a. Chrons disease
b. Ulcerative colitis
c. Diverticulitis
d. Peritonitis
9. Ryan has undergone subtotal gastrectomy. The nurse should expect that
nasogastric tube drainage will be what color for about 12 to 24 hours
after surgery?
a. Bile green
b. Bright red
c. Cloudy white
d. Dark brown
10. Nurse Bea should instruct the male client with an ileostomy to report
immediately which of the following symptom?
11. A client with peptic ulcer is being assessed by the nurse for
gastrointestinal perforation. The nurse should monitor for:
12. Tony returns from surgery with permanent colostomy. During the first
24 hours the colostomy does not drain. The nurse should be aware that:
13. A client has undergone gastrectomy. Nurse Jovy is aware that the
best position for the client is:
b. Low fowlers
c. Prone
d. Supine
14. During the initial postoperative period of the clients stoma. The nurse
evaluates which of the following observations should be reported
immediately to the physician?
15. Louis develops peritonitis and sepsis after surgical repair of ruptures
diverticulum. The nurse in charge should expect an assessment of the
client to reveal:
a. Tachycardia
b. Abdominal rigidity
c. Bradycardia
d. Increased bowel sounds
16. Nurse Trish is aware that the laboratory test result that most likely
would indicate acute pancreatitis is an elevated:
17. Which intervention would the nurse include in the teaching plan for a
client diagnosed with gastroesophageal reflux disease (GERD)?
19. The nurse would include which nursing intervention for a client
diagnosed with acute diverticulitis?
21. When preparing the discharge teaching plan for a client with
stomatitis, which topic should be included:
24. Which option best describes the rationale for administering histamine-
2 (H2)-receptor antagonists in a client diagnosed with peptic ulcer
disease?
25. Which medication would the nurse anticipate being prescribed for a
client diagnosed with malabsorption syndrome?
26. Which intervention would be included in the care plan for a client
experiencing an acute exacerbation of chronic inflammatory bowel disease?
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HAAD
3
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27. A client diagnosed with gastroenteritis asks the nurse, "What does my
diagnosis mean?" Which response by the nurse best describes this
condition?
a. Omeprazole (Prilosec)
b. Sucralfate (Carafate)
c. Famotidine (Pepcid)
d. Metronidazole (Flagyl)
a. disaccharidase deficiency.
b. gastric resection.
c. infectious disease.
d. inflammation of all layers of intestinal mucosa.
30. The nurse teaches the patient whose surgery will result in a sigmoid
colostomy that the feces expelled through the colostomy will be
a. solid
b. mushy
c. semi-mushy
d. fluid
31. Which of the following categories of laxatives draw water into the
intestines by osmosis?
a. Osmotic diarrhea
b. Secretory diarrhea
EXAM
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HAAD
3
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c. Mixed diarrhea
d. Diarrheal disease
33. Which of the following terms most precisely refers to the incision of
the common bile duct for removal of stones?
a. Choledochoduodenostomy
b. Choledocholithotomy
c. Cholecystostomy
d. Choledochotomy
34. An 82 year-old client complains of chronic constipation. To improve
bowel function, the nurse should first suggest:
35. When preparing to teach a client with colostomy how to irrigate his
colostomy, the nurse should plan to perform the procedure:
a Reaction Formation
b. Sublimation
c. Intellectualization
d. Projection
38. The nurse would know that dietary teaching had been effective for
a client with colostomy when he states that he will eat:
d. Soft foods that are more easily digested and absorbed by the large
intestines
40. A client with colostomy refuses to allow his wife to see the incision
or stoma and ignores most of his dietary instructions. The nurse on
assessing this data, can assume that the client is experiencing:
a. Increasing HCO3
b. Decreasing PCO2
c. Decreasing pH
d. Decreasing PO2
43. The meal pattern that would probably be most appropriate for a
client recovering from GI bleeding is:
44. Mr. Valdez has undergone surgical repair of his inguinal hernia.
Discharge teaching should include
a. Evisceration
b. Erythema
c. Hernia
d. Dehiscence
48. You are assigned in the Orthopedic Ward where clients are
complaining of pain in varying degrees upon movement of body parts. The
nurse would instruct the patient which of the following to minimize
complications?
49. After surgery, Gina returns from the Post-anesthesia Care Unit
(Recovery Room) with a nasogastric tube in place following a gall bladder
surgery. She continues to complain of nausea. Which action would the
nurse take?
50. The client is diagnosed with ulcerative colitis. When assessing this
client, which sign/ symptom would the nurse expect to find?
52. The client diagnosed with inflammatory bowel disease has a serum
potassium level of 3.4 mEq/L. Which action should the nurse implement
first?
54. The client diagnosed with IBD is prescribed total parental nutrition
(TPN). Which intervention should the nurse implement?
56. The client diagnosed with Crohns disease is crying and tells the
nurse, I cant take it anymore. I never know when I will get sick and
end up here in the hospital. Which statement would be the nurses best
response?
57. The client diagnosed with ulcerative colitis has had an ileostomy.
Which statement indicates the client needs more teaching concerning the
ileostomy?
59. The client is diagnosed with Crohns disease, also known as regional
enteritis. Which statement by the client would support this diagnosis?
61. The client with ulcerative colitis is scheduled for an ileostomy. The
nurse is aware that the clients stoma will be located in which area of
the abdomen?
a. A
b. B
c. C
d. D
62. The male client in a health-care providers office tells the nurse that
he has been experiencing heartburn at night that awakens him. Which
assessment question should the nurse ask?
63. The nurse caring for a client diagnosed with gastroesophageal reflux
disease (GERD) writes the nursing problem of behavior modification.
Which intervention should be included for this problem?
a. Teach the client to sleep with a foam wedge under the head.
b. Encourage the client to decrease the amount of smoking.
c. Instruct the client to take over-the-counter medication for relief of
pain.
d. Discuss the need to attend Alcoholics Anonymous to quit drinking.
64. The nurse is preparing a client diagnosed with GERD for discharge
following an esophagogastroduodenoscopy. Which statement indicates the
client understands the discharge instructions?
a. I should not eat for twenty-four (24) hours following this procedure.
b. I can lie down whenever I want after a meal. It wont make a
difference.
c. The stomach contents wont bother my esophagus but will make me
nauseous.
d. I should avoid drinking orange juice and eating tomatoes until my
esophagus heals.
65. The nurse is planning the care of a client diagnosed with lower
esophageal sphincter dysfunction. Which dietary modifications should be
included in the plan of care?
a. Allow any of the clients favorite foods as long as the amount of the
food is limited.
b. Have the client perform eructation exercises several times a day.
c. Eat 4 to 6 small meals a day and limit fluids during mealtimes.
d. Encourage the client to consume a glass of red wine with one (1) meal
a day.
a. Adult-onset asthma.
b. Pancreatitis.
c. Peptic ulcer disease.
d. Increased gastric emptying.
71. Which statement made by the client would alert the nurse that the
client may be experiencing GERD?
a. Hiatal hernia.
b. Gastroenteritis.
c. Esophageal cancer.
d. Gastric cancer.
74. Which assessment data support the clients diagnosis of gastric ulcer?
75. The client has been seen by the health-care provider and the
suspected diagnosis is peptic ulcer disease. Which diagnostic test would
confirm this diagnosis?
a. Esophagogastroduodenoscopy (EGD).
b. Magnetic resonance imaging (MRI).
c. Occult blood test.
d. Gastric acid stimulation.
76. When the nurse is conducting the initial interview, which specific data
should the nurse obtain from the client who is suspected of having peptic
ulcer disease?
77. When assessing the client with the diagnosis of peptic ulcer disease,
which physical examination should the nurse implement first?
78. The client diagnosed with peptic ulcer disease is admitted into the
hospital. Which nursing diagnosis should the nurse include in the plan of
care to observe for physiological complications?
79. When planning the care for a client diagnosed with peptic ulcer
disease, which expected outcome should the nurse include?
80. The nurse has been assigned to care for a client diagnosed with
peptic ulcer disease. When the nurse is evaluating care, which assessment
data require further intervention?
a. E-mycin, an antibiotic.
b. Prilosec, a proton pump inhibitor.
c. Flagyl, an antimicrobial agent.
d. Tylenol, a nonnarcotic analgesic.
82. The nurse has administered an antibiotic, a proton pump inhibitor, and
Pepto-Bismol for peptic ulcer disease secondary to H. pylori. Which data
would indicate to the nurse that the medications are effective?
83. Which assessment data would indicate to the nurse that the clients
gastric ulcer has perforated?
84. The client with a history of peptic ulcer disease has been admitted
into the hospital intensive care unit with frank gastric bleeding. Which
priority intervention should the nurse implement?
86. The nurse is teaching the client diagnosed with diverticulosis. Which
instruction should the nurse include in the teaching session?
87. The client is admitted to the medical unit with a diagnosis of acute
diverticulitis. Which health-care providers order should the nurse
question?
88. The nurse is discussing the therapeutic diet for the client diagnosed
with diverticulosis. Which meal indicates the client understands the
discharge teaching?
89. The client is two (2) hours post-colonoscopy. Which assessment data
would warrant intermediate intervention by the nurse?
92. The client with acute diverticulitis has a nasogastric tube draining
green liquid bile. Which action should the nurse implement?
94. The client is admitted to the medical floor with acute diverticulitis.
Which collaborative intervention would the nurse anticipate the health-
care provider ordering?
97. The 85-year-old male client diagnosed with cancer of the colon asks
the nurse, Why did I get this cancer? Which statement is the nurses
best response?
98. The client who has had an abdominal perineal resection is being
discharged. Which discharge information should the nurse teach?
99. The nurse caring for a client one (1) day postoperative sigmoid
resection notes a moderate amount of dark reddish brown drainage on the
midline abdominal incision. Which intervention should the nurse implement
first?
a. Mark the drainage on the dressing with the time and date.
b. Change the dressing immediately using sterile technique.
c. Notify the health-care provider immediately.
d. Reinforce the dressing with a sterile gauze pad.
100. The client complains to the nurse of unhappiness with the health-
care provider. Which intervention should the nurse implement next?
a. Call the HCP and suggest he or she talk with the client.
b. Determine what about the HCP is bothering the client.
c. Notify the nursing supervisor to arrange a new HCP to take over.
d. Explain to the client that until discharge, the client will have to keep
the HCP.