Nclex-Rn Practice Questions-Care Of The Adult - Gastrointestinal Disorders Part 3
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Question 1 |
Which action of pancreatic enzymes can cause pancreatic damage?
A | Utilization by the intestine |
B | Autodigestion of the pancreas |
C | Reflux into the pancreas |
D | Clogging of the pancreatic duct |
Question 2 |
Immediately after a liver biopsy, which complication should a client be closely monitored for?
A | Abdominal cramping |
B | Hemorrhage |
C | Nausea and vomiting |
D | Potential infection |
Question 3 |
A client with a diagnosed liver disorder is scheduled to have an invasive procedure. The nurse will monitor which test result to ensure the safety of the client?
A | Coagulation studies |
B | Liver enzyme levels |
C | Serum chemistries |
D | White blood cell count |
Question 4 |
A nurse is providing instructions to a client who will undergo a liver biopsy the next morning. The client asks the nurse about what potential problems could occur. It is most important for the nurse to provide information for which condition?
A | Paralytic ileus |
B | Hemorrhage |
C | Renal shutdown |
D | Constipation |
Question 5 |
Which procedure is most likely necessary for a client with a small tumor confined to one liver segment or lobe?
A | Chemotherapy only |
B | Cryoablation or liver resection |
C | Liver transplant |
D | Radiation therapy only |
Question 6 |
Which assessment finding best describes Murphy’s sign?
A | Periumbilical ecchymosis is observed. |
B | On deep palpation and release, pain is elicited. |
C | On palpation and deep inspiration, pain is elicited and the client stops breathing in. |
D | Abdominal muscles are tightened in anticipation of palpation. |
Question 7 |
A client is suspected of having cholecystitis. The nurse will prepare the client for which of the following diagnostic tests?
A | Abdominal computed tomography (CT) scan |
B | Abdominal ultrasound |
C | Barium swallow |
D | Endoscopy |
Question 8 |
Which intervention should be the priority of nursing management for a client hospitalized for acute cholecystitis?
A | Administration of antibiotics |
B | Assessment for complications |
C | Preparation for lithotripsy |
D | Preparation for surgery |
Question 9 |
Which diagnostic test is the most accurate for diagnosing liver cancer?
A | Abdominal ultrasound |
B | Abdominal flat plate X-ray |
C | Cholangiogram |
D | Computed tomography (CT) scan |
Question 10 |
A nurse has given discharge instructions to a client with chronic cholecystitis. Which response by the client indicates the teaching has been effective?
A | “I need to rest more.” |
B | “I should avoid taking antacids.” |
C | “I should increase the fat in my diet.” |
D | “I will take my anticholinergic medications as prescribed.” |
Question 11 |
Which dietary instructions should the nurse give to a client with toxic hepatitis?
A | No foods or drinks allowed. |
B | Eat low-calorie foods. |
C | Consume only low-residue foods. |
D | Eat high-calorie foods. |
Question 12 |
The nurse is performing an assessment on a client being evaluated for viral hepatitis. Which symptom will the nurse most likely assess on this client?
A | Arthralgia |
B | Excitability |
C | Headache |
D | Polyphagia |
Question 13 |
Which laboratory test would the nurse expect to be ordered to diagnose pancreatitis?
A | Amylase level |
B | Hemoglobin level |
C | Blood glucose level |
D | White blood cell (WBC) count |
Question 14 |
A client with pancreatitis may exhibit Cullen’s sign on physical examination. Which assessment finding best describes Cullen’s sign?
A | Jaundiced sclera |
B | Pain that occurs with movement |
C | Bluish discoloration of the left flank area |
D | Bluish discoloration of the periumbilical area |
Question 15 |
Which factor should be the initial focus of nursing management in a client with acute pancreatitis?
A | Dietary management |
B | Prevention of skin breakdown |
C | Management of hypoglycemia |
D | Pain control |
Question 16 |
When admitting a client to the hospital with suspected acute pancreatitis, which electrolyte disorder would be expected?
A | Hypoglycemia |
B | Hypernatremia |
C | Hypocalcemia |
D | Hyperkalemia |
Question 17 |
In alcohol-related pancreatitis, which intervention is the best way to reduce the exacerbation of pain?
A | Lying in a supine position |
B | Taking aspirin |
C | Eating a low-fat diet |
D | Abstaining from alcohol |
Question 18 |
A client with cirrhosis complains that his skin always feels itchy. The nurse recognizes that the itching is a result of which abnormality associated with cirrhosis?
A | Prolonged prothrombin time |
B | Decreased protein level |
C | Increased bilirubin level |
D | Increased aspartate aminotransferase level |
Question 19 |
A client is admitted with a diagnosis of hepatic encephalopathy. The nurse’s assessment documentation will include which of the following?
A | Asterixis |
B | Proficient concentration |
C | Increased energy |
D | Talkativeness |
Question 20 |
A client presents with dark urine, fatigue, and generalized pruritus. Lab results reveal elevated serum bilirubin and increased bile salts. The diagnosis is made of biliary cirrhosis. The client asks what is happening in his body. What is the nurse’s best response?
A | “There is an obstruction of the bile ducts causing biliary inflammation.” |
B | “Your liver is releasing toxins, which are poisonous to your circulation.” |
C | “The alcohol you have consumed has caused small nodules to form in your liver.” |
D | “The weakened heart muscle has limited blood flow to the liver.” |
Question 21 |
For a definitive diagnosis of cirrhosis, the nurse will assist with which diagnostic test?
A | Albumin level |
B | Bromsulphthalein dye excretion |
C | Liver biopsy |
D | Liver enzyme levels |
Question 22 |
Which of the following assessment findings would be consistent with a client’s diagnosis of cirrhosis?
A | Increased carbon dioxide level |
B | Increased pH level |
C | Increased prothrombin time |
D | Increased white blood cell (WBC) count |
Question 23 |
The nurse is aware that the most important intervention when caring for a client with esophageal varices is which of the following?
A | Recognizing hemorrhage |
B | Controlling blood pressure |
C | Encouraging nutritional intake |
D | Teaching the client about varices |
Question 24 |
Several children at a day care center have been infected with hepatitis A virus. What is the most important information the nurse can provide to reduce the risk of hepatitis A transmission?
A | Hand washing after diaper changes |
B | Isolation of the sick children |
C | Use of masks during contact with the children |
D | Sterilization of all eating utensils |
Question 25 |
A client is being evaluated for hepatitis A. Which activity places him at the highest risk for contracting hepatitis A?
A | Helping his roommate with an epistaxis episode |
B | Receiving an elective blood transfusion after surgery |
C | Eating a shrimp platter at a local restaurant |
D | Having sexual intercourse with his fiancée |
Question 26 |
The nurse is teaching a client with a peptic ulcer about discharge instructions. The client asks the nurse which type of analgesic he may take. Which of the following responses by the nurse would be the most accurate?
A | Aspirin |
B | Acetaminophen |
C | Naproxen |
D | Ibuprofen |
Question 27 |
Which assessment finding would strongly indicate the possibility of cirrhosis?
A | Dry skin |
B | Hepatomegaly |
C | Peripheral edema |
D | Pruritus |
Question 28 |
If a gastric ulcer perforates, which action should be included in the management of the client?
A | Removal of the nasogastric (NG) tube |
B | Antacid administration |
C | H2-receptor antagonist administration |
D | Fluid and electrolyte replacement |
Question 29 |
The nurse is counseling a client on how to prevent cholecystitis. What is the most important guideline for the nurse to include?
A | Eat a low-protein diet. |
B | Eat a low-fat, low-cholesterol diet. |
C | Limit exercise to 10 minutes a day. |
D | Keep weight proportional to height. |
Question 30 |
A client presents to the emergency department with abdominal pain, weight loss, steatorrhea, and a random glucose of 417 mg/dl. The nurse should expect which diagnostic test to be ordered?
A | Upper GI series |
B | Lower GI series |
C | Ultrasound of the abdomen |
D | Colonoscopy |
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