DMMMSU- CCHAMS SY 2021-2022, Second Semester
POST TEST MODULE 1: Lesson 3 & 4
Time Duration: 25 MINUTES
Instruction: On a sheet of paper, write first your FULL NAME (SURNAME,
FIRST NAME, MIDDLE INITIAL) and SECTION. Answer the following questions
and post it on our messenger chatbox.
1. Patient Venus has severe midepigastric or right upper quadrant pain
radiating to the back or referred to the right scapula, belching that leaves
a sour taste in the mouth, and flatulence. She most likely has:
A. appendicitis.
B. acute cholecystitis, acute cholelithiasis, or choledocholithiasis.
C. diverticular disease.
D. acute gastritis.
2. Nurse Vince is researching about Hepatitis, which statement about
hepatitis is true?
A. Type A hepatitis can lead to fulminant hepatitis.
B. Type B hepatitis is transmitted via blood products, urine, and other body fluids.
C. Type C hepatitis is transmitted via the fecal-oral route only.
D. Type D hepatitis is mild in severity.
3. When assessing a patient in the early stages of cirrhosis of the liver,
what sign would be anticipated?
A. Jaundice
B. Peripheral edema
C. Ascites
D. Anorexia
4. Patient Maureen is suspected of appendicitis, which of these
interventions is appropriate?
A. Give I.V. fluids, give the patient nothing by mouth, and apply heat to his
abdomen for comfort.
B. Give I.V. fluids, give the patient nothing by mouth, and give an enema to clean
his bowel before surgery.
C. Give I.V. fluids; give the patient nothing by mouth, but give analgesics
judiciously; and place him in Fowler’s position to reduce pain.
D. Give clear liquids only along with heat applied to the abdomen for comfort
5. Which measure should the patient with diverticulitis be instructed to
integrate into her diet at home when you as a nurse is giving home
instructions prior to discharging the patient?
A. Eating a diet high in digestible fiber
B. Limiting fluid intake
C. Using enemas to relieve constipation
Prepared by: Christine Joyce O. Dela Cruz
DMMMSU- CCHAMS SY 2021-2022, Second Semester
D. Straining with each bowel movement
6. After eating, Patient Dy has inflamed gallbladder and has pain caused
by contraction of the gallbladder. What is the mechanism responsible for
this action?
a. Production of bile by the liver
b. Production of secretin by the duodenum
c. Release of gastrin from the stomach antrum
d. Production of cholecystokinin by the duodenum
7. A 68-year-old patient is in the office for a physical. She notes that she
no longer has regular bowel movements. Which suggestion by the nurse
would be most helpful to the patient?
a. Take an additional laxative to stimulate defecation.
b. Eat less acidic foods to enable the GI system to increase peristalsis.
c. Eat less food at each meal to prevent feces from backing up due to slowed
peristalsis.
d. Attempt defecation after breakfast because gastrocolic reflexes increase colon
peristalsis at that time
8. A patient is admitted to the hospital with left upper quadrant (LUQ)
pain. What organ might be the source of the pain?
a. Liver
b. Pancreas
c. Appendix
d. Gallbladder
9. Which laboratory findings should nurse Almira expect in the patient
with persistent vomiting?
a. ↓ pH, ↑ sodium, ↓ hematocrit
b.↑ pH, ↓ chloride, ↓ hematocrit
c. ↑ pH, ↓ potassium, ↑ hematocrit
d. ↓ pH, ↓ potassium, ↑ hematocrit
10. A patient who has been vomiting for several days from an unknown
cause is admitted to the hospital. What should the nurse anticipate will
first be included in interprofessional care?
a. Oral administration of broth and tea
b. IV replacement of fluid and electrolytes
c. Administration of parenteral antiemetics
d. Insertion of a nasogastric (NG) tube for suction
11. Patient Enrico has persistent and continuous pain at McBurney’s point.
The nursing assessment reveals rebound tenderness and muscle guarding
with the patient preferring to lie still with the right leg flexed. What
should the nursing interventions for this patient include?
Prepared by: Christine Joyce O. Dela Cruz
DMMMSU- CCHAMS SY 2021-2022, Second Semester
a. Laxatives to move the constipated bowel
b. NPO status in preparation for possible appendectomy
c. Parenteral fluids and antibiotic therapy for 6 hours before surgery
d. NG tube inserted to decompress the stomach and prevent aspiration
12. The patient has peritonitis, which is a major complication of ruptured
appendix. What treatment should the nurse plan to include?
a. Peritoneal lavage
b. Peritoneal dialysis
c. IV fluid replacement
d. Increased oral fluid intake
13. What laboratory findings are expected in ulcerative colitis because of
diarrhea and vomiting?
a. Increased albumin
b. Elevated white blood cells (WBCs)
c. Decreased serum Na + , K + , Mg + , Cl – , and HCO3 –
d. Decreased hemoglobin (Hgb) and hematocrit (Hct)
14. For the patient hospitalized with inflammatory bowel disease (IBD),
which treatments would be used to rest the bowel (select all that apply)?
a. NPO
b. IV fluids
c. Bed rest
d. Sedatives
e. NG suction
f. Parenteral nutrition
15. A patient with inflammatory bowel disease has a nursing diagnosis of
impaired nutritional status; etiology: decreased nutritional intake and
decreased intestinal absorption. Which assessment data support this
nursing diagnosis?
a. Pallor and hair loss
b. Frequent diarrhea stools
c. Anorectal excoriation and pain
d. Hypotension and urine output below 30 mL/hr
16. During the incubation period of viral hepatitis, what should the nurse
expect the patient to report?
a. Dark urine and easy fatigability
b. No symptoms except diagnostic results
c. Anorexia and right upper quadrant discomfort
d. Constipation or diarrhea with light-colored stools
Prepared by: Christine Joyce O. Dela Cruz
DMMMSU- CCHAMS SY 2021-2022, Second Semester
17. The occurrence of acute liver failure is most common in which
situation?
a. A person with hepatitis A
b. A person with hepatitis C
c. Antihypertensive medication use
d. Use of acetaminophen with alcohol use
18. The nurse identifies a need for further teaching when the patient with
acute hepatitis B makes which statement?
a. “I should avoid alcohol completely for at least a year.”
b. “I must avoid all physical contact with my family until the jaundice is gone.”
c. “I should use a condom to prevent spread of the disease to my sexual partner.”
d. “I will need to rest several times a day, gradually increasing my activity as I
tolerate it.”
19. The patient is an older woman with cirrhosis who has anemia. What
pathophysiologic changes may contribute to this patient’s anemia (select
all that apply)?
a. Vitamin B deficiencies
b. Stretching of liver capsule
c. Vascular congestion of spleen
d. Decreased prothrombin production
e. Decreased bilirubin conjugation and excretion
20. Which conditions contribute most likely to the formation of abdominal
ascites?
a. Esophageal varices contribute to 80% of variceal hemorrhages
b. Increased colloidal oncotic pressure caused by decreased albumin production
c. Hypoaldosteronism causes increased sodium reabsorption by the renal tubules
d. Blood flow through the portal system is obstructed, which causes portal
hypertension
[Link] Jambe has hepatic encephalopathy. What is a priority nursing
intervention to keep the patient safe?
a. Turn the patient every 3 hours.
b. Encourage increasing ambulation.
c. Assist the patient to the bathroom.
d. Prevent constipation to reduce ammonia production.
22. The patient with liver failure has had a liver transplant. What should
the nurse teach the patient about care after the transplant?
a. Alcohol intake is now okay.
Prepared by: Christine Joyce O. Dela Cruz
DMMMSU- CCHAMS SY 2021-2022, Second Semester
b. HBIG will be required to prevent rejection.
c. Elevate the head 30 degrees to improve ventilation when sleeping.
d. Monitor closely for infection because of the immunosuppressive medication
23. Nurse Pat has taught the client about an upcoming endoscopic
retrograde cholangiopancreatography (ERCP) procedure. The nurse
determines that the client needs further information if the client makes
which statement?
a. “I know I must sign the consent form.”
b. “I hope the throat spray keeps me from gagging.”
c. “I’m glad I don’t have to lie still for this procedure.”
d. “I’m glad some intravenous medication will be given to relax me.”
24. Which complication of acute pancreatitis requires immediate surgical
drainage to prevent sepsis?
a. Tetany
b. Pseudocyst
c. Pleural effusion
d. Pancreatic abscess
25. Combined with clinical manifestations, what laboratory finding that is
most commonly used to diagnose acute pancreatitis?
a. Increased serum calcium
b. Increased serum amylase
c. Increased urinary amylase
d. Decreased serum glucose
26. Which characteristics are most commonly associated with
cholelithiasis (select all that apply).
a. Obesity
b. Age over 40 years
c. Multiparous female
d. History of excessive alcohol intake
e. Family history of gallbladder disease
f. Use of estrogen or oral contraceptives
27. After a laparoscopic cholecystectomy, what should the nurse expect to
be part of the plan of care?
a. Return to work in 2 to 3 weeks
b. Be hospitalized for 3 to 5 days postoperatively
c. Have a T-tube placed in the common bile duct to provide bile drainage
Prepared by: Christine Joyce O. Dela Cruz
DMMMSU- CCHAMS SY 2021-2022, Second Semester
d. Have up to 4 small abdominal incisions covered with small dressings
28. What treatment for acute cholecystitis will prevent further stimulation
of the gallbladder?
a. NPO with NG suction
b. Incisional cholecystectomy
c. Administration of antiemetics
d. Administration of anticholinergics
29. Which method is preferred for immediate treatment of an acute
episode of constipation?
a. An enema
b. Increased fluid
c. Stool softeners
d. Bulk-forming medication
30. Give 1 Nursing Diagnoses for Hemorrhoid
Prepared by: Christine Joyce O. Dela Cruz
