ATI MED SURG PROCTORED EXAM (Gastrointestinal, Appendicitis, Diverticulitis, Inflammatory Bowel Diseases)
1 .Which of the following complications is thought to be the most common cause of appendicitis?
1.A fecalith
2.Bowel kinking
3.Internal bowel occlusion
4.Abdominal bowel swelling
2. Which of the following terms best describes the pain associated with appendicitis?
1.Aching
2.Fleeting
3.Intermittent
4.Steady
3. Which of the following nursing interventions should be implemented to manage a client with appendicitis?
1.Assessing for pain
2.Encouraging oral intake of clear fluids
3.Providing discharge teaching
4.Assessing for symptoms of peritonitis
4. Which of the following definitions best describes gastritis?
1.Erosion of the gastric mucosa
2.Inflammation of a diverticulum
3.Inflammation of the gastric mucosa
4.Reflux of stomach acid into the esophagus
5.Which of the following substances is most likely to cause gastritis?
1.Milk
2.Bicarbonate of soda, or baking soda
3.Enteric coated aspirin
4.Nonsteriodal anti-imflammatory drugs
6. Which of the following definitions best describes diverticulosis?
1.An inflamed outpouching of the intestine
2.A noninflamed outpouching of the intestine
3.The partial impairment of the forward flow of intestinal contents
4.An abnormal protrusion of an organ through the structure that usually holds it. 7. Which of the following types of diets is implicated in the development of diverticulosis?
1.Low-fiber diet
2.High-fiber diet
3.High-protein diet
4.Low-carbohydrate diet
8. Which of the following mechanisms can facilitate the development
of diverticulosis into diverticulitis?
1.Treating constipation with chronic laxative use, leading to dependence on laxatives
2.Chronic constipation causing an obstruction, reducing forward flow of intestinal contents
3.Herniation of the intestinal mucosa, rupturing the wall of the intestine
4.Undigested food blocking the diverticulum, predisposing the area to bacterial invasion.
9. Which of the following symptoms indicated diverticulosis?
1.No symptoms exist
2.Change in bowel habits
3.Anorexia with low-grade fever
4.Episodic, dull, or steady midabdominal pain
10. Which of the following tests should be administered to a client suspected of having diverticulosis?
1.Abdominal ultrasound
2.Barium enema
3.Barium swallow
4.Gastroscopy
11. Medical management of the client with diverticulitis should include which of the following treatments?
1.Reduced fluid intake
2.Increased fiber in diet
3.Administration of antibiotics
4.Exercises to increase intra-abdominal pressure 12. Crohn’s disease can be described as a chronic relapsing disease.
Which of the following areas in the GI system may be involved with this disease?
1.The entire length of the large colon
2.Only the sigmoid area
3.The entire large colon through the layers of mucosa and submucosa
4.The small intestine and colon; affecting the entire thickness of the bowel
13. Which area of the alimentary canal is the most common location for Crohn’s disease?
1.Ascending colon
2.Descending colon
3.Sigmoid colon
4.Terminal ileum
14. Which of the following factors is believed to be linked to Crohn’s disease?
1.Constipation 2.Diet
3.Hereditary
4.Lack of exercise
15. Which of the following factors is believed to cause ulcerative colitis?
1.Acidic diet
2.Altered immunity
3.Chronic constipation
4.Emotional stress
16. Fistulas are most common with which of the following bowel disorders?
1.Crohn’s disease
2.Diverticulitis
3.Diverticulosis
4.Ulcerative colitis 17. Which of the following areas is the most common site of fistulas in client’s with Crohn’s disease?
1.Anorectal
2.Ileum
3.Rectovaginal
4.Transverse colon
18. Which of the following associated disorders may a client with ulcerative colitis exhibit?
1.Gallstones
2.Hydronephrosis
3.Nephrolithiasis
4.Toxic megacolon
19. Which of the following associated disorders may the client with Crohn’s disease exhibit?
1.Ankylosing spondylitis
2.Colon cancer
3.Malabsorption
4.Lactase deficiency
20. Which of the following symptoms may be exhibited by a client with Crohn’s disease?
1.Bloody diarrhea
2.Narrow stools
3.N/V
4.Steatorrhea
21. Which of the following symptoms is associated with ulcerative colitis?
1.Dumping syndrome
2.Rectal bleeding
3.Soft stools
4.Fistulas
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