Page 1 of 63
MED SURGE GI gastrointestinal EXAM ACTUAL
EXAM ALL 300 QUESTIONS AND CORRECT
ANSWERS LATEST UPDATE THIS YEAR
The nurse is caring for a client with hepatic portal-systemic encephalopathy (PSE). The client
is thin and cachectic, and the family expresses distress that the patient is receiving little
dietary protein. How would the nurse respond?
a. Low dietary protein is needed to prevent fluid from leaking into the abdomen
b. A low-protein diet will help the liver rest and will restore liver function
c. Less protein in the diet will help prevent confusion associated with liver failure
d. Increasing dietary protein will help the patient gain weight and muscle mass
c. Less protein in the diet will help prevent confusion associated with liver failure
After teaching a client who has been diagnoses with hepatitis A, the nurse assesses the
client's understanding. Which statement by the client indicates a correct understanding of
the teaching?
a. My infection with Epstein-Barr virus can co-infect me with hepatitis A
b. I may have been exposed when we ate shrimp last weekend
c. I was infected with hepatitis A through a recent blood transfusion
d. Some medications have been known to cause hepatitis A
b. I may have been exposed when we ate shrimp last weekend
1
, Page 2 of 63
After teaching a client who has alcohol-induced cirrhosis, a nurse assesses the client's
understanding. Which statement made by the client indicates a need for further teaching?
a. I cannot drink any alcohol at all anymore
b. I need to avoid protein in my diet
c. I should not take over-the-counter medications
d. I should eat small, frequent, balanced meals
b. I need to avoid protein in my diet
The nurse is caring for a client who has cirrhosis of the liver. Which risk factor is the leading
cause of cirrhosis?
a. Metabolic syndrome
b. Liver cancer
c. Hepatitis C
d. Nonalcoholic fatty liver disease
c. Hepatitis C
The nurse is caring for a client who has cirrhosis of the liver. What nursing action is
appropriate to help control ascites?
a. Increase oral fluid intake
b. Provide a low-sodium diet
c. Monitor intake and output
d. Weight the patient daily
b. Provide a low-sodium diet
2
, Page 3 of 63
The nurse is caring for a client who has cirrhosis from substance abuse. The client states, "All
of my family hates me." How would the nurse respond?
a. I will help you identify a support system
b. You must attend Alcoholics Anonymous
c. This is not unusual. My family hates me too
d. You should make peace with your family
a. I will help you identify a support system
The nurse is caring for a client with hepatitis C. The client's brother states, "I do not want to
get this infection, so I'm not going into his hospital room." How would the nurse respond?
a. If you wear a gown and gloves, you will not get this virus
b. I can give you an update on your brother's status from here
c. This virus is only transmitted through a fecal specimen
d. Hepatitis C is not spread through casual contact
d. Hepatitis C is not spread through casual contact
After teaching a client has a history of cholelithiasis, the nurse assesses the client's
understanding. Which menu selection indicated that the client understands the dietary
teaching?
a. Lasagna, tossed salad with Italian dressing, and low-fat milk
b. Grilled cheese sandwich, tomato soup, and coffee with cream
c. Roasted chicken breast, baked potato with chives, and orange juice
d. Cream of potato soup, Caesar salad with chicken, and a diet cola
c. Roasted chicken breast, baked potato with chives, and orange juice
3
, Page 4 of 63
A client is admitted with acute pancreatitis. What priority problem would the nurse expect
the client to report?
a. Nausea and vomiting
b. Jaundice and itching
c. Severe boring abdominal pain
d. Elevated temperature
c. Severe boring abdominal pain
A nurse assesses a client who has cholecystitis. Which sign or symptom indicates that this
condition is choric rather than acute?
a. Clay-colored stools
b. Temperature of 100.1 F (37.8)
c. Upper abdominal pain after eating
d. Positive Murphy sign
a. Clay-colored stools
The nurse assess an older client. What age-related physiological changes would the nurse
expect?
a. Increased appetite
b. Dehydration
c. Rheumatoid arthritis
d. Heat intolerance
b. Dehydration
4
MED SURGE GI gastrointestinal EXAM ACTUAL
EXAM ALL 300 QUESTIONS AND CORRECT
ANSWERS LATEST UPDATE THIS YEAR
The nurse is caring for a client with hepatic portal-systemic encephalopathy (PSE). The client
is thin and cachectic, and the family expresses distress that the patient is receiving little
dietary protein. How would the nurse respond?
a. Low dietary protein is needed to prevent fluid from leaking into the abdomen
b. A low-protein diet will help the liver rest and will restore liver function
c. Less protein in the diet will help prevent confusion associated with liver failure
d. Increasing dietary protein will help the patient gain weight and muscle mass
c. Less protein in the diet will help prevent confusion associated with liver failure
After teaching a client who has been diagnoses with hepatitis A, the nurse assesses the
client's understanding. Which statement by the client indicates a correct understanding of
the teaching?
a. My infection with Epstein-Barr virus can co-infect me with hepatitis A
b. I may have been exposed when we ate shrimp last weekend
c. I was infected with hepatitis A through a recent blood transfusion
d. Some medications have been known to cause hepatitis A
b. I may have been exposed when we ate shrimp last weekend
1
, Page 2 of 63
After teaching a client who has alcohol-induced cirrhosis, a nurse assesses the client's
understanding. Which statement made by the client indicates a need for further teaching?
a. I cannot drink any alcohol at all anymore
b. I need to avoid protein in my diet
c. I should not take over-the-counter medications
d. I should eat small, frequent, balanced meals
b. I need to avoid protein in my diet
The nurse is caring for a client who has cirrhosis of the liver. Which risk factor is the leading
cause of cirrhosis?
a. Metabolic syndrome
b. Liver cancer
c. Hepatitis C
d. Nonalcoholic fatty liver disease
c. Hepatitis C
The nurse is caring for a client who has cirrhosis of the liver. What nursing action is
appropriate to help control ascites?
a. Increase oral fluid intake
b. Provide a low-sodium diet
c. Monitor intake and output
d. Weight the patient daily
b. Provide a low-sodium diet
2
, Page 3 of 63
The nurse is caring for a client who has cirrhosis from substance abuse. The client states, "All
of my family hates me." How would the nurse respond?
a. I will help you identify a support system
b. You must attend Alcoholics Anonymous
c. This is not unusual. My family hates me too
d. You should make peace with your family
a. I will help you identify a support system
The nurse is caring for a client with hepatitis C. The client's brother states, "I do not want to
get this infection, so I'm not going into his hospital room." How would the nurse respond?
a. If you wear a gown and gloves, you will not get this virus
b. I can give you an update on your brother's status from here
c. This virus is only transmitted through a fecal specimen
d. Hepatitis C is not spread through casual contact
d. Hepatitis C is not spread through casual contact
After teaching a client has a history of cholelithiasis, the nurse assesses the client's
understanding. Which menu selection indicated that the client understands the dietary
teaching?
a. Lasagna, tossed salad with Italian dressing, and low-fat milk
b. Grilled cheese sandwich, tomato soup, and coffee with cream
c. Roasted chicken breast, baked potato with chives, and orange juice
d. Cream of potato soup, Caesar salad with chicken, and a diet cola
c. Roasted chicken breast, baked potato with chives, and orange juice
3
, Page 4 of 63
A client is admitted with acute pancreatitis. What priority problem would the nurse expect
the client to report?
a. Nausea and vomiting
b. Jaundice and itching
c. Severe boring abdominal pain
d. Elevated temperature
c. Severe boring abdominal pain
A nurse assesses a client who has cholecystitis. Which sign or symptom indicates that this
condition is choric rather than acute?
a. Clay-colored stools
b. Temperature of 100.1 F (37.8)
c. Upper abdominal pain after eating
d. Positive Murphy sign
a. Clay-colored stools
The nurse assess an older client. What age-related physiological changes would the nurse
expect?
a. Increased appetite
b. Dehydration
c. Rheumatoid arthritis
d. Heat intolerance
b. Dehydration
4
