Question 1 (1 point)

The nurse is contributing to a patient's plan of care. For whichpatient would the nursing diagnosis of Risk for Constipation bemost appropriate?

Question 1 options:

	A 67-year-old taking anticoagulant therapy for a history of deepvein thrombosis
	A 74-year-old taking antibiotics for a urinary tractinfection
	A 59-year-old taking narcotics for chronic pain control
	A 37-year-old taking NSAIDSs for bursitis

Question 2 (1 point)

The nurse is reinforcing teaching provided to a patent withacute diarrhea. Which statement indicates the patient understandsthe most common cause for this health problem?

Question 2 options:

	"Inflammatory bowel disease."
	"Excessive fiber in the diet."
	"Viral or bacterial infection."
	"Excessive fluid intake."

Question 3 (1 point)

The nurse is providing discharge teaching to a patient withdiarrhea. Which patient statement indicates that teaching has beeneffective?

Question 3 options:

	"I should tell future health-care workers that I've beendiagnosed with obstipation."
	"I am at increased risk for a ruptured bowel, so I must remainon bedrest."
	"It is important that I increase fluid intake to preventdehydration."
	"My risk for a urinary tract infection is very high, so I shouldcall the doctor if I have a pain."

Question 4 (1 point)

A patient is to be started on clear liquids after bowel surgery.Which food should the nurse identify as being a clear liquid?

Question 4 options:

	Oatmeal
	Graham crackers
	Ice cream
	Cranberry juice

Question 5 (1 point)

The nurse is caring for a patient with an absorption disorder.What term should the nurse use to document fat in the patient'sstool?

Question 5 options:

	Oleorrhea
	Steatorrhea
	Lipidorrhea
	Lactorrhea

Question 6 (1 point)

While receiving report for the previous shift, the nurse isinformed that a nasogastric tube was placed in a patient who has abowel obstruction. For which reason should the nurse realize thetube was inserted?

Question 6 options:

	To feed the patient
	To prevent another obstruction
	To relieve distention
	To administer medications

Question 7 (1 point)

On admission, a patient with gastrointestinal bleeding had vitalsigns of a blood pressure of 104/60 mm Hg, pulse 72 beats/minute,respiration 14 breaths/minute, and temperature 98.8 degrees F. Uponthe nurse's assessment now, what finding should be reported to theRN or physician immediately?

Question 7 options:

	Pulse 72 beats/minute
	Occult blood in the stool
	Crampy abdominal pain
	Blood pressure 90/56 mm Hg

Question 8 (1 point)

The nurse is collecting data from a patient with a stoma. Whatshould the nurse document for a healthy stoma?

Question 8 options:

	Black and dry
	Gray and dry
	Blue and wet
	Pink and moist

Question 9 (1 point)

The nurse is teaching a patient with gastroesophageal refluxabout the influence of body position on the disease process. Whichpatient statement indicates that teaching has been effective?

Question 9 options:

	"I sleep on my back without a pillow under my head."
	"I sleep on my stomach with my head turned to the left."
	"I will elevate the foot of my bed 12-16 inches."
	"I will elevate the head of my bed 4-6 inches."

Question 10 (1 point)

A patient with a duodenal peptic ulcer vomits old blood. Whatdescription should the nurse use to document the appearance of thevomitus?

Question 10 options:

	Chyme streaked with a black syrupy material
	Undigested particles of food
	Duodenal fecal matter
	Coffee-ground particles

Question 11 (1 point)

The nurse is caring for a patient on a gastrointestinal unit.Which patient statement should cause the nurse the mostconcern?

Question 11 options:

	"My stool has been dark green and hard to pass lately."
	"Usually I have a bowel movement every day and the stool islight brown."
	"My stool is soft and dark brown; I usually move my bowels twicea day."
	"Lately, I've had two or three loose, sticky black stools everyday."