Question 1

The mouth care measure that should be used with caution by the nurse when a client has a nasogastric tube is:

Accepted Answer

A)  Regularly brushing teeth and tongue with soft brush
B)  Sucking on ice chips to relieve dryness
C)  Occasionally rinsing mouth with a non-astringent substance and massaging gums
D)  Application of lemon juice and glycerine swabs to the lips B

Question 2

Seuss, a music teacher, is diagnosed with chronic pancreatitis and pancrelipase (Lipancreatin) is prescribed. Which of the following instructions should the nurse give to this client about the administration of this medication?

Accepted Answer

A)  "Take the drug with meals."
B)  "Take the drug with a large glass of milk."
C)  "Take the drug between meals."
D)  "Take the drug after it is crushed and mixed with ice cream." A

Question 3

After her gastrectomy, actress Sandra Newton asks the nurse when the nasogastric tube will be removed. The nurse responds ______________.

Accepted Answer

A)  "According to standard procedures only, it will be removed on the fourth postoperative day."
B)  "When bowel sounds are established and you have passed flatus or stool."
C)  "Thirty-six hours after the cessation of bloody drainage."
D)  "After two days of alternate clamping and unclamping of the tube." B

Question 4

Tuxen, a 66-year-old black American, was brought by his wife to the Emergency Department because he is increasingly confused and is coughing blood. His medical diagnosis is cirrhosis of the liver. While assessing Mr. Tuxen, the nurse understands that the correct technique when doing abdominal assessment is:

Accepted Answer

A)  Palpate the most painful area progressing to the least painful parts
B)  Begin with inspection and end with palpation
C)  Follow the sequence of auscultation, inspection, percussion, and palpation
D)  Auscultate the bowel sound first then perform palpation and percussion

Question 5

Tom, 45 years old and a known alcoholic, came into the Emergency Department complaining of constant epigastric abdominal pain that radiates to the back and flank areas. He further states that the pain is more intense when he lies down. After a thorough examination, the doctor wrote in the client's chart his admitting diagnosis as acute pancreatitis. The nurse is aware that she should report immediately if Tom develops __________.

Accepted Answer

A)  Nausea and vomiting
B)  Abdominal pain
C)  Decreased bowel sounds
D)  Shortness of breath

Question 6

What nursing action best facilitates the passage of the nasoenteric tube from the stomach through the pylorus and into the duodenum?

Accepted Answer

A)  Gently advancing the tube 1-4 inches at regular time intervals
B)  Positioning the client on the right side for 2 hours after insertion
C)  Maintaining strict bed rest and avoiding all unnecessary movement
D)  Positioning the client in a flat supine position

Question 7

Following gastrectomy, the nurse must observe for signs of pernicious anemia because:

Accepted Answer

A)  The extrinsic factor is produced in the stomach
B)  The extrinsic factor is absorbed in the antral portion of the stomach
C)  The intrinsic factor is produced in the stomach
D)  Decreased hydrochloride acid production inhibits vitamin B12 reabsorption

Exam 3: Gastrointestinal

The mouth care measure that should be used with caution by the nurse when a client has a nasogastric tube is:

Seuss, a music teacher, is diagnosed with chronic pancreatitis and pancrelipase (Lipancreatin) is prescribed. Which of the following instructions should the nurse give to this client about the administration of this medication?

After her gastrectomy, actress Sandra Newton asks the nurse when the nasogastric tube will be removed. The nurse responds ______________.

What nursing action best facilitates the passage of the nasoenteric tube from the stomach through the pylorus and into the duodenum?

Following gastrectomy, the nurse must observe for signs of pernicious anemia because: