b b b b b b
Abnursebisbcaringbforbabpatientbwhobisbscheduledbforbabcolonoscopybandbwhosebbowelbpr
eparationbwillbincludebpolyethylenebglycolbelectrolyteblavagebpriorbtobthebprocedure.bTh
ebpresencebofbwhatbhealthbproblembwouldbcontraindicatebthebusebofbthisbformbofbbowelb
preparation?
A)bInflammatorybbowelbdisease
B)bIntestinalbpolyps
C)bDiverticulitis
D)bColonbcancerb-bANSWERbA)bInflammatorybbowelbdiseaseb(IBD)
Abnursebisbpromotingbincreasedbproteinbintakebtobenhancebabpatientsbwoundbhealing.bT
hebnursebknowsbthatbenzymesbarebessentialbinbthebdigestionbofbnutrientsbsuchbasbprotei
n.bWhatbisbthebenzymebthatbinitiatesbthebdigestionbofbprotein?
A)bPepsin
B)bIntrinsicbfactor
C)bLipase
D)bAmylaseb-bANSWERbA)bPepsin
Abpatientbhasbbeenbbroughtbtobthebemergencybdepartmentbwithbabdominalbpainbandbisbs
ubsequentlybdiagnosedbwithbappendicitis.bThebpatientbisbscheduledbforbanbappendecto
mybbutbquestionsbthebnursebaboutbhowbhisbhealthbwillbbebaffectedbbybthebabsencebofbanb
appendix.bHowbshouldbthebnursebbestbrespond?
A)bYourbappendixbdoesntbplaybabmajorbrole,bsobyoubwontbnoticebanybdifferencebafterbyou
brecoverybfrombsurgery.
B)bThebsurgeonbwillbencouragebyoubtoblimitbyourbfatbintakebforbabfewbweeksbafterbthebsur
gery,bbutbyourbbodybwillbthenbbeginbtobcompensate.
C)bYourbbodybwillbabsorbbslightlybfewerbnutrientsbfrombthebfoodbyoubeat,bbutbyoubwontbb
ebawarebof
this.
D)bYourblargebintestinebwillbadaptboverbtimebtobthebabsencebofbyourbappendix.b-
bANSWERbA)bYourbappendixbdoesn'tbplaybabmajorbrole,bsobyoubwontbnoticebanybdifferen
cebafterbyoubrecoverybfrombsurgery.
Abpatientbasksbthebnursingbassistantbforbabbedpan.bWhenbthebpatientbisbfinished,bthebnur
singbassistant
notifiesbthebnursebthatbthebpatientbhasbbrightbredbstreakingbofbbloodbinbthebstool.bWhatbisb
thisbmostblikelybabresultbof?
A)bDietbhighbinbredbmeat
B)bUpperbGIbbleed
C)bHemorrhoids
D)bUsebofbironbsupplementsb-bANSWERbC)bHemorrhoids
AnbadultbpatientbisbscheduledbforbanbupperbGIbseriesbthatbwillbusebabbariumbswallow.bWh
atbteachingbshouldbthebnursebincludebwhenbthebpatientbhasbcompletedbthebtest?
A)bStoolbwillbbebyellowbforbthebfirstb24bhoursbpostprocedure
B)bThebbariumbmaybcausebdiarrheabforbthebnextb24bhours.
C)bFluidsbmustbbebincreasedbtobfacilitatebthebevacuationbofbthebstool.
,D)bSlightbanalbbleedingbmaybbebnotedbasbthebbariumbisbpassed.b-
bANSWERbC)bFluidsbmustbbebincreasedbtobfacilitatebthebevacuationbofbthebstool.
patientbhasbcomebtobtheboutpatientbradiologybdepartmentbforbdiagnosticbtesting.bWhichb
ofbthebfollowing
diagnosticbproceduresbwillballowbthebcarebteambtobevaluatebandbremovebpolyps?
A)bColonoscopy
B)bBariumbenema
C)bERCP
D)bUpperbgastrointestinalbfibroscopyb-bANSWERbA)bColonoscopy
Abnursebisbcaringbforbabpatientbwithbrecurrentbhematemesisbwhobisbscheduledbforbupperb
gastrointestinalbfibroscopyb(UGF).bHowbshouldbthebnursebinbthebradiologybdepartmentbp
reparebthisbpatient?
A)bInsertbabnasogastricbtube.
B)bAdministerbabmicrobFleetbenemabatbleastb3bhoursbbeforebthebprocedure.
C)bHavebthebpatientbliebinbabsupinebpositionbforbthebprocedure.
D)bApplyblocalbanestheticbtobthebbackbofbthebpatientsbthroatb-
bANSWERbD)bApplyblocalbanestheticbtobthebbackbofbthebpatientsbthroat
Thebnursebisbprovidingbhealthbeducationbtobabpatientbscheduledbforbabcolonoscopy.bTheb
nursebshould
explainbthatbshebwillbbebplacedbinbwhatbpositionbduringbthisbdiagnosticbtest?
A)bInbabknee-chestbpositionb(lithotomybposition)
B)bLyingbpronebwithblegsbdrawnbtowardbthebchest
C)bLyingbonbthebleftbsidebwithblegsbdrawnbtowardbthebchest
D)bInbabpronebpositionbwithbtwobpillowsbelevatingbthebbuttocksb-
bANSWERbC)bLyingbonbthebleftbsidebwithblegsbdrawnbtowardbthebchest
Abpatientbhasbsoughtbcarebbecausebofbrecentbdark-
coloredbstools.bAsbabresult,babfecalboccultbbloodbtestbhasbbeenbordered.bThebnursebshoul
dbinstructbthebpatientbtobavoidbwhichbofbthebfollowingbpriorbtobcollectingbabstoolbsample?
A)bNSAIDs
B)bAcetaminophen
C)bOTCbvitaminbDbsupplements
D)bFiberbsupplementsb-bANSWERbA)bNSAIDs
Thebnursebisbpreparingbtobperformbabpatientsbabdominalbassessment.bWhatbexaminatio
nbsequencebshould
thebnursebfollow?
A)bInspection,bauscultation,bpercussion,bandbpalpation
B)bInspection,bpalpation,bauscultation,bandbpercussion
C)bInspection,bpercussion,bpalpation,bandbauscultation
D)bInspection,bpalpation,bpercussion,bandbauscultationb-
bANSWERbA)bInspection,bauscultation,bpercussion,bandbpalpation
Abpatientbwhobhasbbeenbexperiencingbchangesbinbhisbbowelbfunctionbisbscheduledbforbab
bariumbenema.
Whatbinstructionbshouldbthebnursebprovidebforbpostprocedurebrecovery?
A)bRemainbNPObforb6bhoursbpostprocedure.
,B)bAdministerbabFleetbenemabtobcleansebthebbowelbofbthebbarium.
C)bIncreasebfluidbintakebtobevacuatebthebbarium.
D)bAvoidbdairybproductsbforb24bhoursbpostprocedure.b-
bANSWERbC)bIncreasebfluidbintakebtobevacuatebthebbarium.
AbnursebisbcaringbforbabnewlybadmittedbpatientbwithbabsuspectedbGIbbleed.bThebnursebas
sessesbthebpatientsbstoolbafterbabbowelbmovementbandbnotesbitbtobbebabtarry-
blackbcolor.bThisbfindingbisbsuggestivebofbbleedingbfrombwhatblocation?
A)bSigmoidbcolon
B)bUpperbGIbtract
C)bLargebintestine
D)bAnusborbrectumb-bANSWERbB)bUpperbGIbtract
Abnursingbstudentbhasbauscultatedbabpatientsbabdomenbandbnotedboneborbtwobbowelbso
undsbinbab2-minute
periodbofbtime.bHowbwouldbyoubtellbthebstudentbtobdocumentbthebpatientsbbowelbsounds
?
A)bNormal
B)bHypoactive
C)bHyperactive
D)bParalyticbileusb-bANSWERbB)bHypoactive
Anbadvancedbpracticebnursebisbassessingbthebsizebandbdensitybofbabpatientsbabdominalb
organs.bIfbthe
resultsbofbpalpationbarebunclearbtobthebnurse,bwhatbassessmentbtechniquebshouldbbebim
plemented?
A)bPercussion
B)bAuscultation
C)bInspection
D)bRectalbexaminationb-bANSWERbA)bPercussion
Abnursebisbcaringbforbabpatientbwithbbiliarybcolicbandbisbawarebthatbthebpatientbmaybexperi
encebreferredbabdominalbpain.bWherebwouldbthebnursebmostblikelybexpectbthisbpatientbt
obexperiencebreferredbpain?
A)bMidlinebnearbthebumbilicus
B)bBelowbthebrightbnipple
C)bLeftbgroinbarea
D)bRightblowerbabdominalbquadrantb-bANSWERbB)bBelowbthebrightbnipple
Anbinpatientbhasbreturnedbtobthebmedicalbunitbafterbabbariumbenema.bWhenbassessingbt
hebpatients
subsequentbbowelbpatternsbandbstools,bwhatbfindingbshouldbthebnursebreportbtobthebphy
sician?
A)bLarge,bwidebstools
B)bMilkybwhitebstools
C)bThreebstoolsbduringbanb8-hourbperiodbofbtime
D)bStreaksbofbbloodbpresentbinbthebstoolb-
bANSWERbD)bStreaksbofbbloodbpresentbinbthebstool
, Abnursebinbabstrokebrehabilitationbfacilitybrecognizesbthatbthebbrainbregulatesbswallowing
.bDamagebtobwhatbareabofbthebbrainbwillbmostbaffectbthebpatientsbabilitybtobswallow?
A)bTemporalblobe
B)bMedullaboblongata
C)bCerebellum
D)bPonsb-bANSWERbB)bMedullaboblongata
Abpatientbisbbeingbassessedbforbabsuspectedbdeficitbinbintrinsicbfactorbsynthesis.bWhatbdi
agnosticbor
assessmentbfindingbisbthebmostblikelybrationalebforbthisbexaminationbofbintrinsicbfactorbpr
oduction?
A)bMusclebwasting
B)bChronicbjaundicebinbthebabsencebofbliverbdisease
C)bThebpresencebofbfatbinbthebpatientsbstool
D)bPersistentlyblowbhemoglobinbandbhematocritb-
bANSWERbD)bPersistentlyblowbhemoglobinbandbhematocrit
Abpatientbwithbabrecentbhistorybofbintermittentbbleedingbisbundergoingbcapsulebendoscop
ybtobdeterminebthebsourcebofbthebbleeding.bWhenbexplainingbthisbdiagnosticbtestbtobthebp
atient,bwhatbadvantagebshouldbthebnursebdescribe?
A)bThebtestballowsbvisualizationbofbthebentirebperitonealbcavity.
b
B)bThebtestballowsbforbpainlessbbiopsybcollection.
C)bThebtestbdoesbnotbrequirebfasting.
D)bThebtestbisbnoninvasiveb-bANSWERbD)bThebtestbisbnoninvasive
Abnursebisbcaringbforbabpatientbadmittedbwithbabsuspectedbmalabsorptionbdisorder.bTheb
nursebknowsbthat
onebofbthebaccessoryborgansbofbthebdigestivebsystembisbthebpancreas.bWhatbdigestivebe
nzymesbdoesbthe
pancreasbsecrete?bSelectballbthatbapply.
A)bPepsin
B)bLipase
C)bAmylase
D)bTrypsin
E)bPtyalin
Ans:bB,bC,bDb-bANSWERbAns:bB,bC,bD
B)bLipase
C)bAmylase
D)bTrypsin
Thebnursebisbcaringbforbabpatientbwithbabduodenalbulcerbandbisbrelatingbthebpatientsbsym
ptomsbtobthe
physiologicbfunctionsbofbthebsmallbintestine.bWhatbdobthesebfunctionsbinclude?bSelectbal
lbthatbapply.
A)bSecretionbofbhydrochloricbacidb(HCl)
B)bReabsorptionbofbwater
C)bSecretionbofbmucus
D)bAbsorptionbofbnutrients
E)bMovementbofbnutrientsbintobthebbloodstreamb-bANSWERbC)bSecretionbofbmucus