CGRN GI/Endoscopy Practice Exam - Question List

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11. Tom, 45 years old and a known alcoholic, came into the Emergency Department complaining of constant epigastric abdominal pain that radiates to the back and flank areas. He further states that the pain is more intense when he lies down. After a thorough examination, the doctor wrote in the client’s chart his admitting diagnosis as acute pancreatitis. The nurse is aware that she should report immediately if Tom develops __________.
  1. Nausea and vomiting
  2. Abdominal pain
  3. Decreased bowel sounds
  4. Shortness of breath
12. After surgery, Gina returns from the Post-anesthesia Care Unit (Recovery Room) with a nasogastric tube in place following a gall bladder surgery. She continues to complain of nausea. Which action would the nurse take?
  1. Call the physician immediately
  2. Administer the prescribed antiemetic
  3. Check the patency of the nasogastric tube for any obstruction
  4. Change the patient’s position
13. Mr. Tuxen, a 66-year-old black American, was brought by his wife to the Emergency Department because he is increasingly confused and is coughing blood. His medical diagnosis is cirrhosis of the liver. While assessing Mr. Tuxen, the nurse understands that the correct technique when doing abdominal assessment is:
  1. Palpate the most painful area progressing to the least painful parts
  2. Begin with inspection and end with palpation
  3. Follow the sequence of auscultation, inspection, percussion, and palpation
  4. Auscultate the bowel sound first then perform palpation and percussion
14. A client with acute pancreatitis is complaining of severe abdominal pain. The nurse should teach the client to avoid which of the following positions to alleviate the pain?
  1. Lying supine in the bed
  2. Flexing the left leg
  3. Sitting up in the bed
  4. Leaning forward
15. A client was rushed in due to severe abdominal pain unrelieved by repositioning. Assessment shows a high fever and yellowish hue of the skin. The client’s friends reported that they had been drinking hard liquor the whole night. The client was diagnosed with pancreatitis. The nurse understands that pancreatitis is caused by:
  1. Significant alcohol ingestion
  2. Pancreatic infection
  3. Pancreatic inflammation from fatty foods
  4. Pancreatic breakdown from its own enzymes

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