Medical surgical nursing gastrointestinal unit Test bank

Medical surgical nursing gastrointestinal unit Test bank

Chapter 55: Assessment of Gastrointestinal Function

Multiple Choice Identify the choice that best completes the statement or answers the question.

• Which structure of the gastrointestinal (GI) system is found in the right upper quadrant

(RUQ) and is the primary site of absorption?1) Stomach 2) Duodenum 3) Sigmoid 4) Large intestine

• The patient reports left upper quadrant (LUQ) pain. Based on this data, which does the nurse

suspect?1) Ruptured spleen 2) Pneumonia 3) Hepatitis 4) Duodenal ulcer

• Which organ functions as a main site for metabolizing drugs and may become impaired with

the aging process?1) Stomach 2) Liver 3) Spleen 4) Large intestine

• The nurse is assessing a patient who is prescribed an anticholinergic agent. Which assessment

finding indicates the patient is experiencing an adverse reaction to the drug?1) GI bleeding 2) Hepatic necrosis 3) Diarrhea 4) Hypoactive bowel sounds

• The nurse is providing care to a patient who reports diffuse abdominal pain. Upon

assessment, the nurse notes absent bowel sounds and abdominal distension. Based on this data, which medical diagnosis does the nurse suspect?1) Appendicitis 2) Bowel obstruction 3) Cirrhosis 4) Cholelithiasis

• The nurse notes a positive shifting dullness during abdominal percussion. Which diagnosis

does this assessment data support?1) Ascites 2) Liver enlargement

3) Pancreatitis

Medical surgical nursing making connections to practice

4) An abdominal mass

• Which action by the nurse is appropriate when determining if bowel sounds are absent during

the patient assessment?1) Palpating the abdomen for two minutes 2) Inspecting the abdomen for 30 seconds 3) Percussing the abdomen for 60 seconds 4) Auscultating the abdomen for five minutes

• Which is the correct sequence for the abdominal exam?

1) Inspection, palpation, percussion, and auscultation 2) Inspection, percussion, palpation, and auscultation 3) Inspection, auscultation, percussion, and palpation 4) Inspection, auscultation, palpation, and percussion

• Which sound would the nurse expect to elicit when percussing the liver?

1) Resonance 2) Hyperresonance 3) Dullness 4) Tympany

• Which is the normal liver span at the midclavicular line the nurse anticipates when

conducting a gastrointestinal assessment?1) 3 to 6 cm 2) 4 to 8 cm 3) 6 to 12 cm 4) 12 to 16 cm

• An older adult patient is admitted to the hospital with blunt trauma to the abdomen after an

auto accident. Which finding may indicate intra-abdominal bleeding?1) Borborygmi 2) Everted umbilicus 3) Visible peristaltic waves 4) Bluish tint around the umbilicus

• Which bowel sound noted by the nurse during the gastrointestinal assessment indicates an

early bowel obstruction?1) Hyperperistaltic 2) Hypoperistaltic 3) Absent 4) Epigastric

• Which action by the nurse is appropriate when attempting to locate the spleen during the

abdominal assessment?

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1) Percussing over the 9th to the 11th ribs at the midaxillary line 2) Performing the scratch test 3) Auscultating for venous hums 4) Palpating for the apical pulse

• Which structure, located in the right upper quadrant (RUQ) of the abdomen, is assessed by

the nurse by palpation and percussion?1) Spleen 2) Stomach 3) Sigmoid 4) Liver

• Which structure is located in the left upper quadrant (LUQ) of the abdomen?

1) Liver 2) Spleen 3) Appendix 4) Sigmoid

• Which structure is located in the right lower quadrant (RLQ) of the abdomen?

1) Liver 2) Stomach 3) Cecum 4) Sigmoid

• Which is the primary system that is assessed by the nurse during an abdominal assessment?

1) Reproductive 2) Urinary 3) Digestive 4) Respiratory

• The nurse is assessing an older adult patient who is experiencing constipation. Which age-

related change may contribute to this clinical finding?1) Increased saliva 2) Increased stomach acid 3) Decreased abdominal fat accumulation 4) Decreased peristalsis

• The nurse is assessing a patient who is exhibiting pain in the right lower quadrant (RLQ).

Based on this data, which diagnosis does the nurse suspect?1) Cholelithiasis 2) Appendicitis 3) Cholecystitis 4) Pneumonia