01
True or false
1 point
True or false: Antibiotics should routinely be given to every patient with acute pancreatitis.
Free Practice Quiz Question List
7 Integrated Gastrointestinal Nursing Practice Online Quiz Questions
Use this free practice quiz with 20 questions to review 7 Integrated Gastrointestinal Nursing Practice, test your knowledge, and prepare for your next test or exam.
20 questions
02
Fill in the blank
1 point
When mild acute pancreatitis allows feeding, oral feeding can resume as tolerated rather than being unnecessarily delayed.
03
Written response
1 point
For a hospitalized patient with acute severe ulcerative colitis, what prevention measure should be assessed unless contraindicated?
04
True or false
1 point
True or false: An unstable patient with large-volume hematochezia should be assumed to have a lower GI source and sent directly for colonoscopy before stabilization.
- A
True
- B
False
05
Fill in the blank
1 point
For a stable bowel obstruction without signs of ischemia or peritonitis, initial management may include , , and .
06
Choose one
1 point
A patient with Crohn’s disease and suspected bowel obstruction develops constant severe pain, fever, tachycardia, and a rigid, tender abdomen. What is the nurse’s priority response?
- A
Offer fluids and laxatives, then reassess after the patient passes stool.
- B
Notify the provider or emergency response team immediately and prepare for urgent surgical evaluation.
- C
Encourage the patient to walk and wait for the scheduled evaluation.
- D
Give food and drink to assess whether the obstruction is resolving.
07
Choose one
1 point
A patient with cirrhosis has large-volume bright-red hematemesis, confusion, blood pressure of 82/48 mm Hg, and heart rate of 132/min. What should the nurse prioritize?
- A
Arrange endoscopy before initiating any stabilization measures.
- B
Administer plasma automatically because cirrhosis may cause an elevated INR.
- C
Call for emergency assistance, assess airway and breathing, and begin hemodynamic support under protocol.
- D
Wait for ordered laboratory results before reporting the patient’s deterioration.
08
Choose one
1 point
A patient with acute pancreatitis has falling urine output and rising BUN, but develops new crackles and increasing oxygen needs while receiving IV fluids. What is the best nursing response?
- A
Increase the IV fluid rate because the urine output has fallen.
- B
Reassess respiratory status and fluid balance, promptly report deterioration, and anticipate provider-directed fluid reassessment.
- C
Stop all fluids permanently without contacting the clinical team.
- D
Delay reassessment until the next scheduled vital-sign check.
09
Choose all
1 point
Which statements describe appropriate general care principles for acute pancreatitis? Select all that apply.
- A
Use IV crystalloid with frequent reassessment, especially early in the course.
- B
Give antibiotics routinely to prevent infection in all cases.
- C
Resume oral feeding early as tolerated when mild disease allows.
- D
Keep oral feeding delayed in every case, even when mild disease allows it.
- E
Use antibiotics when infection is suspected rather than as routine treatment.
10
Choose all
1 point
A patient with cirrhosis and ascites develops new confusion, abdominal discomfort, and fever. Which considerations and actions are appropriate? Select all that apply.
- A
Consider infection, including spontaneous bacterial peritonitis, as a possible precipitating cause.
- B
Assume the confusion is hepatic encephalopathy and do not investigate other causes.
- C
Consider GI bleeding as another possible precipitating cause.
- D
Wait to report the change until the next bowel movement.
- E
Promptly report the fever, abdominal symptoms, and mental-status change.
11
Written response
1 point
When administering prescribed lactulose for hepatic encephalopathy, what daily stool-output target is generally used?
12
Written response
1 point
If GI bleeding remains hemodynamically significant, what imaging study may help localize active bleeding? Enter the abbreviation or full name.
13
Choose one
1 point
A patient with cirrhosis and ascites develops fever, abdominal discomfort, and new confusion. Which action is most appropriate regarding possible spontaneous bacterial peritonitis?
- A
Attribute the symptoms to constipation and wait for the next scheduled assessment.
- B
Promptly report the findings and anticipate urgent evaluation, including diagnostic paracentesis when indicated.
- C
Administer extra lactulose without reporting the fever or abdominal symptoms.
- D
Encourage oral intake and defer assessment unless the patient becomes hypotensive.
14
Open ended
1 point
A hospitalized patient with ulcerative colitis has nine bloody stools in 24 hours, fever, tachycardia, and worsening abdominal distention. Describe the priority nursing assessments and actions, including medication considerations and when to escalate care.
15
True or false
1 point
True or false: In a patient with cirrhosis and an elevated INR, plasma should automatically be given solely to correct the INR.
- A
True
- B
False
16
Written response
1 point
For a patient with cirrhosis taking prescribed lactulose, what daily bowel-movement target is generally used?
17
Choose one
1 point
A patient with mild acute pancreatitis is improving and can tolerate oral intake. Which feeding plan is appropriate?
- A
Keep the patient NPO until all abdominal pain has resolved.
- B
Resume oral feeding early as tolerated.
- C
Wait until pancreatic enzyme levels normalize before offering food.
- D
Use routine antibiotics before restarting oral intake.
18
Choose one
1 point
A patient is hospitalized with acute severe ulcerative colitis. Which additional care priority should the team address unless contraindicated?
- A
Avoid assessing this risk unless the patient reports leg pain.
- B
Use an opioid to reduce movement and thereby prevent clot formation.
- C
Assess the need for venous thromboembolism prevention unless contraindicated.
- D
Delay prevention assessment until the colitis has fully resolved.
19
Choose one
1 point
An older adult with a history of peptic ulcer disease and liver disease has repeated large-volume maroon stools, tachycardia, and hypotension. Which approach is most appropriate?
- A
Assume a lower GI source and proceed directly to colonoscopy before resuscitation.
- B
Support circulation and assess for an upper GI source as clinically indicated.
- C
Wait for the bleeding to stop before notifying the provider.
- D
Treat the dizziness as unrelated because the blood is maroon.
20
Choose one
1 point
A patient with acute pancreatitis has falling urine output and rising BUN, but also develops new crackles and increasing oxygen needs while receiving IV fluids. What is the best nursing response?
- A
Increase the IV fluid rate because urine output is low.
- B
Stop all reassessment and wait for the next scheduled vital signs.
- C
Reassess respiratory and perfusion status, report the deterioration, and do not independently increase fluids.
- D
Give an antibiotic because crackles confirm infection.
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