GI Questions With All Correct Answers
A nurse is providing dietary teaching to a client who has dumping syndrome
following gastric bypass surgery 4 days ago. Which of the following
recommendations should the nurse include in the teaching?
A. Avoid foods containing protein
B. Drink liquids during each meal
C. Eat foods that contain simple sugars
D. Maintain a supine position after meals correct answer -D. Maintain a
supine position after meals
A nurse is performing a GI assessment of a client who has liver cirrhosis with
abdominal distention. Which of the following actions should the nurse take to
assess for changes in the clients abdominal distention?
A. Percuss the abdomen for tympanic sounds
B. Inspect the contour of the abdominal wall
C. Instruct the client to report increased abdominal discomfort
D. Take serial measurements of the abdomen with a tape measure correct
answer -D. Take serial measurements of the abdomen with a tape measure
A nurse is caring for a client who is 2 days post operative following gastric
bypass. The nurse notes that bowel sounds are present. Which of the
following foods should the nurse provide at the initial feeding?
A. Vanilla pudding
B. Apply juice
C. Diet ginger ale
D. Clear liquids correct answer -D. Clear liquids
RATIONALE: Should be limited to only 30mL (1oz) per feeding; water does
not contain sugar, which could cause diarrhea due to hyperosmolarity
A nurse is monitoring the laboratory results of a client who has end-stage liver
failure. which of the following results should the nurse expect?
A. Decreased lactate dehydrogenase
,B. Increased serum albumin
C. Decreased serum ammonia
D. Increased prothrombin time correct answer -D. Increased prothrombin
time
RATIONALE: not making clotting factors
-A- would be increased
-B- would be decreased (liver not making proteins)
C- would be increased
A nurse is performing discharge teaching about ostomy care while at home for
a client who has a newly placed ileostomy. Which of the following instructions
should the nurse include in the teaching?
A. "Empty your ostomy pouch when it becomes half full"
B. "Place an aspirin in the ostomy pouch to eliminate odor"
C. "Change the ostomy appliance every week"
D. "Cleanse the site around the stoma with hydrogen peroxide and water"
correct answer -A. "Empty your ostomy pouch when it becomes half full"
RATIONALE: should be emptied when 1/3 to 1/2 full
B- this could cause irritation & ulceration of the stoma; a BREATH MINT can
be placed in the stoma to assist with odor
C- change the ostomy appliance every 2 weeks; changing too frequently can
irritate the clients skin
D- cleanse the site around the stoma with mild soap and water prior to placing
the appliance
A nurse is caring for a client with a history of cirrhosis who has been admitted
with manifestations of hepatic encephalopathy. The nurse should anticipate a
prescription for which of the following laboratory tests to determine the
possibility of recent excessive alcohol use?
A. Gamma-glutamyl transferase (GGT)
B. Alkaline phosphatase (ALP)
C. Serum bilirubin
D. Alanine aminotransferase (ALT) correct answer -A. Gamma-glutamyl
transferase (GGT)
,RATIONALE: The GGT lab test is specific to the hepatobiliary system in which
levels can be raised by alcohol & hepatotoxic drugs
B- ALP is elevated in biliary obstruction but does not detect alcohol
C- Serum bilirubin is used to detect function of the liver & its ability to excrete
bilirubin
D- Not specific only to the liver
A nurse is caring for a client who is 4hr postoperative following a laparoscopic
cholecystectomy. Which of the following findings should the nurse expect?
A. Right shoulder pain
B. Urine output 20mL/hr
C. Temp of 101.1F
D. Oxygen saturation of 92% correct answer -A. Right shoulder pain
RATIONALE: d/t gas (CO2)
A nurse is caring for a child who had her spleen removed following a bicycle
accident. The child's parent asks the nurse about the role of the spleen in the
body. The nurse should explain that the spleen performs which of the
following functions?
A. Maintains fluid balance
B. Regulates calcium in the blood
C. Destroys old blood cells
D. Produces prothrombin correct answer -C. Destroys old blood cells
RATIONALE: also filters antigens and stores platelets; a client without a
spleen is at an increased risk of infection & sepsis d/t reduced immune
function
A nurse is providing dietary teaching to a client who has ulcerative colitis.
Which of the following food selections by the client indicates an
understanding of the teaching?
A. Raw vegetable salad with low fat dressing
B. Roast chicken with white rice
C. Fresh fruit salad with milk
, D. Peanut butter on whole wheat bread correct answer -B. Roast chicken
with white rice
RATIONALE: This offers low fiber; raw fruits should be avoided because they
are high fiber; lactose (milk) should be avoided
A nurse is assessing a client who has cholecystitis. Which of the following
findings should the nurse expect?
A. Blumberg's sign
B. Ascites
C. GI bleeding
D. Kehr's sign correct answer -A. Blumberg's sign
RATIONALE: This is rebound tenderness and can be an indication of
peritoneal inflammation
A nurse is assessing a client who is in the early stages of hepatitis A. Which of
the following manifestations should the nurse expect?
A. Jaundice
B. Anorexia
C. Dark urine
D. Pale feces correct answer -B. Anorexia
RATIONALE: All of the other manifestations are LATE manifestations
A nurse is developing a plan of care for a client who has GERD. The nurse
should plan to monitor for which of the following complications?
A. Aspiration
B. Infection
C. Anemia
D. Weight loss correct answer -A. Aspiration
A nurse is caring for a client who is postoperative following a laparotomy. The
client has an indwelling urinary catheter and a Jackson-Pratt drain in place.
Which of the following findings indicates that the client is developing a
postoperative complication?
A nurse is providing dietary teaching to a client who has dumping syndrome
following gastric bypass surgery 4 days ago. Which of the following
recommendations should the nurse include in the teaching?
A. Avoid foods containing protein
B. Drink liquids during each meal
C. Eat foods that contain simple sugars
D. Maintain a supine position after meals correct answer -D. Maintain a
supine position after meals
A nurse is performing a GI assessment of a client who has liver cirrhosis with
abdominal distention. Which of the following actions should the nurse take to
assess for changes in the clients abdominal distention?
A. Percuss the abdomen for tympanic sounds
B. Inspect the contour of the abdominal wall
C. Instruct the client to report increased abdominal discomfort
D. Take serial measurements of the abdomen with a tape measure correct
answer -D. Take serial measurements of the abdomen with a tape measure
A nurse is caring for a client who is 2 days post operative following gastric
bypass. The nurse notes that bowel sounds are present. Which of the
following foods should the nurse provide at the initial feeding?
A. Vanilla pudding
B. Apply juice
C. Diet ginger ale
D. Clear liquids correct answer -D. Clear liquids
RATIONALE: Should be limited to only 30mL (1oz) per feeding; water does
not contain sugar, which could cause diarrhea due to hyperosmolarity
A nurse is monitoring the laboratory results of a client who has end-stage liver
failure. which of the following results should the nurse expect?
A. Decreased lactate dehydrogenase
,B. Increased serum albumin
C. Decreased serum ammonia
D. Increased prothrombin time correct answer -D. Increased prothrombin
time
RATIONALE: not making clotting factors
-A- would be increased
-B- would be decreased (liver not making proteins)
C- would be increased
A nurse is performing discharge teaching about ostomy care while at home for
a client who has a newly placed ileostomy. Which of the following instructions
should the nurse include in the teaching?
A. "Empty your ostomy pouch when it becomes half full"
B. "Place an aspirin in the ostomy pouch to eliminate odor"
C. "Change the ostomy appliance every week"
D. "Cleanse the site around the stoma with hydrogen peroxide and water"
correct answer -A. "Empty your ostomy pouch when it becomes half full"
RATIONALE: should be emptied when 1/3 to 1/2 full
B- this could cause irritation & ulceration of the stoma; a BREATH MINT can
be placed in the stoma to assist with odor
C- change the ostomy appliance every 2 weeks; changing too frequently can
irritate the clients skin
D- cleanse the site around the stoma with mild soap and water prior to placing
the appliance
A nurse is caring for a client with a history of cirrhosis who has been admitted
with manifestations of hepatic encephalopathy. The nurse should anticipate a
prescription for which of the following laboratory tests to determine the
possibility of recent excessive alcohol use?
A. Gamma-glutamyl transferase (GGT)
B. Alkaline phosphatase (ALP)
C. Serum bilirubin
D. Alanine aminotransferase (ALT) correct answer -A. Gamma-glutamyl
transferase (GGT)
,RATIONALE: The GGT lab test is specific to the hepatobiliary system in which
levels can be raised by alcohol & hepatotoxic drugs
B- ALP is elevated in biliary obstruction but does not detect alcohol
C- Serum bilirubin is used to detect function of the liver & its ability to excrete
bilirubin
D- Not specific only to the liver
A nurse is caring for a client who is 4hr postoperative following a laparoscopic
cholecystectomy. Which of the following findings should the nurse expect?
A. Right shoulder pain
B. Urine output 20mL/hr
C. Temp of 101.1F
D. Oxygen saturation of 92% correct answer -A. Right shoulder pain
RATIONALE: d/t gas (CO2)
A nurse is caring for a child who had her spleen removed following a bicycle
accident. The child's parent asks the nurse about the role of the spleen in the
body. The nurse should explain that the spleen performs which of the
following functions?
A. Maintains fluid balance
B. Regulates calcium in the blood
C. Destroys old blood cells
D. Produces prothrombin correct answer -C. Destroys old blood cells
RATIONALE: also filters antigens and stores platelets; a client without a
spleen is at an increased risk of infection & sepsis d/t reduced immune
function
A nurse is providing dietary teaching to a client who has ulcerative colitis.
Which of the following food selections by the client indicates an
understanding of the teaching?
A. Raw vegetable salad with low fat dressing
B. Roast chicken with white rice
C. Fresh fruit salad with milk
, D. Peanut butter on whole wheat bread correct answer -B. Roast chicken
with white rice
RATIONALE: This offers low fiber; raw fruits should be avoided because they
are high fiber; lactose (milk) should be avoided
A nurse is assessing a client who has cholecystitis. Which of the following
findings should the nurse expect?
A. Blumberg's sign
B. Ascites
C. GI bleeding
D. Kehr's sign correct answer -A. Blumberg's sign
RATIONALE: This is rebound tenderness and can be an indication of
peritoneal inflammation
A nurse is assessing a client who is in the early stages of hepatitis A. Which of
the following manifestations should the nurse expect?
A. Jaundice
B. Anorexia
C. Dark urine
D. Pale feces correct answer -B. Anorexia
RATIONALE: All of the other manifestations are LATE manifestations
A nurse is developing a plan of care for a client who has GERD. The nurse
should plan to monitor for which of the following complications?
A. Aspiration
B. Infection
C. Anemia
D. Weight loss correct answer -A. Aspiration
A nurse is caring for a client who is postoperative following a laparotomy. The
client has an indwelling urinary catheter and a Jackson-Pratt drain in place.
Which of the following findings indicates that the client is developing a
postoperative complication?
