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LPN exams gastrointestinal practice questions, set 12

LPN exams · gastrointestinal

LPN exams gastrointestinal practice questions set 12

You read GI bleed, liver, and nutrition stems and pick the intervention that protects the patient now. Five of the 15 questions include the correct answer and rationale. The other ten keep answers in the study hub. Continue with the LPN exams exam guide or more LPN exams practice questions.

Five gastrointestinal questions with answers

Cover the key. Write the first action. Then open the rationale and name why the other choices fail.

Question 1

A nurse is providing teaching to a client who has a new colostomy. Which of the following information should the nurse include in the teaching?

  1. A. You can expect fecal output within 24 hours.'
  2. B. You will need to increase your dietary intake of raw vegetables.'
  3. C. You can expect the stoma to be purplish in color for the first week.'
  4. D. You may experience a small amount of bleeding around the stoma.'
Show answer and rationale

Correct answer: A — You can expect fecal output within 24 hours.'

The correct answer is A because it is important for the nurse to educate the client that fecal output should be expected within 24 hours after colostomy surgery. This information is crucial for the client to understand the functioning of the colostomy and to monitor for any potential issues. Choice B is incorrect because increasing dietary intake of raw vegetables may not be suitable for all colostomy patients and can potentially lead to digestive issues. Choice C is incorrect because a purplish color of the stoma is not a normal finding and could indicate inadequate blood supply or other complications that should be promptly addressed by a healthcare provider. Choice D is incorrect because experiencing bleeding around the stoma is abnormal and should be reported to the healthcare provider immediately for further evaluation.

Question 2

Which of the following pretest evaluation measures should the nurse ensure before a client undergoes the gallbladder series test?

  1. A. Determining the work environment of the client
  2. B. Determining whether the client has a family history of GI disorders
  3. C. Determining whether the client is pregnant
  4. D. Determining whether the client is allergic to seafood or iodine
Show answer and rationale

Correct answer: C — Determining whether the client is pregnant

Step-by-step rationale for the correct answer (C): Determining whether the client is pregnant is crucial before a gallbladder series test because the test involves radiation exposure, which can be harmful to a developing fetus. It is essential to ensure the safety of both the client and the unborn child. Summary: - A: Determining the work environment of the client is not directly related to the safety or appropriateness of a gallbladder series test. - B: Determining whether the client has a family history of GI disorders is important for overall health assessment but not specifically necessary for the pretest evaluation of a gallbladder series test. - D: Determining whether the client is allergic to seafood or iodine is relevant for contrast materials used in some imaging tests but not specifically for a gallbladder series test.

Question 3

Which of the following will have the greatest implication on a client scheduled for a percutaneous liver biopsy?

  1. A. History of coagulation studies
  2. B. Allergy to iodine
  3. C. Family history of GI disorders
  4. D. Presence of radioactive material in the work environment
Show answer and rationale

Correct answer: A — History of coagulation studies

The correct answer is A: History of coagulation studies. This is because coagulation studies assess the client's ability to form blood clots, which is crucial for a percutaneous liver biopsy to prevent excessive bleeding. It helps determine the risk of bleeding complications during the procedure. Choice B, Allergy to iodine, is incorrect because an allergy to iodine is more relevant in procedures involving contrast media, not typically in percutaneous liver biopsies. Choice C, Family history of GI disorders, is incorrect as it does not directly impact the client's safety or outcome during a percutaneous liver biopsy. Choice D, Presence of radioactive material in the work environment, is also incorrect as it is not directly related to the procedure or its implications on the client's safety during a percutaneous liver biopsy.

Question 4

When the body uses a substance to synthesize a more complex molecule, that process is irreversible and that substance cannot be restored to its original form.

  1. A. TRUE
  2. B. FALSE
  3. C. NA
  4. D. NA
Show answer and rationale

Correct answer: A — TRUE

Step 1: When the body synthesizes a more complex molecule, it often involves a series of chemical reactions that lead to the formation of the new molecule. Step 2: These reactions are typically energy-consuming and involve changes in molecular structures that cannot be easily reversed. Step 3: Once a substance is used in these irreversible reactions to form a more complex molecule, it cannot be restored to its original form. Step 4: Therefore, the statement that the process is irreversible and the original substance cannot be restored is true. Summary: Choice A is correct because the process of synthesizing a more complex molecule in the body involves irreversible reactions that permanently change the original substance. Choices B, C, and D are incorrect as they do not accurately describe the irreversible nature of this process.

Question 5

A 26-year-old male patient with a diagnosis of schizophrenia has been admitted with suspected hyponatremia after consuming copious quantities of tap water. Given this diagnosis, what clinical manifestations and lab results should the nurse anticipate the patient will exhibit?

  1. A. High urine specific gravity, tachycardia, and a weak, thready pulse
  2. B. Low blood pressure, dry mouth, and increased urine osmolality
  3. C. Increased hematocrit and blood urea nitrogen and seizures
  4. D. Muscle weakness, lethargy, and headaches
Show answer and rationale

Correct answer: D — Muscle weakness, lethargy, and headaches

The correct answer is D: Muscle weakness, lethargy, and headaches. In hyponatremia, there is a decrease in sodium levels in the blood leading to neurological symptoms. Muscle weakness is common due to altered nerve conduction, lethargy results from brain cell swelling, and headaches can occur due to cerebral edema. These symptoms align with the patient's suspected diagnosis of hyponatremia from excessive water intake. A: High urine specific gravity, tachycardia, and a weak, thready pulse - These symptoms are more indicative of dehydration rather than hyponatremia. B: Low blood pressure, dry mouth, and increased urine osmolality - These symptoms are more characteristic of hypernatremia, not hyponatremia. C: Increased hematocrit and blood urea nitrogen and seizures - These findings are not typical manifestations of hyponatremia.

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Question 6

In human, the cardiac sphincter surrounds the cardiac orifice in the digestive tract. The failure of this sphincter's normal function will result in

  1. A. regurgation of the food into the oesophagus
  2. B. loss of control of defecation
  3. C. movement of the bolus into the trachea rather than the oesophagus
  4. D. rapid emptying from the stomach to the small intestine
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Question 7

The term mucosa (mucous membrane) means:

  1. A. a nonkeratinized stratified squamous epithelium
  2. B. an epithelium which contains mucus-secreting goblet cells
  3. C. a body surface onto which mucous glands secrete their product
  4. D. the moist surface of any hollow organ that communicates with the outside world
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Question 8

Which best describes a proposed strategy to address the lack of health care professionals in rural communities?

  1. A. Advertising rural areas for relocation incentives
  2. B. Providing professional development workshops
  3. C. Supporting local students obtaining an education while continuing to live at home
  4. D. Building more healthcare facilities
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Question 9

The nurse is caring for a client on the first postoperative day following a surgical repair of an abdominal aortic aneurysm. Which nursing diagnosis is the most important for this client?

  1. A. Risk for infection
  2. B. Deficient knowledge
  3. C. Ineffective peripheral tissue perfusion
  4. D. Activity intolerance
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Question 10

The nurse is caring for a patient with chronic obstructive pulmonary disease (COPD). The patient asks about the best way to prevent respiratory infections. What is the nurse's best response?

  1. A. "Take a yearly flu shot and avoid crowds during flu season."
  2. B. "Increase your use of nebulizer treatments to keep your lungs clear."
  3. C. "Take vitamin C to boost your immune system."
  4. D. "Use an antibiotic regularly to prevent infections."
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Question 11

The hepatic sinusoids receive oxygenated and unoxygenated blood. The blood vessels that provide mixed blood to the sinusoids are the

  1. A. hepatic artery and hepatic vein.
  2. B. hepatic vein and hepatic portal vein.
  3. C. hepatic portal artery and hepatic portal vein.
  4. D. hepatic artery and hepatic portal vein.
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Question 12

What separates the two types of extracellular fluid?

  1. A. plasma membrane
  2. B. blood-brain barrier
  3. C. blood vessel walls
  4. D. transcellular membrane
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Question 13

The term mucosa (mucous membrane) means:

  1. A. a nonkeratinized stratified squamous epithelium
  2. B. an epithelium which contains mucus-secreting goblet cells
  3. C. a body surface onto which mucous glands secrete their product
  4. D. the moist surface of any hollow organ that communicates with the outside world
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Question 14

After gastric resection surgery, which of the following signs and symptoms would alert the nurse to the development of a leaking anastomosis?

  1. A. Pain, fever, and abdominal rigidity.
  2. B. Diarrhea with fat in the stool.
  3. C. Palpitations, pallor, and diaphoresis after eating.
  4. D. Feelings of fullness and nausea after eating.
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Question 15

After several days of antibiotic therapy for pneumonia, an older hospitalized patient develops watery diarrheWhich action should the nurse take first?

  1. A. Notify the health care provider.
  2. B. Obtain a stool specimen for analysis.
  3. C. Teach the patient about hand washing.
  4. D. Place the patient on contact precautions.
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About these LPN exams gastrointestinal questions

LPN exams gastrointestinal practice questions, set 12 for nursing students in the United States. Fifteen items. Five include answers and rationales in American English.

No. Nursier is independent practice. Register through the official path named on the LPN exams exam guide.

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