Deck 29: Gastrointestinal Clinical Assessment and Diagnostic Procedures

Question 1

Which test would be used to assess blood vessels and blood flow in the body?

A) CT scan
B) MRI
C) MRA
D) MRCP

Answer 1

MRA

Question 2

The most common location for a male to have a hernia is

A) femoral.
B) umbilical.
C) inguinal.
D) abdominal.

Answer 2

inguinal.

Question 3

A 78-year-old patient was admitted to the critical care unit with cirrhosis of the liver.In cirrhosis of the liver,which of the following laboratory values is expected to drop?

A) Albumin
B) Total bilirubin
C) Alkaline phosphatase
D) Aspartate aminotransferase

Answer 3

Albumin

Question 4

A health care provider has ordered an MRI (magnetic resonance imaging)of the liver.The nurse's first action is to

A) prepare the patient psychologically and physically for the procedure.
B) monitor the patient's response to the procedure.
C) assess the patient after the procedure.
D) inform the patient's family of the results.

Question 5

Upon auscultation,the nurse hears borborygmi.This is a change in the patient's condition.The nurse suspects the patient may be experiencing

A) a complete ileus.
B) early intestinal obstruction.
C) abnormality of blood flow.
D) peritonitis.

Question 6

Which of the following diagnostic procedures is used to identify gallstones and hepatic abscesses?

A) Ultrasonography
B) Abdominal radiography
C) Angiography
D) Liver scan

Question 7

When assessing the gastrointestinal system,the order of assessment progresses in which of the following ways?

A) Inspection, palpation, percussion, auscultation
B) Palpation, percussion, inspection, auscultation
C) Inspection, auscultation, percussion, palpation
D) Palpation, inspection, auscultation, percussion

Question 8

Which of the following serum laboratory values is increased in acute pancreatitis?

A) Bilirubin
B) Amylase
C) Lactate dehydrogenase
D) Ammonia

Question 9

Which radiographic test would be used to identify pseudocysts of the pancreas?

A) Plain film radiography
B) Abdominal ultrasonography
C) CT of abdomen
D) MRI of the abdomen

Question 10

Identify anatomic structures that are found in the right upper quadrant.

A) Duodenum
B) Portion of the transverse colon
C) Liver
D) Stomach
E) Cecum

Question 11

When assessing the abdomen,how long must the nurse listen to the abdomen to be able to accurately chart that bowel sounds are absent?

A) 30 seconds in each quadrant
B) 1 minute
C) 3 minutes
D) 5 minutes

Question 12

Nursing management of the patient undergoing an angiogram includes

A) keeping the patient flat for 24 hours.
B) inserting a nasogastric tube before the procedure.
C) administering tap water enemas until clear.
D) checking the patient's pulse distal to the injection site every 15 minutes.

Question 13

A 78-year-old patient was admitted to the critical care unit with cirrhosis of the liver.Nursing management of the patient after the liver scan should include

A) encouraging her to drink at least 500 mL of fluids after the procedure.
B) keeping her flat in bed for 12 hours after the procedure.
C) instructing her that she will need to keep flat and still for approximately 60 minutes during the procedure.
D) administering cleansing enemas.

Question 14

Which assessment technique is most useful in detecting abdominal pathologic conditions?

A) Percussion
B) Palpation
C) Inspection
D) Auscultation

Question 15

Which of the following findings is considered an abnormal gastrointestinal assessment finding?

A) Visible peristaltic waves
B) Hyper-resonance of the intestine
C) High-pitched gurgling sounds in the small intestine
D) Dull sounds over the liver and spleen

Question 16

Steatorrhea is determined by which laboratory study?

A) Gastric acid stimulation
B) Urea breath test
C) Culture and sensitivity
D) Stool studies

Question 17

Signs and symptoms of which condition include nausea,localized right lower quadrant guarding and tenderness after 12 to 24 hours,fever,and an elevated white blood cell count?

A) Appendicitis
B) Hepatitis
C) Cecal volvulus
D) Perforated duodenal ulcer

Question 18

The patient has just returned from a liver biopsy.The patient should be positioned on the

A) left side for 2 hours.
B) right side for 2 hours.
C) left side for 6 to 8 hours.
D) right side for 6 to 8 hours.

Question 19

The best diagnostic test for the determination of upper gastrointestinal bleeding is

A) endoscopic retrograde cholangiopancreatography (ERCP).
B) colonoscopy.
C) endoscopy.
D) angiography.

Question 20

A 78-year-old patient was admitted to the critical care unit with cirrhosis of the liver.A hepatobiliary scan is performed to assess the progression of the patient's cirrhosis.Which of the following results is expected?

A) Nonvisualization
B) Little or no uptake
C) Increased uptake
D) Normal uptake

Question 21

Identify anatomic structures that are found in the right lower quadrant.

A) Sigmoid colon
B) Portion of the ascending colon
C) Portion of the descending colon
D) Distended bladder
E) Enlarged uterus

Question 22

Identify anatomic structures that are found in the left lower quadrant.

A) Distended uterus
B) Cecum and appendix
C) Left ureter
D) Portion of the descending colon
E) Sigmoid colon

Question 23

Identify anatomic structures that are found in the left upper quadrant.

A) Stomach
B) Spleen
C) Portion of the transverse and descending colon
D) Head of the pancreas
E) Body of the pancreas

Question 24

Potential complications of an endoscopy include

A) perforation of the GI tract.
B) hemorrhage.
C) oversedation.
D) constipation.
E) aspiration.

Question 25

Inspection of the GI system should include the

A) mouth.
B) esophagus.
C) skin.
D) bladder.
E) abdomen.