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Adult 1 EVE EXAM 5 Chps 32 33 34 35 GI UGI LGI Liver Pancreas GB
1. Which information about an 80-year-old man at the senior center is of most concern to the
nurse?
A. Decreased appetite
B. Unintended weight loss Correct
C. Difficulty chewing food
D. Complaints of indigestion
2. 2.ID: 809433577
A 62- year-old man reports chronic constipation. To promote bowel evacuation, the nurse will
suggest that the patient attempt defecation
A. in the mid-afternoon.
B. after eating breakfast. Correct
C. right after getting up in the morning.
D. immediately before the first daily meal.
3. 3.ID: 809433583
When caring for a patient with a history of a total gastrectomy, the nurse will monitor for
A. constipation.
B. dehydration.
C. elevated total serum cholesterol.
D. cobalamin (vitamin B12) deficiency. Correct
4. 4.ID: 809433579
The nurse will plan to monitor a patient with an obstructed common bile duct for
A. melena.
B. steatorrhea. Correct
C. decreased serum cholesterol levels.
D. increased serum indirect bilirubin levels.
5. 5.ID: 809433575
The nurse receives the following information about a client who is scheduled for a colonoscopy.
Which information should be communicated to the health care provider before sending the patient
for the procedure?
A. The patient has a permanent pacemaker to prevent bradycardia.
B. The patient is worried about discomfort during the examination.
C. The patient has had an allergic reaction to shellfish and iodine in the past.
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D. The patient refused to drink the ordered polyethylene glycol
(GoLYTELY). Correct
6. 6.ID: 809433585
Which statement to the nurse from a patient with jaundice indicates a need for teaching?
A. "I used cough syrup several times a day last week."
B. "I take a baby aspirin every day to prevent strokes."
C. "I use acetaminophen (Tylenol) every 4 hours for back pain." Correct
D. "I need to take an antacid for indigestion several times a week"
7. 7.ID: 809433571
To palpate the liver during a head-to-toe physical assessment, the nurse
A. places one hand on the patient's back and presses upward and inward with the
other hand below the patient's right costal margin. Correct
B. places one hand on top of the other and uses the upper fingers to apply
pressure and the bottom fingers to feel for the liver edge.
C. presses slowly and firmly over the right costal margin with one hand and
withdraws the fingers quickly after the liver edge is felt.
D. places one hand under the patient's lower ribs and presses the left lower rib
cage forward, palpating below the costal margin with the other hand.
8. 8.ID: 809433581
Which finding by the nurse during abdominal auscultation indicates a need for a focused abdominal
assessment?
A. Loud gurgles
B. High-pitched gurgles
C. Absent bowel sounds Correct
D. Frequent clicking sounds
9. 9.ID: 809433597
After assisting with a needle biopsy of the liver at a patient's bedside, the nurse should
A. put pressure on the biopsy site using a sandbag.
B. elevate the head of the bed to facilitate breathing.
C. place the patient on the right side with the bed flat. Correct
D. check the patient's postbiopsy coagulation studies.
10. 10.ID: 809434603
A 42-year-old woman is admitted to the outpatient testing area for an ultrasound of the gallbladder.
Which information obtained by the nurse indicates that the ultrasound may need to be rescheduled?
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A. The patient took a laxative the previous evening.
B. The patient had a high-fat meal the previous evening.
C. The patient has a permanent gastrostomy tube in place.
D. The patient ate a low-fat bagel 4 hours ago for breakfast. Correct
11. 11.ID: 809433589
The nurse is assessing an alert and independent 78-year-old woman for malnutrition risk. The most
appropriate initial question is which of the following?
A. "How do you get to the store to buy your food?"
B. "Can you tell me the food that you ate yesterday?" Correct
C. "Do you have any difficulty in preparing or eating food?"
D. "Are you taking any medications that alter your taste for food?"
12. 12.ID: 809433591
A 54-year-old man has just arrived in the recovery area after an upper endoscopy. Which information
collected by the nurse is mostimportant to communicate to the health care provider?
A. The patient is very drowsy.
B. The patient reports a sore throat.
C. The oral temperature is 101.6° F. Correct
D. The apical pulse is 104 beats/minute.
13. 13.ID: 809433587
A 30-year-old man is being admitted to the hospital for elective knee surgery. Which assessment
finding is most important to report to the health care provider?
A. Tympany on percussion of the abdomen
B. Liver edge 3 cm below the costal margin Correct
C. Bowel sounds of 20/minute in each quadrant
D. Aortic pulsations visible in the epigastric area
14. 14.ID: 809433595
A 58-year-old woman has just returned to the nursing unit after an esophagogastroduodenoscopy
(EGD). Which action by unlicensed assistive personnel (UAP) requires that the registered nurse
(RN) intervene?
A. Offering the patient a drink of water Correct
B. Positioning the patient on the right side
C. Checking the vital signs every 30 minutes
D. Swabbing the patient's mouth with cold water
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15. 15.ID: 809433599
A patient is being scheduled for endoscopic retrograde cholangiopancreatography (ERCP) as soon
as possible. Which actions from the agency policy for ERCP should the nurse take first?
A. Place the patient on NPO status. Correct
B. Administer sedative medications.
C. Ensure the consent form is signed.
D. Teach the patient about the procedure.
16. 16.ID: 809433573
While interviewing a 30-year-old man, the nurse learns that the patient has a family history of familial
adenomatous polyposis (FAP). The nurse will plan to assess the patient's knowledge about
A. preventing noninfectious hepatitis.
B. treating inflammatory bowel disease.
C. risk for developing colorectal cancer. Correct
D. using antacids and proton pump inhibitors.
17. 17.ID: 809433593
Which area of the abdomen shown in the accompanying figure will the nurse palpate to assess for
splenomegaly?
A. 1
B. 2 Correct
C. 3
D. 4
Questions
1. 1.ID: 809421519
A 53-year-old male patient with deep partial-thickness burns from a chemical spill in the workplace
experiences severe pain followed by nausea during dressing changes. Which action will
be most useful in decreasing the patient's nausea?
Adult 1 EVE EXAM 5 Chps 32 33 34 35 GI UGI LGI Liver Pancreas GB
1. Which information about an 80-year-old man at the senior center is of most concern to the
nurse?
A. Decreased appetite
B. Unintended weight loss Correct
C. Difficulty chewing food
D. Complaints of indigestion
2. 2.ID: 809433577
A 62- year-old man reports chronic constipation. To promote bowel evacuation, the nurse will
suggest that the patient attempt defecation
A. in the mid-afternoon.
B. after eating breakfast. Correct
C. right after getting up in the morning.
D. immediately before the first daily meal.
3. 3.ID: 809433583
When caring for a patient with a history of a total gastrectomy, the nurse will monitor for
A. constipation.
B. dehydration.
C. elevated total serum cholesterol.
D. cobalamin (vitamin B12) deficiency. Correct
4. 4.ID: 809433579
The nurse will plan to monitor a patient with an obstructed common bile duct for
A. melena.
B. steatorrhea. Correct
C. decreased serum cholesterol levels.
D. increased serum indirect bilirubin levels.
5. 5.ID: 809433575
The nurse receives the following information about a client who is scheduled for a colonoscopy.
Which information should be communicated to the health care provider before sending the patient
for the procedure?
A. The patient has a permanent pacemaker to prevent bradycardia.
B. The patient is worried about discomfort during the examination.
C. The patient has had an allergic reaction to shellfish and iodine in the past.
, 2|Page
D. The patient refused to drink the ordered polyethylene glycol
(GoLYTELY). Correct
6. 6.ID: 809433585
Which statement to the nurse from a patient with jaundice indicates a need for teaching?
A. "I used cough syrup several times a day last week."
B. "I take a baby aspirin every day to prevent strokes."
C. "I use acetaminophen (Tylenol) every 4 hours for back pain." Correct
D. "I need to take an antacid for indigestion several times a week"
7. 7.ID: 809433571
To palpate the liver during a head-to-toe physical assessment, the nurse
A. places one hand on the patient's back and presses upward and inward with the
other hand below the patient's right costal margin. Correct
B. places one hand on top of the other and uses the upper fingers to apply
pressure and the bottom fingers to feel for the liver edge.
C. presses slowly and firmly over the right costal margin with one hand and
withdraws the fingers quickly after the liver edge is felt.
D. places one hand under the patient's lower ribs and presses the left lower rib
cage forward, palpating below the costal margin with the other hand.
8. 8.ID: 809433581
Which finding by the nurse during abdominal auscultation indicates a need for a focused abdominal
assessment?
A. Loud gurgles
B. High-pitched gurgles
C. Absent bowel sounds Correct
D. Frequent clicking sounds
9. 9.ID: 809433597
After assisting with a needle biopsy of the liver at a patient's bedside, the nurse should
A. put pressure on the biopsy site using a sandbag.
B. elevate the head of the bed to facilitate breathing.
C. place the patient on the right side with the bed flat. Correct
D. check the patient's postbiopsy coagulation studies.
10. 10.ID: 809434603
A 42-year-old woman is admitted to the outpatient testing area for an ultrasound of the gallbladder.
Which information obtained by the nurse indicates that the ultrasound may need to be rescheduled?
, 3|Page
A. The patient took a laxative the previous evening.
B. The patient had a high-fat meal the previous evening.
C. The patient has a permanent gastrostomy tube in place.
D. The patient ate a low-fat bagel 4 hours ago for breakfast. Correct
11. 11.ID: 809433589
The nurse is assessing an alert and independent 78-year-old woman for malnutrition risk. The most
appropriate initial question is which of the following?
A. "How do you get to the store to buy your food?"
B. "Can you tell me the food that you ate yesterday?" Correct
C. "Do you have any difficulty in preparing or eating food?"
D. "Are you taking any medications that alter your taste for food?"
12. 12.ID: 809433591
A 54-year-old man has just arrived in the recovery area after an upper endoscopy. Which information
collected by the nurse is mostimportant to communicate to the health care provider?
A. The patient is very drowsy.
B. The patient reports a sore throat.
C. The oral temperature is 101.6° F. Correct
D. The apical pulse is 104 beats/minute.
13. 13.ID: 809433587
A 30-year-old man is being admitted to the hospital for elective knee surgery. Which assessment
finding is most important to report to the health care provider?
A. Tympany on percussion of the abdomen
B. Liver edge 3 cm below the costal margin Correct
C. Bowel sounds of 20/minute in each quadrant
D. Aortic pulsations visible in the epigastric area
14. 14.ID: 809433595
A 58-year-old woman has just returned to the nursing unit after an esophagogastroduodenoscopy
(EGD). Which action by unlicensed assistive personnel (UAP) requires that the registered nurse
(RN) intervene?
A. Offering the patient a drink of water Correct
B. Positioning the patient on the right side
C. Checking the vital signs every 30 minutes
D. Swabbing the patient's mouth with cold water
, 4|Page
15. 15.ID: 809433599
A patient is being scheduled for endoscopic retrograde cholangiopancreatography (ERCP) as soon
as possible. Which actions from the agency policy for ERCP should the nurse take first?
A. Place the patient on NPO status. Correct
B. Administer sedative medications.
C. Ensure the consent form is signed.
D. Teach the patient about the procedure.
16. 16.ID: 809433573
While interviewing a 30-year-old man, the nurse learns that the patient has a family history of familial
adenomatous polyposis (FAP). The nurse will plan to assess the patient's knowledge about
A. preventing noninfectious hepatitis.
B. treating inflammatory bowel disease.
C. risk for developing colorectal cancer. Correct
D. using antacids and proton pump inhibitors.
17. 17.ID: 809433593
Which area of the abdomen shown in the accompanying figure will the nurse palpate to assess for
splenomegaly?
A. 1
B. 2 Correct
C. 3
D. 4
Questions
1. 1.ID: 809421519
A 53-year-old male patient with deep partial-thickness burns from a chemical spill in the workplace
experiences severe pain followed by nausea during dressing changes. Which action will
be most useful in decreasing the patient's nausea?
