Chapter 28: Care of Patients with Disorders of the Upper Gastrointestinal System

Chapter 28: Care of Patients with Disorders of the Upper Gastrointestinal System

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse explains that the diagnosis of morbidly obese is reserved for people who exceed which percentage of their recommended weight?

a.	50%
b.	70%
c.	90%
d.	100%

 

 

ANS:  D

Those people who weigh 100% over their recommended weight are considered morbidly obese.

 

PTS:   1                    DIF:    Cognitive Level: Comprehension     REF:   645

OBJ:   1                    TOP:   Obesity: Morbid Obesity

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Health Promotion and Maintenance

 

2. The nurse calculates the body mass index (BMI) of a man who is 6 feet tall and weighs 150 pounds. Which value is correct?

a.	21.0
b.	25.0
c.	43.1
d.	66.3

 

 

ANS:  A

The formula to calculate BMI is: weight in kilograms divided by height in meters squared (68.1 kilograms ÷ 3.24 meters = 21.0).

 

PTS:   1                    DIF:    Cognitive Level: Application           REF:   645

OBJ:   1                    TOP:   BMI: Calculation

KEY:  Nursing Process Step: Assessment   MSC:  NCLEX: Health Promotion and Maintenance

 

3. The nurse explains that the laparoscopic adjustable gastric banding surgery is best described as which type of bariatric surgery?

a.	Restrictive
b.	Malabsorptive
c.	Restrictive/malabsorptive
d.	Obstructive

 

 

ANS:  A

The three types of bariatric surgery are restrictive, malabsorptive, and restrictive/malabsorptive. Laparoscopic adjustable gastric banding is performed by placing an inflatable band around the fundus of the stomach and is considered restrictive. This procedure may be performed laparoscopically. The band is inflated and deflated via a subcutaneous port to change the size of the stomach as the patient loses weight.

 

PTS:   1                    DIF:    Cognitive Level: Comprehension     REF:   646

OBJ:   1                    TOP:   Restrictive Procedures

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Health Promotion and Maintenance

 

4. The nurse is discussing bariatric surgery complications with a patient. Which statement indicates that the patient accurately understands the nurse’s teaching about common procedural side effects?

a.	“I understand that gastric ulcers frequently occur in patients who have bariatric surgery.”
b.	“Gallstones are a common occurrence in patients who have bariatric surgery.”
c.	“I know an umbilical hernia might happen after I have bariatric surgery.”
d.	“Unfortunately, I may experience gastritis after having bariatric surgery.”

 

 

ANS:  B

Nutritional deficiencies caused by the banding result in the formation of gallstones in a large percentage of bariatric surgery patients. About a third of patients who undergo bariatric surgery develop gallstones.

 

PTS:   1                    DIF:    Cognitive Level: Comprehension     REF:   646

OBJ:   1                    TOP:   Bariatric Surgery: Side Effects

KEY:  Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity: Physiological Adaptation