GI EXAM PRACTICE QUESTIONS
WITH ALREADY PASSED
SOLUTIONS!!
1 of 80
Term
A feeling of fullness, cramping, and passage of flatus can be
expected for several hours after the test, and a small amount of
blood may be present in the first stool after the test if a biopsy
specimen is taken or a polypectomy is performed. VS should be
taken every 15 min and the pt should be monitored for signs of
perforation or hemorrhage, and excessive bleeding should be
reported immediately. For which procedure is this follow-up care
describing?
a) EGD
, b) enteroscopy
c) small bowel series
d) colonoscopy
Give this one a try later!
c (probe passes back & forth) d (colonoscopy)
d (ERCP) b (low-sodium)
Don't know?
2 of 80
Term
The nurse is seeing clients in the GI clinic. Which client should the
nurse see first?
a) 50 yo diagnosed with IBS reporting cramping & loose stools
b) 25 yo reporting not having a BM in 2 days
c) 8 yo diagnosed with gastroenteritis who had 5 diarrheal stools in
the last 3 days
d) 3 week-old infant experiencing projectile vomiting & irritabiltiy
Give this one a try later!
, c (enema morning of test)
-tap water enema or fleet's given until returns are clear the morning of the
procedure (for visualization)
d (3 week old w/ projectile vomiting & irritability)
-indicates pyloric stenosis; at risk for F/E imbalance
a --> expected with IBS (encourage to eat meals at reg intervals, chew
slowly, and don't drink fluids w/ meals)
b --> determine normal bowel pattern & encourage fluids & foods high in
roughage
c ---> doesn't require immediate attention but has potential for dehydration
b) "We eat a lot of broiled fish and chicken."
patients with cholecystitis should eat foods high in protein and low in fat, such as
broiled lean meats; cooked fruits, non-gas forming veggies, and bread are also
allowed; patients should avoid high fat and gas-forming veggies such as
cabbage, onions, broccoli, and cucumbers as these foods may precipitate pain,
N/V
b) A stoma is beefy-red
immediately following surgery the stoma, which is part of the intestine, is
brought out to the abdominal wall and appears beefy-red; it should be moist
and
protrude about 2 cm from the abdominal wall; it there is no ostomy pouch in
place, cover the lumen with petrolatum gauze covered by a dry, sterile dressing
Don't know?
3 of 80
Term
, The nurse cares for a patient after a traditional cholecystectomy. The
nurse should contact the physician if which of the following is
observed?
a) 800 cc bloody drainage in the first day postop
b)The patient frequently complains of abdominal pain during
the first 24 hours
c) Nasogastric tube connected to intermittent suction the first
day postop
d) Temperature elevation to 100ºF the evening of the surgery
Give this one a try later!
a) 800 mL bloody drainage the first day postop
this amount of drainage after a cholecystectomy would indicate
hemorrhage; 50 mL is an appropriate amount of drainage
--> not unusual for temp to be elevated the evening of surgery (too early to
develop a wound infection)
b) "We eat a lot of broiled fish and chicken."
patients with cholecystitis should eat foods high in protein and low in fat, such as
broiled lean meats; cooked fruits, non-gas forming veggies, and bread are also
allowed; patients should avoid high fat and gas-forming veggies such as
cabbage, onions, broccoli, and cucumbers as these foods may precipitate pain,
N/V
WITH ALREADY PASSED
SOLUTIONS!!
1 of 80
Term
A feeling of fullness, cramping, and passage of flatus can be
expected for several hours after the test, and a small amount of
blood may be present in the first stool after the test if a biopsy
specimen is taken or a polypectomy is performed. VS should be
taken every 15 min and the pt should be monitored for signs of
perforation or hemorrhage, and excessive bleeding should be
reported immediately. For which procedure is this follow-up care
describing?
a) EGD
, b) enteroscopy
c) small bowel series
d) colonoscopy
Give this one a try later!
c (probe passes back & forth) d (colonoscopy)
d (ERCP) b (low-sodium)
Don't know?
2 of 80
Term
The nurse is seeing clients in the GI clinic. Which client should the
nurse see first?
a) 50 yo diagnosed with IBS reporting cramping & loose stools
b) 25 yo reporting not having a BM in 2 days
c) 8 yo diagnosed with gastroenteritis who had 5 diarrheal stools in
the last 3 days
d) 3 week-old infant experiencing projectile vomiting & irritabiltiy
Give this one a try later!
, c (enema morning of test)
-tap water enema or fleet's given until returns are clear the morning of the
procedure (for visualization)
d (3 week old w/ projectile vomiting & irritability)
-indicates pyloric stenosis; at risk for F/E imbalance
a --> expected with IBS (encourage to eat meals at reg intervals, chew
slowly, and don't drink fluids w/ meals)
b --> determine normal bowel pattern & encourage fluids & foods high in
roughage
c ---> doesn't require immediate attention but has potential for dehydration
b) "We eat a lot of broiled fish and chicken."
patients with cholecystitis should eat foods high in protein and low in fat, such as
broiled lean meats; cooked fruits, non-gas forming veggies, and bread are also
allowed; patients should avoid high fat and gas-forming veggies such as
cabbage, onions, broccoli, and cucumbers as these foods may precipitate pain,
N/V
b) A stoma is beefy-red
immediately following surgery the stoma, which is part of the intestine, is
brought out to the abdominal wall and appears beefy-red; it should be moist
and
protrude about 2 cm from the abdominal wall; it there is no ostomy pouch in
place, cover the lumen with petrolatum gauze covered by a dry, sterile dressing
Don't know?
3 of 80
Term
, The nurse cares for a patient after a traditional cholecystectomy. The
nurse should contact the physician if which of the following is
observed?
a) 800 cc bloody drainage in the first day postop
b)The patient frequently complains of abdominal pain during
the first 24 hours
c) Nasogastric tube connected to intermittent suction the first
day postop
d) Temperature elevation to 100ºF the evening of the surgery
Give this one a try later!
a) 800 mL bloody drainage the first day postop
this amount of drainage after a cholecystectomy would indicate
hemorrhage; 50 mL is an appropriate amount of drainage
--> not unusual for temp to be elevated the evening of surgery (too early to
develop a wound infection)
b) "We eat a lot of broiled fish and chicken."
patients with cholecystitis should eat foods high in protein and low in fat, such as
broiled lean meats; cooked fruits, non-gas forming veggies, and bread are also
allowed; patients should avoid high fat and gas-forming veggies such as
cabbage, onions, broccoli, and cucumbers as these foods may precipitate pain,
N/V
