Mastering Gastrointestinal Disorders Management: A Comprehensive Guide for Nurses

Question 1

For a patient receiving proton pump inhibitors for GERD, which nursing assessment is most crucial?

Accepted Answer

Assessing the patient's response to the medication

Answer

Monitoring for signs of bleeding

Answer

Evaluating abdominal swelling

Answer

Educating the patient to avoid alcohol

Question 2

Which nursing intervention is most appropriate for a patient with pancreatitis experiencing severe abdominal pain?

Accepted Answer

Administering pain medication as prescribed

Answer

Applying a warm compress to the abdomen

Answer

Encouraging the patient to walk around

Answer

Restricting oral intake

Question 3

For a patient receiving antiviral therapy for hepatitis B, which nursing assessment is most crucial?

Accepted Answer

Assessing the patient's response to treatment

Answer

Monitoring for signs of liver failure

Answer

Evaluating abdominal swelling

Answer

Educating the patient to avoid alcohol

Question 4

Which nursing intervention is most appropriate for a patient with cholecystitis experiencing severe right upper quadrant pain?

Accepted Answer

Administering pain medication as prescribed

Answer

Applying a cold compress to the abdomen

Answer

Encouraging the patient to ambulate

Answer

Restricting oral intake

Question 5

For a patient receiving blood transfusions for gastrointestinal bleeding, which nursing intervention is critical?

Accepted Answer

Monitoring for signs of transfusion reaction

Answer

Evaluating abdominal swelling

Answer

Educating the patient on the importance of rest

Answer

Administering antiemetics as prescribed

Question 6

Which medication is commonly prescribed for the treatment of gastroesophageal reflux disease (GERD)?

Accepted Answer

Omeprazole

Answer

Metoclopramide

Answer

Ondansetron

Answer

Hyoscyamine

Question 7

A patient with a perforated gastric ulcer will likely require what surgical intervention?

Accepted Answer

Laparoscopic repair

Answer

Gastrectomy

Answer

Vagotomy

Answer

Antrectomy

Question 8

What is the primary nursing intervention for managing nausea and vomiting?

Accepted Answer

Administering antiemetics

Answer

Monitoring fluid and electrolyte balance

Answer

Providing oral hygiene

Answer

Weighing the patient daily

Question 9

What is the most common cause of acute cholecystitis?

Accepted Answer

Gallstones

Answer

Alcoholism

Answer

Bacterial infection

Answer

Trauma

Question 10

What is the most effective method for preventing the spread of gastrointestinal infections?

Accepted Answer

Handwashing

Answer

Immunization

Answer

Isolation

Answer

Antibiotic prophylaxis

Question 11

Which of the following is a primary symptom experienced in gastroesophageal reflux disease (GERD)?

Accepted Answer

Heartburn and regurgitation

Answer

Abdominal pain and bloody stools

Answer

Nausea and vomiting

Answer

Fever and chills

Question 12

For patients with peptic ulcer disease, which type of diet is commonly recommended?

Accepted Answer

Bland diet focused on easily digestible foods

Answer

High-fiber diet to promote bowel regularity

Answer

Low-fat diet to reduce digestive strain

Answer

High-protein diet to support tissue repair

Question 13

In the management of colorectal cancer, what is the primary objective of surgical intervention?

Accepted Answer

Removal of cancerous tissue to prevent its spread

Answer

Restoration of bowel function to improve quality of life

Answer

Elimination of pain and discomfort

Answer

Prevention of future cancer development

Question 14

Which of the following is a serious potential complication associated with pancreatitis?

Accepted Answer

Sepsis, a life-threatening infection

Answer

Diabetes, a chronic metabolic disorder

Answer

Cirrhosis, a liver disease

Answer

Osteoporosis, a bone disease

Question 15

In the management of inflammatory bowel disease (IBD), what is the primary benefit of probiotics?

Accepted Answer

They reduce inflammation and support a healthy gut microbiome

Answer

They neutralize stomach acid and alleviate pain

Answer

They kill harmful bacteria and prevent infections

Answer

They stimulate tissue repair and promote wound healing

Question 16

In patients with cirrhosis, what is the most common cause of ascites, a buildup of fluid in the abdomen?

Accepted Answer

Portal hypertension, increased pressure in the veins of the liver

Answer

Protein deficiency due to impaired liver function

Answer

Electrolyte imbalance caused by disrupted fluid regulation

Answer

Cardiomyopathy, a disease of the heart muscle

Question 17

For a patient with acute pancreatitis experiencing severe abdominal pain, which nursing diagnosis is most appropriate?

Accepted Answer

Acute Pain

Answer

Impaired Skin Integrity

Answer

Risk for Fluid Volume Deficit

Answer

Ineffective Tissue Perfusion

Question 18

Which dietary modification is most beneficial for a patient with Crohn's disease experiencing abdominal pain and diarrhea?

Accepted Answer

Low-residue diet

Answer

Low-fiber diet

Answer

High-fat diet

Answer

High-protein diet

Question 19

Which surgical intervention is indicated for esophageal cancer?

Accepted Answer

Esophagectomy

Answer

Gastrectomy

Answer

Colectomy

Answer

Cholecystectomy

Question 20

Which assessment finding is indicative of pancreatitis?

Accepted Answer

Murphy's sign

Answer

Jaundice

Answer

Clay-colored stools

Answer

Ascites

Question 21

Which medication may be prescribed to manage abdominal pain and constipation in a patient with irritable bowel syndrome (IBS)?

Accepted Answer

Antispasmodics

Answer

Antidiarrheals

Answer

Laxatives

Answer

Antibiotics

Question 22

Which nursing diagnosis is most appropriate for a patient with gastric cancer?

Accepted Answer

Imbalanced Nutrition: Less Than Body Requirements

Answer

Risk for Imbalanced Fluid Volume

Answer

Acute Pain

Answer

Impaired Gas Exchange

Question 23

Which laboratory value is indicative of impaired liver function?

Accepted Answer

Elevated bilirubin

Answer

Increased hemoglobin

Answer

Decreased platelet count

Answer

Normal white blood cell count

Question 24

Which nursing intervention is the priority for a patient experiencing acute pancreatitis?

Accepted Answer

Inserting a nasogastric tube for decompression

Answer

Administering opioids for pain management

Answer

Providing a low-fat, high-carbohydrate diet

Answer

Monitoring closely for signs of sepsis

Question 25

Which medication is the first-line treatment for gastroesophageal reflux disease (GERD)?

Accepted Answer

Omeprazole

Answer

Metoclopramide

Answer

Sucralfate

Answer

Ondansetron

Question 26

What is the primary objective of dietary modifications for Crohn's disease management?

Accepted Answer

Reducing inflammation of the gastrointestinal tract

Answer

Promoting weight gain

Answer

Preventing dehydration

Answer

Maintaining electrolyte balance

Question 27

What is the definitive diagnostic test for celiac disease?

Accepted Answer

Upper endoscopy with biopsy

Answer

Barium swallow

Answer

Colonoscopy

Answer

Blood test for gluten antibodies

Question 28

How do probiotics primarily exert their beneficial effects?

Accepted Answer

Suppressing the growth of harmful bacteria

Answer

Producing antimicrobial substances

Answer

Stimulating the immune system

Answer

Promoting absorption of nutrients

Question 29

Proton pump inhibitors (PPIs) are prescribed to patients with gastroesophageal reflux disease (GERD). What is the primary mechanism of action of PPIs?

Accepted Answer

Inhibiting gastric acid secretion

Answer

Blocking histamine receptors

Answer

Increasing gastric pH

Answer

Neutralizing stomach acid

Question 30

A patient experiencing severe abdominal pain due to pancreatitis requires immediate nursing intervention. Which of the following actions should be prioritized?

Accepted Answer

Administering opioid analgesics

Answer

Applying a warm compress to the abdomen

Answer

Encouraging the patient to ambulate

Answer

Restricting oral intake

Question 31

A patient with Crohn's disease is undergoing surgical resection. Which potential complication of this surgery should be closely monitored post-operatively?

Accepted Answer

Short bowel syndrome

Answer

Peritonitis

Answer

Pneumonia

Answer

Myocardial infarction

Question 32

A patient with liver cirrhosis is experiencing episodes of hepatic encephalopathy. Which medication is commonly used to treat this condition?

Accepted Answer

Lactulose

Answer

Metoprolol

Answer

Warfarin

Answer

Metformin

Question 33

A patient with gastrointestinal (GI) bleeding requires a blood transfusion. Which blood product is typically transfused in this situation?

Accepted Answer

Packed red blood cells

Answer

Whole blood

Answer

Fresh frozen plasma

Answer

Platelets

Question 34

Post-operatively, what is the primary nursing priority for a patient with a new ostomy?

Accepted Answer

Ensuring skin integrity around the stoma

Answer

Promoting self-care

Answer

Managing pain

Answer

Monitoring fluid balance

Question 35

A patient with a history of diverticular disease presents with a diverticular abscess. Which nursing intervention is most appropriate in this situation?

Accepted Answer

Administering antibiotics

Answer

Applying a warm compress to the abdomen

Answer

Encouraging the patient to ambulate

Answer

Restricting oral intake

Question 36

A patient with irritable bowel syndrome (IBS) is experiencing alternating diarrhea and constipation. Which dietary modification is most appropriate?

Accepted Answer

Follow a low-FODMAP diet

Answer

Increase fiber intake

Answer

Restrict dairy intake

Answer

Avoid caffeine and alcohol

Question 37

Which of the following is a characteristic symptom of peptic ulcer disease?

Accepted Answer

Heartburn

Answer

Dysphagia

Answer

Constipation

Answer

Diarrhea

Question 38

Administration of morphine is contraindicated in a patient with biliary colic who presents with:

Accepted Answer

Hypotension

Answer

Renal impairment

Answer

Head injury

Answer

COPD

Question 39

Postprandial fullness and early satiety are characteristic symptoms of which of the following gastrointestinal disorders?

Accepted Answer

Gastroparesis

Answer

Constipation

Answer

Diverticular disease

Answer

Irritable bowel syndrome

Question 40

Which of the following is a surgical intervention for esophageal cancer?

Accepted Answer

Esophagectomy

Answer

Endoscopic mucosal resection

Answer

Gastrectomy

Answer

Colectomy

Question 41

In which anatomical location are gastric ulcers most commonly found?

Accepted Answer

Lesser curvature

Answer

Fundus

Answer

Antrum

Answer

Pylorus

Question 42

Which of the following is a modifiable risk factor for developing diverticular disease?

Accepted Answer

Low-fiber diet

Answer

Obesity

Answer

Diabetes

Answer

Smoking

Question 43

What is the most immediate priority nursing intervention for a patient experiencing acute pancreatitis?

Accepted Answer

Administer analgesics and maintain NPO status.

Answer

Administer antibiotics and promote oral hydration.

Answer

Monitor vital signs every 4 hours and administer insulin as needed.

Answer

Encourage frequent ambulation and provide a high-fat diet.

Question 44

When should sucralfate be administered to a patient with peptic ulcer disease?

Accepted Answer

1 hour before meals and at bedtime.

Answer

With meals and at bedtime.

Answer

30 minutes before meals and at bedtime.

Answer

2 hours before meals and at bedtime.

Question 45

Which surgical procedure is commonly used to treat gastroesophageal reflux disease (GERD)?

Accepted Answer

Fundoplication

Answer

Cholecystectomy

Answer

Appendectomy

Answer

Colectomy

Question 46

Which laboratory test is likely to be elevated in a patient with ulcerative colitis experiencing severe abdominal pain and diarrhea?

Accepted Answer

Serum C-reactive protein (CRP)

Answer

Glucose

Answer

Hemoglobin

Answer

Sodium

Question 47

Which medication is commonly used to treat Helicobacter pylori infection?

Accepted Answer

Amoxicillin

Answer

Metformin

Answer

Ipratropium

Answer

Warfarin

Question 48

What is a recognized risk factor for developing colorectal cancer?

Accepted Answer

Age over 50

Answer

High caffeine intake

Answer

Vegetarian diet

Answer

Female gender

Question 49

What is the most appropriate nursing intervention to address frequent diarrhea in a patient with Crohn's disease?

Accepted Answer

Administer antidiarrheal medications as ordered.

Answer

Encourage the patient to increase their fluid intake.

Answer

Perform a fecal occult blood test to assess for bleeding.

Answer

Restrict the patient's dietary intake to clear liquids.

Question 50

What is the primary purpose of proton pump inhibitors in the treatment of peptic ulcer disease?

Accepted Answer

Reduce gastric acid production.

Answer

Increase gastric motility.

Answer

Promote healing of ulcers.

Answer

Protect the stomach lining from irritation.

Question 51

Which dietary modification is most likely to help manage abdominal pain and bloating in a patient with irritable bowel syndrome (IBS)?

Accepted Answer

Eliminating foods that trigger symptoms.

Answer

Restricting fluid intake.

Answer

Increasing caffeine intake.

Answer

Following a high-fiber diet.

Question 52

What is the priority nursing action to prevent complications in a hospitalized patient with a history of gastroesophageal reflux disease (GERD)?

Accepted Answer

Elevate the head of the bed 6-8 inches.

Answer

Administer antacids as needed.

Answer

Encourage the patient to eat small, frequent meals.

Answer

Monitor the patient's weight.

Question 53

A patient with diverticulitis is experiencing severe abdominal pain. What is the MOST appropriate nursing action in this situation?

Accepted Answer

Administer pain medication as ordered.

Answer

Provide a high-fiber diet.

Answer

Encourage the patient to ambulate frequently.

Answer

Perform a digital rectal examination.

Question 54

A patient with a history of pancreatitis is experiencing severe abdominal pain. What is the MOST important teaching point for this patient regarding pain management?

Accepted Answer

Report any increase in pain to the healthcare provider.

Answer

Avoid all alcohol consumption.

Answer

Take over-the-counter pain relievers as needed.

Question 55

A patient with ulcerative colitis is scheduled for a colonoscopy. What is the MOST important pre-procedure instruction for this patient?

Accepted Answer

Follow a clear liquid diet for 24 hours prior to the procedure.

Answer

Stop taking all medications 24 hours before the procedure.

Answer

Administer a laxative the evening before the procedure.

Question 56

A patient with a history of cholecystitis is experiencing symptoms of jaundice. What is the MOST likely cause of this symptom?

Accepted Answer

Obstruction of the bile duct.

Answer

Inflammation of the gallbladder.

Answer

Infection of the gallbladder.

Question 57

A patient with a history of colorectal cancer is receiving chemotherapy. Which nursing intervention is PRIORITY to address a common side effect of chemotherapy?

Accepted Answer

Administer antiemetics to prevent nausea and vomiting.

Answer

Monitor the patient's weight daily.

Answer

Encourage the patient to consume a high-protein diet.

Question 58

A patient with a history of gastric bypass surgery is experiencing dumping syndrome. Which dietary modification is MOST effective in managing this complication?

Accepted Answer

Eating small, frequent meals.

Answer

Restricting fluid intake during meals.

Answer

Increasing dietary fiber intake.

Answer

Consuming high-sugar foods.