Gastrointestinal Disorders: Interactive Learning Quizzes for Nursing Students

Question 1

Which factor does NOT contribute to pancreatitis risk?

Accepted Answer

Normal weight

Answer

Chronic alcohol consumption

Answer

Gallstone disease

Answer

Elevated triglyceride levels

Question 2

The primary enzyme responsible for protein digestion in the stomach is:

Accepted Answer

Pepsin

Answer

Amylase

Answer

Protease

Answer

Lipase

Question 3

Common symptom of gastroesophageal reflux disease (GERD):

Accepted Answer

Heartburn

Answer

Difficulty swallowing

Answer

Nausea

Answer

Vomiting

Question 4

Hormone that stimulates gastric acid secretion:

Accepted Answer

Gastrin

Answer

Secretin

Answer

Cholecystokinin

Answer

Pancreozymin

Question 5

Primary mechanism of action of proton pump inhibitors (PPIs) in gastroesophageal reflux disease treatment:

Accepted Answer

Inhibition of stomach acid production through parietal cell blockade

Answer

Neutralization of stomach acid

Answer

Stimulation of gastric emptying

Answer

Protection of the esophageal lining

Question 6

How does Helicobacter pylori contribute to the development of peptic ulcers?

Accepted Answer

Damages the mucus layer and alters mucosal protein secretion

Answer

Increases gastric acid production

Answer

Stimulates cell growth in the stomach

Question 7

In the context of gastrointestinal disorders, what is the primary purpose of endoscopy?

Accepted Answer

To visualize the gastrointestinal tract and diagnose abnormalities

Answer

To treat gastrointestinal bleeding

Answer

To administer medications directly to the gastrointestinal tract

Question 8

Which of the following describes the pathophysiology and clinical presentation of a hiatal hernia?

Accepted Answer

An opening in the diaphragm allows part of the stomach to protrude into the chest, causing heartburn, regurgitation, and chest pain.

Answer

A weakened esophageal sphincter allows stomach contents to reflux into the esophagus, causing heartburn, regurgitation, and nausea.

Answer

Inflammation of the stomach lining causes abdominal pain, nausea, and vomiting.

Answer

A blockage in the intestine causes abdominal pain, constipation, and vomiting.

Question 9

Which of the following options correctly categorizes the primary types of inflammatory bowel disease (IBD)?

Accepted Answer

Ulcerative colitis and Crohn's disease

Answer

Diverticulitis and peptic ulcer disease

Answer

Gastroparesis and irritable bowel syndrome

Answer

GERD and celiac disease

Question 10

Which of the following laboratory tests is a sensitive indicator of liver damage?

Accepted Answer

Elevated serum alanine aminotransferase (ALT)

Answer

Elevated serum creatinine

Answer

Elevated serum glucose

Answer

Elevated serum bilirubin

Question 11

What is the recommended initial dietary modification for a client diagnosed with gastroesophageal reflux disease (GERD)?

Accepted Answer

Avoidance of acidic foods and beverages

Answer

Elimination of dairy products

Answer

Increased fiber intake

Answer

Limited fluid intake

Question 12

Which of the following is the most commonly used antibiotic regimen to treat Helicobacter pylori infection?

Accepted Answer

Triple therapy (PPI, amoxicillin, clarithromycin)

Answer

Vancomycin

Answer

Metronidazole

Answer

Ciprofloxacin

Question 13

Which nursing intervention is most appropriate for a patient with peptic ulcer disease experiencing severe abdominal pain?

Accepted Answer

Administer antacids to neutralize gastric acid

Answer

Elevate the head of the bed to prevent reflux

Answer

Apply a cold compress to the abdomen for comfort

Answer

Encourage the patient to drink large amounts of fluid

Question 14

Identify the characteristic clinical manifestation of Crohn's disease.

Accepted Answer

Diarrhea with blood and mucus

Answer

Constipation with ribbon-shaped stools

Answer

Vomiting and weight gain

Answer

Right-sided abdominal pain and fever

Question 15

Which nursing action is most critical for a patient with acute pancreatitis exhibiting severe pain radiating to the back?

Accepted Answer

Administer opioids for pain control

Answer

Monitor the patient's vital signs every 4 hours

Answer

Encourage ambulation every 2 hours

Answer

Apply ice to the lower back area

Question 16

When a patient presents with these symptoms, the nurse should suspect a diagnosis of diverticulitis:

Accepted Answer

Left-sided abdominal pain and fever

Answer

Right-sided lower abdominal pain and constipation

Answer

Periumbilical pain and nausea

Answer

Hypochondriac pain and diarrhea

Question 17

Which gastrointestinal condition is characterized by noncancerous, sac-like bulges on the walls of the colon?

Accepted Answer

Diverticulosis

Answer

Ulcerative colitis

Answer

Crohn's disease

Answer

Irritable bowel syndrome

Question 18

For a patient with irritable bowel syndrome (IBS) experiencing alternating periods of diarrhea and constipation, what nursing intervention is most appropriate?

Accepted Answer

Encourage the patient to maintain a food diary

Answer

Prescribe laxatives

Answer

Suggest a low-residue diet

Answer

Refer for psychotherapy

Question 19

In patients with celiac disease, which of the following is an increased risk?

Accepted Answer

Osteoporosis

Answer

Pancreatitis

Answer

Diverticulitis

Answer

Peptic ulcer disease

Question 20

For a perforated gastric ulcer, which surgical procedure is typically performed?

Accepted Answer

Laparoscopic gastrectomy

Answer

Colectomy

Answer

Cholecystectomy

Answer

Pancreatectomy

Question 21

Which of the following is NOT a risk factor for peptic ulcer disease (PUD)?

Accepted Answer

Low gastric acid secretion

Answer

Helicobacter pylori infection

Answer

Excessive alcohol consumption

Answer

Smoking

Question 22

Which of the following assessment findings is NOT typically seen in a patient with pancreatitis?

Accepted Answer

Bradycardia

Answer

Tachycardia

Answer

Jaundice

Answer

Abdominal pain

Question 23

What is the most common cause of esophageal varices?

Accepted Answer

Portal hypertension due to liver cirrhosis

Answer

Pancreatitis

Answer

Inflammatory bowel disease

Answer

Peptic ulcer disease

Question 24

What is the primary goal of surgical intervention for esophageal cancer?

Accepted Answer

Remove the cancerous tissue and restore esophageal function

Answer

Improve nutritional status

Answer

Relieve dysphagia

Answer

Prevent metastasis

Question 25

What is the first-line treatment for Helicobacter pylori (H. pylori) infection?

Accepted Answer

Triple therapy with antibiotics

Answer

Proton pump inhibitors alone

Answer

Antibiotics alone

Answer

Surgery

Question 26

Which of the following is the most common symptom of peptic ulcer disease?

Accepted Answer

Epigastric pain

Answer

Fever

Answer

Heartburn

Answer

Diarrhea

Question 27

What is the primary cause of inflammatory bowel disease?

Accepted Answer

Unknown (idiopathic)

Answer

Genetics

Answer

Autoimmune disorder

Answer

Infection

Question 28

Which of the following diagnostic tests is most specific for pancreatitis?

Accepted Answer

Serum lipase level

Answer

Abdominal X-ray

Answer

Ultrasound

Answer

Complete blood count

Question 29

Which of the following nursing interventions is appropriate for a patient with inflammatory bowel disease?

Accepted Answer

Monitor for signs of infection

Answer

Administer antibiotics

Answer

Encourage high-fat diet

Answer

Restrict fluids

Question 30

What is the most common complication of pancreatitis?

Accepted Answer

Pseudocyst formation

Answer

Stenosis

Answer

Hemorrhage

Answer

Perforation

Question 31

Which of the following medications is used to treat the pain associated with pancreatitis?

Accepted Answer

Opioid analgesic

Answer

Nonsteroidal anti-inflammatory drug

Answer

Antidepressant

Answer

Anticholinergic

Question 32

Which laboratory test is most indicative of pancreatitis?

Accepted Answer

Serum amylase

Answer

Liver function tests

Answer

Urinalysis

Answer

Complete blood count

Question 33

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

Accepted Answer

Helicobacter pylori infection

Answer

Low-fat diet

Answer

Stress

Answer

Smoking cessation

Question 34

A patient with ulcerative colitis presents with bloody diarrhea. Which nursing intervention is most appropriate?

Accepted Answer

Monitor fluid and electrolyte balance.

Answer

Encourage physical activity.

Answer

Administer antidiarrheal medications.

Answer

Provide a low-residue diet.

Question 35

Which of the following is a clinical manifestation of pancreatitis?

Accepted Answer

Abdominal pain radiating to the back

Answer

Jaundice

Answer

Edema

Answer

Constipation

Question 36

A patient with gastroesophageal reflux disease (GERD) is prescribed proton pump inhibitors. Which nursing teaching should be included?

Accepted Answer

Take the medication 30 minutes before eating.

Answer

Avoid lying down after taking the medication.

Answer

Do not take the medication with antacids.

Answer

Limit caffeine intake.

Question 37

A nurse is preparing to administer a barium enema to a patient. Which of the following is the most important nursing intervention?

Accepted Answer

Ensuring the patient has had adequate bowel preparation.

Answer

Monitoring the patient's vital signs.

Answer

Explaining the procedure to the patient

Question 38

Which of the following medications is commonly used to treat irritable bowel syndrome (IBS)?

Accepted Answer

Antispasmodics

Answer

Laxatives

Answer

Antibiotics

Answer

Proton pump inhibitors

Question 39

A patient with diverticulitis is receiving antibiotic therapy. Which of the following nursing interventions is appropriate?

Accepted Answer

Monitor the patient's response to antibiotics.

Answer

Administer pain medication as needed.

Answer

Prepare the patient for possible surgical intervention.

Answer

Encourage the patient to increase fiber intake.

Question 40

Which of the following is a risk factor for esophageal cancer?

Accepted Answer

Tobacco use

Answer

Physical inactivity

Answer

Obesity

Question 41

A patient with lactose intolerance presents with abdominal pain and diarrhea. Which dietary recommendation should the nurse provide?

Accepted Answer

Limit dairy intake.

Answer

Take over-the-counter probiotics.

Answer

Avoid gluten-containing foods.

Answer

Increase fiber intake.

Question 42

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

Accepted Answer

Helicobacter pylori infection

Answer

Asthma

Answer

Lupus

Answer

Diabetes

Question 43

A patient with inflammatory bowel disease is experiencing abdominal pain, diarrhea, and weight loss. Which nursing intervention is most appropriate?

Accepted Answer

Monitor for signs and symptoms of dehydration.

Answer

Encourage a high-fiber diet.

Answer

Perform a rectal exam.

Answer

Administer antiemetics.

Question 44

Which of the following is a complication of pancreatitis?

Accepted Answer

Pseudocyst formation

Answer

Myocardial infarction

Answer

Pneumonia

Answer

Stroke

Question 45

A patient with gastroesophageal reflux disease (GERD) is prescribed proton pump inhibitors. Which of the following is an expected outcome of this medication?

Accepted Answer

Reduced gastric acid secretion

Answer

Improved esophageal sphincter tone

Answer

Increased gastric motility

Answer

Enhanced esophageal mucosal resistance

Question 46

Which of the following is a characteristic of irritable bowel syndrome (IBS)?

Accepted Answer

Alternating diarrhea and constipation

Answer

Bloody stools

Answer

Weight loss

Answer

Fever

Question 47

A patient with diverticular disease is experiencing lower abdominal pain and fever. Which of the following nursing actions is most important?

Accepted Answer

Assess for signs and symptoms of diverticulitis.

Answer

Administer pain medication.

Answer

Encourage a low-residue diet.

Answer

Perform a rectal exam.

Question 48

Which of the following is a dietary modification recommended for patients with lactose intolerance?

Accepted Answer

Avoid dairy products

Answer

Follow a low-fat diet

Answer

Limit caffeine consumption

Answer

Increase protein intake

Question 49

A patient with Crohn's disease is experiencing perianal fistula formation. Which of the following nursing interventions is most appropriate?

Accepted Answer

Assess for signs and symptoms of infection.

Answer

Perform a rectal exam.

Answer

Apply a warm compress to the fistula.

Answer

Encourage Sitz baths.

Question 50

Which of the following is a risk factor for gastrointestinal bleeding?

Accepted Answer

Use of nonsteroidal anti-inflammatory drugs (NSAIDs)

Answer

Diabetes

Answer

Heart disease

Question 51

A patient with hepatitis A is experiencing fatigue, nausea, and vomiting. Which of the following nursing interventions is most important?

Accepted Answer

Monitor for signs and symptoms of dehydration.

Answer

Encourage a high-protein diet.

Answer

Administer antiemetics.