SATA Exam. Multiple Choice questions and
correct answers With Rationale. 2024/2025.
1. The nurse is aware of the 2014 American Cancer Society Screening Guidelines for colon cancer,
which
include which testing modalities for people over the age of 50? (Select all that apply.)
a. Colonoscopy every 10 years
b. Colonoscopy every 5 years
c. Computed tomography (CT) colonography every 5 years
d. Double-contrast barium enema every 10 years
e. Flexible sigmoidoscopy every 10 years
ANS: A, C
Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 9e 438
The options for colon cancer screening for people over the age of 50 include colonoscopy every 10 years
and
CT colonography, double-contrast barium enema, or flexible sigmoidoscopy every 5 years.
2. A client had an endoscopic retrograde cholangiopancreatography (ERCP). The nurse instructs the
client and
family about the signs of potential complications, which include what problems? (Select all that
apply.)
a. Cholangitis
b. Pancreatitis
c. Perforation
d. Renal lithiasis
e. Sepsis
ANS: A, B, C, E
Possible complications after an ERCP include cholangitis, pancreatitis, perforation, sepsis, and bleeding.
Kidney stones are not a complication of ERCP.
3. The nurse working with older clients understands age-related changes in the gastrointestinal
system. Which
changes does this include? (Select all that apply.)
a. Decreased hydrochloric acid production
b. Diminished sensation that can lead to constipation
c. Fat not digested as well in older adults
d. Increased peristalsis in the large intestine
e. Pancreatic vessels become calcified
ANS: A, B, C, E
Several age-related changes occur in the gastrointestinal system. These include decreased hydrochloric
acid
, production, diminished nerve function that leads to decreased sensation of the need to pass stool,
decreased fat
digestion, decreased peristalsis in the large intestine, and calcification of pancreatic vessels.
4. The nurse working in the gastrointestinal clinic sees clients who are anemic. What are common
causes for
which the nurse assesses in these clients? (Select all that apply.)
a. Colon cancer
b. Diverticulitis
c. Inflammatory bowel disease
d. Peptic ulcer disease
e. Pernicious anemia
ANS: A, B, C, D
In adults, the most common cause of anemia is GI bleeding. This is commonly associated with colon
cancer, diverticulitis, inflammatory bowel disease, and peptic ulcer disease. Pernicious anemia is not
associated with
GI bleeding.
5. The nurse working with clients who have gastrointestinal problems knows that which laboratory
values are
related to what organ dysfunctions? (Select all that apply.)
a. Alanine aminotransferase: biliary system
b. Ammonia: liver
c. Amylase: liver
d. Lipase: pancreas
e. Urine urobilinogen: stomach
ANS: B, D
Alanine aminotransferase and ammonia are related to the liver. Amylase and lipase are related to the
pancreas. Urobilinogen evaluates both hepatic and biliary function.
1. The nurse is caring for a client with sialadenitis. What comfort measures may the nurse delegate to
the
unlicensed assistive personnel (UAP)? (Select all that apply.)
a. Applying warm compresses
b. Massaging salivary glands
c. Offering fluids every hour
d. Providing lemon-glycerin swabs
e. Reminding the client to avoid speaking
ANS: A, C
The UAP can apply warm compresses and offer fluids. Massaging salivary glands can be done, but not by
the
UAP. Lemon-glycerin swabs are drying and should not be used. Speaking has no effect on this condition.
correct answers With Rationale. 2024/2025.
1. The nurse is aware of the 2014 American Cancer Society Screening Guidelines for colon cancer,
which
include which testing modalities for people over the age of 50? (Select all that apply.)
a. Colonoscopy every 10 years
b. Colonoscopy every 5 years
c. Computed tomography (CT) colonography every 5 years
d. Double-contrast barium enema every 10 years
e. Flexible sigmoidoscopy every 10 years
ANS: A, C
Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 9e 438
The options for colon cancer screening for people over the age of 50 include colonoscopy every 10 years
and
CT colonography, double-contrast barium enema, or flexible sigmoidoscopy every 5 years.
2. A client had an endoscopic retrograde cholangiopancreatography (ERCP). The nurse instructs the
client and
family about the signs of potential complications, which include what problems? (Select all that
apply.)
a. Cholangitis
b. Pancreatitis
c. Perforation
d. Renal lithiasis
e. Sepsis
ANS: A, B, C, E
Possible complications after an ERCP include cholangitis, pancreatitis, perforation, sepsis, and bleeding.
Kidney stones are not a complication of ERCP.
3. The nurse working with older clients understands age-related changes in the gastrointestinal
system. Which
changes does this include? (Select all that apply.)
a. Decreased hydrochloric acid production
b. Diminished sensation that can lead to constipation
c. Fat not digested as well in older adults
d. Increased peristalsis in the large intestine
e. Pancreatic vessels become calcified
ANS: A, B, C, E
Several age-related changes occur in the gastrointestinal system. These include decreased hydrochloric
acid
, production, diminished nerve function that leads to decreased sensation of the need to pass stool,
decreased fat
digestion, decreased peristalsis in the large intestine, and calcification of pancreatic vessels.
4. The nurse working in the gastrointestinal clinic sees clients who are anemic. What are common
causes for
which the nurse assesses in these clients? (Select all that apply.)
a. Colon cancer
b. Diverticulitis
c. Inflammatory bowel disease
d. Peptic ulcer disease
e. Pernicious anemia
ANS: A, B, C, D
In adults, the most common cause of anemia is GI bleeding. This is commonly associated with colon
cancer, diverticulitis, inflammatory bowel disease, and peptic ulcer disease. Pernicious anemia is not
associated with
GI bleeding.
5. The nurse working with clients who have gastrointestinal problems knows that which laboratory
values are
related to what organ dysfunctions? (Select all that apply.)
a. Alanine aminotransferase: biliary system
b. Ammonia: liver
c. Amylase: liver
d. Lipase: pancreas
e. Urine urobilinogen: stomach
ANS: B, D
Alanine aminotransferase and ammonia are related to the liver. Amylase and lipase are related to the
pancreas. Urobilinogen evaluates both hepatic and biliary function.
1. The nurse is caring for a client with sialadenitis. What comfort measures may the nurse delegate to
the
unlicensed assistive personnel (UAP)? (Select all that apply.)
a. Applying warm compresses
b. Massaging salivary glands
c. Offering fluids every hour
d. Providing lemon-glycerin swabs
e. Reminding the client to avoid speaking
ANS: A, C
The UAP can apply warm compresses and offer fluids. Massaging salivary glands can be done, but not by
the
UAP. Lemon-glycerin swabs are drying and should not be used. Speaking has no effect on this condition.
