Upper GI
Upper GI
Lower GI
Lower GI
Hepatic disorders
100
A patient with a history of esophageal varices presents with sudden onset esophageal bleeding. Name the triple lumen tube the nurse should expect to have at the bedside.
Sengstaken-Blakemore
100
A client presents with the following oral manifestation. 
The nurse knows the client understands how to use the prescribed Tetracyline Syrup when the client states they will:
"swish and swallow my medication"
100
True or False:
Crohn's disease can affect any location within the GI tract
True
100
A 45 year old male presents to the ED concerned for appendicitis. Where should the nurse assess the patient's abdomen for pain?
McBurney's point
100
A nurse is caring for a client with hepatic encephalopathy who is ordered Lactulose. What lab value will the nurse monitor to ensure this medication is effective?
Decreased Ammonia
200
A client diagnosed with GERD is given a prescription for Omeprazole (Prilosec) 40mg by mouth daily. The nurse knows the client understands her teaching when the client verbalizes it is best to take this medication at what time of day?
In the morning, before a meal
200
The nurse had administered Metroclopramide via IV route to his client for severe vomiting. Several minutes later the patients family member runs to the nurses station stating the patient is extremely anxious and is experiencing tremors. How should the nurse respond?
This is an adverse side effect of Reglan
200
Clients diagnosed with Celiac's disease are sensitive to:
Gluten
200
A nurse is preparing a client to place an NG tube to to a small bowel obstruction. The nurse instructs the client to take which action when the tube passes the nasopharynx?
Tuck chin to chest and take small sips of water
200
A nurse on a medical-surgical unit is admitting a client who has hepatitis B with ascites. Which of the following actions should the nurse include in the plan of care?
a. Contact precautions
b. Weigh the client weekly
c. Measure abdomen at the base of the ribcage
d. Provide a high-calorie, high-carb diet
D. Provide a high-calorie, high-carb diet
300
A client presents to the ED complaining of several days of vomiting. What does the nurse expect to see on the client's ABG?
Metabolic alkalosis
300
A 55 year old woman is referred to GI after complaining of recurrent burning and gas pain approximately 1-2 hours after eating.The patient's provider orders an EGD. What type of ulcer should the provider expect to find?
Gastric Ulcer
300
The nurse assumes care for a patient diagnosed with gastric outlet obstruction. What intervention is NOT appropriate for this patient?
a. Regular NG irrigation
b. Frequent repositioning
c. Discontinue suction
d. Maintain accurate I/O
C. Discontinue suction
300
A nurse is administering morning medications to a client with an NG tube. The nurse knows which medication must be held.
a. Nystatin Topical Powder
b. Amoxicillin 500mg capsule
c. Toprol-XL 25mg Tablet
d. Aspirin 81mg Tablet
C. Toprol-XL 25mg Tablet
300
A patient arrives to the emergency department complaining of bright red emesis. The patient has a history of cirrhosis and esophageal varices. What action should the nurse take first?
a. Administer uncrossmatched PRBCs
b. Maintain airway
c. Adminiter 1L Normal Saline
d. Assist the patient to position of comfort
B. Maintain Airway
400
What electrolyte imbalance is not a result of excessive vomiting?
a. Hyperkalemia
b. Hypocalcemia
c. Hyponatremia
d. Hypochloremia
A. Hyperkalemia
400
The nurse is teaching a client who has a hiatal hernia. Which of the following client statements indicates an understanding of the teaching?
a."I can go back to weight lifting"
b. "I should avoid restrictive clothing"
c. "I can have a soda with my medications"
d. "I like to have a bowl of ice cream before bed"
B. "I should avoid restrictive clothing"
400
A 57 year old male patient presents complaining of nausea, vomiting and 10/10 RUQ pain. The patient is laying on his right side and is unwilling to reposition for assessment.
Vital signs are: BP 128/90, HR 100, RR 19, T 99.0
The nurses primary intervention should be:
a. Insist the client reposition
b. Provide ice chips
c. Pain control
d. Stat CT
C. Pain control
400
A client is being discharged with a new ostomy. What piece if information should the nurse include?
a. Change ostomy bag in the evening
b. Bag should be snug against stoma
c. Stoma should be beefy red
d. Only change the bag when it is full
C. Stoma should be beefy red
400
A nurse is educating a patient recently diagnosed with hepatitis B. What statement by the patient indicates the need for FURTHER education?
a. "I will avoid alcohol"
b. "I will eat small frequent meals"
c. "I will take Tylenol for my pain"
d. "I will limit physical activity"
C. "I will take Tylenol for my pain"
500
A patient with a history of peptic ulcer disease (PUD) presents to the emergency department complaining of abdominal pain and is noted to have a board-like abdomen. The nurses priority intervention should be:
a. Assess vital signs hourly
b. Give the patient a blanket
c. Obtain peripheral intravenous access
d. Notify provider
D. Notify Provider
500
A nurse is teaching a client who has a new diagnosis of dumping syndrome following gastric surgery. Which of the following information should the nurse include in the teaching?
a. Eat three large meals a day
b. Drink at least one glass of water with each meal
c. Eat a bedtime snack with a glass of milk
d. Increase dietary protein intake
D. Increase dietary protein intake
500
A nurse is assessing a client in an extended care facility. The nurse should recognize which of the following findings is a manifestation of an obstruction of the large intestine due to a fecal impaction?
a. The client reports one bowel movement yesterday
b. The client is having small, frequent liquid stools
c. The client is flatulent
d. The client vomited once this morning
B. The client is having small, frequent liquid stools
500
A patient is being admitted to undergo a cholecystectomy. Where should the nurse expect the client to complain of pain?
Right upper quadrant
500
A nurse is teaching a client about Hepatitis A prevention. What piece of information should the nurse include?
a. Wash all purchased fruits and vegetables
b. Avoid needle sticks at work
c. Can be transmitted by blood transfusion
d. Can be transmitted from mother to infant
A. Wash all purchased fruits and vegetables