Adult GI Davis Advantage Questions, NURS 342
EXAM 5 Davis Advantage, Davis Advantage:
Chapter 29 - Disorders of the Esophagus,
Stomach, and Small Intestine, Med-Surg: GERD
Davis Edge, Davis Ch. 56: Oral & Esophageal
Disorders, DAVIS ADVANTAGE - Chapt...
- ANS - Chronic hyperglycemia increases__________________________. Select all
that apply.
a. activity of T cells
b. demyelination of neurons
c. wound healing
d. visual acuity
e. risk for cardiovascular disease
\ - ANS - Place the following sequence of events in the proper order.
1. Decreased T cell activity and increased microorganism growth causes infection
of the wound.
2. Hyperglycemia causes demyelination of peripheral nerves.
3. Development of infection in wound prolongs healing of the wound, resulting in
further damage.
4. Decreased pain sensation results in blister being formed on foot without
person being aware.
5. Blister forms into a wound, as blood supply to wounded area is compromised.
a. 2, 4, 3, 1, 5
b. 3, 2, 1, 4, 5
c. 2, 4, 5, 1, 3
d. 3, 2, 4, 1, 5
e. 2, 4, 5, 3, 1
\ - ANS - Which of the following may be associated with diabetic nephropathy?
Select all that apply.
a. Blunted pain response
b. Tingling sensation in extremities
,c. Hypertension
d. Albumin in urine
e. Ketones in the urine
\ - ANS - You are currently caring for a patient with poorly controlled type 2
diabetes. What long-term complications may be of concern? Select all that apply.
a. Ketoacidosis
b. Blindness
c. Prolonged wound healing
d. Hyperosmolar hyperglycemic syndrome
e. Polyuria
\a - ANS - A nurse finds that the diagnostic report of a patient shows gallstones in
the cystic duct. Which substance is most commonly found in gallstones?
a. cholesterol
b. calcium
c. oxalic acid
d. uric acid
e. cystine
\a - ANS - An inability to pass gas or produce a bowel movement may represent
_____________.
a. an intestinal obstruction
b. an appendicitis
c. ulcerative colitis
d. celiac disease
e. pseudopolyps
\a - ANS - Primary hyperparathyroidism is most commonly caused by
______________.
a. a tumor of the parathyroid glands
b. a tumor of the anterior pituitary
c. elevated serum calcium levels
d. excess adrenocorticotropic hormone secretion
e. kidney failure
\a - ANS - The Somogyi effect results in morning __________________ following
nocturnal _______________.
a. hyperglycemia, hypoglycemia
b. hyperglycemia, hyperglycemia
,c. hypoglycemia, hypoglycemia
d. hypoglycemia, hyperglycemia
\a - ANS - Which of the following characteristics is NOT associated with Crohn's
disease?
a. Crohn's disease is a condition of altered motility.
b. Crohn's disease can affect the entire length of the GI tract.
c. Crohn's disease affects the entire thickness of the intestinal wall.
d. Crohn's disease results from inflammation.
e. Crohn's disease produces skip lesions and cobble-stoning.
\a - ANS - Which of the following conditions is not a long-term complication
associated with diabetes mellitus?
a. Joint and muscle pain.
b. Coronary artery disease
c. Cardiovascular disease
d. Peripheral vascular disease
e. Blindness
\a - ANS - Which of the following laboratory values indicate a primary disorder of
the thyroid gland?
a. Low thyrotropin-releasing hormone, low thyroid-stimulating hormone, high
thyroid hormone
b. Low thyrotropin-releasing hormone, low thyroid-stimulating hormone, low
thyroid hormone
c. High thyrotropin-releasing hormone, high thyroid-stimulating hormone, high
thyroid hormone
d. Normal thyrotropin-releasing hormone, normal thyroid-stimulating hormone,
normal thyroid hormone
e. Low thyrotropin-releasing hormone, high thyroid-stimulating hormone, high
thyroid hormone
\a - ANS - Which of the following would you expect to see in a patient suffering
from Addison's disease?
a. Hypoglycemia
b. Elevated serum calcium
c. Elevated norepinephrine
d. Elevated cortisol
e. Elevated blood pressure
, \a - ANS - While assessing a client who has a gastrointestinal (GI) disorder, the
nurse finds deviation of the tongue to one side. The caregiver of the client tells
the nurse that the client regurgitates food and has difficulty in swallowing. The
primary healthcare provider prescribes a barium swallow test, conventional chest
x-ray, and an order for parenteral nutrition. Which pathological disease should
the nurse expect in the client?
a. Dysphagia
b. Esophagitis
c. Hiatal hernia
d. GERD
e. Peptic ulcer disease
\A 17-year-old patient sustained blunt abdominal
trauma (was hit in the abdomen with a baseball
bat) and is being discharged home after 24 hours
of observation. Discharge planning includes which
teaching?
A. Self-defense maneuvers
B. Antibiotic teaching
C. Education about abdominal signs and symptoms
of increased pain, tenderness
D. Limit solid food intake - ANS - C. Education about abdominal signs and
symptoms
of increased pain, tenderness
\A 67-year-old male is suspected of having a peptic ulcer. The nurse monitors for
a decrease in which diagnostic value with GI hemorrhage in this patient? A.
Reticulocyte count B. Hematocrit C. Prothrombin time D. IgG antibodies to H.
pylori - ANS - B. Hematocrit
\A client with gastroesophageal reflux disease has a catheter and sensor that is
placed in the nose and terminates in the distal esophagus. The client has also
been asked to keep a diary of symptoms and activities. Which diagnostic test has
been ordered for this client?
a. Twenty-four-hour ambulatory esophageal pH monitoring
b. Pulmonary function tests
c. Endoscopy
d. Telemetry monitoring - ANS - a. Twenty-four-hour ambulatory esophageal pH
monitoring
\A nurse is reviewing the risk factors that may increase the risk for developing
esophageal cancer. Which risk factor listed indicates a need for further training? -
ANS - Weight loss
