PEBC Evaluating Exam, PEBC Qualifying Exam, OSCE, MCC, Nurse Exams, IELTS, NAPLEX

Adult Gastrointestinal System Sample Questions

1.A 42year old Mr. Smith admitted with gastric cancer and the treating doctor advised for surgery that is total gastrectomy. What would nurse mean total gastrectomy?
A. Removal of entire intestines. B. Surgical division of vagus nerve. C. Removal lower section of the stomach. D. Removal of the stomach with attachment of esophagus to the jejunum or duodenum.
Answer Ans: D Total gastrectomy is the removal of the stomach along with esophagus to the jejunum or duodenum. Option2; vagotomy: surgical division of the vagus nerve to eliminate the vagus impulses. Option C; gastric resection, removal of the lower half of the stomach. Saunders: 598.

2. The patient came to the unit after gastrectomy. What would nurse check first?
A. Check the dressings. B. Check the patency of the nasogastric tube C. Check the vital signs. D. Check the patient pain.
Answer Ans: C Always checks the patient vital signs. Saunders: 599.

3. Following the surgery, the patient complaints of severe pain. Upon assessment the nurse found that the nasogastric tube is not functioning properly. What will do nurse next?
A. Irrigate the tube with NS. B. Reinsert the nasogastric tube.. C. Reposition the tube. D. Inform the in-charge.
Answer Ans: D Following gastric surgery, do not irrigate or remove the NG tube unless specifically prescribed because of the risk for disruption of the gastric sutures. Monitor closely to ensure proper functioning of the NG tube to prevent strain on the anastomosis site. Contact the HCP if the tube is not functioning properly. So, the nurse should inform the in-charge to inform the surgeon. Saunders: 599.