Exam 3- Chapter 43 (Assessment of GI)
Which cells in the Islets of Langerhans secrete amylin? - ANS B-Cells
Which gland secretes an alkaline fluid that contains bicarbonate? - ANS Brunner Gland
What is the function of the hormone ghrelin? - ANS Appetite Stimulation
Which function does the hormone gastrin serve? - ANS Maintaining the lower esophageal
sphincter tone
Which function of the F cells in Islets of Langerhans serve? - ANS Secrete pancreatic
polypeptide
Which enzyme causes activation of trypsinogen to trypsin? - ANS Enterokinase
Which substance stimulates secretion during the intestinal phase of gastric secretion? - ANS
Chyme
Which gastrointestinal secretion is essential for cobalamin absorption in the ileum? - ANS
Intrinsic factor
Which gastrointestinal secretion helps to absorb fatty acids and fat-soluble vitamins? - ANS Bile
Which action would the nurse include in the plan for a patient who is scheduled for a
sigmoidoscopy procedure? - ANS Administering a bowel preparation before the test
Which condition would the nurse document when a patient states, " I am unable to swallow my
food, and I feel like it gets stuck in my esophagus." - ANS Dysphagia
Which condition will the nurse suspect when white curd- like lesions surrounded by
erythematous mucosa are noted when assessing the patient's mouth? - ANS Candidiasis
Which test is used to assess areas of the gastrointestinal tract not accessible by the upper and
lower endoscopy? - ANS Video Capsule Endoscopy (VCE)
Which condition will the nurse suspect when a patient is experiencing cheilosis? - ANS
Riboflavin deficiency
Which procedure would the nurse perform FIRST when examining a patient's abdomen? - ANS
Auscultation
, Which condition would the nurse suspect when a patient has foul smelling stool? - ANS
Steatorrhea
Which complication is the nurse trying to prevent when instructing a patient to avoid eating food
for 12 hours before an abdominal ultrasound? - ANS Gallbladder contraction
Which diagnostic laboratory value associated with acute pancreatitis will the nurse anticipate to
peak in 24 hours and then return to normal in 48 to 72 hours? - ANS Amylase
Which instruction will the nurse provide to a patient who is scheduled for a fecal analysis test? -
ANS Do not eat red meat 2 days before procedure
Which postprocedure complication is most common following an endoscopic retrograde
cholangiopancreatography (ERCP) examination? - ANS Pancreatitis
Which clinical manifestations does the nurse expect to observe in a patient with ascites? - ANS
Accumulation of fluid in the abdomen
Which technique will the nurse use when assessing a patient's abdomen? - ANS Auscultate the
abdomen before palpation
Which location will the nurse plan to palpate when assessing the liver during a focused
abdominal assessment of a hospitalized patient? - ANS Right Upper Quadrant
During an admission assessment, a patient states, " I had been having episodes of abdominal
pain, so I had surgery in which they made an opening into my common bile duct to remove
stones". Which surgery would the nurse document? - ANS Choledocholithotomy
A patient is diagnosed with gastroesophageal reflux. The nurse recalls that reflux of gastric
contents into the esophagus is normally prevented by which structure? - ANS Lower
Esophageal Sphincter (LES)
A patient's gallbladder is not functioning well due to cholelithiasis and sludge. Which function will
primarily be affected? - ANS Concentration of Storage and bile
Which cells protect the mucosa of the small intestine? - ANS intestinal goblet cells
Inspection of an older patient's mouth reveals the presence of white, curd like lesions on the
patient's tongue. The nurse suspects which cause of the condition? - ANS Candida albicans
Which organ is involved in the deglutition of food? - ANS Pharynx
When reviewing the gastrointestinal (GI) system, the nurse recalls that protein digestion begins
with the release of which substance from chief cells? - ANS Pepsinogen
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