GI AQ- Questions With All Correct Answers
A client has cholelithiasis with possible obstruction of the common bile duct.
The nurse performs a nutritional assessment. What is the primary goal for this
assessment?
1. To determine if follows a high fatty diet
2. To determine if deficient in vitamins A, D, and K
3. To determine if eats adequate amounts of dietary fiber
4. To determine if consumes excessive amounts of protein correct answer
-2.
Bile promotes the absorption of the fat-soluble vitamins. An obstruction of the
common bile duct limits the flow of bile to the duodenum and thus the
absorption of these fat-soluble vitamins. Most clients have pain after eating a
fatty meal and do not follow this diet, but this is expected in cholelithiasis and
is not the primary goal. Dietary fiber is not relevant to the situation. Although
adequate dietary protein is desirable for wound healing, it is unrelated to
cholelithiasis.
When inserting a catheter to irrigate a client's colostomy, the nurse meets
some resistance. What should the nurse do?
1. Probe with the irrigating catheter to determine the contour of the bowel
2. Obtain a more rigid tip for the irrigating catheter to insert into the stoma
3. Apply pressure to the irrigating catheter to overcome the spasm of the
bowel
4. Instill a small amount of solution from the irrigating container into the
stoma correct answer -4.
A client is admitted with a diagnosis of cancer of the colon. What information
about malignant tumors of the colon should the nurse consider when caring
for this client?
1. They are detected easily.
2. They usually are localized.
, 3. Women are more at risk than men.
4. Colon obstructions usually are malignant. correct answer -4.
Mechanical obstruction most often is caused by obliteration of the lumen of
the intestine by malignant cells. The most common cause of colon obstruction
is colorectal cancer. In the early stages, symptoms of cancer of the colon are
vague or absent. Localized tumors usually are benign. Cancer of the lower
bowel is more common in men than in women; however, the incidence is
increasing in women.
A client has a tentative diagnosis of primary biliary cirrhosis. What skin
change does the nurse expect to observe when performing a physical
assessment?
1. Vitiligo
2. Hirsutism
3. Melanomas
4. Telangiectasia correct answer -4.
Telangiectasia is a vascular lesion associated with cirrhosis; it is thought to be
related to increased estrogen levels. Vitiligo refers to patches of
depigmentation resulting from destruction of melanocytes. Hirsutism is
excessive growth of hair; with cirrhosis, endocrine disturbances result in loss
of axillary and pubic hair. Melanomas refer to cancerous skin lesions; they are
not associated with biliary cirrhosis.
Test-Taking Tip: A psychological technique used to boost your test-taking
confidence is to look into a mirror whenever you pass one and say out loud, "I
know the material, and I'll do well on the test." Try it; many students have
found that it works because it reduces "test anxiety."
Which statement by an older adult most strongly supports the nurse's
conclusion that the client is impacted with stool?
1. "I have a lot of gas pains."
2. "I don't have much of an appetite."
3. "I feel like I have to go, but I just seep."
4. "I haven't had a bowel movement for several days." correct answer -3.
A client has cholelithiasis with possible obstruction of the common bile duct.
The nurse performs a nutritional assessment. What is the primary goal for this
assessment?
1. To determine if follows a high fatty diet
2. To determine if deficient in vitamins A, D, and K
3. To determine if eats adequate amounts of dietary fiber
4. To determine if consumes excessive amounts of protein correct answer
-2.
Bile promotes the absorption of the fat-soluble vitamins. An obstruction of the
common bile duct limits the flow of bile to the duodenum and thus the
absorption of these fat-soluble vitamins. Most clients have pain after eating a
fatty meal and do not follow this diet, but this is expected in cholelithiasis and
is not the primary goal. Dietary fiber is not relevant to the situation. Although
adequate dietary protein is desirable for wound healing, it is unrelated to
cholelithiasis.
When inserting a catheter to irrigate a client's colostomy, the nurse meets
some resistance. What should the nurse do?
1. Probe with the irrigating catheter to determine the contour of the bowel
2. Obtain a more rigid tip for the irrigating catheter to insert into the stoma
3. Apply pressure to the irrigating catheter to overcome the spasm of the
bowel
4. Instill a small amount of solution from the irrigating container into the
stoma correct answer -4.
A client is admitted with a diagnosis of cancer of the colon. What information
about malignant tumors of the colon should the nurse consider when caring
for this client?
1. They are detected easily.
2. They usually are localized.
, 3. Women are more at risk than men.
4. Colon obstructions usually are malignant. correct answer -4.
Mechanical obstruction most often is caused by obliteration of the lumen of
the intestine by malignant cells. The most common cause of colon obstruction
is colorectal cancer. In the early stages, symptoms of cancer of the colon are
vague or absent. Localized tumors usually are benign. Cancer of the lower
bowel is more common in men than in women; however, the incidence is
increasing in women.
A client has a tentative diagnosis of primary biliary cirrhosis. What skin
change does the nurse expect to observe when performing a physical
assessment?
1. Vitiligo
2. Hirsutism
3. Melanomas
4. Telangiectasia correct answer -4.
Telangiectasia is a vascular lesion associated with cirrhosis; it is thought to be
related to increased estrogen levels. Vitiligo refers to patches of
depigmentation resulting from destruction of melanocytes. Hirsutism is
excessive growth of hair; with cirrhosis, endocrine disturbances result in loss
of axillary and pubic hair. Melanomas refer to cancerous skin lesions; they are
not associated with biliary cirrhosis.
Test-Taking Tip: A psychological technique used to boost your test-taking
confidence is to look into a mirror whenever you pass one and say out loud, "I
know the material, and I'll do well on the test." Try it; many students have
found that it works because it reduces "test anxiety."
Which statement by an older adult most strongly supports the nurse's
conclusion that the client is impacted with stool?
1. "I have a lot of gas pains."
2. "I don't have much of an appetite."
3. "I feel like I have to go, but I just seep."
4. "I haven't had a bowel movement for several days." correct answer -3.
