Emergency Nursing Orientation 3.0:
Gastrointestinal Emergencies - ENA-ENO-C07
Which disorder results from obstruction and distention of a lumen, causing decreased
blood flow, ischemia, and bacterial invasion? - Ans - Appendicitis
A patient presents with sudden right upper quadrant pain that radiates to her right shoulder
after eating. You should suspect the patient has which disorder? - Ans - Cholecystitis
Which finding commonly occurs in patients with a bowel obstruction? - Ans -
Intractable vomiting
In a patient with gastroesophageal reflux disease (GERD), which of these is increased? -
Ans - Gastric emptying time
Which disorder can cause bronchospasm? - Ans - Gastroesophageal reflux disease
Which statement by a patient with diverticulitis indicates the need for further discharge
instructions? - Ans - "I'll eat a low-fiber diet."
During the abdominal assessment, which action should be performed? - Ans -
Observe the patient's position.
Which assessment finding is likely to be present in a patient with acute pancreatitis? -
Ans - Hypoactive bowel sounds
Which medication is classified as a proton pump inhibitor? - Ans - Omeprazole
1
(Prilosec)
Page
, In a patient with significant upper gastrointestinal bleeding, which laboratory test result is
increased? - Ans - Blood urea nitrogen (BUN)/creatinine level
For a patient with upper gastrointestinal bleeding from peptic ulcer disease, you should
expect to administer which medication to control the bleeding? - Ans - Pantoprazole
(Protonix)
A patient with upper gastrointestinal bleeding usually presents with which sign or
symptom? - Ans - Hematemesis
A patient presents to the emergency department with abdominal pain, coffee-ground
emesis, and black, tarry stools. You should suspect the patient has which condition? -
Ans - Upper gastrointestinal bleeding
Which of these is defined as enlarged, venous channels that are dilated by portal
hypertension? - Ans - Gastroesophageal varices
Which disorders commonly cause lower gastrointestinal bleeding in young adults? -
Ans - Hemorrhoids and inflammatory bowel disease
Fatty, foul-smelling, frothy stools suggest which disorder? - Ans - Pancreatitis
Which statement correctly describes the focused assessment of a patient with a
gastrointestinal emergency? - Ans - Assessment includes a history of food and
alcohol consumption.
Which symptom is typically experienced by patients with gastroesophageal reflux disease
2
Page
(GERD)? - Ans - Regurgitation
Gastrointestinal Emergencies - ENA-ENO-C07
Which disorder results from obstruction and distention of a lumen, causing decreased
blood flow, ischemia, and bacterial invasion? - Ans - Appendicitis
A patient presents with sudden right upper quadrant pain that radiates to her right shoulder
after eating. You should suspect the patient has which disorder? - Ans - Cholecystitis
Which finding commonly occurs in patients with a bowel obstruction? - Ans -
Intractable vomiting
In a patient with gastroesophageal reflux disease (GERD), which of these is increased? -
Ans - Gastric emptying time
Which disorder can cause bronchospasm? - Ans - Gastroesophageal reflux disease
Which statement by a patient with diverticulitis indicates the need for further discharge
instructions? - Ans - "I'll eat a low-fiber diet."
During the abdominal assessment, which action should be performed? - Ans -
Observe the patient's position.
Which assessment finding is likely to be present in a patient with acute pancreatitis? -
Ans - Hypoactive bowel sounds
Which medication is classified as a proton pump inhibitor? - Ans - Omeprazole
1
(Prilosec)
Page
, In a patient with significant upper gastrointestinal bleeding, which laboratory test result is
increased? - Ans - Blood urea nitrogen (BUN)/creatinine level
For a patient with upper gastrointestinal bleeding from peptic ulcer disease, you should
expect to administer which medication to control the bleeding? - Ans - Pantoprazole
(Protonix)
A patient with upper gastrointestinal bleeding usually presents with which sign or
symptom? - Ans - Hematemesis
A patient presents to the emergency department with abdominal pain, coffee-ground
emesis, and black, tarry stools. You should suspect the patient has which condition? -
Ans - Upper gastrointestinal bleeding
Which of these is defined as enlarged, venous channels that are dilated by portal
hypertension? - Ans - Gastroesophageal varices
Which disorders commonly cause lower gastrointestinal bleeding in young adults? -
Ans - Hemorrhoids and inflammatory bowel disease
Fatty, foul-smelling, frothy stools suggest which disorder? - Ans - Pancreatitis
Which statement correctly describes the focused assessment of a patient with a
gastrointestinal emergency? - Ans - Assessment includes a history of food and
alcohol consumption.
Which symptom is typically experienced by patients with gastroesophageal reflux disease
2
Page
(GERD)? - Ans - Regurgitation
