NSG 3850 EXAM 3 (CH. 36 & 38) TB QUESTIONS AND
ANSWERS
Which symptom suggests the presence of a hiatal hernia?
a. Nausea
b. Heartburn
c. Diarrhea
d. Abdominal cramps - Answers - B. Heartburn
Proton pump inhibitors may be used in the management of peptic ulcer disease to
a. increase gastric motility.
b. inhibit secretion of pepsinogen.
c. neutralize gastric acid.
d. decrease hydrochloric acid (HCl) secretion. - Answers - D. decrease hydrochloric
acid (HCl) secretion.
Epigastric pain that is relieved by food is suggestive of
a. pancreatitis.
b. esophageal cancer.
c. duodenal ulcer.
d. dysphagia. - Answers - c. duodenal ulcer.
The most common cause of mechanical bowel obstruction is
a. volvulus.
b. intussusception.
c. adhesions.
d. fecal impaction. - Answers - C. Adhesions
Acute pain at McBurney's point is indicative of
a. appendicitis.
b. peritonitis.
c. cholecystitis.
d. gastritis. - Answers - a. appendicitis.
A silent abdomen 3 hours after bowel surgery most likely indicates
a. peritonitis.
, b. mechanical bowel obstruction.
c. perforated bowel.
d. functional bowel obstruction. - Answers - D. functional bowel obstruction.
Ulcerative colitis is commonly associated with
a. bloody diarrhea.
b. malabsorption of nutrients.
c. fistula formation between loops of bowel.
d. inflammation and scarring of the submucosal layer of the bowel. - Answers - a.
bloody diarrhea
An early indicator of colon cancer is
a. rectal pain.
b. bloody diarrhea.
c. a change in bowel habits.
d. jaundice. - Answers - C. a change in bowel habits.
A patient who should be routinely evaluated for peptic ulcer disease is one who is
a. taking six to eight tablets of acetaminophen per day.
b. being treated with high-dose oral glucocorticoids.
c. experiencing chronic diarrhea.
d. routinely drinking alcoholic beverages. - Answers - b. being treated with high-dose
oral glucocorticoids.
Celiac sprue is a malabsorptive disorder associated with
a. inflammatory reaction to gluten-containing foods.
b. megacolon at regions of autonomic denervation.
c. ulceration of the distal colon and rectum.
d. deficient production of pancreatic enzymes. - Answers - a. inflammatory reaction to
gluten-containing foods.
What clinical finding would suggest an esophageal cause of a client's report of
dysphagia?
a. Nasal regurgitation
b. Airway obstruction with swallowing
c. Chest pain during meals
d. Coughing when swallowing - Answers - c. Chest pain during meals
Barrett esophagus is a
a. gastrin-secreting lesion.
ANSWERS
Which symptom suggests the presence of a hiatal hernia?
a. Nausea
b. Heartburn
c. Diarrhea
d. Abdominal cramps - Answers - B. Heartburn
Proton pump inhibitors may be used in the management of peptic ulcer disease to
a. increase gastric motility.
b. inhibit secretion of pepsinogen.
c. neutralize gastric acid.
d. decrease hydrochloric acid (HCl) secretion. - Answers - D. decrease hydrochloric
acid (HCl) secretion.
Epigastric pain that is relieved by food is suggestive of
a. pancreatitis.
b. esophageal cancer.
c. duodenal ulcer.
d. dysphagia. - Answers - c. duodenal ulcer.
The most common cause of mechanical bowel obstruction is
a. volvulus.
b. intussusception.
c. adhesions.
d. fecal impaction. - Answers - C. Adhesions
Acute pain at McBurney's point is indicative of
a. appendicitis.
b. peritonitis.
c. cholecystitis.
d. gastritis. - Answers - a. appendicitis.
A silent abdomen 3 hours after bowel surgery most likely indicates
a. peritonitis.
, b. mechanical bowel obstruction.
c. perforated bowel.
d. functional bowel obstruction. - Answers - D. functional bowel obstruction.
Ulcerative colitis is commonly associated with
a. bloody diarrhea.
b. malabsorption of nutrients.
c. fistula formation between loops of bowel.
d. inflammation and scarring of the submucosal layer of the bowel. - Answers - a.
bloody diarrhea
An early indicator of colon cancer is
a. rectal pain.
b. bloody diarrhea.
c. a change in bowel habits.
d. jaundice. - Answers - C. a change in bowel habits.
A patient who should be routinely evaluated for peptic ulcer disease is one who is
a. taking six to eight tablets of acetaminophen per day.
b. being treated with high-dose oral glucocorticoids.
c. experiencing chronic diarrhea.
d. routinely drinking alcoholic beverages. - Answers - b. being treated with high-dose
oral glucocorticoids.
Celiac sprue is a malabsorptive disorder associated with
a. inflammatory reaction to gluten-containing foods.
b. megacolon at regions of autonomic denervation.
c. ulceration of the distal colon and rectum.
d. deficient production of pancreatic enzymes. - Answers - a. inflammatory reaction to
gluten-containing foods.
What clinical finding would suggest an esophageal cause of a client's report of
dysphagia?
a. Nasal regurgitation
b. Airway obstruction with swallowing
c. Chest pain during meals
d. Coughing when swallowing - Answers - c. Chest pain during meals
Barrett esophagus is a
a. gastrin-secreting lesion.
