Deck 39: Overview of the Gastrointestinal Tract

Question 1

Which substance produced by the stomach is missing in the client who had partial removal of the stomach,leading to pernicious anemia?

A) Gastrin
B) Hydrochloric acid
C) Protective mucus
D) Intrinsic factor

Answer 1

Intrinsic factor

Question 2

The client who has difficulty swallowing is most likely to have which of the following disorders if the esophagus is responsible for this symptom?

A) Reflux esophagitis
B) Hiatal hernia
C) Achalasia
D) Duodenal ulcer

Answer 2

Achalasia

Question 3

Which of the following assessment findings would not be characteristic of acute gastritis?

A) Gastrointestinal hemorrhage
B) Shoulder pain
C) Nausea
D) Abdominal tenderness

Answer 3

Shoulder pain

Question 4

Reflux esophagitis is a result of

A) an overactive sphincter muscle that causes rapid digestion.
B) the ingestion of irritants by mouth.
C) the gastric contents flowing back into the esophagus.
D) dysphagia and inadequate hydration.

Question 5

The external innervation of the gastrointestinal system is mediated by which of the following nerves of the parasympathetic nervous system?

A) Splanchnic
B) Vagus
C) Mesenteric
D) Spinal

Question 6

Drugs that commonly have an adverse effect on the mouth would include those belonging to which of the following groups?

A) Antacids
B) Cancer chemotherapy agents
C) Bronchodilators
D) Antidiabetic agents

Question 7

A client who is diagnosed with a duodenal ulcer most likely has which organism causing the symptoms?

A) Helicobacter pylori
B) Hemophilus influenza type B
C) Clostridium perfringens
D) Streptococcus

Question 8

A client has been diagnosed with acute gastritis.After conducting a health history,the nurse explains to the client that the only substance taken by the client in the last 48 hours that would not contribute to the current problem is

A) ibuprofen (Motrin).
B) acetaminophen (Tylenol).
C) acetylsalicylic acid (aspirin).
D) alcohol.

Question 9

The nurse considers that which of the following disorders of the larynx is most serious based on the type of drug therapy needed to manage it?

A) Sinusitis
B) Hay fever
C) Common cold
D) Strep throat

Question 10

The nurse caring for a client with cholecystitis understands that this client may have impaired ability to do which of the following because of the disorder?

A) Digest protein
B) Produce clotting factors
C) Synthesize fats
D) Concentrate and store bile

Question 11

The nurse recalls that a client with which of the following disorders has an abnormality of the small intestine?

A) Malabsorption syndrome
B) Irritable bowel syndrome
C) Diverticular disease
D) Ulcerative colitis

Question 12

The nurse would have the greatest degree of concern about medication management if the client had which of the following health problems?

A) Cirrhosis of the liver
B) Cholecystitis
C) Pancreatitis
D) Small bowel obstruction

Question 13

The nurse planning medication administration in relation to meals recalls that the usual gastric emptying time is how long?

A) 30 to 60 minutes
B) 1 to 2 hours
C) 2 to 6 hours
D) 4 to 8 hours

Question 14

Which of the following pancreatic diseases,which is most obvious in its presentation,should be readily recognized by the nurse?

A) Pancreatitis
B) Diabetes mellitus
C) Pancreatic tumor
D) Pancreatic abscess

Question 15

Which type of ulcer occurs more frequently in younger people?

A) Peptic ulcer
B) Duodenal ulcer
C) Hiatal ulcer
D) Gastric ulcer