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I created the questions in line with the framework of our own Nurse Licensure Exam. Those in colored ink are my personal contributions while those in black ink are derived from Lippincot's and Springhouse Review Book. These are common board questions. I'll post the answers and rationales soon. You're all free to post a comment. Good luck guys and have fun with the test drill. Situation 1: Children have a special fascination with the workings of the digestive system. To fully understand the digestive processes, Nurse Lavigña must be knowledgeable of the anatomy and physiology of the gastrointestinal system. 1. The alimentary canal is a continuous, coiled, hollow muscular tube that winds through the ventral cavity and is open at both ends. Its solid organs include all of the following except: a. liver b. gall bladder c. stomach d. pancreas 2. Pharynx is lined with mucous membranes and mucous secreting glands to ease the passage of food. The larygngopharynx serves as passageway for: a. air only b. air and water c. food, fluids and air d. air and food 3. Once food has been placed in the mouth, both mechanical and chemical digestions begin. The six activities of the digestive process are: a. ingestion, mastication, digestion, deglutition, absorption, egestion b. ingestion, mastication, deglutition, digestion, absorption, egestion c. deglutition, ingestion, mastication, egestion, absorption, defecation d. ingestion, digestion, mastication, deglutition, absorption, defecation 4. Most digestive activity occurs in the pyloric region of the stomach. What hormone stimulates the chief cells to produce pepsinogen? a. Gastrin b. Pepsin c. HCl d. Insulin
Chymotrypsin Situation 2: Nurse Dorina is going to perform an abdominal examination to Mr. Lipase b. 6. duodenum 10. sim’s 7. referred pain b. Lim prior to procedure? a. percussion d. To identify any localized bulging. light palpation c. How will you position Mr. Mr. This can be referred as: a. Nurse Dorina must perform which of the following? a. indirect tenderness Situation 3: Mrs. palpation 9.5. Palpation d. appendix d. sigmoid colon c. direct tenderness d. What pancreatic enzyme aids in the digestion of carbohydrates? a. Auscultation b. lying on back d. rebound tenderness c. Percussion 8. Trypsin c. deep palpation b. Inspection c. Lim verbalized pain on the right iliac region. Cruz was admitted in the Medical Floor due to pyrosis. Amylase d. Nurse Dorina knows that the organ affected would be the: a. prone c. dyspepsia and . liver b. Lim who was admitted due to on and off pain since yesterday. distention and peristaltic waves. Nurse Dorina must do: a. In order to identify areas of tenderness and swelling. Lim felt pain upon release of Nurse Dorina’s hand. Mr. supine with knees flexed b.
This term is referred as: a. vomiting and pain that radiates to the flank. carbonated and caffeinated beverages c. Cruz complained of pain and difficulty in swallowing. pain occurs when stomach is empty c. barium swallow c. Mrs. Pyrosis d. a patient was rushed – in the ED complaining of severe heartburn. Cruz to avoid which type of diet? a. beer and green tea d. Mrs. Dysphagia c. Odynophagia b. coffee and tea b. Esophagitis b. During her shift. cola. 11. high fat. GERD d. Nurse Yoshi might suspect: a. obese Situation 4: Nurse Gloria is the staff nurse assigned at the Emergency Department. right epigastric pain b. 16. Cruz have? a. You can categorized her as: a. overweight c. normal b. lechon paksiw and bicol express 15. What other symptoms will validate the diagnosis of gastric ulcer? a. What diagnostic test would confirm the type of problem Mrs. The doctor suspects gastric ulcer. Based from the symptoms presented. pain occurs immediately after meal d. Gastric Ulcer 12. To avoid acid reflux. Dyspepsia 14. pain not relieved by vomiting . Hiatal hernia c. barium enema b. Cruz’ body mass index (BMI) is 25. underweight d. Nurse Yoshi should advice Mrs.difficulty of swallowing. lower GI series 13. colonoscopy d.
Which of the following alimentary canal is the most common location for Chron’s disease? a. pnuemoniae 19. Blood b. E. 21.17. pylori c. K. Histology 18. what specimen will you collect? a. “This is an inflammation of the bowel caused by eating too much roughage” b. Preparation of the client for occult blood examination is: a. Peptic ulcer disease particularly gastric ulcer is thought to be cause by which of the following microorgamisms? a. Sigmoid Colon d. Stool d. Jejunum c. Terminal Ileum . Urine c. Barium Swallow d. Meatless diet for 48 hours prior to obtaining of specimen Situation 5: IBD is a common inflammatory functional bowel disorder also known as spastic bowel. functional colitis and mucous colitis. H. Endoscopy b. coli b. Gastric Juice 20. “The cause of this condition is unknown” d. Fluid intake limited only to 1 liter/day b. Gastrocopy c. S. “IBS is caused by a stressful lifestyle” c. The client with IBS asks Nurse June what causes the disease. NPO for 12 hours prior to obtaining of specimen c. Increase fluid intake d. What diagnostic test would yield good visualization of the ulcer crater? a. “There is thinning of the intestinal mucosa caused by ingestion of gluten” 22. Descending colon b. She is for occult blood test. aureus d. Which of the following responses by Nurse June would be most appropriate? a.
Chronic constipation d. An abnormal protrusions of an oxygen trough the structure that usually holds it 27. Which of the following tests should be administered to client with diverticulosis? a. Acidic diet b. Which of the following factors is believed to be linked to Chron’s disease? a. An inflamed outpouching of the intestine b. Changing to a modified vegetarian diet c. Which of the following types of diet is implicated in the development of diverticulosis? a. Low – fiber diet b. Which of the following factors was most likely of greatest significance in causing an exacerbation of the disease? a. Constipation c. Beginning a weight training program d. Which of the following definitions best describes diverticulosis? a. A demanding and stressful job b. Altered immunity c. High – protein diet d. 26. your best nursing intervention and teaching is: . Trinidad’s condition. Emotional stress 25.23. had ulcerative colitis for 5 years and was admitted to the hospital. Walking 2 miles everyday Situation 6: A patient was admitted in the Medical Floor at St. Low – carbohydrate diet 28. The doctor suspects diverticulosis. He was asymptomatic. Diet b. Barium swallow d. A non – inflamed outpouching of the intestine c. Barium enema c. To improve Mr. Luke’s Hospital. which of the following factors is believed to cause it? a. Lack of exercise 24. Jung. High – fiber diet c. Proctosocpy b. Mr. The partial impairment of the forward flow of instestinal contents d. How about ulcerative colitis. Gastroscopy 29. Heredity d.
31. What life threatening condition may result in persistent diarrhea? a. increase intestinal secretions b. Increase fiber in the diet c. altered immunity c. you can categorize him as: a. The acid base imbalance that can occur is: a. normal c. metabolic acidosis c. respiratory acidosis d. Trinidad’s chart. Diarrhea is believed to be caused by all of the following except a. Nurse Drew noticed that he weighs 121 lbs and his height is 5 ft. watery stools can deplete fluids and electrolytes. 6 years old was admitted at Cardinal Santos Hospital due to increasing frequency of bowel movements.a. 4 in. Diarrhea is said to be the leading cause of morbidity in the Philippines. leukocytosis 34. cardiac dysrhytmias d. passage of stool is less than 3 bowel movements per day c. altered motility 33. obese d. Voluminous. passage of stool is more than 3 bowel movements per week b. respiratory alkalosis . abdominal cramps and distension. Upon review of Mr. hypokalemia b. Reduce fluid intake b. Exercise to increase intraabdominal pressure 30. underweight Situation 7: Manny. decrease mucosal absorption d. passage of stool is less than 3 bowel movements per week 32. Administering of antibiotics d. Nurse Harry knows that diarrhea is present if: a. passage of stool is more than 3 bowel movements per day d. obese b. dehydration c. metabolic alkalosis b. After computing for his Body Mass Index (BMI).
decompression of bowel c. Mr. Imodium c. normal bowel sounds heard in all four quadrants 37. Post – operatively. What is the immediate home care management for diarrhea? a. bleeding c. nutrition b. Four hours post – operatively. He complained of colicky pain and inability to pass stool. Which of these findings by Nurse Leonard. Sean is admitted to the hospital with a bowel obstruction. administer pain medication d. ignore the client . assess for signs of peritonitis b. Oresol Situation 8: Mr. Nurse Leonard’s initial intervention is: a. Sean complains of guarding and rigidity of the abdomen. no bowel sounds auscultated d. Client education should be given in order to prevent constipation. The NGT’s primary purpose is: a. Nasogastric tube was inserted to Mr. high pitched tinkling or rumbling bowel sounds b. use of natural laxatives b. Milk b. call the physician c. hypoactive bowel sounds c. Sean has undergone surgery. Mr. absent bowel sounds b.35. complete bed rest 40. Sean. which of the following findings is normal? a. use of OTC laxatives d. passage for medication d. fluid intake of 6 glasses per day c. bowel movement 39. would indicate that the obstruction is in the early stages? a. 36. hemorrhage d. aspiration of gastric contents 38. Water d. Nurse Leonard’s health teaching should include which of the following? a.
000/mm3 d. Which laboratory values will confirm the diagnosis of appendicitis? a. Sitting d. the appendix may have ruptured c. A fecalith b. Mr. After the test. Internal bowel occlusion c. Nurse Ray might suspect that: a.2 0F. Nurse Ray received the result from the laboratory.Situation 9: Mr. Liu should assume which position? a. b. Lying with legs drawn up 45. After a few minutes. The pain is in the left lower quadrant 42. The pain subsides after eating d. Abdominal wall swelling 43. Mr. Supine. the pain suddenly stops without any intervention.5 x 106/mm3 b. The doctor ordered for a complete blood count. The pain is localized at a position halfway between the umbilicus and the right iliac crest. Bowel kinking d. To relieve pain. Signs and symptoms include pain in the RLQ of the abdomen that may be localize at McBurney’s point. 19 y/o. Hgb 15 g/dL 44. Hct 44 % c. signs and symptoms of peritonitis occur Situation 10: Nurse Nico is caring to a 38-year-old female. is being admitted to a hospital unit complaining of severe pain in the lower abdomen. WBC 13. stretched out c. Liu describes the pain as occurring 2 hours after eating c. an increased in intrathoracic pressure will occur d. Gerald Liu. RBC 5. the appendix is still distended b. Admission vital signs reveal an oral temperature of 101. Prone b. Which of the following would confirm a diagnosis of appendicitis? a. 41. Which of the following complications is thought to be the most common cause of appendicitis? a. . G3P3 client who has been diagnosed with hemorrhoids.
Three vaginal delivery pregnancies c. Rectal Spasm c. Urinary retention d. and itching by numbing the nerve endings b. Nurse Nico instructs her client who has had a hemorrhoidectomy not to used sitz bath until at least 12 hours postoperatively to avoid which of the following complications? a. causes the outer layers of skin or other tissues to disintegrate 49. Nurse Nico knows that the action of this astringent is: a. Supine c.46. Varicosities in the legs 47. Constipation . Use of sitz bath for 30 minutes 48. Her age b. Client education should include minimizing client discomfort due to hemorrhoids. Which of the following factors would most likely be a primary cause of her hemorrhoids? a. inhibits the growth of bacteria and other organisms d. temporarily relieves pain. Nursing management should include: a. Trendelenburg’s 50. Side – lying d. Her job as a school teacher d. Which position would be ideal for the client in the early postoperative period after hemorrhoidectomy? a. Avoid straining during defecation d. Advise to wear silk undergarments c. causes coagulation (clumping) of proteins in the cells of the perianal skin or the lining of the anal canal c. The doctor orders for Witch Hazel 5 %. burning. Hemorrhage b. High Fowler’s b. Suggest to eat low roughage diet b.