GASTROINTESTINAL NURSING
CARE 100 QUESTION PRACTICE
EXAM WITH CORRECT VERIFIED
AND WELL ANALYZED ANSWERS |
ALREADY GRADED A+ | 2026 LATEST
UPDATE!!!
1. A nurse is caring for a patient with gastroesophageal reflux
disease (GERD). Which instruction should the nurse include in
the teaching plan?
A. Lie flat immediately after meals
B. Eat large meals before bedtime
C. Avoid spicy and fatty foods
D. Drink carbonated beverages frequently
Answer: C. Avoid spicy and fatty foods
Rationale: Spicy and fatty foods can weaken the lower esophageal
sphincter and increase gastric reflux symptoms. Patients with GERD
are encouraged to avoid trigger foods, remain upright after meals, and
consume smaller, more frequent meals to reduce reflux episodes.
2. Which assessment finding is most concerning in a patient with
a peptic ulcer?
,A. Mild abdominal discomfort
B. Heartburn after meals
C. Black, tarry stools
D. Increased appetite
Answer: C. Black, tarry stools
Rationale: Black, tarry stools indicate melena, which suggests upper
gastrointestinal bleeding. This finding requires immediate evaluation
because hemorrhage is a serious complication of peptic ulcer disease.
3. A patient with ulcerative colitis is experiencing frequent
diarrhea. Which nursing intervention is most appropriate?
A. Encourage a high-fiber diet
B. Monitor fluid and electrolyte balance
C. Restrict all oral fluids
D. Promote strenuous exercise
Answer: B. Monitor fluid and electrolyte balance
Rationale: Frequent diarrhea can lead to dehydration and electrolyte
imbalance. Careful monitoring of intake, output, and laboratory
values is essential to prevent complications associated with fluid
volume deficit.
4. Which laboratory result is commonly elevated in acute
pancreatitis?
A. Hemoglobin
B. Calcium
C. Serum amylase
D. Platelet count
Answer: C. Serum amylase
,Rationale: Acute pancreatitis commonly causes elevated serum
amylase and lipase levels due to pancreatic inflammation and enzyme
leakage into the bloodstream.
5. A nurse is teaching a patient about prevention of hepatitis A.
Which statement by the patient indicates understanding?
A. “I should avoid sharing needles.”
B. “I will wash my hands thoroughly before eating.”
C. “I need to avoid blood transfusions.”
D. “I should not share razors.”
Answer: B. “I will wash my hands thoroughly before eating.”
Rationale: Hepatitis A is transmitted through the fecal-oral route.
Proper hand hygiene and safe food handling are important preventive
measures.
6. Which finding is most characteristic of Crohn’s disease?
A. Continuous lesions in the colon
B. Inflammation limited to the rectum
C. Skip lesions throughout the GI tract
D. Absence of abdominal pain
Answer: C. Skip lesions throughout the GI tract
Rationale: Crohn’s disease is characterized by patchy inflammatory
areas called skip lesions that may occur anywhere in the
gastrointestinal tract.
7. A patient with liver cirrhosis has ascites. Which nursing
intervention is most appropriate?
A. Encourage high sodium intake
B. Measure abdominal girth daily
, C. Restrict protein intake completely
D. Place the patient in Trendelenburg position
Answer: B. Measure abdominal girth daily
Rationale: Daily abdominal girth measurements help monitor fluid
accumulation and the effectiveness of treatment for ascites.
8. Which symptom is commonly associated with appendicitis?
A. Left lower quadrant pain
B. Pain relieved by eating
C. Rebound tenderness in the right lower quadrant
D. Absence of fever
Answer: C. Rebound tenderness in the right lower quadrant
Rationale: Appendicitis typically presents with right lower quadrant
pain and rebound tenderness due to inflammation of the appendix.
9. A nurse is caring for a patient receiving total parenteral
nutrition (TPN). Which action is a priority?
A. Administer medications through the same IV line
B. Monitor blood glucose levels
C. Discontinue TPN abruptly
D. Infuse TPN rapidly if delayed
Answer: B. Monitor blood glucose levels
Rationale: TPN solutions contain high concentrations of glucose,
placing patients at risk for hyperglycemia. Regular blood glucose
monitoring is essential.
10. Which finding suggests dehydration in a patient with
severe vomiting?
CARE 100 QUESTION PRACTICE
EXAM WITH CORRECT VERIFIED
AND WELL ANALYZED ANSWERS |
ALREADY GRADED A+ | 2026 LATEST
UPDATE!!!
1. A nurse is caring for a patient with gastroesophageal reflux
disease (GERD). Which instruction should the nurse include in
the teaching plan?
A. Lie flat immediately after meals
B. Eat large meals before bedtime
C. Avoid spicy and fatty foods
D. Drink carbonated beverages frequently
Answer: C. Avoid spicy and fatty foods
Rationale: Spicy and fatty foods can weaken the lower esophageal
sphincter and increase gastric reflux symptoms. Patients with GERD
are encouraged to avoid trigger foods, remain upright after meals, and
consume smaller, more frequent meals to reduce reflux episodes.
2. Which assessment finding is most concerning in a patient with
a peptic ulcer?
,A. Mild abdominal discomfort
B. Heartburn after meals
C. Black, tarry stools
D. Increased appetite
Answer: C. Black, tarry stools
Rationale: Black, tarry stools indicate melena, which suggests upper
gastrointestinal bleeding. This finding requires immediate evaluation
because hemorrhage is a serious complication of peptic ulcer disease.
3. A patient with ulcerative colitis is experiencing frequent
diarrhea. Which nursing intervention is most appropriate?
A. Encourage a high-fiber diet
B. Monitor fluid and electrolyte balance
C. Restrict all oral fluids
D. Promote strenuous exercise
Answer: B. Monitor fluid and electrolyte balance
Rationale: Frequent diarrhea can lead to dehydration and electrolyte
imbalance. Careful monitoring of intake, output, and laboratory
values is essential to prevent complications associated with fluid
volume deficit.
4. Which laboratory result is commonly elevated in acute
pancreatitis?
A. Hemoglobin
B. Calcium
C. Serum amylase
D. Platelet count
Answer: C. Serum amylase
,Rationale: Acute pancreatitis commonly causes elevated serum
amylase and lipase levels due to pancreatic inflammation and enzyme
leakage into the bloodstream.
5. A nurse is teaching a patient about prevention of hepatitis A.
Which statement by the patient indicates understanding?
A. “I should avoid sharing needles.”
B. “I will wash my hands thoroughly before eating.”
C. “I need to avoid blood transfusions.”
D. “I should not share razors.”
Answer: B. “I will wash my hands thoroughly before eating.”
Rationale: Hepatitis A is transmitted through the fecal-oral route.
Proper hand hygiene and safe food handling are important preventive
measures.
6. Which finding is most characteristic of Crohn’s disease?
A. Continuous lesions in the colon
B. Inflammation limited to the rectum
C. Skip lesions throughout the GI tract
D. Absence of abdominal pain
Answer: C. Skip lesions throughout the GI tract
Rationale: Crohn’s disease is characterized by patchy inflammatory
areas called skip lesions that may occur anywhere in the
gastrointestinal tract.
7. A patient with liver cirrhosis has ascites. Which nursing
intervention is most appropriate?
A. Encourage high sodium intake
B. Measure abdominal girth daily
, C. Restrict protein intake completely
D. Place the patient in Trendelenburg position
Answer: B. Measure abdominal girth daily
Rationale: Daily abdominal girth measurements help monitor fluid
accumulation and the effectiveness of treatment for ascites.
8. Which symptom is commonly associated with appendicitis?
A. Left lower quadrant pain
B. Pain relieved by eating
C. Rebound tenderness in the right lower quadrant
D. Absence of fever
Answer: C. Rebound tenderness in the right lower quadrant
Rationale: Appendicitis typically presents with right lower quadrant
pain and rebound tenderness due to inflammation of the appendix.
9. A nurse is caring for a patient receiving total parenteral
nutrition (TPN). Which action is a priority?
A. Administer medications through the same IV line
B. Monitor blood glucose levels
C. Discontinue TPN abruptly
D. Infuse TPN rapidly if delayed
Answer: B. Monitor blood glucose levels
Rationale: TPN solutions contain high concentrations of glucose,
placing patients at risk for hyperglycemia. Regular blood glucose
monitoring is essential.
10. Which finding suggests dehydration in a patient with
severe vomiting?
