Medical-Surgical Nursing I Test 6
A 26-yr-old patient with a family history of stomach cancer asks the nurse about ways to
decrease the risk for developing stomach cancer. The nurse will teach the patient to
avoid - Answer-foods high in nitrites such as bacon.
A 58-yr-old patient has just returned to the nursing unit after an
esophagogastroduodenoscopy (EGD). Which action by unlicensed assistive personnel
(UAP) requires that the nurse intervene? - Answer-Offering the patient a pitcher of water
A 58-yr-old woman who was recently diagnosed with esophageal cancer tells the nurse,
"I do not feel ready to die yet." Which response by the nurse is most appropriate? -
Answer-"Having this new diagnosis must be very hard for you."
After assisting with a needle biopsy of the liver at a patient's bedside, the nurse should -
Answer-place the patient on the right side with the bed flat.
After change-of-shift report, which patient should the nurse assess first? - Answer-A 60-
yr-old patient with nausea and vomiting who has dry mucosa and lethargy
A patient admitted with a peptic ulcer has a nasogastric (NG) tube in place. When the
patient develops sudden, severe upper abdominal pain, diaphoresis, and a firm
abdomen, which action should the nurse take? - Answer-Check the vital signs
A patient has just arrived in the recovery area after an upper endoscopy. Which
information collected by the nurse is most important to communicate to the health care
provider? - Answer-The oral temperature is 101.4°F.
A patient is being prepared for an upper GI series. Which statement indicates that the
patient understands the preparation for this test? - Answer-"I can't have anything to eat
or drink for 6 to 8 hours before the procedure."
A patient vomiting blood-streaked fluid is admitted to the hospital with acute gastritis. To
determine possible risk factors for gastritis, the nurse will ask the patient about -
Answer-use of nonsteroidal antiinflammatory drugs (NSAIDs).
A patient who had gastric bypass surgery 5 weeks ago calls the office to report feelings
of nausea, sweating, and diarrhea shortly after eating meals. What response by the
nurse is most appropriate? - Answer-"Avoid large meals, limit sweets, and drink small
amounts of liquids between meals."
A patient with a duodenal peptic ulcer vomits old blood. What description should the
nurse use to document the appearance of the vomitus? - Answer-Coffee-ground
particles
, A patient with a gastrostomy tube gets a bolus feeding of 200 mL every 4 hours. Before
giving the bolus, the nurse aspirates a residual of 100 mL. Which action is most
appropriate? - Answer-Document the residual and hold the feeding.
A patient with a nasogastric tube connected to suction is NPO (nothing by mouth) and
reports a dry mouth and gagging feeling. What action should the nurse take? - Answer-
Provide oral care
A young adult been admitted to the emergency department with nausea and vomiting.
Which action could the LPN delegate to unlicensed assistive personnel (UAP)? -
Answer-Assist the patient with oral care
Before a nurse can document the presence of diarrhea, which criteria must be met?
*(select all that apply.)* - Answer--Multiple liquid or semiliquid stools in a 24-hour period
-Hyperactive bowel sounds
-Cramping
In caring for a patient with gastric bleeding who has a nasogastric tube in place, the
nurse should include in the plan of care to ensure that the NG tube is: - Answer-Kept
patent with irrigation
The nurse caring for a patient with a peptic ulcer who has had a nasogastric tube
inserted notes bright blood in the tube; the patient complains of pain and has become
hypotensive. Which condition should the nurse recognize these as signs of? - Answer-
Perforation
The nurse cautions that constant stress can cause which alteration to the
gastrointestinal (GI) system? - Answer-Increased digestive juices resulting in a gastric
ulcer
The nurse correctly recognizes that esophageal cancer is associated with which risk
factor(s)? *(select all that apply.)* - Answer--Cigarette smoking
-Heavy alcohol use
-Smokeless tobacco
The nurse explains that the laparoscopic adjustable gastric banding surgery is best
described as which type of bariatric surgery? - Answer-Restrictive
The nurse explains that the older adult is prone to digestive disorders related to which
age-related change(s)? *(select all that apply.)* - Answer--Decreased hydrochloric acid
-Inadequate chewing
-Diminished intestinal motility
-Gastroesophageal sphincter incompetence
A 26-yr-old patient with a family history of stomach cancer asks the nurse about ways to
decrease the risk for developing stomach cancer. The nurse will teach the patient to
avoid - Answer-foods high in nitrites such as bacon.
A 58-yr-old patient has just returned to the nursing unit after an
esophagogastroduodenoscopy (EGD). Which action by unlicensed assistive personnel
(UAP) requires that the nurse intervene? - Answer-Offering the patient a pitcher of water
A 58-yr-old woman who was recently diagnosed with esophageal cancer tells the nurse,
"I do not feel ready to die yet." Which response by the nurse is most appropriate? -
Answer-"Having this new diagnosis must be very hard for you."
After assisting with a needle biopsy of the liver at a patient's bedside, the nurse should -
Answer-place the patient on the right side with the bed flat.
After change-of-shift report, which patient should the nurse assess first? - Answer-A 60-
yr-old patient with nausea and vomiting who has dry mucosa and lethargy
A patient admitted with a peptic ulcer has a nasogastric (NG) tube in place. When the
patient develops sudden, severe upper abdominal pain, diaphoresis, and a firm
abdomen, which action should the nurse take? - Answer-Check the vital signs
A patient has just arrived in the recovery area after an upper endoscopy. Which
information collected by the nurse is most important to communicate to the health care
provider? - Answer-The oral temperature is 101.4°F.
A patient is being prepared for an upper GI series. Which statement indicates that the
patient understands the preparation for this test? - Answer-"I can't have anything to eat
or drink for 6 to 8 hours before the procedure."
A patient vomiting blood-streaked fluid is admitted to the hospital with acute gastritis. To
determine possible risk factors for gastritis, the nurse will ask the patient about -
Answer-use of nonsteroidal antiinflammatory drugs (NSAIDs).
A patient who had gastric bypass surgery 5 weeks ago calls the office to report feelings
of nausea, sweating, and diarrhea shortly after eating meals. What response by the
nurse is most appropriate? - Answer-"Avoid large meals, limit sweets, and drink small
amounts of liquids between meals."
A patient with a duodenal peptic ulcer vomits old blood. What description should the
nurse use to document the appearance of the vomitus? - Answer-Coffee-ground
particles
, A patient with a gastrostomy tube gets a bolus feeding of 200 mL every 4 hours. Before
giving the bolus, the nurse aspirates a residual of 100 mL. Which action is most
appropriate? - Answer-Document the residual and hold the feeding.
A patient with a nasogastric tube connected to suction is NPO (nothing by mouth) and
reports a dry mouth and gagging feeling. What action should the nurse take? - Answer-
Provide oral care
A young adult been admitted to the emergency department with nausea and vomiting.
Which action could the LPN delegate to unlicensed assistive personnel (UAP)? -
Answer-Assist the patient with oral care
Before a nurse can document the presence of diarrhea, which criteria must be met?
*(select all that apply.)* - Answer--Multiple liquid or semiliquid stools in a 24-hour period
-Hyperactive bowel sounds
-Cramping
In caring for a patient with gastric bleeding who has a nasogastric tube in place, the
nurse should include in the plan of care to ensure that the NG tube is: - Answer-Kept
patent with irrigation
The nurse caring for a patient with a peptic ulcer who has had a nasogastric tube
inserted notes bright blood in the tube; the patient complains of pain and has become
hypotensive. Which condition should the nurse recognize these as signs of? - Answer-
Perforation
The nurse cautions that constant stress can cause which alteration to the
gastrointestinal (GI) system? - Answer-Increased digestive juices resulting in a gastric
ulcer
The nurse correctly recognizes that esophageal cancer is associated with which risk
factor(s)? *(select all that apply.)* - Answer--Cigarette smoking
-Heavy alcohol use
-Smokeless tobacco
The nurse explains that the laparoscopic adjustable gastric banding surgery is best
described as which type of bariatric surgery? - Answer-Restrictive
The nurse explains that the older adult is prone to digestive disorders related to which
age-related change(s)? *(select all that apply.)* - Answer--Decreased hydrochloric acid
-Inadequate chewing
-Diminished intestinal motility
-Gastroesophageal sphincter incompetence
