Chapter 40: Assessment of the Gastrointestinal, Biliary, and Exocrine Pancreatic Systems

Chapter 40: Assessment of the Gastrointestinal, Biliary, and Exocrine Pancreatic Systems

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1.    Which would occur if the pH of the stomach were to rise above 1.5?

1.	Impaired protection from ingested microorganisms
2.	Parietal cells would not secrete hydrochloric acid
3.	Reduced secretion of intrinsic factor
4.	Enhanced protein digestion

 

 

ANS: 1                    PTS:   1                    DIF:   Category: Gastrointestinal

TOP:  Nursing Process: Analysis/Nursing Diagnosis

MSC: Client Needs: Physiologic Integrity

 

2.    Which controls the flow of bile into the duodenum?

1.	Gallbladder sphincter
2.	Sphincter of Oddi
3.	Pancreatic duct
4.	Hepatic duct

 

 

ANS: 2                    PTS:   1                    DIF:   Category: Gastrointestinal

TOP:  Nursing Process: Analysis/Nursing Diagnosis

MSC: Client Needs: Physiologic Integrity

 

3.    Under which condition would the duodenum release cholecystokinin?

1.	In response to alcohol consumption
2.	After eating protein and fat
3.	During periods of stress
4.	During physical activity

 

 

ANS: 1                    PTS:   1                    DIF:   Category: Gastrointestinal

TOP:  Nursing Process: Analysis/Nursing Diagnosis

MSC: Client Needs: Physiologic Integrity

 

4.    Which age-related change is most important for the elderly preoperative patient?

1.	Decreased saliva production
2.	Impaired nutritional absorption
3.	Decreased pancreatic enzyme production
4.	Decreased hydrochloric acid in the stomach

 

 

ANS: 2                    PTS:   1                    DIF:   Category: Gastrointestinal

TOP:  Nursing Process: Analysis/Nursing Diagnosis

MSC: Client Needs: Safe Effective Care Environment

 

5.      An elderly man with diabetes and hypertension asks the home care nurse what he can do about his constipation. The nurse’s best response is to advise the client to:

1.	Increase physical activity
2.	Increase intake of carbohydrates
3.	Schedule an appointment with the physician
4.	Relax, since this is an expected change with aging

 

 

ANS: 1                    PTS:   1                    DIF:   Category: Gastrointestinal

TOP:  Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance