.
    • C. Small amounts of blood are likely to be present in the stools and are not cause for concern.
    • D. Antacids may be discontinued when symptoms of heartburn subside. The patient will require an upper endoscopy every six months to detect malignant changes.
28. A nurse is preparing to administer a patient intravenous fat emulsion simultaneously with parental nutrition. Which of the following principles should guide the nursing action?
    • A) Intravenous fat emulsions may be infused simultaneously with PN through a Y-connector close to the infusion site and should not be filtered.
    • B) The nurse should prepare for placement of another intravenous line, as intravenous fat emulsions may not be infused simultaneously through the line used for PN.
    • C) Intravenous fat emulsions may be infused simultaneously with PN through a Y-connector close to the infusion site after running the emulsion through a filter.
    • D) The intravenous fat emulsions can be piggy-backed into any existing IV solution that is infusing.

CORRECT ANSWERS 2023A+

Intravenous fat emulsions may be infused simultaneously with PN through a Y-connector close to the infusion site and should not be filtered.

29. A patient has been diagnosed with an obstruction. When taking a health history, the nurse should expect the patient to describe what sign or symptom.
    • A. Burning pain on swallowing.
    • B. Regurgitation of undigested food
    • C. Symptoms mimicking a heart attack.
    • D. Chronic parotid abscesses Regurgitating of undigested food.
30. A staff educator is reviewing the causes of gastroesophageal reflux disease (GERD) with new staff nurses. What area of the GI tract should the educator identify as the cause of reduced pressure associated with GERD?
    • A. Pyloric sphincter
    • B. Lower esophageal sphincter
    • C. Hypopharyngeal sphincter
    • D. Upper esophageal sphincter Lower esophageal sphincter.

CORRECT ANSWERS 2023A+

31. A patient presents to the walk in clinic complaining of vomiting and burning in her mid- epigastria. the nurse knows that the process of confirming peptic ulcer disease that position is likely to order a diagnostic to detect the presence of what?
    • A. Infection with Helicobacter pylori
    • B. Excessive stomach acid secretion
    • C. An incompetent pyloric sphincter
    • D. A metabolic acid-base imbalance Infection with H. Pylori
32. Diagnostic imaging and physical assessment have revealed that a patient with peptic ulcer disease has suffered a perforated ulcer. The nurse recognizes that the emergency interventions must be performed as soon as possible in order to prevent the development of what complication?
    • A. Peritonitis
    • B. Gastritis
    • C. Gastroesophageal reflux
    • D. Acute pancreatitis Peritonitis.
33. A nurse is caring for a patient hospitalized with an exacerbation of acute gastritis. What health promotion topics should the nurse emphasize?

• A) Strategies for maintaining an alkaline gastric environment

CORRECT ANSWERS 2023A+

• B) Safe technique for self-suctioning
• C) Techniques for positioning correctly to promote gastric healing
• D) Strategies for avoiding irritating foods and beverages Strategies for avoiding irritating foods and beverages.

34. A nurse is working with a patient who has chronic constipation. What should be included in the patient's teaching to promote normal bowel function?

• A. Use glycerin suppositories on a regular basis.
• B. Limit physical activity in order to promote bowel peristalsis.
• C. Consume high-residue, high-fiber foods.
• D. Resist the urge to defecate until the urge becomes intense. Consume high residue, high fiber foods.

35. A patient admitted with acute diverticulitis has experienced a sudden increase in temperature and complains of a sudden onset of exquisite abdominal tenderness. The nurse’s rapid assessment reveals that the patient’s abdomen is uncharacteristically rigid on palpation. What is the nurse’s best response?

• A) Administer a Fleet enema as ordered and remain with the patient.
• B) Contact the primary care provider promptly and report these signs of perforation.
• C) Position the patient supine and insert an NG tube.
• D) Page the primary care provider and report that the patient may be obstructed.

CORRECT ANSWERS 2023A+

Contact the primary care provider promptly and report these signs of perforation.

36. A nurse is teaching a group of adults about screening and prevention of colorectal cancer. The nurse should describe which of the following is the most common sign of possible colorectal cancer?
    • A. Development of new hemorrhoids.
    • B. Abdominal bloating and flank pain.
    • C. Unexpected weight gain.
    • D. Change in bowel habits. Change in bowel habits.
37. In nurses providing care for a patient who has a diagnosis of IBS. When planning this patient care, the nurse should collaborate with the patient and prioritize what goal?
    • A) Patient will accurately identify foods that trigger symptoms.
    • B) Patient will demonstrate appropriate care of his ileostomy.
    • C) Patient will demonstrate appropriate use of standard infection control precautions.
    • D) Patient will adhere to recommended guidelines for mobility and activity. Patient will accurately identify foods that trigger symptoms.

CORRECT ANSWERS 2023A+

38. A nurse is assessing a patient stoma on postoperative day 3. The nurse notes that the stoma has a shiny appearance and a bright red color. How should the nurse best respond to this assessment finding?
    • A) Irrigate the ostomy to clear a possible obstruction.
    • B) Contact the primary care provider to report this finding.
    • C) Document that the stoma appears healthy and well perfused.
    • D) Document a nursing diagnosis of Impaired Skin Integrity. Document that the stoma appears healthy and well perfused.
39. A patient with an esophageal varices has undergone endoscopy to gauge the progression of this complication of liver disease. Following the completion of this diagnostic test, when nursing intervention, should the nurse perform?
    • A. Keep patient NPO until the results of test are known.
    • B. Keep patient NPO until the patient's gag reflex returns.
    • C. Administer analgesia until post-procedure tenderness is relieved.
    • D. Give the patient a cold beverage to promote swallowing ability. Keep the patient NPO until the patient gag reflex returns.
40. A nurse is assessing a patient who has been diagnosed with cholecystitis and is experiencing localized abdominal pain. When assessing the characteristics of pain. The nurse should anticipate that it may radiate to what region?
    • A) Left upper chest
    • B) Inguinal region

CORRECT ANSWERS 2023A+

• C) Neck or jaw
• D) Right shoulder Right shoulder.

41. A patient's abdominal ultrasound indicates cholelithiasis. When the nurse is reviewing the patient’s laboratory studies, what finding is most likely associated with this diagnosis?

• A) Increased bilirubin
• B) Decreased serum cholesterol
• C) Increased blood urea nitrogen (BUN)
• D) Decreased serum alkaline phosphatase level. Increased bilirubin.

42. A patient who had surgery for gallbladder disease the post-surgical unit from postanesthetic recovery. The nurse caring for this patient knows to immediately report what assessment findings to the physician?

• A) Decreased breath sounds
• B) Drainage of bile-colored fluid onto the abdominal dressing
• C) Rigidity of the abdomen
• D) Acute pain with movement Rigidity of the abdomen.

CORRECT ANSWERS 2023A+

43. A patient has been admitted to the medical unit for the treatment of acute pancreatitis. What nursing action should be included as patient's plan of care?
    • A) Measure the patient’s abdominal girth daily.
    • B) Limit the use of opioid analgesics.
    • C) Monitor the patient for signs of dysphagia.
    • D) Encourage activity as tolerated Measure the patient’s abdominal girth daily.
44. A patient has a recent diagnosis of chronic pancreatitis and is undergoing diagnostic testing to determine pancreatic islet cell function. The nurse should anticipate what diagnostic test?
    • A) Glucose tolerance test
    • B) ERCP
    • C) Pancreatic biopsy
    • D) Abdominal ultrasonography Glucose Tolerance Test INTEGUMENTARY QUESTIONS:
45. A nurse is aware that the outer layer of the skin consists of dead cells that contain large amounts of keratin. The physiologic functions of keratin include. (Select all the apply) - A) Producing antibodies

CORRECT ANSWERS 2023A+

• B) Absorbing electrolytes
• C)Maintaining acid base balance
• D)Physically repelling pathogens
• E) Preventing fluid loss Repelling pathogens, preventing fluid loss

2. While assessing a dark-skinned patient at the clinic, the nurse notes the presence of patchy milky white spots. The nurse notes that this finding is characteristics of what diagnosis?

• A) Cyanosis
• B) Addison's disease
• C) Polycythemia
• D) Vitiligo Vitiligo. (Question will say vitiligo is decrease in melanocytes.)

3. While waiting to see the physician, a client shows the nurse skin areas that are flat, non- palpable, and have had a change of color. The nurse recognizes that the client is demonstrating what?

• A. Macules
• B. Papules
• C. Vesicles

CORRECT ANSWERS 2023A+

• D. Pustules Macules

3. An African American is admitted to the medical unit with liver disease to correctly assess his patient for jaundice. What area of the body should we look for the yellow discoloration?

• A) Elbows
• B) Lips
• C) Nail beds
• D) Sclera Sclera.

5. A gerontologic nurse is teaching a group of nursing students about integumentary changes that occur in older adults. How should these students best integrate these changes into care planning?

• A) By avoiding the use of moisturizing lotions on older adults' skin
• B) By protecting older adults against shearing injuries
• C) By avoiding the use of ice packs to treat muscle pain
• D) By protecting older adults against excessive sweat accumulation. Protecting older adults against shearing injuries.

CORRECT ANSWERS 2023A+

6. A patient with a suspected malignant melanoma is referred to the dermatology clinic. The nurse knows to facilitate what diagnostic test to rule out a skin malignancy?
   • A) Tzanck smear
   • B) Skin biopsy
   • C) Patch testing
   • D) Skin scrapings Skin biopsy.
7. A nurse is explaining the importance of sunlight for skin to a woman with decreased mobility who rarely leaves her house. The nurse would emphasize that ultraviolet light helps to synthesize what vitamin?
   • A) Vitamin E
   • B) Vitamin D
   • C) Vitamin A
   • D) Vitamin C Vitamin D.
8. A nurse in a dermatology center is reading an electronic health record of a new patient. The nurse notes that the patient has a history of a primary skin lesion. What is an example of a primary skin lesion?
   • A) Crust

CORRECT ANSWERS 2023A+

• B) Keloid
• C) Pustule
• D) Ulcer Pustule.

9. When your nurse is reviewing skin anatomy with a group of medical nurses. Which area of the skin would the nurse identify as providing a cushion between the skin layers, muscles, and bones? Subcutaneous tissue.
10. A young student comes to the school nurse and shows the nurse a mosquito bite. As the nurse expects, the bite is elevated and has serous fluid contained in the dermis. How would the nurse classify this lesion?

• A)Vesicle
• B) Macule
• C) Nodule
• D) Wheal Wheal

11. An 82-year-old patient is being treated in the hospital for a sacral pressure ulcer. What age-related change is most likely to affect the patient's course of treatment?

CORRECT ANSWERS 2023A+

• A) Increased thickness of the subcutaneous skin layer
• B) Increased vascular supply to superficial skin layers
• C) Changes in the character and quantity of bacterial skin flora
• D) Increased time required for wound healing. Increased time required for wound healing. (Change in circulation)

12. A nurse is assessing this kind of a patient who's been diagnosed with bacterial Cellulitis on the dorsal portion of the great toe. When reviewing the patient's health history, the nurse identifies what core mobility as increasing the patient’s vulnerability to skin infections?

• A) Fungal infection
• B) Peripheral venous disease
• C) Diabetes
• D) Poor nutrition Diabetes.

13. A new patient presents at the clinic in the nurse performs a comprehensive health assessment. The nurse said that the patient’s fingernail surface are pitted. The nurse should suspect the presence of what health problem?

• A) Eczema
• B) Systemic lupus erythematosus (SLE)
• C) Psoriasis

CORRECT ANSWERS 2023A+

• D) Chronic obstructive pulmonary disease (COPD) Psoriasis.

14. The patient was squamous cell carcinoma, has been scheduled for treatment of this malignancy. The nurse should anticipate that treatment for this type of cancer will primarily consist of what intervention?

• A) Chemotherapy
• B) Radiation therapy
• C) Surgical excision
• D) Biopsy of sample tissue Surgical excision.

15. KNOW WHAT AN AUTOGRAFT IS - Tissue graft from one individual transplanted to another site on the same individual.
16. A patient diagnosed with a stasis ulcer also has been hospitalized. There's an order to change the dressing and provide wound care. Which activity should perform when providing wound care?

• A) Assess the drainage in the dressing
• B) Slowly remove the soiled dressing
• C) Perform hand hygiene

CORRECT ANSWERS 2023A+

• D) Don non-latex gloves Perform hand hygiene.

17. A patient is received a diagnosis of irritant contact dermatitis. What action should the nurse prioritize in the patient subsequent care?

• A) Teaching the patient to administer immunosuppressants safely and effectively
• B) Helping the patient identify and avoid the offending agent
• C) Teaching the patient how to maintain meticulous skin hygiene
• D) Helping the patient perform wound care in the home environment Identifying and avoiding the offending agent.

18. A nurse is providing self-care education to a patient who has been receiving treatment for acne vulgaris. What instruction should the nurse provide to the patient?

• A) Wash your face with water and gentle soap each morning and evening.
• B) Before bedtime, clean your face with rubbing alcohol on a cotton pad.
• C) Gently burst new pimples before they form a visible 'head'.
• D) Set aside time each day to squeeze blackheads and remove the plug. Wash your face with water and gentle soap each morning and evening.

19. A public health nurse is participating in a health promotion campaign that has the goal of improving outcomes related to skin cancer in the community. What action has the greatest potential to achieve this goal?

CORRECT ANSWERS 2023A+

• A) Educating participants about the relationship between general health and the risk of skin cancer
• B) Educating participants about treatment options for skin cancer
• C) Educating participants about the early signs and symptoms of skin cancer
• D) Educating participants about the health risks associated with smoking and assisting with smoking cessation Educating participants about the early signs and symptoms of skin cancer

20. A nurse is working with a family whose 5-year-old daughter has been diagnosed with impetigo. What educational intervention should the nurse include in this family's care?

• A) Ensuring that the family knows that impetigo is not contagious
• B) Teaching about the safe and effective use of topical corticosteroids
• C) Teaching about the importance of maintaining high standards of hygiene
• D) Ensuring that the family knows how to safely burst the child's vesicles Teaching about the importance of maintaining high standards of hygiene.