Upper GI tract Questions With All Correct Answers
the nurse has been assigned to provide care for four clients. in what order
should the nurse assess these clients?
a. a client awaiting surgery for a hiatal hernia repair at 11 am
b. a client with suspected gastric surgery who is NPO status for tests
c. a client with PUD experiencing a sudden onset of acute stomach pain
d. a client who is requesting pain medication 2 days after surgery to repair a
fractured jaw correct answer -C, D, B, A
the nurse is caring for a client who has just had an upper GI endoscopy. the
client's vital signs must be taken every 30 minutes for 2 hours after the
procedure. the nurse assigns an unlicensed nursing personnel (UAP) to take
the vital signs. one hour later, the UAP reports the client, who was previously
afebrile, has developed a temperature of 101.8F. what should the nurse do in
response to these reported assessment data?
a. promptly assess the client for potential perforation
b. tell the assistant to change thermometers and retake the temperature
c. plan to give the client acetaminophen to lower the temperature
d. ask the UAP to bathe the client with tepid water correct answer -A.
promptly assess the client for potential perforation.
a client is admitted to the hospital after vomiting bright red blood and is
diagnosed with a bleeding duodenal ulcer. the client develops a sudden, sharp
pain in the midepigastric region along with a rigid, boardlike abdomen. the
nurse should do which of the following first?
a. administer pain medication as prescribed
b. raise the HOB
c. prepare to insert an NG tube
d. notify HCP correct answer -D. notify HCP
when obtaining a nursing hx from a client with a suspected gastric ulcer,
which signs and symptoms should the nurse assess? select all that apply.
a. epigastric pain at night
, b. relief of epigastric pain after eating
c. vomiting
d. weight loss
e. melena correct answer -C, D, E
the nurse is caring for a client who has had a gastroscopy. which of the
following may indicate that the client is developing a complication related to
the procedure? select all that apply.
a. the client has a sore throat
b. the client has a temperature of 100F
c. the client appears drowsy following the procedure
d. the client has epigastric pain
e. the client experiences hematemesis correct answer -B, D, E
a client admitted to the hospital with PUD tells the nurse about having black,
tarry stools. the nurse should:
a. encourage the client to increase fluid intake
b. advise the client to avoid iron-rich foods
c. place the client on contact precautions
d. report the finding to the HCP correct answer -D. report the findings to
the HCP
a client with PUD is taking ranitidine. what is the expected outcome of this
drug?
a. heal the ulcer
b. protect the ulcer surface from acids
c. reduce acid concentration
d. limit gastric acid secretion correct answer -D. limit gastric acid secretion
a client with peptic ulcer reports epigastric pain that frequently causes the
client to wake up during the night. the nurse should instruct the client to do
which activities? select all that apply.
a. obtain adequate rest to reduce stimulation
b. eat small, frequent meals throughout the day
c. take all medications on time as prescribed
the nurse has been assigned to provide care for four clients. in what order
should the nurse assess these clients?
a. a client awaiting surgery for a hiatal hernia repair at 11 am
b. a client with suspected gastric surgery who is NPO status for tests
c. a client with PUD experiencing a sudden onset of acute stomach pain
d. a client who is requesting pain medication 2 days after surgery to repair a
fractured jaw correct answer -C, D, B, A
the nurse is caring for a client who has just had an upper GI endoscopy. the
client's vital signs must be taken every 30 minutes for 2 hours after the
procedure. the nurse assigns an unlicensed nursing personnel (UAP) to take
the vital signs. one hour later, the UAP reports the client, who was previously
afebrile, has developed a temperature of 101.8F. what should the nurse do in
response to these reported assessment data?
a. promptly assess the client for potential perforation
b. tell the assistant to change thermometers and retake the temperature
c. plan to give the client acetaminophen to lower the temperature
d. ask the UAP to bathe the client with tepid water correct answer -A.
promptly assess the client for potential perforation.
a client is admitted to the hospital after vomiting bright red blood and is
diagnosed with a bleeding duodenal ulcer. the client develops a sudden, sharp
pain in the midepigastric region along with a rigid, boardlike abdomen. the
nurse should do which of the following first?
a. administer pain medication as prescribed
b. raise the HOB
c. prepare to insert an NG tube
d. notify HCP correct answer -D. notify HCP
when obtaining a nursing hx from a client with a suspected gastric ulcer,
which signs and symptoms should the nurse assess? select all that apply.
a. epigastric pain at night
, b. relief of epigastric pain after eating
c. vomiting
d. weight loss
e. melena correct answer -C, D, E
the nurse is caring for a client who has had a gastroscopy. which of the
following may indicate that the client is developing a complication related to
the procedure? select all that apply.
a. the client has a sore throat
b. the client has a temperature of 100F
c. the client appears drowsy following the procedure
d. the client has epigastric pain
e. the client experiences hematemesis correct answer -B, D, E
a client admitted to the hospital with PUD tells the nurse about having black,
tarry stools. the nurse should:
a. encourage the client to increase fluid intake
b. advise the client to avoid iron-rich foods
c. place the client on contact precautions
d. report the finding to the HCP correct answer -D. report the findings to
the HCP
a client with PUD is taking ranitidine. what is the expected outcome of this
drug?
a. heal the ulcer
b. protect the ulcer surface from acids
c. reduce acid concentration
d. limit gastric acid secretion correct answer -D. limit gastric acid secretion
a client with peptic ulcer reports epigastric pain that frequently causes the
client to wake up during the night. the nurse should instruct the client to do
which activities? select all that apply.
a. obtain adequate rest to reduce stimulation
b. eat small, frequent meals throughout the day
c. take all medications on time as prescribed
