REFRESHER: POST TEST - GIT

RN 2025 TOPNOTCHER

1. The nurse is evaluating the dietary counselling of a client with cholecystitis. The nurse evaluates that the client understands the instructions given if the client states that which food item is acceptable?

A. Baked fish

B. Fried chicken

C. Sauces and gravies

D. Fresh whipped cream

A. Baked fish

2. A nurse is caring for a client who is 6 hours post–open cholecystectomy. The client’s T-tube drainage bag is empty, and the nurse notes slight jaundice of the sclera. Which action by the nurse is most important?

A. Notifying the surgeon about these findings.

B. Checking the client’s blood pressure immediately.

C. Repositioning the client to promote T-tube drainage.

D. Recording the findings and continuing to monitor the client.

A. Notifying the surgeon about these findings.

3. A nurse anticipates that the conservative treatment of a client with acute cholecystitis will include:

A. bland diet.

B. administering laxatives to clear the bowel.

C. the administration of anticholinergic medications.

D. placing the client in a supine position with the head of the bed flat.

C. the administration of anticholinergic medications.

4. A client was admitted to the ER. The client feels pain from light touch in the right lower scapular region. The client also reported pain in the right upper quadrant after a fatty meal. Which of the following disorders is the client most likely experiencing?

A. Pancreatitis

B. Appendicitis

C. Diverticulitis

D. Cholecystitis

D. Cholecystitis

5. The serum ammonia level of a client with cirrhosis is elevated. As a priority, a nurse should plan to:

A. observe for increasing confusion.

B. measure the urine specific gravity.

C. restrict the client’s oral fluid intake.

D. monitor the client’s temperature every 4 hours.

A. observe for increasing confusion.

6. When caring for a client with esophageal varices, the nurse knows that bleeding in this disorder usually stems from:

A. esophageal perforation

B. pulmonary hypertension

C. portal hypertension

D. peptic ulcers

C. portal hypertension

7. The nurse is assigned to care for a client being admitted to the hospital with a diagnosis of cirrhosis and ascites. Which dietary measure should the nurse expect to be prescribed for the client?

A. Sodium restriction.

B. Increased fat intake.

C. Decreased carbohydrates.

D. Calorie restriction of 1500 daily.

A. Sodium restriction.

8. Which of the following findings would correlate to hepatic encephalopathy? 

A. Red beefy tongue

B. Ketonuria

C. Insomnia

D. Asterixis

D. Asterixis

9. After completing discharge education, a nurse recognizes the need for further teaching when a client, diagnosed with cirrhosis, says:

A. “I plan to stop drinking alcohol.”

B. “I am going to work only part-time.”

C. “I know propranolol has been ordered to decrease my blood pressure.”

D. “I know spironolactone will help to keep me from developing abdominal swelling.”

C. “I know propranolol has been ordered to decrease my blood pressure.”

10. A 20 y.o. client is admitted with chronic pancreatitis. Which of the following interventions will you include in the plan of care?

A. High fat diet

B. High protein diet

C. 3 regular meals per day.

D. High carbohydrate diet.

D. High carbohydrate diet.

11. Which assessment finding indicates that lactulose is effective in decreasing the ammonia level in the client with hepatic encephalopathy?

A. Evidence of watery diarrhea

B. Improvement in client’s LOC.

C. Appearance of frothy, foul-smelling stools

D. Daily deterioration in the client’s handwriting

B. Improvement in client’s LOC.

12. A client is diagnosed with cholecystitis. The nurse reviews the client’s medical record, expecting to note documentation of which manifestations of this disorder? 

A. Dark stools

B. Positive Murphy’s sign

C. Light-colored and clear urine

D. Upper abdominal pain that radiates to the left shoulder

B. Positive Murphy’s sign

13. During a hospital admission history, a nurse suspects acute pancreatitis when a 40-year-old client reports:

A. the sudden onset of intense pain in the upper left abdominal quadrant that radiates to the back.

B. persistent abdominal pain in the lower abdomen that has shifted to the lower right quadrant.

C. mild upper abdominal pain and projectile vomiting.

D. bloody diarrhea and colicky abdominal pain.

A. the sudden onset of intense pain in the upper left abdominal quadrant that radiates to the back.

 

14. While performing an assessment of a client with acute pancreatitis, a nurse notes a bluish flank discoloration. What should be the nurse’s interpretation of this finding?

A. Portal hypertension has developed.

B. Seepage of blood-stained exudates from the pancreas has occurred.

C. The pancreatitis has caused the stomach to bleed, and the blood is now in the interstitial tissue.

D. An intestinal obstruction that has increased vascular pressure has developed due to the pancreatic inflammation.

B. Seepage of blood-stained exudates from the pancreas has occurred.

15. A client recovering from acute pancreatitis that has been NPO asks a nurse when he can begin eating again. Which response by the nurse is most accurate?

A. “As soon as you start to feel hungry you can begin eating.”

B. “When you have active bowel sounds, and you are passing flatus.”

C. “When your pain is controlled, and your serum lipase level has decreased.”

D. “Oral intake stimulates the pancreas so you will need to be NPO for at least 2 weeks from the day your disease was diagnosed to allow the pancreas to heal.”

C. “When your pain is controlled, and your serum lipase level has decreased.”

16. A client diagnosed with pancreatitis, is concerned about pain control. A nurse explains to the client that the initial plan for controlling the pain of chronic pancreatitis involves the administration of:

A. NSAIDs.

B. opioid analgesic medications.

C. acetaminophen and low-carbohydrate diet.

D. pancreatic enzymes with H2 blocker medications.

D. pancreatic enzymes with H2 blocker medications.

17. The nurse is reviewing the physician’s orders written for a client admitted with acute pancreatitis. Which physician order would the nurse question if noted on the client’s chart?

A. NPO status

B. Demerol for pain

C. Insert nasogastric tube

D. An anticholinergic medication

B. Demerol for pain

18. Which of the following statements best describes Cullen’s sign?

A. A pain at the calf triggered by dorsiflexion of the foot.

B. A bluish discoloration around the umbilical area.

C. A bluish discoloration at the client’s flank.

D. A pain at the right lower scapular area.

B. A bluish discoloration around the umbilical area.

19. Which of the following findings would correlate to Crohn’s disease? 

A. Bloody stool

B. Severe diarrhea

C. Cobble stone formation

D. Pain at the left lower quadrant of the abdomen.

C. Cobble stone formation

20. Which of the following interventions is appropriate for a client with chronic inflammatory bowel disorder?

A. Increasing fiber diet

B. Decreasing caloric intake

C. Administration of steroids

D. Suggesting exercise during exacerbation

C. Administration of steroids

21. A client with ulcerative colitis was about to undergo surgery. Which of the following procedures would the client most likely undergo?

A. Gastrectomy

B. Total proctocolectomy

C. Nissen Fundoplication

D. Resection of the ileum

B. Total proctocolectomy

22. Which of the following complications is associated with ulcerative colitis?

A. Pancreatitis

B. Liver cirrhosis

C. Fistula formation

D. Vitamin K deficiency

D. Vitamin K deficiency

23. Which of the following findings is the most prominent sign of ulcerative colitis?

A. Rectal bleeding

B. Bloody diarrhea

C. Vitamin K deficiency

D. Intermittent abdominal pain

A. Rectal bleeding

24. Clients with chronic inflammatory bowel disease usually experience malabsorption. Which of the following problems would not correlate to malabsorption?

A. Obesity

B. Steatorrhea

C. Weight loss

D. Vitamin deficiency

A. Obesity

25. While reviewing a client’s medical records, a nurse notes the diagnosis of biliary colic. Considering this diagnosis, which additional sign will the nurse most likely find in the client’s medical record?

A. Bloody diarrhea

B. Abdominal distention

C. Severe abdominal pain

D. Heartburn and regurgitation

C. Severe abdominal pain