Deck 55: Assessment of Gastrointestinal Function

Question 1

Based on age-related changes in the gastrointestinal system, the nurse correlates decreased bile synthesis to which structure?
1)Gallbladder
2)Liver
3)Pancreas
4)Stomach

Answer 1

2

Question 2

The nurse correlates which organ as the main site for metabolizing medications?
1)Stomach
2)Liver
3)Spleen
4)Large intestine

Answer 2

2

Question 3

The patient with damage to which part of the small intestine is at greatest risk of malnutrition as a result of malabsorption of nutrients?
1)Pylorus
2)Duodenum
3)Jejunum
4)Ileum

Answer 3

3

Question 4

Which question does the nurse ask when assessing a patient's dietary practices during a health history of the gastrointestinal system?
1)"Do you take vitamins?"
2)"Who prepares the food in your home?"
3)"Have you had unexplained weight loss?"
4)"How often do you have a bowel movement?"

Question 5

Which sound would the nurse expect to elicit when percussing the liver?
1)Drum-like sound
2)Bruits
3)Dullness
4)Tympany

Question 6

The nurse conducts a health history of a patient's gastrointestinal system. Which question does the nurse ask when assessing preventive health?
1)"What are your exercise habits?"
2)"Do you use food to treat illnesses?"
3)"Are you experiencing increased thirst?"
4)"When was your last bowel movement?"

Question 7

Which is the correct sequence for the abdominal exam?
1)Inspection, palpation, percussion, and auscultation
2)Inspection, percussion, palpation, and auscultation
3)Inspection, auscultation, percussion, and palpation
4)Inspection, auscultation, palpation, and percussion

Question 8

Which bowel sound noted by the nurse during the gastrointestinal assessment indicates an early bowel obstruction?
1)Hyperactive
2)Hypoactive
3)Absent
4)Bruits

Question 9

In performing a gastrointestinal assessment, the nurse correlates which measurement as the normal liver span?
1)4 to 8 cm
2)6 to 12 cm
3)10 to 14 cm
4)12 to 16 cm

Question 10

Which question does the nurse ask when assessing a patient's social history during a gastrointestinal system assessment?
1)"Do you drink alcohol?"
2)"Have you ever had abdominal surgery?"
3)"Do you have a history of sickle cell disease?"
4)"Have you ever been diagnosed with depression?"

Question 11

The nurse correlates the secretion of which substance to the release of bile from the gallbladder?
1)Cholecystokinin
2)Intrinsic factor
3)Secretin
4)Somatostatin

Question 12

Which laboratory result is most relevant to the assessment of a patient's nutritional status?
1)Albumin 3.2 g/dL
2)Prealbumin 10 mg/dL
3)Glucose 150 mg/dL
4)Transferrin 275 mg/dL

Question 13

The nurse correlates the secretion of which substance to the release of sodium bicarbonate from the liver and pancreas?
1)Cholecystokinin
2)Intrinsic factor
3)Secretin
4)Somatostatin

Question 14

The advanced practice nurse uses which assessment approach to best determine a patient's liver span?
1)Deep palpation
2)Hooking technique
3)Light palpation
4)Percussion

Question 15

The nurse correlates decreased absorption of carbohydrates, fats, and proteins to damage to which organ?
1)Gallbladder
2)Liver
3)Large intestine
4)Small intestine

Question 16

The nurse notes bright red blood in a patient's stool and records this finding with which term?
1)Hematemesis
2)Hematochezia
3)Hemoptysis
4)Melena

Question 17

The nurse monitors for vitamin B₁₂ deficiency in the patient with a disorder of which organ?
1)Gallbladder
2)Pancreas
3)Small intestine
4)Stomach

Question 18

An older adult patient is admitted to the hospital with blunt trauma to the abdomen after an auto accident. The nurse monitors for which clinical manifestation of intra-abdominal bleeding?
1)Borborygmi
2)Everted umbilicus
3)Visible peristaltic waves
4)Bluish tint around the umbilicus

Question 19

In assessing a patient who is prescribed an anticholinergic agent, which assessment finding indicates the patient is experiencing an adverse reaction to this medication?
1)Gastrointestinal bleeding
2)Hepatic necrosis
3)Diarrhea
4)Hypoactive bowel sounds

Question 20

The nurse teaches a patient about the functions of the liver. Which patient statement indicates the need for additional teaching?
1)"My liver produces glucagon."
2)"My liver helps with the absorption of dietary fat."
3)"My liver helps me synthesize fat and cholesterol."
4)"My liver aids in the elimination of bacteria from the blood."

Question 21

Which vitamins are absorbed in the cecum? Select all that apply.
1)Vitamin A
2)Vitamin B₁₂
3)Vitamin D
4)Vitamin E
5)Vitamin K

Question 22

Which statement by the patient scheduled for an upper gastrointestinal series indicates the need for further teaching? Select all that apply.
1)"This test will visualize my esophagus."
2)"This test will visualize my gallbladder."
3)"This test will visualize my stomach."
4)"This test will visualize my duodenum."
5)"This test will visualize my cecum."

Question 23

The nurse correlates which diagnostic results as indicative of altered nutritional status? Select all that apply.
1)Decreased serum albumin
2)Decreased serum prealbumin
3)Increased serum transferrin
4)Increased urine amylase
5)Increased urine protein

Question 24

The nurse questions which prescription for the patient immediately after undergoing a small bowel endoscopy for evaluation of gastrointestinal bleeding?
1)Increase oral intake when awake
2)Administer ibuprofen for pain
3)Encourage ambulation when awake
4)Provide stool softener as needed

Question 25

The nurse monitors which disorders that are associated with decreased transferrin levels? Select all that apply.
1)Diabetes mellitus
2)Hepatic damage
3)Infection
4)Kidney disease
5)Peptic ulcer disease

Question 26

According to the US Preventive Services Task Force recommendation statement regarding screening for colorectal cancer, what are the most current recommendations? Select all that apply.
1)Colonoscopy every 10 years for adults with average risk of colon cancer starting at age 50
2)Computed tomography (CT) colonography every 5 years for adults with average risk of colon cancer starting at age 50
3)African Americans begin colonoscopies at age 45 and continue every 10 years
4)Colon screening stop at age 75 if all previous tests have been negative
5)Colonoscopy every 5 years starting at age 45 in patients with a family history of colorectal cancer

Question 27

The nurse correlates a prolonged prothrombin time (PT) to a disorder of which organ?
1)Pancreas
2)Gallbladder
3)Stomach
4)Liver

Question 28

Which statement by a 75-year-old patient during an annual health screening indicates the need for further teaching?
1)"I am at higher risk for constipation because of my age."
2)"I may develop heartburn due to weakness in the sphincter in my esophagus."
3)"My risk of stomach cancer decreases as I get older."
4)"I may lose teeth due to calcium regulation issues."

Question 29

Which questions does the nurse ask when assessing an older adult patient for age-related gastrointestinal changes? Select all that apply.
1)"Do you use laxatives?"
2)"Do you drink alcohol?"
3)"Do you experience chest pain?"
4)"How often do you have bowel movements?"
5)"Have you experienced an increase in your appetite?"

Question 30

The nurse is caring for a patient admitted with dysphagia and epigastric pain. Which diagnostic study provides the most definitive data regarding these complaints?
1)Endoscopic retrograde cholangiopan-creatography
2)Esophagogastroduodenoscopy (EGD)
3)Barium swallow
4)Abdominal x-ray