Gastrointestinal Disorders: Types, Causes, and Nursing Management

Question 1

In nursing care for patients with inflammatory bowel disease (IBD), which intervention is critical?

Accepted Answer

Vigilantly monitoring for signs and symptoms of exacerbation

Answer

Administering intravenous antibiotics

Answer

Providing emotional support

Answer

Performing wound care

Question 2

Which symptom is commonly associated with peptic ulcer disease?

Accepted Answer

Epigastric pain

Answer

Diarrhea

Answer

Constipation

Answer

Vomiting

Question 3

For gastroesophageal reflux disease (GERD), which diagnostic procedure is generally preferred?

Accepted Answer

Upper endoscopy

Answer

Colonoscopy

Answer

Barium swallow

Answer

Sigmoidoscopy

Question 4

Which potential complication is associated with peptic ulcer disease?

Accepted Answer

Perforation

Answer

Appendicitis

Answer

Cholecystitis

Answer

Diverticulitis

Question 5

In managing Crohn's disease, what is the primary nursing objective?

Accepted Answer

Mitigating inflammation and preventing complications

Answer

Educating patients about disease management

Answer

Promoting weight gain

Answer

Providing nutritional support

Question 6

In nutritional management of irritable bowel syndrome (IBS), which consideration is crucial?

Accepted Answer

Implementing a low FODMAP diet

Answer

Adopting a gluten-free diet

Answer

Adhering to a high-protein diet

Answer

Following a lactose-free diet

Question 7

A patient with Gastroesophageal Reflux Disease (GERD) complains of heartburn and regurgitation. Which nursing intervention is the most appropriate?

Accepted Answer

Teaching dietary modifications and elevating the head of the bed

Answer

Administering proton pump inhibitors

Answer

Performing a barium swallow

Question 8

Which of the following is a recognized risk factor for developing peptic ulcer disease?

Accepted Answer

Long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs)

Answer

Stress

Answer

Obesity

Question 9

A patient with Crohn's disease presents with abdominal pain, diarrhea, and weight loss. Which assessment finding is most suggestive of the disease?

Accepted Answer

Presence of skip lesions in the gastrointestinal tract

Answer

Fever

Answer

Rectal bleeding

Question 10

Which of the following is a surgical treatment option for colorectal cancer?

Accepted Answer

Partial or total colectomy

Answer

Immunotherapy

Answer

Radiation therapy

Answer

Chemotherapy

Question 11

Which patient is at the highest risk for developing acute pancreatitis?

Accepted Answer

Patient with a history of excessive alcohol consumption and cholelithiasis

Answer

Patient with celiac disease

Answer

Patient with type 1 diabetes

Question 12

Which symptom is most characteristic of irritable bowel syndrome (IBS)?

Accepted Answer

Abdominal pain that improves with bowel movements

Answer

Bloody diarrhea

Answer

Weight loss

Answer

Fever

Question 13

Which of the following is a potential complication of pancreatitis?

Accepted Answer

Pseudocyst formation

Answer

Pneumonia

Answer

Myocardial infarction

Answer

Stroke

Question 14

Which assessment finding suggests a patient may be experiencing a perforated ulcer?

Accepted Answer

Sudden onset of severe, unrelenting abdominal pain

Answer

Hematemesis

Answer

Epigastric tenderness

Answer

Nausea and vomiting

Question 15

Which of the following is a well-established risk factor for the development of gastroesophageal reflux disease?

Accepted Answer

Obesity

Answer

Regular physical activity

Answer

Moderate alcohol consumption

Answer

High intake of fibre

Question 16

What is the predominant pathophysiological mechanism in the development of peptic ulcer disease?

Accepted Answer

Imbalance between mucosal protective factors and damaging factors

Answer

Exclusively due to bacterial infection

Answer

Genetic predisposition alone

Answer

Immune system dysfunction alone

Question 17

In the context of colorectal cancer, what is the primary objective of surgical intervention?

Accepted Answer

Removal of the tumour

Answer

Prevention of metastasis

Answer

Restoration of normal bowel function

Answer

Complete resolution of symptoms

Question 18

Which of the following is a typical clinical presentation of lactose intolerance?

Accepted Answer

Diarrhea

Answer

Vomiting

Answer

Nausea

Answer

Constipation

Question 19

What is the most common underlying cause of acute pancreatitis?

Accepted Answer

Gallstones

Answer

Excessive alcohol intake

Answer

Viral infection

Answer

Autoimmune disorders

Question 20

In the context of liver cirrhosis, which diagnostic test is considered the gold standard?

Accepted Answer

Liver biopsy

Answer

X-ray

Answer

Ultrasound

Answer

Liver function blood tests

Question 21

Which of the following is a recognized type of inflammatory bowel disease?

Accepted Answer

Crohn's disease

Answer

Celiac disease

Answer

Diverticulitis

Answer

Irritable bowel syndrome

Question 22

What is the primary role of a nurse in the management of patients with gastrointestinal disorders?

Accepted Answer

Providing patient education and support

Answer

Prescribing medications independently

Answer

Conducting clinical research

Answer

Performing advanced medical procedures

Question 23

Identify the type of inflammatory bowel disease (IBD) characterized by transmural inflammation affecting any part of the gastrointestinal tract:

Accepted Answer

Crohn's disease

Answer

Ulcerative colitis

Answer

Diverticulitis

Answer

Irritable bowel syndrome (IBS)

Question 24

Which of the following best describes the primary pathophysiological mechanism underlying peptic ulcer disease (PUD)?

Accepted Answer

Erosion of the gastric mucosa caused by gastric acid and pepsin

Answer

Inflammation of the colon due to an autoimmune response

Answer

Infection of the stomach lining by Helicobacter pylori

Question 25

Among hospitalized patients, what is the most common cause of upper gastrointestinal bleeding?

Accepted Answer

Peptic ulcer disease

Answer

Esophageal varices

Answer

Mallory-Weiss tear

Answer

Gastritis

Question 26

Which surgical intervention is commonly employed in the treatment of inflammatory bowel disease (IBD)?

Accepted Answer

Colectomy

Answer

Hepatectomy

Answer

Pancreatectomy

Answer

Gastrectomy

Question 27

What is the primary function of a nasogastric (NG) tube in the management of gastrointestinal disorders?

Accepted Answer

Providing decompression and nutrition

Answer

Administering medications

Answer

Monitoring gastric pH

Answer

Preventing aspiration

Question 28

Which of the following is a major risk factor for developing gastroesophageal reflux disease (GORD)?

Accepted Answer

Obesity

Answer

Healthy diet

Answer

Regular exercise

Question 29

What is the characteristic pathophysiological feature of Crohn's disease?

Accepted Answer

Transmural, chronic inflammation of the gastrointestinal tract with skip lesions

Answer

Ulceration of the gastric mucosa

Answer

Overgrowth of intestinal bacteria

Question 30

What is an appropriate nursing intervention for a patient with irritable bowel syndrome (IBS)?

Accepted Answer

Providing dietary advice and stress management techniques

Answer

Monitoring for weight loss

Answer

Administering antibiotics

Question 31

Which of the following is a potential complication of pancreatitis?

Accepted Answer

Pseudocyst formation

Answer

Gastritis

Answer

Appendicitis

Answer

Diverticulitis

Question 32

What is the primary nursing goal when caring for a patient with a gastrostomy tube?

Accepted Answer

Maintaining tube patency and preventing infection

Answer

Providing enteral nutrition

Answer

Promoting weight gain

Answer

Monitoring for dehydration

Question 33

Which of the following is a characteristic symptom of intestinal obstruction?

Accepted Answer

Abdominal pain, nausea, and vomiting

Answer

Hemorrhoids

Answer

Jaundice

Answer

Weight gain

Question 34

What is the recommended dietary modification for a patient with diverticular disease?

Accepted Answer

High-fiber diet

Answer

Bland diet

Answer

Liquid diet

Answer

Low-fat diet

Question 35

What is the primary nursing intervention for patients with peptic ulcer disease to reduce gastric acid secretion?

Accepted Answer

Administering proton pump inhibitors

Answer

Providing dietary counseling

Answer

Monitoring for complications

Answer

Encouraging stress management techniques

Question 36

Which of the following is a hallmark symptom of Crohn's disease?

Accepted Answer

Diarrhea

Answer

Vomiting

Answer

Jaundice

Answer

Constipation

Question 37

What is the primary goal of nursing care for patients with acute pancreatitis?

Accepted Answer

Managing pain and inflammation

Answer

Monitoring for complications

Answer

Preventing infection

Answer

Promoting nutrition

Question 38

Which of the following is a potential complication of cirrhosis that affects the brain?

Accepted Answer

Hepatic encephalopathy

Answer

Peptic ulcer disease

Answer

Pancreatitis

Question 39

What is the most frequent cause of gastrointestinal bleeding?

Accepted Answer

Peptic ulcer disease

Answer

Diverticular disease

Answer

Colorectal cancer

Answer

Crohn's disease

Question 40

What is the primary pathophysiological mechanism underlying irritable bowel syndrome (IBS)?

Accepted Answer

Altered bowel motility and visceral hypersensitivity

Answer

Inflammation of the colon

Answer

Increased gastric acid secretion

Question 41

Which of the following nursing interventions is beneficial for patients with hemorrhoids?

Accepted Answer

Providing Sitz baths

Answer

Restricting physical activity

Answer

Administering antibiotics

Answer

Positioning the patient in the Trendelenburg position

Question 42

Which type of gastrointestinal cancer has the highest incidence?

Accepted Answer

Colorectal cancer

Answer

Pancreatic cancer

Answer

Gastric cancer

Question 43

Which layer of the stomach wall is primarily responsible for acid secretion?

Accepted Answer

Mucosa

Answer

Serosa

Answer

Muscularis externa

Answer

Submucosa

Question 44

What is the primary role of pepsin in the digestive process?

Accepted Answer

To break down proteins

Answer

To break down carbohydrates

Answer

To neutralize stomach acid

Answer

To stimulate gastric motility

Question 45

What is the primary goal of nursing management in patients with Crohn's disease?

Accepted Answer

To control inflammation and prevent complications

Answer

To relieve symptoms only

Answer

To cure the disease

Answer

To prevent surgery

Question 46

Which of the following is an indication for surgical intervention in patients with ulcerative colitis?

Accepted Answer

Toxic megacolon

Answer

Mild to moderate disease activity

Answer

Failure to respond to medical therapy

Answer

Presence of a stricture

Question 47

What is the most common type of liver cirrhosis?

Accepted Answer

Alcoholic liver cirrhosis

Answer

Autoimmune hepatitis-related cirrhosis

Answer

Viral hepatitis-related cirrhosis

Answer

Non-alcoholic fatty liver disease-related cirrhosis

Question 48

What is the primary goal of nursing management in patients with liver cirrhosis?

Accepted Answer

To prevent complications and improve quality of life

Answer

To reverse the underlying disease process

Answer

To provide comfort care only