Make your own free website on Tripod.com

Chapter 7: Gastrointestinal Health Problems
Practice NCLEX



1.  

A client with a history of hiatal hernia states he has trouble sleeping because the pain is worse at night. Which response by the nurse is most appropriate?

"Try sleeping with your upper body elevated."
"What sleep medication do you take?"
"Try laying flat or on your side."
"Sleep with your feet elevated."


2.  

A client is taking misoprostol (Cytotec) because of an ulcer that developed while taking NSAIDs for arthritis. The client questions the action of the drug. Which is the most appropriate explanation?

This drug increases the speed of gastric emptying.
It increases lower esophageal sphincter pressure.
It promotes healing by promoting mucus production and bicarbonate secretions.
It binds the enzyme that acts as a proton pump.


3.  

Which of the following symptoms would lead the nurse to suspect that a client has peritonitis?

Leukopenia
Tarry stools
Dysuria
Abdominal rigidity


4.  

A client with Crohn's disease has a low potassium level from excessive diarrhea. Oral potassium chloride (K-lor) is prescribed. The nurse intends to give this drug:

With food or after meals.
2 hours after meals.
In conjunction with no other medications.
Before breakfast and at bedtime.


5.  

As opposed to ulcerative colitis, Crohn's disease is characterized by:

Lesions that are limited to the lower colon and rectum.
Diarrhea that is self-limiting and easier to control.
Fistulas and fibrotic changes that cause the bowel to become less flexible.
Fewer problems with fluid and electrolyte imbalance.


6.  

While recovering from a burn, a client suddenly begins to vomit blood, but denies any pain. The nurse knows this is characteristic of:

Multiple superficial ulcers that occur following a major trauma.
Rupture of a blood vessel while coughing.
Cancer of the stomach.
Chronic gastritis caused by H. pylori.


7.  

341514004.gif

Using the diagram on common sites for peptic ulcer disease, a client with an ulcer below the pyloric valve would complain of:

Pain immediately after a meal.
Pain on an empty stomach.
Pain all the time whether the stomach is full or empty.
Pain that is worse when drinking milk or milk products.


8.  

A client who had been admitted for shock develops symptoms of peptic ulcer disease several days later. The reason this occured is most likely:

Excess acid production.
Increased delivery of acid.
Decreased mucus production.
Decreased blood flow.


9.  

In scheduling a b.i.d. dose of antacid for a client with a hiatal hernia (9:00 A.M. and 9:00 P.M.), the nurse knows to schedule other b.i.d. medications at:

10:00 A.M. and 10:00 P.M.
11:00 A.M. and 11:00 P.M.
7:00 A.M. and 7:00 P.M.
12:00 noon and 12:00 midnight


10.  

A client who has Crohn's disease complains of feeling very tired, extremely thirsty, and has experienced excessive diarrhea the last few days. The client has sunken eyeballs and upon examination, poor skin turgor. The nurse should recommend immediate treatment for:

Malabsorption syndrome.
Electrolyte imbalance.
Dehydration.
Peritonitis.


© 1995-2004 by Prentice-Hall, Inc.
A Pearson Company
Legal Notice