Passpoint-gastrointestinal
Question 1 See full question
A nurse is caring for a client with gastroenteritis. The nurse
administers an asneeded
... [Show More] dose of kaolin and pectin mixture as
ordered. The nurse should complete which assessment 30
minutes after administering the medication?
You Selected:
• Perform a pain assessment.
Correct response:
• Determine if the client has had any more loose stools.
Explanation:
Question 2 See full question
A client has had a nasogastric tube connected to low intermittent
suction. The client is at risk for:
You Selected:
• muscle cramping.
Correct response:
• muscle cramping.
Explanation:
Remediation:
Question 3 See full question
The nurse is developing a plan of care for a client with Crohn’s
disease who is receiving total parenteral nutrition (TPN). Which
interventions should the nurse include? Select all that apply.
You Selected:
• Monitor vital signs once a shift.
• Weigh the client daily.
• Monitor the IV infusion rate hourly.
Correct response:
• Weigh the client daily.
• Monitor the IV infusion rate hourly.
• Tape all IV tubing connections securely.
Explanation:
Remediation:
Question 4 See full question
A client with peptic ulcer disease is taking ranitidine. What is the
expected outcome of this drug?
You Selected:
• Reduce acid concentration.
Correct response:
• Limit gastric acid secretion.
Explanation:
Remediation:
Question 5 See full question
The nurse develops a plan of care for a client with a ttube. Which
nursing intervention should be included?
You Selected:
• Inspect skin around the ttube daily for irritation.
Correct response:
• Inspect skin around the ttube daily for irritation.
Explanation:
Remediation:
Question 6 See full question
Which expected outcome about nutrition would be appropriate for
a client who has had a total gastrectomy for gastric cancer? The
client will:
You Selected:
• learn to selfadminister enteral feedings every 4 hours.
Correct response:
• maintain adequate nutrition through oral or parenteral feedings.
Explanation:
Remediation:
Question 7 See full question
A client with a history of alcohol abuse comes to the emergency
department and complains of abdominal pain. Laboratory studies
help confirm a diagnosis of acute pancreatitis. The client's vital
signs are stable, but the client's pain is worsening and radiating to
his back. Which intervention takes priority for this client?
You Selected:
• Administering morphine I.V. as ordered
Correct response:
• Administering morphine I.V. as ordered
Explanation:
Remediation:
Question 8 See full question
The client has been taking magnesium hydroxide to control hiatal
hernia symptoms. The nurse should assess the client for which
condition most commonly associated with the ongoing use of
magnesiumbased antacids?
You Selected:
• constipation
Correct response:
• diarrhea
Explanation:
Remediation:
Question 9 See full question
A nurse is assessing the abdomen of a client who was admitted to
the emergency department with suspected appendicitis. Identify
the area of the abdomen that the nurse would palpate last.
You Selected:
• Your selection and the correct area, market by the
green box.
Explanation:
Remediation:
Question 10 See full question
A client recently diagnosed with hepatitis C states: “Now that you
know what is wrong with me, you can just get me those new
drugs to take care of it, right?” The nurse should tell the client:
You Selected:
• “The treatment is complex. There are new antiviral drugs
available that may make treatment more effective and help you
tolerate it better.”
Correct response:
“The treatment is complex. There are new antiviral drugs
available that may make treatment more effective and help you
tolerate it better.”
Question 1 See full question
A nurse is caring for a client who just had an appendectomy. The client is receiving opioid analgesics
routinely for pain. The nurse should focus her follow-up assessment on which complication?
You Selected:
Diarrhea
Correct response:
Constipation
Explanation:
Remediation:
Question 2 See full question
A physician orders morphine for a client who complains of postoperative abdominal pain. For maximum
pain relief, when should the nurse anticipate administering morphine?
You Selected:
Before the pain becomes severe
Correct response:
Before the pain becomes severe
Explanation:
Remediation:
Question 3 See full question
The nurse is checking the client's chart for possible contraindications, before administering meperidine,
50 mg I.M., to a client with pain after an appendectomy. The nurse should hold the meperidine when
she sees an order for what type of drug?
You Selected:
An antibiotic
Correct response:
A monoamine oxidase (MAO) inhibitor
Explanation:
Remediation:
Question 4 See full question
A client is scheduled to undergo an exploratory laparoscopy. The registered nurse (RN) asks the licensed
practical nurse (LPN) to prepare the client for surgery. The RN must confirm that the LPN has specialized
training before delegating which task?
You Selected:
Weighing the client
Correct response:
Initiating I.V. therapy, as ordered
Explanation:
Question 5 See full question
A client who is legally blind must undergo a colonoscopy. The nurse is helping the physician obtain
informed consent. When obtaining informed consent from a client who is visually impaired, the nurse
should take which step?
You Selected:
Read the consent form to the client and ask him if he has any questions.
Correct response:
Read the consent form to the client and ask him if he has any questions.
Explanation:
Remediation:
Question 6 See full question
The nurse assesses a client with diverticulitis and suspects peritonitis when which of the following
symptoms is noted?
You Selected:
rigid abdominal wall
Correct response:
rigid abdominal wall
Explanation:
Remediation:
Question 7 See full question
A nurse is assessing a client who has a potential diagnosis of pancreatitis. Which risk factors predispose
the client to pancreatitis? Select all that apply.
You Selected:
excessive alcohol use
hypertension
gallstones
Correct response:
excessive alcohol use
gallstones
abdominal trauma
hyperlipidemia with excessive triglycerides
Explanation:
Remediation:
Question 8 See full question
The nurse administers a tap water enema to a client. While the solution is being infused, the client has
abdominal cramping. What should the nurse do first?
You Selected:
Clamp the tubing, and carefully withdraw the tube.
Correct response:
Temporarily stop the infusion, and have the client take deep breaths.
Explanation:
Remediation:
Question 9 See full question
A client's abdominal incision eviscerates. The nurse should first:
You Selected:
cover the incision with a dressing moistened with sterile normal saline solution.
Correct response:
cover the incision with a dressing moistened with sterile normal saline solution.
Explanation:
Remediation:
Question 10 See full question
Prochlorperazine is prescribed postoperatively. The nurse should evaluate the drug's therapeutic effect
when the client expresses relief from:
You Selected:
abdominal distention.
Correct response:
nausea.
Explanation:
Remediation:
Question 11 See full question
The nurse notes that a client with acute pancreatitis occasionally experiences muscle twitching and
jerking. How should the nurse interpret the significance of these symptoms? [Show Less]