GI Nursing Essentials Quiz

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NURS155-style GI questions

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Deborah T

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GI Nursing Essentials Quiz


Froggy Jumps GI Nursing Essentials QuizVersión en línea NURS155-style GI questions por Deborah T 1 Where is McBurney’s point located for appendicitis assessment? a Right lower quadrant about 1/3 of the distance from the ASIS to the umbilicus b Left lower quadrant midway between ASIS and umbilicus c Right upper quadrant at midclavicular line below the costal margin 2 Which position best relieves abdominal pain in suspected appendicitis preop? a Supine with legs extended b Prone with head to the side c Right side-lying with knees drawn up (fetal variant) 3 Why are laxatives/enemas avoided in suspected appendicitis? a They are ineffective for appendicitis constipation b They delay WBC elevation timing c They can increase intraluminal pressure and risk rupture 4 What WBC finding supports appendicitis in a child? a Normal WBC rules out appendicitis b WBC <10,000/mm³ c WBC >15,000/mm³ with left shift 5 What is the primary purpose of a rectal tube postoperatively? a Deliver enteral nutrition b Decompress the bowel and relieve distention c Prevent constipation through stimulation 6 Initial diet for acute diverticulitis during the inflammatory phase? a Clear liquids or NPO, then advance b High-fiber diet immediately c Regular diet once pain controlled 7 Which are common diverticulitis complications? a Perforation, abscess, fistula, obstruction b Hemorrhoidal bleeding, ulcers c Gastric reflux, esophagitis 8 Standard meds for acute diverticulitis management include? a Corticosteroids without antibiotics b Proton pump inhibitors alone c Bowel rest, IV fluids, antibiotics (cipro + metronidazole) 9 How does a cleansing enema differ from a retention enema? a Both are small-volume and held b Cleansing: large-volume for evacuation; retention: small-volume held for meds c Retention enema evacuates stool quickly 10 Which statement describes lansoprazole and teaching for GERD/gastritis? a An H2 blocker; take at bedtime b A coating agent to be taken with meals c A PPI that inhibits proton pumps; take 30 min before breakfast 11 A client on heparin has an aPTT of 110 seconds. What is the priority action? a Increase the infusion rate b Follow protocol and notify the provider c Administer vitamin K 12 A client taking warfarin reports black tarry stools. What is the priority action? a Document the finding b Encourage fluids c Assess for bleeding and notify the provider 13 A client receives nitroglycerin for chest pain. Five minutes later the pain is unchanged. What should the nurse do next? a Wait 30 minutes b Give morphine first c Administer a second dose if BP allows 14 A client receiving IV morphine has a respiratory rate of 8/min. What is the priority nursing action? a Encourage coughing b Reassess in 30 minutes c Administer naloxone as ordered 15 Which client should receive potassium replacement first? a Potassium 4.2 b Potassium 5.6 c Potassium 3.0 with PVCs 16 A nurse prepares to administer IV potassium. Which action requires intervention? a Administering by IV push b Using an infusion pump c Monitoring the cardiac rhythm 17 A client taking phenytoin reports difficulty walking and blurred vision. What should the nurse suspect? a Hypoglycemia b Therapeutic effect c Toxicity 18 A client taking phenytoin asks how to prevent gum complications. What should the nurse teach? a Brush and floss regularly b Avoid dental visits c Increase sodium intake 19 A client receiving mannitol develops crackles and dyspnea. What is the nurse's priority? a Slow infusion and notify provider b Encourage fluids c Continue infusion 20 Which assessment best indicates mannitol is effective? a Elevated BP b Increased cerebral edema c Decreased ICP symptoms

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GI Nursing Essentials Quiz

Froggy Jumps

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Creada por

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GI Nursing Essentials QuizVersión en línea

por Deborah T

Where is McBurney’s point located for appendicitis assessment?

Which position best relieves abdominal pain in suspected appendicitis preop?

Why are laxatives/enemas avoided in suspected appendicitis?

What WBC finding supports appendicitis in a child?

What is the primary purpose of a rectal tube postoperatively?

Initial diet for acute diverticulitis during the inflammatory phase?

Which are common diverticulitis complications?

Standard meds for acute diverticulitis management include?

How does a cleansing enema differ from a retention enema?

Which statement describes lansoprazole and teaching for GERD/gastritis?

A client on heparin has an aPTT of 110 seconds. What is the priority action?

A client taking warfarin reports black tarry stools. What is the priority action?

A client receives nitroglycerin for chest pain. Five minutes later the pain is unchanged. What should the nurse do next?

A client receiving IV morphine has a respiratory rate of 8/min. What is the priority nursing action?

Which client should receive potassium replacement first?

A nurse prepares to administer IV potassium. Which action requires intervention?

A client taking phenytoin reports difficulty walking and blurred vision. What should the nurse suspect?

A client taking phenytoin asks how to prevent gum complications. What should the nurse teach?

A client receiving mannitol develops crackles and dyspnea. What is the nurse's priority?

Which assessment best indicates mannitol is effective?