PHARMACOLOGY CONNECTIONS TO NURSING PRACTICE 4TH EDITION TEST
BANK QUESTIONS AND CORRECT ANSWERS 2023/2024 ALREADY PASSED
1) The nurse is aware that
... [Show More] the alimentary canal extends from the:
1. esophagus to the small intestine.
2. stomach to the large intestine.
3. mouth to the anus. 4. mouth to the liver. Answer: 3
Explanation: The GI tract is a long, continuous, hollow tube that extends from the mouth to the
anus. Page Ref: 1075
Cognitive Level: Remembering
Client Need/Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: III.A.1 Demonstrate knowledge of basic scientific methods
and processes | AACN Essential Competencies: III.1 Explain the interrelationships among
theory, practice, and research | NLN Competencies: Knowledge and Science: Integration of
knowledge from nursing and other disciplines | Nursing/Integrated Concepts: Nursing Process:
Assessment
Learning Outcome: 58-1 Describe the major anatomic structures of the digestive system.
2) Which assessment finding would indicate to the nurse that a client's gastrointestinal tract is
functioning adequately?
1. Peristaltic waves seen upon inspection of the abdomen NURSINGTB.COM
2. Lack of a bowel movement for several days
3. Hypoactive bowel sounds in all four quadrants of the abdomen
4. Active bowel sounds in all four quadrants of the abdomen
Answer: 4
Explanation: Active bowel sounds are an indication of peristaltic waves and adequate
functioning of the GI tract. Page Ref: 1076
Cognitive Level: Applying
Client Need/Sub: Safe Effective Care Environment: Management of Care
Standards: QSEN Competencies: III.A.1 Demonstrate knowledge of basic scientific methods
and processes | AACN Essential Competencies: III.1 Explain the interrelationships among
theory, practice, and research | NLN Competencies: Knowledge and Science: Integration of
knowledge from nursing and other disciplines | Nursing/Integrated Concepts: Nursing Process:
Assessment
Learning Outcome: 58-1 Describe the major anatomic structures of the digestive system.
3) The nurse is performing a head-to-toe assessment of a client and would expect to palpate the
liver in which quadrant? 1. Right lower quadrant
2. Left upper quadrant
3. Right upper quadrant
4. Left lower quadrant
Answer: 3
lOMoAR cPSD| 36672799
Explanation: The liver is anatomically positioned in the right costal border.
Page Ref: 1078
Cognitive Level: Applying
Client Need/Sub: Safe Effective Care Environment: Management of Care
Standards: QSEN Competencies: III.A.1 Demonstrate knowledge of basic scientific methods
and processes | AACN Essential Competencies: III.1 Explain the interrelationships among
theory, practice, and research | NLN Competencies: Knowledge and Science: Integration of
knowledge from nursing and other disciplines | Nursing/Integrated Concepts: Nursing Process:
Implementation
Learning Outcome: 58-1 Describe the major anatomic structures of the digestive system.
4) A client is scheduled to undergo gastric bypass surgery. Which structures does the nurse
include in a discussion about accessory organs of digestion?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select
all that apply.
1. Salivary glands
2. Liver NURSINGTB.COM
3. Stomach
4. Gallbladder
5. Pancreas
Answer: 1, 2, 4, 5
Explanation: The salivary glands are considered an accessory organ of digestion.
The liver is an accessory organ of digestion.
The gallbladder is an accessory organ of digestion.
The pancreas is an accessory organ of digestion.
Page Ref: 1075
Cognitive Level: Applying
Client Need/Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: III.A.1 Demonstrate knowledge of basic scientific methods
and processes | AACN Essential Competencies: III.1 Explain the interrelationships among
theory, practice, and research | NLN Competencies: Knowledge and Science: Integration of
knowledge from nursing and other disciplines | Nursing/Integrated Concepts: Nursing Process:
Implementation
Learning Outcome: 58-1 Describe the major anatomic structures of the digestive system.
5) In some clients, ingestion bypasses the mouth and delivers nutrients directly into the stomach
or small intestine. An example of this would be the client with:
1. a Salem sump feeding tube.
2. total parenteral nutrition (TPN) via central venous catheter.
3. partial parenteral nutrition (PPN) via intravenous catheter.
4. an ileostomy.
Answer: 1
Explanation: A Salem sump tube delivers food to the stomach, bypassing the mouth. Page
Ref: 1076
lOMoAR cPSD| 36672799
Cognitive Level: Analyzing
Client Need/Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: III.A.1 Demonstrate knowledge of basic scientific methods
and processes | AACN Essential Competencies: III.1 Explain the interrelationships among
theory, practice, and research | NLN Competencies: Knowledge and Science: Integration of
knowledge from nursing and other disciplines | Nursing/Integrated Concepts: Nursing Process:
Assessment
Learning Outcome: 58-2 Outline the steps in the process of digestion.
6) The nurse is aware that which structure does not secrete digestive enzymes?
1. Esophagus
2. Small intestine
3. Salivary glands
4. Stomach
Answer: 1 NURSINGTB.COM
Explanation: The esophagus does not secrete digestive enzymes.
Page Ref: 1076
Cognitive Level: Remembering
Client Need/Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: III.A.1 Demonstrate knowledge of basic scientific methods
and processes | AACN Essential Competencies: III.1 Explain the interrelationships among
theory, practice, and research | NLN Competencies: Knowledge and Science: Integration of
knowledge from nursing and other disciplines | Nursing/Integrated Concepts: Nursing Process:
Assessment
Learning Outcome: 58-2 Outline the steps in the process of digestion.
7) The nurse is caring for a client with liver damage. Which process by the liver might be
impaired?
1. Production of bile
2. Storage of bile
3. Secretion of insulin
4. Secretion of somatostatin
Answer: 1
Explanation: The liver makes bile.
Page Ref: 1078
Cognitive Level: Analyzing
Client Need/Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: III.A.1 Demonstrate knowledge of basic scientific methods
and processes | AACN Essential Competencies: III.1 Explain the interrelationships among
theory, practice, and research | NLN Competencies: Knowledge and Science: Integration of
knowledge from nursing and other disciplines | Nursing/Integrated Concepts: Nursing Process:
Assessment
Learning Outcome: 58-2 Outline the steps in the process of digestion.
lOMoAR cPSD| 36672799
8) The nurse is teaching a client about the importance of enzymes to digestion. The nurse
explains that digestive enzymes are secreted by the:
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Select all that apply.
1. salivary glands.
2. stomach. NURSINGTB.COM
3. large intestine.
4. small intestine.
5. liver.
Answer: 1, 2, 4
Explanation: Digestive enzymes are secreted by the salivary glands.
Digestive enzymes are secreted by the stomach.
Digestive enzymes are secreted by the small intestine.
Page Ref: 1076
Cognitive Level: Applying
Client Need/Sub: Health Promotion and Maintenance
Standards: QSEN Competencies: III.A.1 Demonstrate knowledge of basic scientific methods
and processes | AACN Essential Competencies: III.1 Explain the interrelationships among
theory, practice, and research | NLN Competencies: Context and Environment: Apply health
promotion/disease prevention strategies; apply health policy | Nursing/Integrated Concepts:
Nursing Process: Implementation
Learning Outcome: 58-2 Outline the steps in the process of digestion.
9) A client is complaining of esophageal reflux. In order for stomach contents to reflux
backward, the nurse knows they must go through:
1. the pyloric sphincter.
2. the cardiac sphincter.
3. the urethral sphincter.
4. Oddi's sphincter.
Answer: 2
Explanation: During esophageal reflux, the stomach contracts, overwhelming the lower
esophageal sphincter (cardiac sphincter).
Page Ref: 1076
Cognitive Level: Understanding
Client Need/Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: III.A.1 Demonstrate knowledge of basic scientific methods
and processes | AACN Essential Competencies: I [Show Less]