h h h h h h
Ahnursehishcaringhforhahpatienthwhohishscheduledhforhahcolonoscopyhandhwhosehbowelhpr
eparationhwillhincludehpolyethylenehglycolhelectrolytehlavagehpriorhtohthehprocedure.hTh
ehpresencehofhwhathhealthhproblemhwouldhcontraindicatehthehusehofhthishformhofhbowelh
preparation?
A)hInflammatoryhbowelhdisease
B)hIntestinalhpolyps
C)hDiverticulitis
D)hColonhcancerh-hANSWERhA)hInflammatoryhbowelhdiseaseh(IBD)
Ahnursehishpromotinghincreasedhproteinhintakehtohenhancehahpatientshwoundhhealing.hT
hehnursehknowshthathenzymesharehessentialhinhthehdigestionhofhnutrientshsuchhashprotei
n.hWhathishthehenzymehthathinitiateshthehdigestionhofhprotein?
A)hPepsin
B)hIntrinsichfactor
C)hLipase
D)hAmylaseh-hANSWERhA)hPepsin
Ahpatienthhashbeenhbroughthtohthehemergencyhdepartmenthwithhabdominalhpainhandhishs
ubsequentlyhdiagnosedhwithhappendicitis.hThehpatienthishscheduledhforhanhappendecto
myhbuthquestionshthehnursehabouthhowhhishhealthhwillhbehaffectedhbyhthehabsencehofhanh
appendix.hHowhshouldhthehnursehbesthrespond?
A)hYourhappendixhdoesnthplayhahmajorhrole,hsohyouhwonthnoticehanyhdifferencehafterhyou
hrecoveryhfromhsurgery.
B)hThehsurgeonhwillhencouragehyouhtohlimithyourhfathintakehforhahfewhweekshafterhthehsur
gery,hbuthyourhbodyhwillhthenhbeginhtohcompensate.
C)hYourhbodyhwillhabsorbhslightlyhfewerhnutrientshfromhthehfoodhyouheat,hbuthyouhwonthb
ehawarehof
this.
D)hYourhlargehintestinehwillhadapthoverhtimehtohthehabsencehofhyourhappendix.h-
hANSWERhA)hYourhappendixhdoesn'thplayhahmajorhrole,hsohyouhwonthnoticehanyhdifferen
cehafterhyouhrecoveryhfromhsurgery.
Ahpatienthaskshthehnursinghassistanthforhahbedpan.hWhenhthehpatienthishfinished,hthehnur
singhassistant
notifieshthehnursehthaththehpatienthhashbrighthredhstreakinghofhbloodhinhthehstool.hWhathish
thishmosthlikelyhahresulthof?
A)hDiethhighhinhredhmeat
B)hUpperhGIhbleed
C)hHemorrhoids
D)hUsehofhironhsupplementsh-hANSWERhC)hHemorrhoids
AnhadulthpatienthishscheduledhforhanhupperhGIhserieshthathwillhusehahbariumhswallow.hWh
athteachinghshouldhthehnursehincludehwhenhthehpatienthhashcompletedhthehtest?
A)hStoolhwillhbehyellowhforhthehfirsth24hhourshpostprocedure
B)hThehbariumhmayhcausehdiarrheahforhthehnexth24hhours.
C)hFluidshmusthbehincreasedhtohfacilitatehthehevacuationhofhthehstool.
,D)hSlighthanalhbleedinghmayhbehnotedhashthehbariumhishpassed.h-
hANSWERhC)hFluidshmusthbehincreasedhtohfacilitatehthehevacuationhofhthehstool.
patienthhashcomehtohthehoutpatienthradiologyhdepartmenthforhdiagnostichtesting.hWhichh
ofhthehfollowing
diagnostichprocedureshwillhallowhthehcarehteamhtohevaluatehandhremovehpolyps?
A)hColonoscopy
B)hBariumhenema
C)hERCP
D)hUpperhgastrointestinalhfibroscopyh-hANSWERhA)hColonoscopy
Ahnursehishcaringhforhahpatienthwithhrecurrenthhematemesishwhohishscheduledhforhupperh
gastrointestinalhfibroscopyh(UGF).hHowhshouldhthehnursehinhthehradiologyhdepartmenthp
reparehthishpatient?
A)hInserthahnasogastrichtube.
B)hAdministerhahmicrohFleethenemahathleasth3hhourshbeforehthehprocedure.
C)hHavehthehpatienthliehinhahsupinehpositionhforhthehprocedure.
D)hApplyhlocalhanesthetichtohthehbackhofhthehpatientshthroath-
hANSWERhD)hApplyhlocalhanesthetichtohthehbackhofhthehpatientshthroat
Thehnursehishprovidinghhealthheducationhtohahpatienthscheduledhforhahcolonoscopy.hTheh
nursehshould
explainhthathshehwillhbehplacedhinhwhathpositionhduringhthishdiagnostichtest?
A)hInhahknee-chesthpositionh(lithotomyhposition)
B)hLyinghpronehwithhlegshdrawnhtowardhthehchest
C)hLyinghonhthehlefthsidehwithhlegshdrawnhtowardhthehchest
D)hInhahpronehpositionhwithhtwohpillowshelevatinghthehbuttocksh-
hANSWERhC)hLyinghonhthehlefthsidehwithhlegshdrawnhtowardhthehchest
Ahpatienthhashsoughthcarehbecausehofhrecenthdark-
coloredhstools.hAshahresult,hahfecalhocculthbloodhtesthhashbeenhordered.hThehnursehshoul
dhinstrucththehpatienthtohavoidhwhichhofhthehfollowinghpriorhtohcollectinghahstoolhsample?
A)hNSAIDs
B)hAcetaminophen
C)hOTChvitaminhDhsupplements
D)hFiberhsupplementsh-hANSWERhA)hNSAIDs
Thehnursehishpreparinghtohperformhahpatientshabdominalhassessment.hWhathexaminatio
nhsequencehshould
thehnursehfollow?
A)hInspection,hauscultation,hpercussion,handhpalpation
B)hInspection,hpalpation,hauscultation,handhpercussion
C)hInspection,hpercussion,hpalpation,handhauscultation
D)hInspection,hpalpation,hpercussion,handhauscultationh-
hANSWERhA)hInspection,hauscultation,hpercussion,handhpalpation
Ahpatienthwhohhashbeenhexperiencinghchangeshinhhishbowelhfunctionhishscheduledhforhah
bariumhenema.
Whathinstructionhshouldhthehnursehprovidehforhpostprocedurehrecovery?
A)hRemainhNPOhforh6hhourshpostprocedure.
,B)hAdministerhahFleethenemahtohcleansehthehbowelhofhthehbarium.
C)hIncreasehfluidhintakehtohevacuatehthehbarium.
D)hAvoidhdairyhproductshforh24hhourshpostprocedure.h-
hANSWERhC)hIncreasehfluidhintakehtohevacuatehthehbarium.
AhnursehishcaringhforhahnewlyhadmittedhpatienthwithhahsuspectedhGIhbleed.hThehnursehas
sesseshthehpatientshstoolhafterhahbowelhmovementhandhnoteshithtohbehahtarry-
blackhcolor.hThishfindinghishsuggestivehofhbleedinghfromhwhathlocation?
A)hSigmoidhcolon
B)hUpperhGIhtract
C)hLargehintestine
D)hAnushorhrectumh-hANSWERhB)hUpperhGIhtract
Ahnursinghstudenthhashauscultatedhahpatientshabdomenhandhnotedhonehorhtwohbowelhso
undshinhah2-minute
periodhofhtime.hHowhwouldhyouhtellhthehstudenthtohdocumenththehpatientshbowelhsounds
?
A)hNormal
B)hHypoactive
C)hHyperactive
D)hParalytichileush-hANSWERhB)hHypoactive
Anhadvancedhpracticehnursehishassessinghthehsizehandhdensityhofhahpatientshabdominalh
organs.hIfhthe
resultshofhpalpationharehunclearhtohthehnurse,hwhathassessmenthtechniquehshouldhbehim
plemented?
A)hPercussion
B)hAuscultation
C)hInspection
D)hRectalhexaminationh-hANSWERhA)hPercussion
Ahnursehishcaringhforhahpatienthwithhbiliaryhcolichandhishawarehthaththehpatienthmayhexperi
encehreferredhabdominalhpain.hWherehwouldhthehnursehmosthlikelyhexpecththishpatientht
ohexperiencehreferredhpain?
A)hMidlinehnearhthehumbilicus
B)hBelowhthehrighthnipple
C)hLefthgroinharea
D)hRighthlowerhabdominalhquadranth-hANSWERhB)hBelowhthehrighthnipple
Anhinpatienthhashreturnedhtohthehmedicalhunithafterhahbariumhenema.hWhenhassessinght
hehpatients
subsequenthbowelhpatternshandhstools,hwhathfindinghshouldhthehnursehreporthtohthehphy
sician?
A)hLarge,hwidehstools
B)hMilkyhwhitehstools
C)hThreehstoolshduringhanh8-hourhperiodhofhtime
D)hStreakshofhbloodhpresenthinhthehstoolh-
hANSWERhD)hStreakshofhbloodhpresenthinhthehstool
, Ahnursehinhahstrokehrehabilitationhfacilityhrecognizeshthaththehbrainhregulateshswallowing
.hDamagehtohwhathareahofhthehbrainhwillhmosthaffecththehpatientshabilityhtohswallow?
A)hTemporalhlobe
B)hMedullahoblongata
C)hCerebellum
D)hPonsh-hANSWERhB)hMedullahoblongata
Ahpatienthishbeinghassessedhforhahsuspectedhdeficithinhintrinsichfactorhsynthesis.hWhathdi
agnostichor
assessmenthfindinghishthehmosthlikelyhrationalehforhthishexaminationhofhintrinsichfactorhpr
oduction?
A)hMusclehwasting
B)hChronichjaundicehinhthehabsencehofhliverhdisease
C)hThehpresencehofhfathinhthehpatientshstool
D)hPersistentlyhlowhhemoglobinhandhhematocrith-
hANSWERhD)hPersistentlyhlowhhemoglobinhandhhematocrit
Ahpatienthwithhahrecenthhistoryhofhintermittenthbleedinghishundergoinghcapsulehendoscop
yhtohdeterminehthehsourcehofhthehbleeding.hWhenhexplaininghthishdiagnostichtesthtohthehp
atient,hwhathadvantagehshouldhthehnursehdescribe?
A)hThehtesthallowshvisualizationhofhthehentirehperitonealhcavity.
h
B)hThehtesthallowshforhpainlesshbiopsyhcollection.
C)hThehtesthdoeshnothrequirehfasting.
D)hThehtesthishnoninvasiveh-hANSWERhD)hThehtesthishnoninvasive
Ahnursehishcaringhforhahpatienthadmittedhwithhahsuspectedhmalabsorptionhdisorder.hTheh
nursehknowshthat
onehofhthehaccessoryhorganshofhthehdigestivehsystemhishthehpancreas.hWhathdigestivehe
nzymeshdoeshthe
pancreashsecrete?hSelecthallhthathapply.
A)hPepsin
B)hLipase
C)hAmylase
D)hTrypsin
E)hPtyalin
Ans:hB,hC,hDh-hANSWERhAns:hB,hC,hD
B)hLipase
C)hAmylase
D)hTrypsin
Thehnursehishcaringhforhahpatienthwithhahduodenalhulcerhandhishrelatinghthehpatientshsym
ptomshtohthe
physiologichfunctionshofhthehsmallhintestine.hWhathdohthesehfunctionshinclude?hSelecthal
lhthathapply.
A)hSecretionhofhhydrochlorichacidh(HCl)
B)hReabsorptionhofhwater
C)hSecretionhofhmucus
D)hAbsorptionhofhnutrients
E)hMovementhofhnutrientshintohthehbloodstreamh-hANSWERhC)hSecretionhofhmucus