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MED SURGE (GI)GASTROINTESTINAL EXAM AND PRACTICE EXAM NEWEST 2024 ACTUAL EXAM COMPLETE 200 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+$30.99
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MED SURGE (GI)GASTROINTESTINAL EXAM AND PRACTICE EXAM NEWEST 2024 ACTUAL EXAM COMPLETE 200 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
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Course
MED SURGE GASTROINTESTINAL
Institution
MED SURGE GASTROINTESTINAL
MED SURGE (GI)GASTROINTESTINAL EXAM
AND PRACTICE EXAM NEWEST 2024 ACTUAL
EXAM COMPLETE 200 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
MED SURGE (GI)GASTROINTESTINAL EXAM
AND PRACTICE EXAM NEWEST 2024 ACTUAL
EXAM COMPLETE 200 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
MEDSURGE GI EXAM
6. Which statement to the nurse from a patient with jaundice
indicates a need for teaching?
a. I used cough syrup several times a day last week.
b. I take a baby aspirin every day to prevent strokes.
c. I use acetaminophen (Tylenol) every 4 hours for back pain.
d. I need to take an antacid for indigestion several times a week -
CORRECT ANSWER-ANS: C
Rationale; Chronic use of high doses of acetaminophen can be
hepatotoxic and may have caused the patient's jaundice. The
other patient statements require further assessment by the nurse,
but do not indicate a need for patient education.
7. To palpate the liver during a head-to-toe physical assessment,
the nurse
,2|Page
a. places one hand on the patients back and presses upward and
inward with the other hand below the patients right costal
margin.
b. places one hand on top of the other and uses the upper fingers
to apply pressure and the bottom fingers to feel for the liver
edge.
c. presses slowly and firmly over the right costal margin with
one hand and withdraws the fingers quickly after the liver edge
is felt.
d. places one hand under the patients lower ribs and presses the
left lower rib cage forward, palpating below the costal margin
with the other hand. - CORRECT ANSWER-ANS: A
Rationale; The liver is normally not palpable below the costal
margin. The nurse needs to push inward below the right costal
margin while lifting the patient's back slightly with the left hand.
The other methods will not allow palpation of the liver.
8. Which finding by the nurse during abdominal auscultation
indicates a need for a focused abdominal assessment?
a. Loud gurgles
b. High-pitched gurgles
c. Absent bowel sounds
d. Frequent clicking sounds - CORRECT ANSWER-ANS: C
,3|Page
Rationale; Absent bowel sounds are abnormal and require
further assessment by the nurse. The other sounds may be heard
normally.
9. After assisting with a needle biopsy of the liver at a patient's
bedside, the nurse should
a.
put pressure on the biopsy site using a sandbag.
b.
elevate the head of the bed to facilitate breathing.
c.
place the patient on the right side with the bed flat.
d.
check the patient's postbiopsy coagulation studies. - CORRECT
ANSWER-ANS: C
Rationale; After a biopsy, the patient lies on the right side with
the bed flat to splint the biopsy site. Coagulation studies are
checked before the biopsy. A sandbag does not exert adequate
pressure to splint the site.
10. A 42-year-old woman is admitted to the outpatient testing
area for an ultrasound of the gallbladder. Which information
obtained by the nurse indicates that the ultrasound may need to
be rescheduled?
, 4|Page
a.
The patient took a laxative the previous evening.
b.
The patient had a high-fat meal the previous evening.
c.
The patient has a permanent gastrostomy tube in place.
d.
The patient ate a low-fat bagel 4 hours ago for breakfast. -
CORRECT ANSWER-ANS: D
Rationale; Food intake can cause the gallbladder to contract and
result in a suboptimal study. The patient should be NPO for 8 to
12 hours before the test. A high-fat meal the previous evening,
laxative use, or a gastrostomy tube will not affect the results of
the study.
11. The nurse is assessing an alert and independent 78-year-old
woman for malnutrition risk. The most appropriate initial
question is which of the following?
a. How do you get to the store to buy your food?
b. Can you tell me the food that you ate yesterday?
c. Do you have any difficulty in preparing or eating food?
d. Are you taking any medications that alter your taste for food?
- CORRECT ANSWER-ANS: B
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