QUIZ 1

1.Who among the following are at risk for ulcerative colitis?: Select all that apply:
A. Magda with cholangitis
B. Winnie who is fond of citrus fruits
C. Gina who is always stressed with work and family
D. Roda with peripheral arthritis
E. Andy who is always constipated

2.Which of the following foods should the nurse question when served to a patient with
ulcerative colitis "flare-up"? SELECT-ALL-THAT-APPLY:
A. Uncooked carrots and ranch dip
B. Pears
C. Graham crackers
D. Apple sauce
E. Ice cream
F. White Rice

3.Which of the following assessment data suggests the presence of a duodenal ulcer?
A. Presence of hyperactive bowel sounds
B. Persistence of abdominal pain after food intake
C. Frequent belching
D. Relief of abdominal pain after eating

4.Celiac disease is caused by an immune reaction against gluten in the diet, which is
mediated by which of the following?
A. T cells
B. B cells
C. Plasma cells
D. Mast cells

5.A nurse preparing a patient for an esophago-gastroduodenoscopy (EGD) should

instruct the patient to:
A. Avoid at least an hour before the procedure
B. Withhold food and fluids after midnight prior to the procedure
C. Take a light breakfast on the morning of the procedure
D. Ask for heavy sedation before the procedure starts

6.The client attends two sessions with the dietitian to learn about diet modifications to
minimize gastroesophageal reflux. The teaching would be considered successful if the
client says that she will decrease her intake of which of the following foods?
A. Fats
B. High sodium foods
C. Carbohydrates
D. High calcium foods.
7.The patient is to undergo guaiac test, what food will the nurse discourage the patient
to eat?
a. Milk
b. Red meat
c. Egg
d. Avocado

8.An expected finding for endoscopy of a celiac disease patient is:

A. Over exaggerated intestinal villi
B. Ulcerations in the Jejunum
C. Flat intestinal villi
D. Cobble-stone appearance throughout the small intestines

9.The nurse understands that the primary symptoms of a sliding hiatal hernia are
associated with reflux. Therefore, the nurse should assess the client for which of the
following symptoms?
A. Heartburn
B. Jaundice
C. Anorexia
D. Stomatitis

10.How are the types of IBS usually divided?

A. IBS with bloody discharge, IBS with mucous discharge
B. Acute IBS, Chronic IBS
C. IBS with constipation, IBS with diarrhea
D. Stress related IBS, Continuous IBS

11.Ferdie is admitted with a history of intermittent vomiting for the past two weeks. He
also states that he had some diarrhea and black stools. His blood pressure is 110/80.
Pulse is 88. Initial HgB is 10.8g/dl. and Hct is 40%. Which of the following nursing
diagnosis is your priority?
A. Potential for fluid volume deficit
B. Alteration in cardiac output
C. Alteration in comfort
D. Activity intolerance

12.Norma has a history of chronic gastritis. She is scheduled for barium study and
gastroscopy in the morning. What information would you give to the patient?
A. You will have liquid diet tonight then nothing by mouth
B. You can have regular diet tonight then liquid diet in the morning
C. You will have an enema in the morning
D. You don't have any special preparation for the test

13.Which of the following is the MOST common risk factor for irritable bowel
syndrome?
A. Old age
B. Stress
C. Smoking
D. Decreased fiber intake

14.Stella is S/P appendectomy for 7 days and she has not had bowel movement since
then. She is showing some signs of peritonitis. As her nurse, which aspect of nursing
management should you focus on?
A. Fluid and electrolyte balance
B. Bowel movement
C. Gastric irrigation
D. Pain management
E. Comfort management
F. Psychosocial issues

15.The nurse is advising a client regarding bisacodyl (Dulcolax) as a treatment for

constipation. Which of the following statements is correct?
A. Bisacodyl increases the volume of the feces.
B. Bisacodyl irritates the colon and increases intestinal activity
C. Bisacodyl hydrates the stool
D. Bisacodyl hydrates the stool

16.Colon cancer is most closely associated with Which of the following conditions
predispose a person from developing colon cancer? Select all that apply...
A. Chronic ulcerative colitis
B. Appendicitis
C. Hiatal hernia
D. Granulomas
E. Familial polyposis
F. Hemorrhoids

17.Individuals who are under chronic stress are prone to develop peptic ulcer disease
because stress:
A. increases the secretion of hydrochloric acid
B. reduces the amount of mucus in the stomach
C. causes constriction on blood vessels of the digestive system
D. enhances the barrier protection of the gastric mucosa

18.Risk factors of peptic ulcer disease include:

A. Type B personality and cigarette smoking
B. Type A blood and alcohol ingestion
C. high-fiber foods and Type A personality
D. family history and active lifestyle

19.Which of the following can be used for the treatment of irritable bowel syndrome?
A. Fiber supplements
B. Antiretrovirals
C. Aspirin
D. Methotrexate

20.The following are true about toxic megacolon: Select all that apply...
A. It is extreme dilation of a segment of the diseased colon caused by paralysis of the colon,
resulting in complete obstruction.
B. It exhibits in ulcerative colitis
C. This disorder is associated with ulcerative colitis but not with Crohn's disease.
D. All of the above are true about toxic megacolon.

21.Foods and fluids that may increase acid secretion include: (Select all that apply)
A. Fried and fatty foods
B. Milk and milk products
C. Caffeine and tea
D. Spicy foods

22.These will all indicate possible upper GIT bleeding except?

a. Hematemesis
b. Coffee ground vomitus
c. Hematochezia
d. Melena

23.A patient with severe peptic ulcer disease is scheduled to undergo total gastrectomy.
The patient
asks the nurse how megaloblastic anemia may develop after the surgery. The nurse's
best response is:
A. "You will not be able to absorb iron needed for red blood cell formation."
B. "The intrinsic factor is lost after your stomach is taken out and that is needed in the
synthesis of red blood cells."
C. "The loss of blood associated with this type of surgery makes you at risk for this type of
anemia."
D. "This is a medical concern that the surgeon can only answer for you."

24.All are true about fistulas EXCEPT: Select all that apply...
A. Fistulas are most common in Crohn's disease
B. Fistulas develop in diverticulitis and diverticulosis
C. The ulcers that occur in the submucosal and mucosal layers of the intestine in ulcerative
colitis usually progress to fistula.
D. Fistulas are transmural

25.Willie is a 44 year old carpenter who is admitted with an episode of acute GI

bleeding. He has history of peptic ulcer for the past 10 years. Which of the following
assessment data would indicate that the patient is bleeding internally?
a. Hypotension, tachycardia, tachypnea
b. Cyanosis, respiratory distress
C. Hypertension, Bradycardia, dyspnea
d. Diaphoresis, abdominal pain
26.These conditions are complications of ulcerative colitis that may require surgery.
Select all that apply...
A. Perforation
B. Herniation
C. Obstruction
D. Hemorrhage
E. Toxic megacolon
F. Diverticulosis

27.Which of the following is NOT a symptom of irritable bowel syndrome?

A. Blood in stool
B. Constipation
C. Frequent bowel reflexes
D. Abdominal pain

28.The client with GED complains of chronic cough. The nurse understands that in a
client with GERD this symptom may be indicative of which of the following conditions?
A. Development of laryngeal cancer
B. Irritation of the esophagus.
C. Esophageal scar tissue formation
D. Aspiration of gastric content.

29.Which of the following nursing care measures is a priority for a patient with
suspected GI bleeding?
a. Maintain high fowlers position
b. Weigh the patient as a parameter for fluid loss
c. Prepare the patient for surgery
d. Establish baseline vital sign

30.Which of the following nursing interventions would most likely promote self-care
behaviors in the client with hiatal hernia?
A. Introduce the client to other people who are successfully managing their care.
B. Include the client's daughter in the teaching so that she can help implement the plan.
C. Ask the client to identify other situations in which he demonstrated responsibility for
himself.
D. Reassure the client that he will be able to implement all aspects of the plan successfully.

31.Andrea is admitted with abdominal pain. She reports history of diverticulosis. What
other supporting data would suggest that Andrea is having diverticulitis? Select all that
apply...
A. Hematochezia
B. Positive Cullen's Sign
C. Cramping pain that is unrelenting
D. Pain at McBurney's point
E. Fever
F. Upper right quadrant abdominal pain
G. Constipation
H. Bloating

32.The client is scheduled to have an upper gastrointestinal tract series. Which of the
following treatments should the nurse anticipate after the examination?
A. Administering laxative.
B. Placing the client on a clear liquid diet.
C. Giving the client a tap water enema.
D. Starting an intravenous infusion.

33.Patient Julius, in an early stage of peritonitis exhibits which of the following?

A. Distended abdomen
B. Abdominal pain and rigidity
C. Hyperactive bowel sounds
D. Right upper quadrant pain

34.Nurse Nicole is assigned to a patient with diarrhea. She is reviewing her patient's
chart and looks for
change in weight, urine color, serum potassium and blood pressure. Nurse Nicole must
be
monitoring for:
A. Changes in level of consciousness
B. Oxygen desaturation
C. Dehydration
D. Hypoperfusion of kidneys

35.Patient Heidi is suffering from ulcerative colitis. Which among the assessment
findings needs to be acted upon by the physician?
A. Soft or watery bloody stools
B. BP of 160/100
C. Low hemoglobin levels
D. Rebound tenderness

36.What is NOT a predisposing factor for the formation of hemorrhoids?

A. Volvulus
B. Chronic constipation
C. Portal hypertension
D. Low-fiber diet

37.Minda is first day S/P ostomy surgery for ulcerative colitis. As her nurse, which
should be your priority of care?
A. Nutrition
B. Care of Ostomy
C. Ambulation
D. Fluid volume

38.Which of the following diagnostic tests would be scheduled to determine the

presence of an ulcer?
a. Arteriogram
b. Insertion of nasogastric tube
c. Flexible endoscopy
d. Bronchoscopy

39.Which assessment finding is most appropriate to support the nursing diagnosis of

diarrhea?
A. 24-hour food recall
B. Medication history
C. Bowel frequency in the past 24 hours
D. Presence of nausea and weakness

40.Which among the following are NOT associated with ulcerative colitis? Select all
that apply...
A. Kidney stones
B. Toxic megacolon
C. Gall bladder stones
D. Swelling of the kidneys

41.Which of the following is the diagnostic test of choice for celiac disease?
A. Test for anti-tissue transglutaminase antibodies
B. Test for antimitochondrial antibodies
C. Test for antinuclear antibodies
D. Test for anticentromere antibodies

42.Vagotomy is a surgical procedure used to manage peptic ulcer disease. This is done
for which of the following purpose?
A. Severing the vagus nerve reduces gastric acid secretion.
B. Damaging the vagus nerve increases gastric motility.
C. Cutting the vagus nerve increases mucus secretion.
D. Cutting the vagus nerve decreases pain sensation.

43.Joel is rushed to SPH with an initial diagnosis of acute appendicitis. Which laboratory
examination result will support the diagnosis?
A. Red blood cell count - 4.8 Million / cu. mm.
B. Hemoglobin count - 14 gm/dI.
C. White blood cells 13,000/cu.mm
D. Platelets - 280,000 cu.mm.

44.Upon admission, Joel's initial complaint was severe pain in the lower abdomen.
After a while, Joel reports that pain suddenly subsides without any intervention. Nurse
Hara suspects..
A. Ruptured appendix
B. Obstruction
C. Peritonitis
D. Distended appendix
45.Which of the following is a possible risk factor for secondary constipation?
A. Opioids
B. Irritable bowel syndrome
C. Slow transit time
D. Dyssynergic defecation

46.A client who has been diagnosed with gastroesophageal reflux disease (GERD)
complains of heartburn. To decrease the heartburn, the nurse should instruct the client
to eliminate which of the
following items from the diet?
A. Lean beef
B. Air-popped popcorn
C. Hot chocolate
D. Raw vegetables

47.Which of the following is a high fiber food that the nurse would recommend for a
client who has chronic constipation?
A. Pancakes
B. Muffins
C. Popcorn
D. Ripe bananas

48.The nurse assessing for possible gastric bleeding should perform which of the
following diagnostic tests to detect occult blood in the stools? 
A. Fecalysis
B. fecal ova & parasites
C. Guaiac test
D. Enema

49.Which treatment is known to be helpful for irritable bowel syndrome with normal
bowel movements and a high level of daily stress?
A. Anti-depressants
B. Sulfasalazine
C. Increased fiber intake
D. Antibiotics

50.Which of the following diagnostics would the nurse anticipate for a patient with no
obvious cause of diarrhea? Select all that apply:
A. CBC
B. Urinalysis
C. X-ray
D. MRI
E. Fecalysis for parasites