Adult Health – Exam 3 GI System, Nursing Course, Comprehensive Study Guide and
Gastrointestinal Review
A client is admitted to the hospital with the diagnosis of intestinal obstruction. The HCP orders
intestinal suction via an NG tube. The loss of which constituents associated with NG suctioning
is most important to consider with this client?
A. Protein Enzymes
B. Carbohydrates
C. Vitamins and Minerals
D. Water and Electrolytes - ANS ✔✔D
After a partial gastrectomy is performed, a client is returned to the surgical unit with IV fluids
running and an NG tube. After 30 minutes the nurse identifies that there has been no NG
drainage for 30 minutes. There is an order for irrigation of the NG tube PRN. The nurse should:
A. Instill 30mL of NS and continue to suction
B. Instill 30mL of air and clamp off the suction for 1 hour
C. Instill 30mL of saline and increase the pressure of suction
D. Instill 30mL of distilled water and disconnect the suction for 30 minutes - ANS ✔✔A
Which statement by the client might indicate a precipitating factor of acute gastritis?
A. "I really enjoy tequila"
B. "I just started a new diet"
C. "I try to walk 2 miles everyday
D. "I never drink alcohol" - ANS ✔✔A
The nurse is caring for a patient with a bleeding gastric ulcer. Which is the appropriate diet for
this patient 24 hours after admission?
A. Regular diet
,B. Nothing by mouth (NPO)
C. Clear liquid
D. Full liquid - ANS ✔✔B
You are preparing to educate a group at the community center about peptic ulcers. When
discussing risk factors, you should mention?
A. Alcohol use and history of acute renal failure
B. History of hemorrhoids and diabetes
C. Alcohol abuse and smoking
D. Sedentary lifestyle and smoking - ANS ✔✔C
A client who had surgery for a perforated bowel develops peritonitis. What clinical findings
related to peritonitis should the nurse expect the client to exhibit? Select all that apply.
A. Fever
B. Hyperactivity
C. Extreme hunger
D. Urinary retention
E. Abdominal muscle rigidity - ANS ✔✔A, D, E
A client diagnosed as having an exacerbation of colitis. Which clinical findings would the nurse
expect? Select all that apply.
A. Fatigue
B. Diarrhea
C. Weight gain
D. Spitting up blood
E. Abdominal cramps - ANS ✔✔A, B, E
, A nurse is teaching a client recovering from an acute exacerbation of colitis about the most
appropriate diet. Which food/beverage selected by the client indicates that dietary teaching is
effective?
A. Peanuts
B. Scrambled eggs
C. Vanilla milkshake
D. Coca-cola - ANS ✔✔B
Which clinical manifestation should the nurse expect to find in a client diagnosed with
ulcerative colitis?
A. Twenty bloody stools a day
B. Oral temperature of 102F
C. Hard, rigid abdoment
D. Urinary stress incontinence - ANS ✔✔A
The client diagnosed with type 2 diabetes is prescribed predisone for an acute exacerbation of
IBD. Which intervention should the nurse discuss with the client?
A. Take this medication on an empty stomach
B. Notify the HCP if experiencing a moon face
C. Take the steroid medication as prescribed
D. Notify the HCP if the blood glucose is over 160 - ANS ✔✔C
The client diagnosed with IBD has a serum potassium level of 3.4 mEq/L. Which action should
the nurse implement first?
A. Notify the HCP
B. Assess the client for muscle weakness
C. Request telemetry for the client
D. Prepare to administer potassium IV - ANS ✔✔B
Gastrointestinal Review
A client is admitted to the hospital with the diagnosis of intestinal obstruction. The HCP orders
intestinal suction via an NG tube. The loss of which constituents associated with NG suctioning
is most important to consider with this client?
A. Protein Enzymes
B. Carbohydrates
C. Vitamins and Minerals
D. Water and Electrolytes - ANS ✔✔D
After a partial gastrectomy is performed, a client is returned to the surgical unit with IV fluids
running and an NG tube. After 30 minutes the nurse identifies that there has been no NG
drainage for 30 minutes. There is an order for irrigation of the NG tube PRN. The nurse should:
A. Instill 30mL of NS and continue to suction
B. Instill 30mL of air and clamp off the suction for 1 hour
C. Instill 30mL of saline and increase the pressure of suction
D. Instill 30mL of distilled water and disconnect the suction for 30 minutes - ANS ✔✔A
Which statement by the client might indicate a precipitating factor of acute gastritis?
A. "I really enjoy tequila"
B. "I just started a new diet"
C. "I try to walk 2 miles everyday
D. "I never drink alcohol" - ANS ✔✔A
The nurse is caring for a patient with a bleeding gastric ulcer. Which is the appropriate diet for
this patient 24 hours after admission?
A. Regular diet
,B. Nothing by mouth (NPO)
C. Clear liquid
D. Full liquid - ANS ✔✔B
You are preparing to educate a group at the community center about peptic ulcers. When
discussing risk factors, you should mention?
A. Alcohol use and history of acute renal failure
B. History of hemorrhoids and diabetes
C. Alcohol abuse and smoking
D. Sedentary lifestyle and smoking - ANS ✔✔C
A client who had surgery for a perforated bowel develops peritonitis. What clinical findings
related to peritonitis should the nurse expect the client to exhibit? Select all that apply.
A. Fever
B. Hyperactivity
C. Extreme hunger
D. Urinary retention
E. Abdominal muscle rigidity - ANS ✔✔A, D, E
A client diagnosed as having an exacerbation of colitis. Which clinical findings would the nurse
expect? Select all that apply.
A. Fatigue
B. Diarrhea
C. Weight gain
D. Spitting up blood
E. Abdominal cramps - ANS ✔✔A, B, E
, A nurse is teaching a client recovering from an acute exacerbation of colitis about the most
appropriate diet. Which food/beverage selected by the client indicates that dietary teaching is
effective?
A. Peanuts
B. Scrambled eggs
C. Vanilla milkshake
D. Coca-cola - ANS ✔✔B
Which clinical manifestation should the nurse expect to find in a client diagnosed with
ulcerative colitis?
A. Twenty bloody stools a day
B. Oral temperature of 102F
C. Hard, rigid abdoment
D. Urinary stress incontinence - ANS ✔✔A
The client diagnosed with type 2 diabetes is prescribed predisone for an acute exacerbation of
IBD. Which intervention should the nurse discuss with the client?
A. Take this medication on an empty stomach
B. Notify the HCP if experiencing a moon face
C. Take the steroid medication as prescribed
D. Notify the HCP if the blood glucose is over 160 - ANS ✔✔C
The client diagnosed with IBD has a serum potassium level of 3.4 mEq/L. Which action should
the nurse implement first?
A. Notify the HCP
B. Assess the client for muscle weakness
C. Request telemetry for the client
D. Prepare to administer potassium IV - ANS ✔✔B
