Chapter 18: Gastrointestinal and Accessory Organ Problems

Chapter 18: Gastrointestinal and Accessory Organ Problems

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The lower esophageal sphincter muscle controls entry of food into the

a.	esophagus.
b.	stomach.
c.	small intestine.
d.	rectum.

 

 

ANS:  C

The lower esophageal sphincter muscle controls entry of food into the small intestine.

 

DIF:    Cognitive Level: Knowledge            REF:   355-356         TOP:   Nursing Process: Planning

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

2. The term used to describe difficulty in swallowing is

a.	pyrosis.
b.	polydipsia.
c.	dysphagia.
d.	dyspepsia.

 

 

ANS:  C

Dysphagia means difficulty swallowing.

 

DIF:    Cognitive Level: Knowledge            REF:   354-355         TOP:   Nursing Process: Planning

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

3. Many people who have gastroesophageal reflux are

a.	underweight.
b.	obese.
c.	male.
d.	children.

 

 

ANS:  B

Gastrointestinal reflux is more common in people who are obese or pregnant or who have pernicious vomiting or nasogastric tubes.

 

DIF:    Cognitive Level: Knowledge            REF:   355-356         TOP:   Nursing Process: Planning

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

4. A resident who has Parkinson’s disease and resides in a long-term care facility has recurring pneumonia and coughs while eating. This may be evidence of

a.	dysphasia.
b.	dysphagia.
c.	achalasia.
d.	dyspnea.

 

 

ANS:  B

Dysphagia can cause persons to aspirate food particles, sometimes without evidence of coughing or choking. Aspiration of food contents into the lung causes pneumonia and other serious problems.

 

DIF:    Cognitive Level: Application           REF:   354-355

TOP:   Nursing Process: Assessment

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

5. Small outpouchings in the lower gastrointestinal tract are called

a.	hernias.
b.	lesions.
c.	diverticula.
d.	epiploic appendages.

 

 

ANS:  C

The small outpouchings that can develop in the lower intestine are called diverticula.

 

DIF:    Cognitive Level: Knowledge            REF:   366                TOP:   Nursing Process: Planning

MSC:   NCLEX: Physiological Integrity: Physiological Adaptation