ALT in Digestion & Bowel Dysfunction Test

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Digestion & Bowel Dysfunction Test

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Kay

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ALT in Digestion & Bowel Dysfunction Test


ALT in Digestion & Bowel Dysfunction TestOnline version Digestion & Bowel Dysfunction Test by Kay 1 A patient has third degree burns and has a diagnosis of cholecystitis, and their spouse is confused about the diagnosis. Which is the best response from the LPN? a Acalculous cholecystitis can happen more often in clients who are critically ill. b Gallstones are always the cause of cholecystitis after severe burns. c Third-degree burns prevent the gallbladder from producing bile. d Cholecystitis is caused by decreased stomach acid after burns. 2 Which of the following statements by the LPN provides the most simplistic and non-medical description of Crohn's disease? a Crohn's disease has the appearance of a patchwork quilt with some areas that are clear and some with sores. b Crohn's disease affects only the lining of the large intestine. c Crohn's disease causes continuous inflammation throughout the colon. d Crohn's disease only affects the stomach. 3 An LPN is reinforcing teaching to a patient who has new-onset neutropenia. Which statement should the LPN include in the discharge instructions? a You are at risk for oral candidiasis and other infections due to your weakened immune system. b You should increase your intake of raw fruits and vegetables. c You should avoid drinking extra fluids to reduce swelling. d Your greatest risk is excessive bleeding from minor cuts. 4 A patient needs to have a cholecystectomy due to gallstones. Which is the best response from the LPN to explain what caused this problem? a The gallbladder has become inflamed due to a build-up of gallstones that are blocking the common bile duct. b The pancreas has stopped making digestive enzymes. c The stomach lining has become infected by bacteria. d The liver has stopped producing bile. 5 An LPN is reinforcing teaching to a patient about the risk factors for GERD. Which statement should the LPN include? a You should avoid or cut down on alcohol and caffeine, which can aggravate GERD. b Drinking more citrus juice will improve GERD symptoms. c Eating one large meal each day decreases acid reflux. d Lying flat after meals helps food digest faster. 6 A patient states their parent died from complications of a GI bleed. Which reinforcement by the LPN will help decrease the patient's risk of developing a peptic ulcer? a Avoid consuming undercooked foods. b Drink carbonated beverages with every meal. c Take aspirin daily without food. d Eat spicy foods to strengthen the stomach lining. 7 A patient has a new diagnosis of Hepatitis C. Which response best explains how a person becomes infected? a Coming into contact with infected blood. b Sharing food with an infected person. c Sneezing and coughing from an infected person. d Drinking contaminated water. 8 A patient in primary care has not received dental care in more than 40 years. Which preventive health response is accurate? a Research has found that poor oral health can lead to an increased risk for oral cancers. b Dental care is only necessary if teeth become painful. c Oral health has no effect on overall health. d Tooth loss is an unavoidable part of aging. 9 A patient has a small bowel obstruction due to adhesions and does not understand what the surgeon means. Which statement is best? a Scar tissue formed from healing after your previous abdominal surgery is now constricting your intestine. b Your intestines have become infected with bacteria. c Gallstones have entered your small intestine. d Your stomach has twisted and blocked digestion. 10 A patient has long-term symptoms of GERD. Which statement should the LPN include? a It is important to follow up with a GI specialist for recommended surveillance for Barrett's esophagus. b GERD usually resolves without treatment after several years. c Barrett's esophagus only occurs after stomach surgery. d Endoscopy is never needed for GERD. 11 A patient has significant ascites related to end-stage liver disease. Which precaution is important? a Due to the increased abdominal weight, take your time walking because your balance may be affected and cause a fall. b Restrict all fluid intake unless thirsty. c Increase sodium intake to maintain blood pressure. d Remain on bed rest at all times. 12 A patient is diagnosed with a hiatal hernia. Which information is beneficial? a Having a hiatal hernia may increase your risk for GERD. b A hiatal hernia usually causes liver disease. c Hiatal hernias always require emergency surgery. d Hiatal hernias commonly cause pancreatitis. 13 A patient with large-volume ascites is alert and oriented and states they walk independently at home. What should the nurse implement? a Fall risk protocol. b Seizure precautions. c Reverse isolation. d Airborne precautions. 14 A patient with a peptic ulcer is being discharged. Which instruction should the nurse give? a Monitor for any changes in the color of your stool, such as dark black stools. b Stop taking all medications once the pain improves. c Increase ibuprofen use if abdominal pain returns. d Eat only one meal per day. 15 A nurse is collecting data from a patient with a new diagnosis of liver disease. Which manifestation should the LPN expect? a Pruritus. b Bradycardia. c Hyperactive reflexes. d Productive cough. 16 A nurse is reviewing laboratory results for a patient with newly diagnosed liver disease. Which lab is commonly assessed? a Albumin. b Troponin. c Hemoglobin A1C. d Lipase. 17 A nurse is reinforcing teaching with a patient who has cirrhosis. Which statement should be included? a Avoid high-sodium foods such as canned soups and vegetables. b Increase salt intake to prevent weakness. c Drink alcohol only with meals. d Eat unlimited processed foods. 18 A patient is suspected of having a large bowel obstruction due to fecal impaction. Which manifestation is most indicative? a Reports of diarrhea with liquid stool seeping around hardened stool. b Bright red blood in every bowel movement. c Frequent formed stools. d Excessive urination. 19 A patient with IBS is suspected of having small intestinal bacterial overgrowth. Which diagnostic test should the nurse anticipate? a Hydrogen breath test. b Colonoscopy. c Upper GI series. d Stool occult blood test. 20 A nurse is teaching a client about famotidine. Which statement indicates understanding? a I will take this medication at bedtime to reduce nighttime acid production. b I should stop this medication if my symptoms improve after one dose. c I should chew this medication with antacids every hour. d This medication works best when taken only after vomiting. 21 A patient has a new prescription for aluminum hydroxide. Which instruction should the LPN emphasize? a Take aluminum hydroxide at least 2 hours before or after other oral medications. b Take it with every prescription medication. c Take it on an empty stomach with coffee. d Crush and mix it with grapefruit juice. 22 An LPN is monitoring a client after an upper endoscopy (EGD). Which finding should be prioritized as a serious complication? a The patient develops a fever of 100.2F b Mild sore throat. c Temporary drowsiness. d Mild bloating. 23 A patient is scheduled for an upper endoscopy. Which instruction should the nurse prioritize? a The patient should be NPO for at least 8 hours before the procedure. b Drink clear liquids until arrival. c Eat a high-protein breakfast. d Take antacids immediately before the procedure. 24 A patient is post-op gastric bypass and develops dumping syndrome. Which intervention should be prioritized? a Instruct the patient to lie down and rest after meals to reduce vasomotor symptoms. b Encourage drinking fluids with meals. c Encourage eating sugary desserts. d Increase meal size. 25 A patient with a peptic ulcer develops sudden severe abdominal pain, a rigid abdomen, and diminished bowel sounds. Which action is the priority? a Prepare the client for emergency surgical intervention and notify the provider. b Encourage oral fluids. c Administer a laxative. d Reassess in one hour. 26 A patient has a new prescription for prednisone. Which side effects should the nurse include? (Select all that apply.) Choose one or more answers a Anorexia b Acne c Increased risk of infection d Hypertension e Bradycardia f Hypoglycemia 27 Which medications should the nurse anticipate for inducing remission during an ulcerative colitis exacerbation? (Select all that apply.) Choose one or more answers a Sulfasalazine b Infliximab c Loperamide d Ibuprofen e Aluminum hydroxide f Famotidine 28 A patient with cirrhosis presents with hematemesis and signs of hypovolemic shock. Which nursing action is the priority yo manage suspected bleeding esophageal varices? a Prepare for immediate endoscopic evaluation and possible band ligation to control variceal bleeding. b Encourage oral fluids. c Place the patient in Trendelenburg position only. d Administer a stool softener. 29 Which findings are associated with gastric ulcers and which are associated with duodenal ulcers? (Select all that apply.) Choose one or more answers a Pain worsens with food intake. b Pain is relieved by eating or taking antacids. c Continuous inflammation of the colon. d Skip lesions throughout the intestine. e Productive cough after meals. 30 A patient is being treated for H. pylori with triple therapy (amoxicillin, clarithromycin, and a PPI). Which instruction is most important? a Complete the full course of all prescribed medications. b Stop taking the antibiotics once symptoms improve. c Skip the PPI if you no longer have heartburn. d Double the dose if you miss one pill. 31 A nurse is caring for a client who has end-stage liver failure with increasing ascites. The client's spouse asks why the nurse keeps assessing the client's mental status when the client is alert and oriented. Which response by the nurse is most appropriate? a "As liver function worsens, ammonia can build up and affect the brain even if your spouse is alert now." b "Mental status changes occur only after the client develops jaundice." c "Ascites directly causes confusion by increasing intracranial pressure." d "The client is being monitored because confusion is a side effect of diuretics." 32 A client reports a painful lesion inside the cheek. Assessment reveals a small erythematous ulcer with a yellow-gray center. Which condition should the nurse suspect? a Aphthous ulcer b Oral candidiasis c Herpes simplex lesion d Leukoplakia 33 Which finding is most consistent with gastroesophageal reflux disease (GERD)? a Heartburn that improves when sitting upright b Right lower quadrant pain c Pain relieved by lying flat d Bloody diarrhea 34 A nurse is providing discharge teaching to a client recovering from acute pancreatitis. Which instructions should the nurse include? SATA Choose one or more answers a Avoid alcohol permanently if alcohol caused the pancreatitis. b Eat several small, low-fat meals. c Stop smoking. d Report severe abdominal pain immediately. e Drink plenty of fluids. f Resume a regular high-fat diet. 35 A client is diagnosed with oral herpes simplex virus type 1 (HSV-1). Which teaching should the nurse provide? SATA Choose one or more answers a Avoid kissing during outbreaks. b Share eating utensils only after washing them. c Wash hands frequently. d Avoid touching lesions. e Use antiviral medication as prescribed. f HSV-1 is cured after treatment. 36 Which lifestyle modifications should a nurse recommend to a client with GERD? SATA Choose one or more answers a Elevate the head of the bed. b Eat large meals before bedtime. c Stop smoking. d Avoid chocolate and peppermint. e Eat smaller, more frequent meals. f Lie down immediately after eating. 37 A client with end-stage liver disease has thrombocytopenia. Which interventions should the nurse recommend to reduce the risk of bleeding? SATA Choose one or more answers a Use a soft toothbrush. b Use an electric razor. c Avoid aspirin. d Avoid NSAIDs. e Request IM injections when possible. f Prevent constipation and straining. 38 A client has been taking esomeprazole for several years. Which complications should the nurse monitor for? SATA Choose one or more answers a Clostridioides difficile infection b Osteoporosis c Vitamin B12 deficiency d Hypomagnesemia e Hypercalcemia 39 Which factors contribute to the development of irritable bowel syndrome (IBS)? SATA Choose one or more answers a Stress b Anxiety c Depression d Gastrointestinal infection e Chronic intestinal inflammation f Food sensitivities 40 Pathophysiology of Crohn's Disease (SATA) Which findings are characteristic of Crohn's disease? Choose one or more answers a Skip lesions b Transmural inflammation c Cobblestone appearance d Fistula formation e Continuous inflammation limited to the colon f Terminal ileum commonly affected 41 Pathophysiology of Ulcerative Colitis (SATA) Which findings are associated with ulcerative colitis? Choose one or more answers a Continuous inflammation b Colon and rectum affected c Mucosal involvement only d Frequent bloody diarrhea e Skip lesions f Increased risk of toxic megacolon 42 Medications for IBS with Constipation (SATA) Which medications should the nurse expect to be prescribed for a client with IBS-C? Choose one or more answers a Lubiprostone b Linaclotide c Plecanatide d Prucalopride e Loperamide

ALT in Digestion & Bowel Dysfunction Test

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ALT in Digestion & Bowel Dysfunction TestOnline version

by Kay

A patient has third degree burns and has a diagnosis of cholecystitis, and their spouse is confused about the diagnosis. Which is the best response from the LPN?

Which of the following statements by the LPN provides the most simplistic and non-medical description of Crohn's disease?

An LPN is reinforcing teaching to a patient who has new-onset neutropenia. Which statement should the LPN include in the discharge instructions?

A patient needs to have a cholecystectomy due to gallstones. Which is the best response from the LPN to explain what caused this problem?

An LPN is reinforcing teaching to a patient about the risk factors for GERD. Which statement should the LPN include?

A patient states their parent died from complications of a GI bleed. Which reinforcement by the LPN will help decrease the patient's risk of developing a peptic ulcer?

A patient has a new diagnosis of Hepatitis C. Which response best explains how a person becomes infected?

A patient in primary care has not received dental care in more than 40 years. Which preventive health response is accurate?

A patient has a small bowel obstruction due to adhesions and does not understand what the surgeon means. Which statement is best?

A patient has long-term symptoms of GERD. Which statement should the LPN include?

A patient has significant ascites related to end-stage liver disease. Which precaution is important?

A patient is diagnosed with a hiatal hernia. Which information is beneficial?

A patient with large-volume ascites is alert and oriented and states they walk independently at home. What should the nurse implement?

A patient with a peptic ulcer is being discharged. Which instruction should the nurse give?

A nurse is collecting data from a patient with a new diagnosis of liver disease. Which manifestation should the LPN expect?

A nurse is reviewing laboratory results for a patient with newly diagnosed liver disease. Which lab is commonly assessed?

A nurse is reinforcing teaching with a patient who has cirrhosis. Which statement should be included?

A patient is suspected of having a large bowel obstruction due to fecal impaction. Which manifestation is most indicative?

A patient with IBS is suspected of having small intestinal bacterial overgrowth. Which diagnostic test should the nurse anticipate?

A nurse is teaching a client about famotidine. Which statement indicates understanding?

A patient has a new prescription for aluminum hydroxide. Which instruction should the LPN emphasize?

An LPN is monitoring a client after an upper endoscopy (EGD). Which finding should be prioritized as a serious complication?

A patient is scheduled for an upper endoscopy. Which instruction should the nurse prioritize?

A patient is post-op gastric bypass and develops dumping syndrome. Which intervention should be prioritized?

A patient with a peptic ulcer develops sudden severe abdominal pain, a rigid abdomen, and diminished bowel sounds. Which action is the priority?

A patient has a new prescription for prednisone. Which side effects should the nurse include? (Select all that apply.)

Which medications should the nurse anticipate for inducing remission during an ulcerative colitis exacerbation? (Select all that apply.)

A patient with cirrhosis presents with hematemesis and signs of hypovolemic shock. Which nursing action is the priority yo manage suspected bleeding esophageal varices?

Which findings are associated with gastric ulcers and which are associated with duodenal ulcers? (Select all that apply.)

A patient is being treated for H. pylori with triple therapy (amoxicillin, clarithromycin, and a PPI). Which instruction is most important?

A nurse is caring for a client who has end-stage liver failure with increasing ascites. The client's spouse asks why the nurse keeps assessing the client's mental status when the client is alert and oriented. Which response by the nurse is most appropriate?

A client reports a painful lesion inside the cheek. Assessment reveals a small erythematous ulcer with a yellow-gray center. Which condition should the nurse suspect?

Which finding is most consistent with gastroesophageal reflux disease (GERD)?

A nurse is providing discharge teaching to a client recovering from acute pancreatitis. Which instructions should the nurse include? SATA

A client is diagnosed with oral herpes simplex virus type 1 (HSV-1). Which teaching should the nurse provide? SATA

Which lifestyle modifications should a nurse recommend to a client with GERD? SATA

A client with end-stage liver disease has thrombocytopenia. Which interventions should the nurse recommend to reduce the risk of bleeding? SATA

A client has been taking esomeprazole for several years. Which complications should the nurse monitor for? SATA

Which factors contribute to the development of irritable bowel syndrome (IBS)? SATA

Pathophysiology of Crohn's Disease (SATA) Which findings are characteristic of Crohn's disease?

Pathophysiology of Ulcerative Colitis (SATA) Which findings are associated with ulcerative colitis?

Medications for IBS with Constipation (SATA) Which medications should the nurse expect to be prescribed for a client with IBS-C?