GI EXAM STUDY GUIDE QUESTIONS
& ANSWERS SOLVED 100%
CORRECT!!
1 of 84
Term
After assessing a client with peritonitis, the nurse most likely would
document the client's bowel sounds as:
Absent
High-pitched.
Mild.
Hyperactive.
Give this one a try later!
, Answer B. Hypovolemic shock from fluid shifts is a major factor in acute
pancreatitis. The other conditions are less likely to exhibit fluid volume deficit.
ANSWER:A
PepsinExplanation: Pepsin is secreted by the gastric mucosa. Trypsin is secreted
by the pancreas. The salivary glands secrete ptyalin. The liver and gallbladder
secrete bile.
C) LiverThe RUQ contains the liver, gallbladder, duodenum, head of the
pancreas, hepatic flexure of the colon, portions of the ascending and transverse
colon, and a portion of the right kidney. The sigmoid colon is located in the left
lower quadrant; the appendix, in the right lower quadrant; and the spleen, in the
left upper quadrant.
A) Absent Since lack of bowel motility typically accompanies
peritonitis, bowel sounds are absent. Therefore, the nurse will not
observe mild, high- pitched, or hyperactive bowel sounds.
Don't know?
2 of 84
Term
After teaching a group of students about the various organs of the
upper gastrointestinal tract and possible disorders, the instructor
determines that the teaching was successful when the students
identify which of the following structures as possibly being affected?
a) Large intestine
b) Ileum
,c) Stomach
d) Liver
Give this one a try later!
C) At the umbilicus Measurement of abdominal girth is done at the widest point,
which is usually the umbilicus. The right upper quadrant, lower border of the
liver, or just below the last rib would be inappropriate sites for abdominal
girth
measurement.
A) Encourage plenty of fluidsThe nurse should encourage plenty of
fluids because adequate fluid intake is necessary to avoid dehydration that
may be caused by the bowel preparation and to prevent fecal impaction
after the
procedure. The client may be placed on a low-residue diet 1 to 2 days before the
procedure to reduce the contents in the GI tract. Fiber intake is limited in a low-
residue diet. Because dairy products leave a residue, they aren't allowed the
evening before the test. Clear liquids only are allowed the evening before the
test.
C) Stomach The upper gastrointestinal (GI) tract begins at the mouth and
ends at the jejunum. Therefore, the stomach would be a component of
the upper GI tract. The lower GI tract begins at the ileum and ends at the
anus. The liver is considered an accessory structure.
C) Small intestine The small intestine absorbs products of digestion,
completes food digestion, and secretes hormones that help control the
secretion of bile, pancreatic juice, and intestinal secretions. The stomach
stores, mixes, and liquefies the food bolus into chyme and controls food
passage into the
duodenum; it doesn't absorb products of digestion. Although the large intestine
completes the absorption of water, chloride, and sodium, it plays no part in
absorbing food. The rectum is the portion of the large intestine that forms and
expels feces from the body; its functions don't include absorption.
Don't know?
, 3 of 84
Term
A home care nurse is caring for a client with complaints of epigastric
discomfort who is scheduled for a barium swallow. Which statement
by the client indicates an understanding of the test?
a) "I'll drink full liquids the day before the test.
"b) "There is no need for special preparation before the test."
c) "I'll take a laxative to clear my bowels before the test."
d) "I'll avoid eating or drinking anything 6 to 8 hours before the test."
Give this one a try later!
D) I'll avoid eating or drinking anything 6 to 8 hours before the test The
client demonstrates understanding of a barium swallow when he states
that he must refrain from eating or drinking for 6 to 8 hours before the
test. No other preparation is needed. Before a lower GI series, the client
should eat a low-residue or clear liquid diet for 2 days and take a
potent laxative and an oral liquid preparation.
D)Vasomotor symptoms associated with dumping syndromeEarly
manifestations of dumping syndrome occur 15 to 30 minutes after eating. Signs
and symptoms
include vertigo, tachycardia, syncope, sweating, pallor, palpitations, diarrhea,
nausea, and the desire to lie down. Dehiscence of the surgical wound is
characterized by pain and a pulling or popping feeling at the surgical site.
Peritonitis presents with a rigid, boardlike abdomen, tenderness, and fever. The
client's signs and symptoms aren't a normal reaction to surgery.
A nurse is caring for a client with active upper GI bleeding. What is the
appropriate diet for this client during the first 24 hours after admission?a) Skim
milkb) Nothing by mouthc) Regular dietd) Clear liquids
B) NPO Shock and bleeding must be controlled before oral intake, so the client
should receive nothing by mouth. When the bleeding is controlled, the diet is
gradually increased, starting with ice chips and then clear liquids. Skim milk
shouldn't be given because it increases gastric acid production, which could
& ANSWERS SOLVED 100%
CORRECT!!
1 of 84
Term
After assessing a client with peritonitis, the nurse most likely would
document the client's bowel sounds as:
Absent
High-pitched.
Mild.
Hyperactive.
Give this one a try later!
, Answer B. Hypovolemic shock from fluid shifts is a major factor in acute
pancreatitis. The other conditions are less likely to exhibit fluid volume deficit.
ANSWER:A
PepsinExplanation: Pepsin is secreted by the gastric mucosa. Trypsin is secreted
by the pancreas. The salivary glands secrete ptyalin. The liver and gallbladder
secrete bile.
C) LiverThe RUQ contains the liver, gallbladder, duodenum, head of the
pancreas, hepatic flexure of the colon, portions of the ascending and transverse
colon, and a portion of the right kidney. The sigmoid colon is located in the left
lower quadrant; the appendix, in the right lower quadrant; and the spleen, in the
left upper quadrant.
A) Absent Since lack of bowel motility typically accompanies
peritonitis, bowel sounds are absent. Therefore, the nurse will not
observe mild, high- pitched, or hyperactive bowel sounds.
Don't know?
2 of 84
Term
After teaching a group of students about the various organs of the
upper gastrointestinal tract and possible disorders, the instructor
determines that the teaching was successful when the students
identify which of the following structures as possibly being affected?
a) Large intestine
b) Ileum
,c) Stomach
d) Liver
Give this one a try later!
C) At the umbilicus Measurement of abdominal girth is done at the widest point,
which is usually the umbilicus. The right upper quadrant, lower border of the
liver, or just below the last rib would be inappropriate sites for abdominal
girth
measurement.
A) Encourage plenty of fluidsThe nurse should encourage plenty of
fluids because adequate fluid intake is necessary to avoid dehydration that
may be caused by the bowel preparation and to prevent fecal impaction
after the
procedure. The client may be placed on a low-residue diet 1 to 2 days before the
procedure to reduce the contents in the GI tract. Fiber intake is limited in a low-
residue diet. Because dairy products leave a residue, they aren't allowed the
evening before the test. Clear liquids only are allowed the evening before the
test.
C) Stomach The upper gastrointestinal (GI) tract begins at the mouth and
ends at the jejunum. Therefore, the stomach would be a component of
the upper GI tract. The lower GI tract begins at the ileum and ends at the
anus. The liver is considered an accessory structure.
C) Small intestine The small intestine absorbs products of digestion,
completes food digestion, and secretes hormones that help control the
secretion of bile, pancreatic juice, and intestinal secretions. The stomach
stores, mixes, and liquefies the food bolus into chyme and controls food
passage into the
duodenum; it doesn't absorb products of digestion. Although the large intestine
completes the absorption of water, chloride, and sodium, it plays no part in
absorbing food. The rectum is the portion of the large intestine that forms and
expels feces from the body; its functions don't include absorption.
Don't know?
, 3 of 84
Term
A home care nurse is caring for a client with complaints of epigastric
discomfort who is scheduled for a barium swallow. Which statement
by the client indicates an understanding of the test?
a) "I'll drink full liquids the day before the test.
"b) "There is no need for special preparation before the test."
c) "I'll take a laxative to clear my bowels before the test."
d) "I'll avoid eating or drinking anything 6 to 8 hours before the test."
Give this one a try later!
D) I'll avoid eating or drinking anything 6 to 8 hours before the test The
client demonstrates understanding of a barium swallow when he states
that he must refrain from eating or drinking for 6 to 8 hours before the
test. No other preparation is needed. Before a lower GI series, the client
should eat a low-residue or clear liquid diet for 2 days and take a
potent laxative and an oral liquid preparation.
D)Vasomotor symptoms associated with dumping syndromeEarly
manifestations of dumping syndrome occur 15 to 30 minutes after eating. Signs
and symptoms
include vertigo, tachycardia, syncope, sweating, pallor, palpitations, diarrhea,
nausea, and the desire to lie down. Dehiscence of the surgical wound is
characterized by pain and a pulling or popping feeling at the surgical site.
Peritonitis presents with a rigid, boardlike abdomen, tenderness, and fever. The
client's signs and symptoms aren't a normal reaction to surgery.
A nurse is caring for a client with active upper GI bleeding. What is the
appropriate diet for this client during the first 24 hours after admission?a) Skim
milkb) Nothing by mouthc) Regular dietd) Clear liquids
B) NPO Shock and bleeding must be controlled before oral intake, so the client
should receive nothing by mouth. When the bleeding is controlled, the diet is
gradually increased, starting with ice chips and then clear liquids. Skim milk
shouldn't be given because it increases gastric acid production, which could
