Page 1 of 46
MED SURGE GI Exam COMPLETE
NEWEST 300 QUESTIONS AND
VERIFIED SOLUTIONS LATEST
UPDATE THIS YEAR
QUESTION: A nurse is demonstrating colostomy care to a client who has a new colostomy. Which
of the following actions should the nurse teach the client form? Select all that apply
A. Use anti-microbial appointment on the peristomal skin
B. Empty the bag when it is 1/3 to 1/2 full
C. Cut the skin barrier opening a little larger than the ostomy
D. Wash the peristomal skin with mild soap and water
E. Apply the skin barrier while the skin is slightly moist - ANSWER-Correct answer: B, C, D
Allowing the bag to become too full can cause leakage. The client should cut an opening that is
about 1/16 218 larger than the stoma to avoid applying any constructing pressure to the stoma.
The client should avoid moisturizing soap's because Lee Perkins can affect adhesion of the
appliance.
A. Oil based appointments on the skin disrupt adhesion and anti-microbial's are not necessary
unless prescribed by the provider to treat an infection.
E. The skin must be dry before applying the skin barrier since the pouch will not adhere to moist
skin.
QUESTION: A nurse is providing dietary teaching to a client who has ulcerative colitis. Which of
the following food selections by the client indicates an understanding of the teaching?
A. Raw vegetable salad with low-fat dressing
B. Roasted chicken and white rice
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C. Fresh fruit salad and milk
D. Peanut butter on whole wheat bread - ANSWER-Correct answer: B. Roasted chicken
Clients who have also read colitis or restricted to a low fiber diet, which on that whole grains and
raw fruits and vegetables. Roasted chicken with white rice is the best choice.
Line
clients who have also read colitis or restricted to a low fiber diet, which of that whole grains and
raw fruits and vegetables. Roasted chicken with white rice is the best choice.
A. Raw vegetables should be avoided because they are high in fiber.
C. Raw fruits should be avoided because they are high in fiber.
D. Whole grains should be avoided because they are high in fiber.
QUESTION: A nurse is caring for a client who is two days postop following a gastric bypass. The
nurse knows that Paul sounds are present. Which of the following foods should the nurse provide
at the initial feeding?
A. Vanilla pudding
B. Apple juice
C. Diet Ginger ale
D. Clear liquids - ANSWER-Correct answer: D. Clear liquids
Clear liquids such as water or broth can be given for the first oral feedings but should be limited
to only 30 mL per feeding. Water does not contain sugar which could cause diarrhea due to
hyperosmolarity.
A. Vanilla pudding contain sugar which can cause diarrhea.
Be. The sugar content of apple juice can cause diarrhea due to hyperosmolarity.
C. The client should avoid carbonated beverages because they can just in the stomach causing
pressure on the internal sutures or Staples. Pressure can lead to leaking into the peritoneum and
result in peritonitis.
2
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QUESTION: A nurse is providing teaching to a client who has constipation. Which of the following
instruction should the nurse include?
A. Use bismuth subsalicylate regularLy
B. Consumer low fiber diet
C. Eat yogurt with live cultures
D. Use bisacodyl suppositories regularly - ANSWER-Correct answer: C. Eat yogurt with live
cultures
Yogurt with a bacterial cultures provides dietary probiotics that help maintain and promote
bowel function
A. Bismuth subsalicylate is an anti-diarrheal agent and will increase constipation
B. Increasing fiber gradually can prevent constipation. A low fiber diet is recommended for clients
who have diarrhea
C. The regular use of stimulant laxative can result in decreased defecation reflexes, causing a
reliance on stimulant laxatives for bowel movements. This may eventually cause electrolyte in
balance is and colitis
Q; A nurse is teaching a group of clients about the functions of the liver and gallbladder. Which
of the following should the nurse include in the teaching as the purpose of bile?
A. Digesting fats
B. Producing chyme
C. Stimulating gastric acid secretions
D. Providing energy - ANSWER-A. Digesting fats - CORRECT. Bio as a product of the liver and aids
in the digestion of fats.
B. Producing chyme - chyme is a semi solid mixture of food and gastric secretions that is formed
in the stomach
C. Stimulating gastric acid secretions - gastrin is a hormone produced by the stomach mucosa
that stimulates the release of gastric secretions during the process of digestion
D. Providing energy - I like the gym is stored in the liver and his released in the form of glucose
to meet the body's energy needs
3
, Page 4 of 46
QUESTION: A nurse is caring for a client who is two days post op following gastric surgery and has
an NG tube inserted. Which of the following findings should the nurse report to the provider?
A. Dryness of the mucous membranes
B. Hypo active bowel sounds in all quadrants
C. 200 mL of bright red drainage from the NG tube
D. Suction set a continuous low suction - ANSWER-A. Dryness of the mucous membranes
B. Hypoactive bowel sounds in all quadrants
C. 200 mL of bright red drainage from the NG tube - CORRECT. The nurse should notify the
provider immediately if 200 mL of bright red drainage comes from the NG tube two days
following gastric surgery. Drainage should either be yellow green color or clear. Bright red
drainage indicates blood loss and can be the result of disrupted suture line or other internal
bleeding. Volume loss from blood is a medical emergency and the provider should be
immediately notified
D. Suction set a continuous low suction
QUESTION: A nurse is caring for a client who has an acute exacerbation of prunes disease. Which
of the following actions should the nurse take?
A. Ensure bowel rest
B. Offer sparkling water frequently
C. Administer stool softener
D. Offer plane warranty frequently - ANSWER-Correct answer: A. Ensure bowel rest
Plan to have an exacerbation of processes usually require NPO status to ensure bowel rest and
promote healing and recovery
B. Carbonated beverages conversing and exacerbation of chronic disease
C. The client with an exacerbation parentheses is already having many students per day. I still
softener not worse in the situation.
D. Caffeinated beverages and alcohol can worsen and exacerbation of Crohn's disease disease
4
MED SURGE GI Exam COMPLETE
NEWEST 300 QUESTIONS AND
VERIFIED SOLUTIONS LATEST
UPDATE THIS YEAR
QUESTION: A nurse is demonstrating colostomy care to a client who has a new colostomy. Which
of the following actions should the nurse teach the client form? Select all that apply
A. Use anti-microbial appointment on the peristomal skin
B. Empty the bag when it is 1/3 to 1/2 full
C. Cut the skin barrier opening a little larger than the ostomy
D. Wash the peristomal skin with mild soap and water
E. Apply the skin barrier while the skin is slightly moist - ANSWER-Correct answer: B, C, D
Allowing the bag to become too full can cause leakage. The client should cut an opening that is
about 1/16 218 larger than the stoma to avoid applying any constructing pressure to the stoma.
The client should avoid moisturizing soap's because Lee Perkins can affect adhesion of the
appliance.
A. Oil based appointments on the skin disrupt adhesion and anti-microbial's are not necessary
unless prescribed by the provider to treat an infection.
E. The skin must be dry before applying the skin barrier since the pouch will not adhere to moist
skin.
QUESTION: A nurse is providing dietary teaching to a client who has ulcerative colitis. Which of
the following food selections by the client indicates an understanding of the teaching?
A. Raw vegetable salad with low-fat dressing
B. Roasted chicken and white rice
1
, Page 2 of 46
C. Fresh fruit salad and milk
D. Peanut butter on whole wheat bread - ANSWER-Correct answer: B. Roasted chicken
Clients who have also read colitis or restricted to a low fiber diet, which on that whole grains and
raw fruits and vegetables. Roasted chicken with white rice is the best choice.
Line
clients who have also read colitis or restricted to a low fiber diet, which of that whole grains and
raw fruits and vegetables. Roasted chicken with white rice is the best choice.
A. Raw vegetables should be avoided because they are high in fiber.
C. Raw fruits should be avoided because they are high in fiber.
D. Whole grains should be avoided because they are high in fiber.
QUESTION: A nurse is caring for a client who is two days postop following a gastric bypass. The
nurse knows that Paul sounds are present. Which of the following foods should the nurse provide
at the initial feeding?
A. Vanilla pudding
B. Apple juice
C. Diet Ginger ale
D. Clear liquids - ANSWER-Correct answer: D. Clear liquids
Clear liquids such as water or broth can be given for the first oral feedings but should be limited
to only 30 mL per feeding. Water does not contain sugar which could cause diarrhea due to
hyperosmolarity.
A. Vanilla pudding contain sugar which can cause diarrhea.
Be. The sugar content of apple juice can cause diarrhea due to hyperosmolarity.
C. The client should avoid carbonated beverages because they can just in the stomach causing
pressure on the internal sutures or Staples. Pressure can lead to leaking into the peritoneum and
result in peritonitis.
2
, Page 3 of 46
QUESTION: A nurse is providing teaching to a client who has constipation. Which of the following
instruction should the nurse include?
A. Use bismuth subsalicylate regularLy
B. Consumer low fiber diet
C. Eat yogurt with live cultures
D. Use bisacodyl suppositories regularly - ANSWER-Correct answer: C. Eat yogurt with live
cultures
Yogurt with a bacterial cultures provides dietary probiotics that help maintain and promote
bowel function
A. Bismuth subsalicylate is an anti-diarrheal agent and will increase constipation
B. Increasing fiber gradually can prevent constipation. A low fiber diet is recommended for clients
who have diarrhea
C. The regular use of stimulant laxative can result in decreased defecation reflexes, causing a
reliance on stimulant laxatives for bowel movements. This may eventually cause electrolyte in
balance is and colitis
Q; A nurse is teaching a group of clients about the functions of the liver and gallbladder. Which
of the following should the nurse include in the teaching as the purpose of bile?
A. Digesting fats
B. Producing chyme
C. Stimulating gastric acid secretions
D. Providing energy - ANSWER-A. Digesting fats - CORRECT. Bio as a product of the liver and aids
in the digestion of fats.
B. Producing chyme - chyme is a semi solid mixture of food and gastric secretions that is formed
in the stomach
C. Stimulating gastric acid secretions - gastrin is a hormone produced by the stomach mucosa
that stimulates the release of gastric secretions during the process of digestion
D. Providing energy - I like the gym is stored in the liver and his released in the form of glucose
to meet the body's energy needs
3
, Page 4 of 46
QUESTION: A nurse is caring for a client who is two days post op following gastric surgery and has
an NG tube inserted. Which of the following findings should the nurse report to the provider?
A. Dryness of the mucous membranes
B. Hypo active bowel sounds in all quadrants
C. 200 mL of bright red drainage from the NG tube
D. Suction set a continuous low suction - ANSWER-A. Dryness of the mucous membranes
B. Hypoactive bowel sounds in all quadrants
C. 200 mL of bright red drainage from the NG tube - CORRECT. The nurse should notify the
provider immediately if 200 mL of bright red drainage comes from the NG tube two days
following gastric surgery. Drainage should either be yellow green color or clear. Bright red
drainage indicates blood loss and can be the result of disrupted suture line or other internal
bleeding. Volume loss from blood is a medical emergency and the provider should be
immediately notified
D. Suction set a continuous low suction
QUESTION: A nurse is caring for a client who has an acute exacerbation of prunes disease. Which
of the following actions should the nurse take?
A. Ensure bowel rest
B. Offer sparkling water frequently
C. Administer stool softener
D. Offer plane warranty frequently - ANSWER-Correct answer: A. Ensure bowel rest
Plan to have an exacerbation of processes usually require NPO status to ensure bowel rest and
promote healing and recovery
B. Carbonated beverages conversing and exacerbation of chronic disease
C. The client with an exacerbation parentheses is already having many students per day. I still
softener not worse in the situation.
D. Caffeinated beverages and alcohol can worsen and exacerbation of Crohn's disease disease
4
