NCM 106- POST CONCEPT EXAM b.
Decaffeinated coffee
CRITICAL CARE: GIT
INSTRUCTIONS: Read and analyze each question and select the BEST
answer by typing the letter corresponding to your answer in the
answer sheet provided.
1. Which of the following should be included in patient
teaching to prevent constipation?
a. Establish a bowel routine based upon the fact
that the best time for defecation is after dinner.
b. Exercise may prolong a bowel movement.
c. Consume high-residue, high-fiber foods.
d. Resist the urge to defecate until the scheduled
time.
2. The patient arrives in the clinic with a complaint of altered
bowel habits and has a family history of ulcerative colitis.
The stools of these patients are characteristically:
a. Watery with blood and mucus
b. Hard and black
c. Long and cylinder shaped
d. Loose and fatty
3. The nurse is providing teaching to a patient with a new
ileostomy in preparation for the patient's discharge to her
home. The patient should be taught which of the following
when changing her ileostomy?
a. Apply moisturizing lotion after cleaning the
stoma.
b. Apply a skin barrier to the peristomal skin prior to
applying the pouch.
c. Dispose of the clamp with each bag change.
d. Cleanse the area surrounding the stoma with
alcohol.
4. The nurse is assisting a patient admitted with inflammatory
bowel disease with menu selections. Which of the
following menu selections is the best choice for this
patient?
a. Taco
b. Tofu
c. Multigrain bagel
d. Blueberries
5. The patient is postoperative day three following a
colostomy. The nurse is changing the dressing and notes
the stoma is dusky in color. What might this indicate?
a. This is a normal color postoperatively.
b. The patient's oxygen saturation may be low.
c. Circulation to the stoma is compromised.
d. The stoma is blocked.
6. The nurse caring for a patient with a permanent sigmoid
colostomy expects which type of fecal discharge?
a. Solid feces
b. Semi-mushy feces
c. Mushy feces
d. Liquid feces
7. The nurse is assessing a 71-year-old female patient with
ulcerative colitis. Which assessment finding related to the
family will have the greatest impact on the patient's
rehabilitation after discharge?
a. The family's ability to take care of the patient's
special diet needs
b. The family's expectation that the patient will
resume responsibilities and role-related activities
c. Emotional support from the family
d. The family's ability to understand the ups and
downs of the illness
8. Which of the following instructions will the nurse provide
to a patient with inflammatory bowel disease regarding
nutritional management of this condition?
a. Consume a bland, high-residue, high-protein, and
high-vitamin diet.
b. Consume a bland, low-residue, low-protein and
low-vitamin diet.
c. Consume a bland, low-residue, high-protein, and
high-vitamin diet.
d. Consume a bland, high-residue, low-protein, and
low-vitamin diet.
9. The nurse is assisting a patient with a peptic ulcer to select
his dinner menu. Which beverage would be most
appropriate?
a. Vanilla milkshake
NCM 106- CRITICAL CARE GASTRO
c. Unsweetened iced tea
d. Room temperature grape juice
10. A patient presents with vomiting and burning in his
midepigastrium. The nurse knows that to confirm peptic
ulcer disease, the physician is likely to order a diagnostic
test to detect the presence of:
a. Infection with Helicobacter pylori
b. Excessive stomach acid secretion
c. Gastric irritation caused by NSAIDs
d. Overconsumption of spicy foods
11. The nurse caring for a patient with portal hypertension will
assess for which finding?
a. Bowel obstruction
b. Vitamin A deficiency
c. Ascites
d. Hepatic encephalopathy
12. When assessing the patient with liver dysfunction for
jaundice, the nurse will assess the patient's:
a. Skin, nail beds, and body temperature
b. Skin, mucosa, and sclera
c. Mucosa, hair, and nail beds
d. Sclera, lips, and hair
13. While instructing a patient with ascites on dietary
modification, the nurse will discuss the patient's need to
restrict:
a. Potassium
b. Sodium
c. Calcium
d. Glucose
14. The nurse is reviewing the patient's history and notes that
the patient has a history of postnecrotic cirrhosis. This type
of cirrhosis is often the result of:
a. A previous bout of acute viral hepatitis
b. Chronic alcoholism
c. Biliary obstruction
d. Cholangitis
15. The serum ammonia level of a client with hepatic
cirrhosis and ascites is elevated. The priority nursing
intervention should be to:
a. Weigh the client daily
b. Restrict the client’s oral fluid intake
c. Measure the client’s urine specific gravity
d. Observe the client for increasing confusion
16. The nurse is caring for a male client with cirrhosis.
Which assessment findings indicate that the client
has deficient vitamin K absorption caused by this
hepatic disease?
A. Dyspnea and fatigue
B. Ascites and orthopnea
C. Purpura and petechiae
D. Gynecomastia and testicular atrophy
17. A man is admitted to the nursing care unit with a
diagnosis of cirrhosis. He has a long history of alcohol
dependence. During the late evening following his
admission, he becomes increasingly disoriented and
agitated. Which of the following would the client be
least likely to experience?
A. Diaphoresis and tremors.
B. Increased blood pressure and heart rate.
C. Illusions.
D. Delusions of grandeur.
18. Nurse Juvy is caring for a client with cirrhosis of the
liver. To minimize the effects of the disorder, the
nurse teaches the client about foods that are high in
thiamine. The nurse determines that the client has
the best understanding of the dietary measures to
follow if the client states an intension to increase the
intake of:
A. Pork
B. Milk
C. Chicken
D. Broccoli
 19. Which of the following terms is used to describe a
chronic liver disease in which scar tissue surrounds
the portal areas?
A. Alcoholic cirrhosis
B. Postnecrotic cirrhosis
C. Biliary cirrhosis
D. Compensated cirrhosis
20. A male client with a history of cirrhosis and
alcoholism is admitted with severe dyspnea resulted
to ascites. The nurse should be aware that the ascites
is most likely the result of increased…
A. Pressure in the portal vein
B. Production of serum albumin
C. Secretion of bile salts
D. Interstitial osmotic pressure

INSTRUCTION: TYPE THE LETTER OF YOUR ANSWER IN

THIS ANSWER SHEET AND SEND THIS ANSWER SHEET
BACK TO MY EMAIL

NAME:
ANSWER SHEET

GASTRO
1. C
2. A
3. B
4. B
5. C
6. A
7. C
8. C
9. D
10. A
11. C
12. B
13. B
14. A
15. A
16. C
17. D
18. A
\
19. A
20. A
21.

NCM 106- CRITICAL CARE GASTRO

NCM 106- CRITICAL CARE GASTRO