02 Feb Abdominal pain

Question 1

Benny, a 44 y/o male diagnosed with liver failure, has been in the intensive care unit for 10 days now. Based on this information, the nurse knows Benny is at a high risk for which gastrointestinal disorder and will want to monitor for upper GI bleeding?

Gastroesophageal reflux disease

Curling ulcer

Stomach cancer

Zollinger-Ellison syndrome

uestion 2

Crohn disease and ulcerative colitis are two related intestinal disorders that fit under the category of ____________ bowel disease.

Asnwer

Inflammatory

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Question 3

While assessing a patient who has been hospitalized for epigastric pain, he states that he has not experienced relief from over the counter (OTC) antacid therapy. He has already been diagnosed through gastroscopy with a peptic ulcer. In collaboration with other healthcare professionals, your knowledge of the condition could explain his continuing pain as being the result of the primary cause/s of peptic ulcer:

H. pylori infection

Aspirin and/or non-steroidal anti-inflammatory drug (NSAID) use

Both of the above

None of the above

Question 4

Which is true of Diabetes Type 1?

May account for 90 to 95% of all diagnosed cases of diabetes

Type 1 A diabetes is immune-mediated and results from beta cell destruction when there is no evidence of autoimmunity present

Ideopathic Type B diabetes is immune-mediated and results from beta cell destruction due to an autoimmune response

Type 1 A diabetes is immune-mediated and results from beta cell destruction due to an autoimmune response

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Question 5

Normal Serum Lab Value:

TSH (Thyroid Stimulating Hormone) 0.5-4.70 µIU/mL

The nurse is reviewing his patient’s lab results and notices his patient’s TSH is 5.4 µIU/mL. What does this suggest?

Thyroid storm

Hyperthyroidism

Thyroid cancer

Hypothyroidism

Question 6

Bile and pancreatic juices enter the ______ through the common bile duct and the pancreatic duct.

jejunum

ileum

duodenum

antrum

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Question 7

The patient has right upper quadrant pain caused by acute choledocholithiasis, also known as stones in the common bile duct. If the duct becomes obstructed, manifestations will also include

vomiting

hemorrhage

bilirubinuria

acites

Question 8

Prehepatic causes of portal hypertension include:

Dilation of the portal vein before it enters the liver

Right-sided heart failure

Cirrhosis

Massive splenomegaly with increased splenic bloodflow

Question 9

Which of the following is not true of acute pancreatitis?

The activation of trypsin can then activate digestive enzymes that cause pancreatic injury

The pathogenesis involves the autodigestion of pancreatic tissue by inappropriately activated pancreatic enzymes

Represents a reversible inflammatory process

The inflammatory response causes substantial tissue damage but does not progress beyond the pancreas

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Question 10

You are admitting Mrs. Keller, a 54 year-old black female, who was recently diagnosed with Type 2 Diabetes. She tells you she did not know she was sick. During her health history you recognize which of the following is not usually a sign/symptom of Type 2 Diabetes?

Polydipsia

Polyphagia

Recurrent blurred vision

Polyuria

Question 11

The endocrine system uses chemical substances called hormones as a means of regulating and integrating body functions.

True

False

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Question 12

The gastrointestinal tract is a porous double-walled tube.

True

False

Question 13

__________ syndrome refers to the manifestations of excess cortisol.

Answer

Cushing

Question 14

Which patient below has the highest risk of developing paralytic ileus?

A post-op day one patient following gallbladder surgery

A patient with acute diarrhea using antidiarrheal medication

An obese patient who refuses ambulation because of shortness of breath

A patient with a history of irritable bowel syndrome (IBS)

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Question 15

When considering the disorders of the endocrine system the nurse knows it is essential to understand:

All patients with an endocrine disorder exhibit symptoms of hypofunction of a specific hormone

Hormones aid in the transport of fatty acids and lipids

All patients with an endocrine disorder exhibit symptoms of hyperfunction of a specific hormone transport fatty acids and lipids

The endocrine system uses hormones, which are chemical messengers, to regulate body functions

4 points

Question 16

Women who had gestational diabetes during their pregnancy have a 5-10% risk of developing Type 2 diabetes in the next 2-3 years.

True

False

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Question 17

____________________ is a condition occurring primarily in the sigmoid colon in which the mucosal layer of the colon herniates through the muscular layer.

Asnwer

Diverticulosis

Question 18

When an adult patient has an increased growth hormone level it can result in which of the following?

excessive weight gain

hypotension

decreased blood glucose levels

the soft tissues continuing to grow but the person cannot grow taller

Question 19

Jaundice is caused by excessive accumulation of bilirubin in the blood

True

False

Question 20

Gastroesophageal Reflux Disease (GERD) can have serious complications. Which is a major complication of this disease?

Strictures

Heartburn

Chest pain

Hoarseness

Question 21

All hormones can cross the cell membrane.

True

False

Question 22

The nurse knows the gastrointestinal tract has its own nervous system and:

Is mediated by the liver

Begins in the esophagus and ends in the small intestine

The sympathetic and parasympathetic nervous systems mediate the autonomic innervation of the GI tract.

Is mediated by the amount of food ingested

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Question 23

The immunosuppressive and anti-inflammatory effects of cortisol cause

increased fibroblast activity and decreases scar formation

an increase in humoral and cell mediated immunity

promotes prostaglandin synthesis

decreased capillary permeability and stabilized lysosomal membranes to block inflammation

Question 24

You are assessing a patient in the nursing clinic who presents with chronic diarrhea. Upon completion of your admission assessment, you are differentiating between the possibility of ulcerative colitis or Crohn disease. The following is a TRUE statement regarding the conditions as per the nursing care plan:

Rectal bleeding is common in both conditions

Fistulas are common in Crohn disease, uncommon in ulcerative colitis

Development of cancer is more common in Crohn disease

The ileum is more commonly involved in ulcerative colitis

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Question 25

Which of the following is not seen in patients with acute choledocholithiasis?

Abdominal pain

Jaundice

Diarrhea

Fever