Nclex-Rn Practice Questions-Care Of The Adult - Gastrointestinal Disorders Part 2
Start
Congratulations - you have completed Nclex-Rn Practice Questions-Care Of The Adult - Gastrointestinal Disorders Part 2.
You scored %%SCORE%% out of %%TOTAL%%.
Your performance has been rated as %%RATING%%
Your answers are highlighted below.
Question 1 |
If a client had irritable bowel syndrome, which diagnostic test would determine if the diagnosis is Crohn’s disease or ulcerative colitis?
A | Abdominal computed tomography (CT) scan |
B | Abdominal X-ray |
C | Barium swallow |
D | Colonoscopy with biopsy |
Question 2 |
Which condition may lead to hemorrhoids?
A | Diarrhea |
B | Diverticulosis |
C | Portal hypertension |
D | Rectal bleeding |
Question 3 |
Which assessment is most relevant with the diagnosis of hemorrhoids?
A | Abdominal assessment |
B | Diet history |
C | Digital rectal examination |
D | Sexual history |
Question 4 |
Which of the following should be part of the teaching plan for a client with hemorrhoids?
A | Recommending a high-fiber diet |
B | Applying cold to reduce swelling |
C | Using astringent lotions to reduce swelling |
D | Elevating the buttocks to reduce engorgement |
Question 5 |
Which response should a nurse offer to a client who asks why he’s having a vagotomy to treat his ulcer?
A | To repair a hole in the stomach |
B | To reduce the ability of the stomach to produce acid |
C | To prevent the stomach from sliding into the chest |
D | To remove a potentially malignant lesion in the stomach |
Question 6 |
The nurse should be aware that which condition is most likely to directly cause peritonitis?
A | Cholelithiasis |
B | Gastritis |
C | Perforated ulcer |
D | Incarcerated hernia |
Question 7 |
Which assessment finding would a client in the early stages of peritonitis exhibit?
A | Abdominal distention |
B | Abdominal pain and rigidity |
C | Hyperactive bowel sounds |
D | Right upper quadrant pain |
Question 8 |
A client recently diagnosed with colon cancer tells the nurse that he’s been having trouble sleeping and is preoccupied with thoughts of how his life will change after surgery. Which is the most appropriate nursing diagnosis?
A | Anxiety related to upcoming surgery |
B | Powerlessness related to illness |
C | Disturbed sleep pattern related to fear of the unknown |
D | Ineffective coping related to the diagnosis of colon cancer |
Question 9 |
A recently admitted client is suspected of having peritonitis. He’s requesting a glass of water to drink. Which would be the nurse’s best response to the client?
A | “I can give you small amounts of water frequently.” |
B | “You’re getting your fluids intravenously.” |
C | “I’ll check with the physician.” |
D | “Until your diagnosis is confirmed and bowel function returns, it wouldn’t be safe to give you anything to drink.” |
Question 10 |
Which factor is most commonly associated with the development of pancreatitis?
A | Alcohol abuse |
B | Hypercalcemia |
C | Hyperlipidemia |
D | Pancreatic duct obstruction |
Question 11 |
Which of the following would be the priority focus of nursing care for a client with peritonitis?
A | Fluid and electrolyte balance |
B | Gastric irrigation |
C | Pain management |
D | Psychosocial issues |
Question 12 |
A client with which condition may be at risk for the development of rectal cancer?
A | Adenomatous polyps |
B | Diverticulitis |
C | Hemorrhoids |
D | Peptic ulcer disease |
Question 13 |
The nurse is providing discharge instructions for a client who has undergone a gastric resection. The nurse is aware that the client is at risk for:
A | constipation. |
B | dumping syndrome. |
C | gastric spasm. |
D | intestinal spasms. |
Question 14 |
Which intervention should be included in the collaborative management of a client with Crohn’s disease?
A | Increasing oral intake of fiber |
B | Administering laxatives as ordered |
C | Using long-term steroid therapy as prescribed |
D | Increasing physical activity |
Question 15 |
A client with Crohn’s disease is experiencing an exacerbation. Which instruction would be a priority in planning his care?
A | Increasing current weight |
B | Encouraging ambulation |
C | Promoting bowel rest |
D | Controlling rectal bleeding |
Question 16 |
A nurse would expect to prepare a client with ulcerative colitis for surgery if the client develops which condition?
A | Gastritis |
B | Bowel herniation |
C | Bowel outpouching |
D | Bowel perforation |
Question 17 |
Which medication would the nurse expect to find on the electronic medication administration record (E-MAR) for treating the pain associated with irritable bowel disease?
A | Acetaminophen |
B | Opiates |
C | Steroids |
D | Stool softeners |
Question 18 |
The nursing assessment of a client with colon cancer may also include a past medical history of which condition?
A | Appendicitis |
B | Hemorrhoids |
C | Hiatal hernia |
D | Ulcerative colitis |
Question 19 |
A nurse is providing nutritional teaching for a client with a family history of colon cancer. Which dietary choice by the client demonstrates understanding of the appropriate diet to follow?
A | Vegetarian chili |
B | Hot dogs and sauerkraut |
C | Egg salad on rye bread |
D | Spaghetti and meat sauce |
Question 20 |
A client reports having several episodes of rectal bleeding, ribbon-shaped stools, and abdominal cramping. The nurse recognizes these signs and symptoms as related to which disorder?
A | Hemorrhoids |
B | Irritable bowel syndrome (IBS) |
C | Colorectal cancer |
D | Liver cancer |
Question 21 |
A client with colon cancer is scheduled to receive radiation therapy prior to surgery. What should the nurse include in her teaching about the use of radiation therapy?
A | It helps reduce the size of the tumor. |
B | It eliminates the malignant cells. |
C | It may cure the cancer. |
D | It helps heal the bowel after surgery. |
Question 22 |
The nurse anticipates that a client with colon cancer will most likely exhibit which symptom?
A | A change in appetite |
B | A change in bowel habits |
C | An increase in body weight |
D | An increase in body temperature |
Question 23 |
A client has just had surgery for colon cancer. The nurse is aware that the client is most at risk for developing which condition?
A | Peritonitis |
B | Diverticulosis |
C | Partial bowel obstruction |
D | Complete bowel obstruction |
Question 24 |
Which symptom, if reported by a client, would lead the nurse to suspect gastric cancer?
A | Abdominal cramping |
B | Constant hunger |
C | Feeling of fullness |
D | Weight gain |
Question 25 |
A client is seen in the outpatient surgical clinic for a suspected diagnosis of gastric cancer. The nurse anticipates the diagnostic testing of the client will include which test?
A | Barium enema |
B | Colonoscopy |
C | Endoscopy |
D | Serum chemistry levels |
Question 26 |
A client with gastric cancer anticipates having surgery for a gastric resection. What is the most important nursing intervention during the preoperative period?
A | Discharge planning |
B | Correction of nutritional deficits |
C | Prevention of deep vein thrombosis (DVT) |
D | Instruction regarding radiation treatment |
Question 27 |
Which factor is the priority postoperative care need of the client after gastric resection?
A | Body image |
B | Nutritional needs |
C | Skin care |
D | Spiritual needs |
Question 28 |
The nurse is prioritizing care for a client 2 days after surgery for a stoma creation that resulted from ulcerative colitis. What is the most important issue for the nurse to address?
A | Body image |
B | Ostomy care |
C | Sexual concerns |
D | Skin care |
Question 29 |
Which diagnostic test should be performed annually after age 50 years to screen for colon cancer?
A | Abdominal computed tomography (CT) scan |
B | Abdominal X-ray |
C | Colonoscopy |
D | Fecal occult blood test |
Question 30 |
Which laboratory result would the nurse anticipate in a client with peritonitis?
A | Partial thromboplastin time above 100 seconds |
B | Hemoglobin level below 10 mg/dl |
C | Potassium level above 5.5 mEq/L |
D | White blood cell (WBC) count above 15,000/µl |
Once you are finished, click the button below. Any items you have not completed will be marked incorrect.
Get Results
There are 30 questions to complete.
You have completed
questions
question
Your score is
Correct
Wrong
Partial-Credit
You have not finished your quiz. If you leave this page, your progress will be lost.
Correct Answer
You Selected
Not Attempted
Final Score on Quiz
Attempted Questions Correct
Attempted Questions Wrong
Questions Not Attempted
Total Questions on Quiz
Question Details
Results
Date
Score
Hint
Time allowed
minutes
seconds
Time used
Answer Choice(s) Selected
Question Text
All done
Need more practice!
Keep trying!
Not bad!
Good work!
Perfect!
related categories
Related posts
- Nclex-Rn Practice Questions-Care Of The Child – Gastrointestinal Disorders Part 4
- Nclex-Rn Practice Questions-Care Of The Child – Gastrointestinal Disorders Part 3
- Nclex-Rn Practice Questions-Care Of The Child – Gastrointestinal Disorders Part 2
- Nclex-Rn Practice Questions-Care Of The Child – Gastrointestinal Disorders Part 1
- Nclex-Rn Practice Questions-Care Of The Adult – Gastrointestinal Disorders Part 4
- Nclex-Rn Practice Questions-Care Of The Adult – Gastrointestinal Disorders Part 3
- Nclex-Rn Practice Questions-Care Of The Adult – Gastrointestinal Disorders Part 1
- Nclex-Rn Practice Questions-Care Of The Adult -Cardiovascular Disorders Part 4
- Nclex-Rn Practice Questions-Care Of The Adult – Hematologic & İmmune Disorders Part 2
- Nclex-Rn Practice Questions-Care of Adults-Adult and Older Adult Development