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MED SURGE "GI" GASTROINTESTINAL EXAM AND PRACTICE EXAM 2024 WITH ACTUAL CORRECT QUESTIONS AND VERIFIED DETAILED ANSWERS |FREQUENTLY TESTED QUESTIONS AND SOLUTIONS |ALREADY GRADED A+|GUARANTEED PASS |LATEST UPDATE$24.99
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MED SURGE "GI" GASTROINTESTINAL EXAM AND PRACTICE EXAM 2024 WITH ACTUAL CORRECT QUESTIONS AND VERIFIED DETAILED ANSWERS |FREQUENTLY TESTED QUESTIONS AND SOLUTIONS |ALREADY GRADED A+|GUARANTEED PASS |LATEST UPDATE
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MED SURGE \\\"GI\\\" GASTROINTESTINAL
Institution
MED SURGE \\\"GI\\\" GASTROINTESTINAL
MED SURGE "GI" GASTROINTESTINAL
EXAM AND PRACTICE EXAM 2024 WITH
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
|FREQUENTLY TESTED QUESTIONS AND
SOLUTIONS |ALREADY GRADED
A+|GUARANTEED PASS |LATEST UPDATE
MED SURGE "GI" GASTROINTESTINAL
EXAM AND PRACTICE EXAM 2024 WITH
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
|FREQUENTLY TESTED QUESTIONS AND
SOLUTIONS |ALREADY GRADED
A+|GUARANTEED PASS |LATEST UPDATE
1. Which information about an 80-year-old man at the senior center is of most concern to the nurse?
a.
Decreased appetite
b.
Unintended weight loss
c.
Difficulty chewing food
d.
Complaints of indigestion
ANS: B
Unintentional weight loss is not a normal finding and may indicate a problem such as cancer or
depression. Poor appetite, difficulty in chewing, and complaints of indigestion are common in older
patients. These will need to be addressed but are not of as much concern as the weight loss.
2. A 62- year-old man reports chronic constipation. To promote bowel evacuation, the nurse will suggest
that the patient attempt defecation
a. in the mid-afternoon.
b. after eating breakfast.
c. right after getting up in the morning.
d. immediately before the first daily meal.
ANS: B
The gastrocolic reflex is most active after the first daily meal. Arising in the morning, the anticipation
of eating, and physical exercise do not stimulate these reflexes.
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,3. When caring for a patient with a history of a total gastrectomy, the nurse will monitor for
a.
constipation.
b.
dehydration.
c.
elevated total serum cholesterol.
d.
cobalamin (vitamin B12) deficiency.
ANS: D
The patient with a total gastrectomy does not secrete intrinsic factor, which is needed for cobalamin
(vitamin B12) absorption. Because the stomach absorbs only small amounts of water and nutrients,
the patient is not at higher risk for dehydration, elevated cholesterol, or constipation.
4. The nurse will plan to monitor a patient with an obstructed common bile duct for
a.
melena.
b.
steatorrhea.
c.
decreased serum cholesterol levels.
d.
increased serum indirect bilirubin levels.
ANS: B
A common bile duct obstruction will reduce the absorption of fat in the small intestine, leading to
fatty stools. Gastrointestinal (GI) bleeding is not caused by common bile duct obstruction. Serum
cholesterol levels are increased with biliary obstruction. Direct bilirubin level is increased with biliary
obstruction.
5. The nurse receives the following information about a 51-year-old woman who is scheduled for a
colonoscopy. Which information should be communicated to the health care provider before sending
the patient for the procedure?
a. The patient has a permanent pacemaker to prevent bradycardia.
b. The patient is worried about discomfort during the examination.
c. The patient has had an allergic reaction to shellfish and iodine in the past.
d. The patient refused to drink the ordered polyethylene glycol (GoLYTELY).
ANS: D
If the patient has had inadequate bowel preparation, the colon cannot be visualized and the
procedure should be rescheduled. Because contrast solution is not used during colonoscopy, the
iodine allergy is not pertinent. A pacemaker is a contraindication to magnetic resonance imaging
(MRI), but not to colonoscopy. The nurse should instruct the patient about the sedation used during
the examination to decrease the patient's anxiety about discomfort.
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,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
ANS: C
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
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.
ANS: A
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
ANS: C
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.
3|Page
, ANS: C
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?
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.
ANS: D
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?
ANS: B
This question is the most open-ended, and will provide the best overall information about the
patient's daily intake and risk for poor nutrition. The other questions may be asked, depending on the
patient's response to the first question.
12. A 54-year-old man has just arrived in the recovery area after an upper endoscopy. Which
information collected by the nurse is most important to communicate to the health care provider?
a. The patient is very drowsy.
b. The patient reports a sore throat.
c. The oral temperature is 101.6 F.
d. The apical pulse is 104 beats/minute.
ANS: C
A temperature elevation may indicate that a perforation has occurred. The other assessment data are
normal immediately after the procedure.
OBJ: Special Questions: Prioritization TOP: Nursing Process: Assessment
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