2024 GASTRO 162B FINAL EXAM / ACTUAL 162B
GASTRO FINAL EXAM REAL QUESTIONS AND CORRECT
DETAILED ANSWERS (100% CORRECT VERIFIED
ANSWERS) A NEW UPDATED VERSION 2024 |ALREADY
GRADED A+ (BRAND NEW!!)
After a liver biopsy, the nurse places the client in which of the following positions? -
ANSWER: A right side-lying position with a small pillow or folded towel under the
puncture site
A nurse is administering a cleansing enema to a client with a fecal impaction. Before
administering the enema, the nurse assists the client to which of the following
positions? - ANSWER: Left Sims' position
A nurse is assisting with the insertion of a nasogastric tube into a client. The nurse
places the client in which position for insertion? - ANSWER: High Fowler's position
A nurse is checking a client for the correct placement of a nasogastric (NG) tube. The
nurse aspirates the client's stomach contents and checks their pH level. Which of the
following pH values indicates the correct placement of the tube? - ANSWER: 4.0
A licensed practical nurse (LPN) is preparing to assist a registered nurse (RN) with
removing a nasogastric (NG) tube from the client. The LPN would instruct the client
to do which of the following? - ANSWER: Take and hold a deep breath.
A nurse is preparing to administer an intermittent tube feeding to a client with a
nasogastric tube. The nurse checks the residual and obtains an amount of 200 mL.
The nurse would: - ANSWER: Hold the feeding.
A nurse is teaching the client about an upcoming colonoscopy procedure. The nurse
would include in the instructions that the client will be placed in which of the
following positions for the procedure? - ANSWER: Left Sims' position
A nurse provides instructions to a client after a liver biopsy. The nurse tells the client
to: - ANSWER: Lie on the right side for 2 hours.
A nurse is caring for a client with a diagnosis of chronic gastritis. The nurse
anticipates that this client is at risk for which vitamin deficiency? - ANSWER: Vitamin
B12
A nurse is caring for a client after a Billroth II procedure. On review of the
postoperative prescriptions, which of the following, if prescribed, would the nurse
question and verify? - ANSWER: Irrigating the nasogastric (NG) tube
,The nurse is providing discharge instructions to a client after gastrectomy. Which
measure will the nurse instruct the client to follow to help prevent dumping
syndrome? - ANSWER: Limit the fluids taken with meals.
A nurse is monitoring a client for the early signs and symptoms of dumping
syndrome. Which of the following symptoms indicate this occurrence? - ANSWER:
Sweating and pallor
A nurse is reviewing the record of a client with Crohn's disease. Which of the
following stool characteristics would the nurse expect to see documented in the
record? - ANSWER: Diarrhea
A client with ascites is scheduled for a paracentesis. The nurse is assisting the health
care provider in performing the procedure. Which of the following positions will the
nurse assist the client to assume for this procedure? - ANSWER: Upright
An ultrasound of the gallbladder is scheduled for the client with a suspected
diagnosis of cholecystitis. The nurse explains to the client that this test: - ANSWER:
Requires the client to lie still for short intervals
It has been determined that a client with hepatitis has contracted the infection from
contaminated food. What type of hepatitis is this client most likely experiencing? -
ANSWER: Hepatitis A
A nurse is reviewing the health care provider's prescriptions written for a client
admitted with acute pancreatitis. Which health care provider prescription would the
nurse verify if noted on the client's chart? - ANSWER: Position the client supine and
flat.
A client with hiatal hernia chronically experiences heartburn after meals. The nurse
would teach the client to avoid which of the following, which is contraindicated with
hiatal hernia? - ANSWER: Lying recumbent after meals
A nurse is monitoring for stoma prolapse in a client with a colostomy. The nurse
would observe which of the following appearances in the stoma if prolapse
occurred? - ANSWER: Protruding and swollen
A nurse is reviewing the prescriptions of a client admitted to the hospital with a
diagnosis of acute pancreatitis. Choose the interventions that the nurse would
expect to be prescribed for the client. Select all that apply. - ANSWER: Administer
antacids, as prescribed.
Encourage coughing and deep breathing.
Administer anticholinergics, as prescribed.
, Before administering an intermittent tube feeding through a nasogastric tube, the
nurse checks for gastric residual volume. The nurse understands that the rationale
for checking gastric residual volume before administering the tube feeding is to: -
ANSWER: Evaluate absorption of the last feeding.
An adult client with hepatic encephalopathy has a serum ammonia level of 120
mcg/dL and receives treatment with lactulose (Chronulac) syrup. The nurse
determines that the client has the best and most optimal response if the level
changes to which of the following after medication administration? - ANSWER: 70
mcg/dL
A nurse provides medication instructions to a client with peptic ulcer disease. Which
statement by the client indicates the best understanding of the medication therapy?
- ANSWER: "The nizatidine (Axid) will cause me to produce less stomach acid."
A nurse is preparing to administer an enema to an adult client. Choose the
interventions that the nurse would perform for this procedure. Select all that apply. -
ANSWER: Apply disposable gloves.
Lubricate the enema tube and insert it approximately 4 inches.
Clamp the tubing if the client expresses discomfort during the procedure.
Ensure that the temperature of the solution is between 100° F (37.8° C) and 105° F
(40.5° C).
The nurse observes that a client with a nasogastric tube connected to continuous
gastric suction is mouth breathing, has dry mucous membranes, and has a foul
breath odor. In planning care, which nursing intervention would be best to maintain
the integrity of this client's oral mucosa? - ANSWER: Brush the client's teeth
frequently. Use diluted mouthwash and water to rinse the mouth.
A client with acute pancreatitis is experiencing severe pain from the disorder. The
nurse tells the client to avoid which position that could aggravate the pain? -
ANSWER: Lying flat
A nurse is evaluating the effect of dietary counseling on the client with cholecystitis.
The nurse determines that the client understands the instructions given if the client
states that which food item is acceptable to include in the diet? - ANSWER: Turkey
and lettuce sandwich
A client is admitted to the hospital with acute viral hepatitis. Which signs or
symptoms would the nurse expect to note, based upon this diagnosis? - ANSWER:
Fatigue
GASTRO FINAL EXAM REAL QUESTIONS AND CORRECT
DETAILED ANSWERS (100% CORRECT VERIFIED
ANSWERS) A NEW UPDATED VERSION 2024 |ALREADY
GRADED A+ (BRAND NEW!!)
After a liver biopsy, the nurse places the client in which of the following positions? -
ANSWER: A right side-lying position with a small pillow or folded towel under the
puncture site
A nurse is administering a cleansing enema to a client with a fecal impaction. Before
administering the enema, the nurse assists the client to which of the following
positions? - ANSWER: Left Sims' position
A nurse is assisting with the insertion of a nasogastric tube into a client. The nurse
places the client in which position for insertion? - ANSWER: High Fowler's position
A nurse is checking a client for the correct placement of a nasogastric (NG) tube. The
nurse aspirates the client's stomach contents and checks their pH level. Which of the
following pH values indicates the correct placement of the tube? - ANSWER: 4.0
A licensed practical nurse (LPN) is preparing to assist a registered nurse (RN) with
removing a nasogastric (NG) tube from the client. The LPN would instruct the client
to do which of the following? - ANSWER: Take and hold a deep breath.
A nurse is preparing to administer an intermittent tube feeding to a client with a
nasogastric tube. The nurse checks the residual and obtains an amount of 200 mL.
The nurse would: - ANSWER: Hold the feeding.
A nurse is teaching the client about an upcoming colonoscopy procedure. The nurse
would include in the instructions that the client will be placed in which of the
following positions for the procedure? - ANSWER: Left Sims' position
A nurse provides instructions to a client after a liver biopsy. The nurse tells the client
to: - ANSWER: Lie on the right side for 2 hours.
A nurse is caring for a client with a diagnosis of chronic gastritis. The nurse
anticipates that this client is at risk for which vitamin deficiency? - ANSWER: Vitamin
B12
A nurse is caring for a client after a Billroth II procedure. On review of the
postoperative prescriptions, which of the following, if prescribed, would the nurse
question and verify? - ANSWER: Irrigating the nasogastric (NG) tube
,The nurse is providing discharge instructions to a client after gastrectomy. Which
measure will the nurse instruct the client to follow to help prevent dumping
syndrome? - ANSWER: Limit the fluids taken with meals.
A nurse is monitoring a client for the early signs and symptoms of dumping
syndrome. Which of the following symptoms indicate this occurrence? - ANSWER:
Sweating and pallor
A nurse is reviewing the record of a client with Crohn's disease. Which of the
following stool characteristics would the nurse expect to see documented in the
record? - ANSWER: Diarrhea
A client with ascites is scheduled for a paracentesis. The nurse is assisting the health
care provider in performing the procedure. Which of the following positions will the
nurse assist the client to assume for this procedure? - ANSWER: Upright
An ultrasound of the gallbladder is scheduled for the client with a suspected
diagnosis of cholecystitis. The nurse explains to the client that this test: - ANSWER:
Requires the client to lie still for short intervals
It has been determined that a client with hepatitis has contracted the infection from
contaminated food. What type of hepatitis is this client most likely experiencing? -
ANSWER: Hepatitis A
A nurse is reviewing the health care provider's prescriptions written for a client
admitted with acute pancreatitis. Which health care provider prescription would the
nurse verify if noted on the client's chart? - ANSWER: Position the client supine and
flat.
A client with hiatal hernia chronically experiences heartburn after meals. The nurse
would teach the client to avoid which of the following, which is contraindicated with
hiatal hernia? - ANSWER: Lying recumbent after meals
A nurse is monitoring for stoma prolapse in a client with a colostomy. The nurse
would observe which of the following appearances in the stoma if prolapse
occurred? - ANSWER: Protruding and swollen
A nurse is reviewing the prescriptions of a client admitted to the hospital with a
diagnosis of acute pancreatitis. Choose the interventions that the nurse would
expect to be prescribed for the client. Select all that apply. - ANSWER: Administer
antacids, as prescribed.
Encourage coughing and deep breathing.
Administer anticholinergics, as prescribed.
, Before administering an intermittent tube feeding through a nasogastric tube, the
nurse checks for gastric residual volume. The nurse understands that the rationale
for checking gastric residual volume before administering the tube feeding is to: -
ANSWER: Evaluate absorption of the last feeding.
An adult client with hepatic encephalopathy has a serum ammonia level of 120
mcg/dL and receives treatment with lactulose (Chronulac) syrup. The nurse
determines that the client has the best and most optimal response if the level
changes to which of the following after medication administration? - ANSWER: 70
mcg/dL
A nurse provides medication instructions to a client with peptic ulcer disease. Which
statement by the client indicates the best understanding of the medication therapy?
- ANSWER: "The nizatidine (Axid) will cause me to produce less stomach acid."
A nurse is preparing to administer an enema to an adult client. Choose the
interventions that the nurse would perform for this procedure. Select all that apply. -
ANSWER: Apply disposable gloves.
Lubricate the enema tube and insert it approximately 4 inches.
Clamp the tubing if the client expresses discomfort during the procedure.
Ensure that the temperature of the solution is between 100° F (37.8° C) and 105° F
(40.5° C).
The nurse observes that a client with a nasogastric tube connected to continuous
gastric suction is mouth breathing, has dry mucous membranes, and has a foul
breath odor. In planning care, which nursing intervention would be best to maintain
the integrity of this client's oral mucosa? - ANSWER: Brush the client's teeth
frequently. Use diluted mouthwash and water to rinse the mouth.
A client with acute pancreatitis is experiencing severe pain from the disorder. The
nurse tells the client to avoid which position that could aggravate the pain? -
ANSWER: Lying flat
A nurse is evaluating the effect of dietary counseling on the client with cholecystitis.
The nurse determines that the client understands the instructions given if the client
states that which food item is acceptable to include in the diet? - ANSWER: Turkey
and lettuce sandwich
A client is admitted to the hospital with acute viral hepatitis. Which signs or
symptoms would the nurse expect to note, based upon this diagnosis? - ANSWER:
Fatigue
