Exam Review
- A client is scheduled for an upper Gl series. The nurse determines further education is needed when the client states:A)"I know I have to drink a lot of water after the test."B)"I will not be able to eat or drink anything the night before the test."C)"I will smoke a cigarette before the test to help calm my nerves."D)"I know my stool will be light in color for a couple days after the test."
- The healthcare provider prescribes nystatin oral suspension to treat a client's candidiasis. When administering the nystatin, the nurse tells the client to:A)drink the medication through a straw.B)swish the medication around in the mouth.C)dilute the medication with cold water.D)brush the teeth after using the medication.
- If gastroesophageal reflux disease (GERD) is left untreated, serious changes in the esophageal lining may develop, placing the client at an increased risk of developing which condition?A)Ulcerative colitisB)Skin cancerC)GastroenteritisD)Esophageal cancer
- A client with epigastric pain is scheduled for an upper GI series. Which client statement indicates understanding of the procedure?A)"I will have to swallow barium."B)"A flexible tube will be inserted into my stomach."C)"I cannot have the test done if I am claustrophobic."D)"Dye will be injected into my vein before the test."
Exam Review
- When cleaning the skin around a client's stoma, which technique is appropriate?A)Swabbing the surrounding skin with 70% alcoholB)Cleaning the area with povidone-iodineC)Scrubbing the surrounding skin with peroxideD)Cleaning the area with water and a clean cloth
- What is the purpose of antibiotic therapy in treating clients with peptic ulcer disease (PUD)?A)Antibiotics eliminate a microorganism called helicobacter pyloriB)Antibiotics add a protective coating over the ulcerated mucosaC)Antibiotics prevent secondary gastrointestinal infectionsD)Antibiotics heal the irritated mucous membrane of the stomach
- The provider restricts a client's diet to include only clear liquids. When the client asks for something to eat, which foods are MOST appropriate for the nurse to provide? (Select all that apply.)(SATA)A)Vanilla puddingB)Orange juiceC)Ginger aleD)Chicken brothE)Gelatin
- A client complains of intermittent, gnawing epigastric pain. Which finding suggests the client's symptoms may be related to a peptic ulcer?A)Emesis that is positive for pepsinB)Blood that is positive for glucoseC)Urine that is positive for albuminD)Stool that is positive for blood
Exam Review
- A client is diagnosed with clostridium difficile. Which order would the nurse QUESTION?A)Administer antidiarrheal medicationB)Provide intravenous electrolyte replacementC)Encourage fluids as toleratedD)Initiate contact isolation
- The nurse is caring for a client scheduled for an esophagogastroduodenoscopy (EGD). Which nursing intervention should be included in the client's plan of care?A)Withhold all medications the night before the examB)Allow the client to smoke just prior to testing to decrease anxietyC)Allow the client to drink fluids up to 2 hours before the examinationD)Maintain NPO status until the gag reflex returns post-procedure
- A client had a perforated diverticulum and has undergone a bowel diversion called a Hartmann's procedure. The nurse knows the purpose of a Hartmann's procedure is to:A)allow for more thorough irrigation.B)provide two stomas for fecal elimination.C)prevent chronic constipation.D)allow healing of the bowel.
- The oncoming nurse is receiving report which includes assessment findings of the client's ileostomy stoma. Which description of the stoma would the oncoming nurse interpret as a normal finding?A)Pink/red with a shiny appearanceB)Pale pink, cool, and dryC)Dusky blue located slightly below the skinD)Dark tan with no drainage or bleeding
Exam Review
- While the client is awaiting an appointment with the healthcare provider for symptoms related to gastroesophageal reflux disease (GERD), which nursing instruction is helpful for providing relief from what the client is experiencing?A)"Eat only foods that are easy to swallow."B)"Avoid lying down after eating."C)"Eat three large meals a day."D)"Eat only foods that are easy to swallow."
- The healthcare provider places an order for a colonoscopy. The nurse would question this order if the client had which condition?A)DiverticulitisB)ConstipationC)Irritable bowel syndromeD)Stomach cancer
- The goal of inserting a nasogastric tube to relieve abdominal distention and remove secretions from the gastrointestinal tract is:A)decompression.B)lavage.C)gavage.D)compression.
- Which assessment finding would the nurse expect in a client diagnosed with oral candidiasis?A)Red, ulcerated patches along the gumlineB)Clear, shiny vesicles throughout the mouthC)Red, firmly attached plaques along the side of the tongueD)White, curd-like patches throughout the mouth and tongue
Exam Review
- Your patient is complaining of substernal burning sensation that radiated into the neck and jaw. He says, "I think it is heartburn, can I get some TUMS?" The proper next step is:A)Check vital signs and conduct a further assessment of the painB)Give the patient his PRN calcium carbonate tablets (TUMS)C)Give the patient morphine for pancreatitisD)Tell the patient that you will call the provider and get an order for pantoprazole
- The hospitalized client who contracted Clostridium difficile should be considered for which PRIORITY patient problem?A)Altered body imageB)Ineffective tissue perfusionC)Fluid volume deficitD)Risk for infection
- A client has recently been diagnosed with celiac disease. Which client statement indicates a need for further instruction?A)"There is no cure for my disease."B)"I will need to have surgery in order to repair the damage to my intestine."C)"My children are at a higher risk for developing celiac disease since I have it."D)"I will need to eliminate foods containing wheat flour from my diet."
- This bacterium is associated with the development of gastric and duodenal ulcers:A)Helicobacter pylori.B)Staphylococcus aureus.C)Clostridium difficile.D)Escherichia coli.