GI/nutrition Questions With All Correct Answers
A nurse is precepting a new graduate nurse who is caring for a client with a
paralytic ileus and a Salem sump tube attached to continuous suction. The
preceptor should intervene when the graduate nurse performs which
interventions? Select all that apply.
1. Checks for residual every 4 hours
2. Places client in semi-Fowler's position
3. Plugs the air vent if gastric content refluxes
4. Provides mouth care every 4 hours
5. Turns off suction when auscultating bowel sounds correct answer -1,3
The post-anesthesia care unit nurse receives report on a client after
abdominal surgery. What sounds would the nurse expect to hear when
auscultating the bowel?
1. Absent bowel sounds
2. Borborygmi sounds
3. High-pitched and gurgling sounds
4. Swishing or buzzing sounds correct answer -1
A healthy 50-year-old client asks the nurse, "What must I do in preparation for
my screening colonoscopy?" Which statements by the nurse correctly answer
the client's question? Select all that apply.
1. "No food or drink is allowed 8 hours prior to the test."
2. "Prophylactic antibiotics are taken as prescribed."
3. "Smoking must be avoided after midnight."
4. "The day prior to the procedure your diet will be clear liquids."
5. "You will drink polyethylene glycol as directed the day before." correct
answer -1,4,5
When assessing a client with cholelithiasis and acute cholecystitis, which
findings might the nurse note during the health history and physical
examination? Select all that apply.
1. Flank pain radiating to the groin
2. High-protein food ingestion before the onset of pain
3. Low-grade fever with chills
4. Pain at the umbilicus
,5. Right upper-quadrant (RUQ) pain radiating to the right shoulder correct
answer -3,5
The nurse is caring for a client who has undergone a colonoscopy. Which
client assessment finding should most concern the nurse?
1. Abdominal cramping
2. Frequent, watery stools
3. Positive rebound tenderness
4. Recurring flatus correct answer -3
The nurse will implement which nursing actions when caring for a client
recently diagnosed with a hiatal hernia? Select all that apply.
1. Elevate the head of the hospital bed
2. Instruct the client to avoid tobacco and caffeine
3. Offer small, frequent, low-fat meals
4. Provide a girdle to reduce the hernia
5. Teach the client to avoid lifting or straining correct answer -1,2,3,5
The nurse assessing a client with an upper gastrointestinal bleed would
expect the client's stool to have which appearance?
1. Black tarry
2. Bright red bloody
3. Light gray "clay-colored"
4. Small, dry, rocky-hard masses correct answer -1
The nurse is caring for an alert client with jaundice, scleral icterus, and a
bilirubin level of 12.3 mg/dL (210 µmol/L). Which instruction would be most
important to include when delegating the client's morning hygiene tasks to
unlicensed assistive personnel?
1. Do not leave the client alone in the shower
2. Use cool water in the shower
3. Use hot water in the shower
4. Wash client with antibacterial soap correct answer -2
The nurse who is caring for a client with acute diverticulitis will immediately
report which finding to the health care provider?
1. Abdominal pain has progressed to the left upper quadrant
2. Hemoglobin of 11.2 g/dL (112 g/L)
3. Lying on side with knees drawn up to abdomen and trunk flexed
, 4. White blood cell count of 12,000/mm3 (12.0 x 109/L) correct answer -
1
The nurse teaching a group of clients about celiac disease will include which
meal in the teaching plan?
1. Baked salmon with rice, steamed vegetables, and dinner roll
2. Breaded pork chops, corn on the cob, and steamed snow peas
3. Grilled chicken, green beans, and mashed potatoes
4. Spaghetti with Italian tomato sauce and meatballs correct answer -3
A client with ascites due to cirrhosis has increasing shortness of breath and
abdominal pain. The health care provider (HCP) requests that the nurse
prepare the client for a paracentesis. Which nursing actions would the nurse
implement prior to the procedure? Select all that apply.
1. Immediately place the client on nothing-by-mouth (NPO) status
2. Obtain informed consent for the procedure
3. Place the client in high Fowler's position
4. Request that the client empty the bladder
5. Take baseline vital signs and weight correct answer -3,4,5
A client with a history of cirrhosis has a new prescription for lactulose 30 mL
four times a day. What does the nurse explain to the client about this
medication?
1. It will decrease intestinal absorption of ammonia
2. It will facilitate diuresis of excess fluid
3. It will promote renal excretion of bilirubin
4. It will reduce portal pressure contributing to esophageal varices correct
answer -1
A client is 1-day postoperative abdominoplasty and is discharged to go home
with a Jackson-Pratt (JP) closed-wound system drain in place. The nurse
teaches the client how to care for the drain and empty the collection bulb.
Which statement indicates that the client needs further instruction?
1. "I'll empty the JP bulb when it is totally full so that I don't have to unplug it
so many times."
2. "I'll pull the plug on the JP bulb and pour the drainage into the measurable
specimen cup."
3. "I'll squeeze the JP bulb from side-to-side as I hold it in my hand."
A nurse is precepting a new graduate nurse who is caring for a client with a
paralytic ileus and a Salem sump tube attached to continuous suction. The
preceptor should intervene when the graduate nurse performs which
interventions? Select all that apply.
1. Checks for residual every 4 hours
2. Places client in semi-Fowler's position
3. Plugs the air vent if gastric content refluxes
4. Provides mouth care every 4 hours
5. Turns off suction when auscultating bowel sounds correct answer -1,3
The post-anesthesia care unit nurse receives report on a client after
abdominal surgery. What sounds would the nurse expect to hear when
auscultating the bowel?
1. Absent bowel sounds
2. Borborygmi sounds
3. High-pitched and gurgling sounds
4. Swishing or buzzing sounds correct answer -1
A healthy 50-year-old client asks the nurse, "What must I do in preparation for
my screening colonoscopy?" Which statements by the nurse correctly answer
the client's question? Select all that apply.
1. "No food or drink is allowed 8 hours prior to the test."
2. "Prophylactic antibiotics are taken as prescribed."
3. "Smoking must be avoided after midnight."
4. "The day prior to the procedure your diet will be clear liquids."
5. "You will drink polyethylene glycol as directed the day before." correct
answer -1,4,5
When assessing a client with cholelithiasis and acute cholecystitis, which
findings might the nurse note during the health history and physical
examination? Select all that apply.
1. Flank pain radiating to the groin
2. High-protein food ingestion before the onset of pain
3. Low-grade fever with chills
4. Pain at the umbilicus
,5. Right upper-quadrant (RUQ) pain radiating to the right shoulder correct
answer -3,5
The nurse is caring for a client who has undergone a colonoscopy. Which
client assessment finding should most concern the nurse?
1. Abdominal cramping
2. Frequent, watery stools
3. Positive rebound tenderness
4. Recurring flatus correct answer -3
The nurse will implement which nursing actions when caring for a client
recently diagnosed with a hiatal hernia? Select all that apply.
1. Elevate the head of the hospital bed
2. Instruct the client to avoid tobacco and caffeine
3. Offer small, frequent, low-fat meals
4. Provide a girdle to reduce the hernia
5. Teach the client to avoid lifting or straining correct answer -1,2,3,5
The nurse assessing a client with an upper gastrointestinal bleed would
expect the client's stool to have which appearance?
1. Black tarry
2. Bright red bloody
3. Light gray "clay-colored"
4. Small, dry, rocky-hard masses correct answer -1
The nurse is caring for an alert client with jaundice, scleral icterus, and a
bilirubin level of 12.3 mg/dL (210 µmol/L). Which instruction would be most
important to include when delegating the client's morning hygiene tasks to
unlicensed assistive personnel?
1. Do not leave the client alone in the shower
2. Use cool water in the shower
3. Use hot water in the shower
4. Wash client with antibacterial soap correct answer -2
The nurse who is caring for a client with acute diverticulitis will immediately
report which finding to the health care provider?
1. Abdominal pain has progressed to the left upper quadrant
2. Hemoglobin of 11.2 g/dL (112 g/L)
3. Lying on side with knees drawn up to abdomen and trunk flexed
, 4. White blood cell count of 12,000/mm3 (12.0 x 109/L) correct answer -
1
The nurse teaching a group of clients about celiac disease will include which
meal in the teaching plan?
1. Baked salmon with rice, steamed vegetables, and dinner roll
2. Breaded pork chops, corn on the cob, and steamed snow peas
3. Grilled chicken, green beans, and mashed potatoes
4. Spaghetti with Italian tomato sauce and meatballs correct answer -3
A client with ascites due to cirrhosis has increasing shortness of breath and
abdominal pain. The health care provider (HCP) requests that the nurse
prepare the client for a paracentesis. Which nursing actions would the nurse
implement prior to the procedure? Select all that apply.
1. Immediately place the client on nothing-by-mouth (NPO) status
2. Obtain informed consent for the procedure
3. Place the client in high Fowler's position
4. Request that the client empty the bladder
5. Take baseline vital signs and weight correct answer -3,4,5
A client with a history of cirrhosis has a new prescription for lactulose 30 mL
four times a day. What does the nurse explain to the client about this
medication?
1. It will decrease intestinal absorption of ammonia
2. It will facilitate diuresis of excess fluid
3. It will promote renal excretion of bilirubin
4. It will reduce portal pressure contributing to esophageal varices correct
answer -1
A client is 1-day postoperative abdominoplasty and is discharged to go home
with a Jackson-Pratt (JP) closed-wound system drain in place. The nurse
teaches the client how to care for the drain and empty the collection bulb.
Which statement indicates that the client needs further instruction?
1. "I'll empty the JP bulb when it is totally full so that I don't have to unplug it
so many times."
2. "I'll pull the plug on the JP bulb and pour the drainage into the measurable
specimen cup."
3. "I'll squeeze the JP bulb from side-to-side as I hold it in my hand."
