GI Patient Assessment & Documentation 2

Question 1

A patient reports epigastric pain that worsens 2-3 hours after eating and improves with food or antacids. Which condition does this pattern most suggest?

Accepted Answer

Duodenal ulcer

Answer

Duodenal ulcers classically cause pain that occurs 2-3 hours postprandially and is relieved by food or antacids, unlike gastric ulcers which often worsen with eating.

Question 2

When documenting bowel sounds, which term correctly describes high-pitched, tinkling sounds heard over a distended abdomen?

Accepted Answer

Hyperactive bowel sounds

Answer

High-pitched tinkling bowel sounds over a distended abdomen are hyperactive and suggest early intestinal obstruction or gastroenteritis.

Question 3

A patient's chart shows a Bristol Stool Scale type 1. How should the nurse document this finding?

Accepted Answer

Separate hard lumps like nuts

Answer

Bristol Stool Scale type 1 describes separate hard lumps resembling nuts, indicating severe constipation.

Question 4

During abdominal assessment, the nurse notes guarding and rigidity in the right lower quadrant with rebound tenderness. Which condition is most suspected?

Accepted Answer

Acute appendicitis

Answer

Guarding, rigidity, and rebound tenderness localized to the right lower quadrant are classic peritoneal signs of acute appendicitis.

Question 5

A patient undergoing a colonoscopy prep is instructed to follow a clear liquid diet. Which item is acceptable?

Accepted Answer

Chicken broth

Answer

Clear chicken broth is a clear liquid; milk, pulpy juice, and ice cream are not clear liquids and can interfere with colonoscopy visualization.

(GI) Gastrointestinal Practice Test

(GI) Gastrointestinal Practice Test

GI Patient Assessment & Documentation 2