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Saunders Gastrointestinal Test Questions with Answers A client with hiatal hernia chronically experiences heartburn following meals. The nurse should plan to teach the client to avoid which action because it is contraindicated with a hiatal hernia? 1. Lying recumbent following meals 2. ...

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  • August 27, 2024
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  • 2024/2025
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Saunders Gastrointestinal Test
Questions with Answers

A client with hiatal hernia chronically experiences heartburn following meals. The nurse
should plan to teach the client to avoid which action because it is contraindicated with a
hiatal hernia?


1.
Lying recumbent following meals
2.
Consuming small, frequent, bland meals
3.
Taking H2-receptor antagonist medication
4.
Raising the head of the bed on 6-inch (15 cm) blocks - Answer-1.
Lying recumbent following meals

The nurse is providing care for a client with a recent transverse colostomy. Which
observation requires immediate notification of the health care provider?


1.
Stoma is beefy red and shiny
2.
Purple discoloration of the stoma
3.
Skin excoriation around the stoma
4.
Semi-formed stool noted in the ostomy pouch - Answer-Purple discoloration of the
stoma

A client had a new colostomy created 2 days earlier and is beginning to pass
malodorous flatus from the stoma. What is the correct interpretation by the nurse?


1.
This is a normal, expected event.
2.
The client is experiencing early signs of ischemic bowel.
3.

,The client should not have the nasogastric tube removed.
4.
This indicates inadequate preoperative bowel preparation. - Answer-This is a normal,
expected event.

A client has just had surgery to create an ileostomy. The nurse assesses the client in
the immediate postoperative period for which most frequent complication of this type of
surgery?


1.
Folate deficiency
2.
Malabsorption of fat
3.
Intestinal obstruction
4.
Fluid and electrolyte imbalance - Answer-Fluid and electrolyte imbalance

The nurse provides instructions to a client about measures to treat inflammatory bowel
syndrome (IBS). Which statement by the client indicates a need for further teaching?

1.
"I need to limit my intake of dietary fiber."
2.
"I need to drink plenty, at least 8 to 10 cups daily."
3.
"I need to eat regular meals and chew my food well."
4.
"I will take the prescribed medications because they will regulate my bowel patterns." -
Answer-"I need to limit my intake of dietary fiber."

The nurse is monitoring a client for the early signs and symptoms of dumping
syndrome. Which findings indicate this occurrence?


1.
Sweating and pallor
2.
Bradycardia and indigestion
3.
Double vision and chest pain
4.
Abdominal cramping and pain - Answer-Sweating and pallor

,A client presents to the emergency department with upper gastrointestinal bleeding and
is in moderate distress. In planning care, what is the priority nursing action for this
client?

1.
Assessment of vital signs
2.
Completion of abdominal examination
3.
Insertion of the prescribed nasogastric tube
4.
Thorough investigation of precipitating events - Answer-Assessment of vital signs

The nurse is caring for a client with acute pancreatitis and is monitoring the client for
paralytic ileus. Which piece of assessment data should alert the nurse to this
occurrence?

1.
Inability to pass flatus
2.
Loss of anal sphincter control
3.
Severe, constant pain with rapid onset
4.
Firm, nontender mass palpable at the lower right costal margin - Answer-Inability to
pass flatus

The nurse inspects the color of the drainage from a nasogastric tube on a postoperative
client approximately 24 hours after gastric surgery. Which finding indicates the need to
notify the health care provider (HCP)?

1.
Dark red drainage
2.
Dark brown drainage
3.
Green-tinged drainage
4.
Light yellowish-brown drainage - Answer-Dark red drainage

A sexually active young adult client has developed viral hepatitis. Which client
statement indicates the need for further teaching?


1.
"I should avoid drinking alcohol."

, 2.
"I can go back to work right away."
3.
"My partner should get the vaccine."
4.
"A condom should be used for sexual intercourse." - Answer-"I can go back to work right
away."


The nurse is monitoring a client admitted to the hospital with a diagnosis of appendicitis
who is scheduled for surgery in 2 hours. The client begins to complain of increased
abdominal pain and begins to vomit. On assessment, the nurse notes that the abdomen
is distended and bowel sounds are diminished. Which is the most appropriate nursing
intervention?


1.
Notify the health care provider (HCP).
2.
Administer the prescribed pain medication.
3.
Call and ask the operating room team to perform surgery as soon as possible.
4.
Reposition the client and apply a heating pad on the warm setting to the client's
abdomen. - Answer-Notify the health care provider (HCP).

A client admitted to the hospital with a suspected diagnosis of acute pancreatitis is
being assessed by the nurse. Which assessment findings would be consistent with
acute pancreatitis? Select all that apply.

1.
Diarrhea
2.
Black, tarry stools
3.
Hyperactive bowel sounds
4.
Gray-blue color at the flank
5.
Abdominal guarding and tenderness
6.
Left upper quadrant pain with radiation to the back - Answer-4.
Gray-blue color at the flank
5.
Abdominal guarding and tenderness
6.
Left upper quadrant pain with radiation to the back

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