MSNCB Gastrointestinal Nursing 4

Question 1

A patient with esophageal varices undergoes endoscopic band ligation. In the immediate post-procedure period, the nurse should prioritize monitoring for:

Accepted Answer

Re-bleeding and hematemesis

Answer

Re-bleeding is the most immediate life-threatening complication following esophageal variceal banding.

Question 2

Which electrolyte imbalance is a nurse most likely to find in a patient with prolonged nasogastric suctioning?

Accepted Answer

Hypokalemia and metabolic alkalosis

Answer

NG suctioning removes hydrochloric acid and potassium, leading to hypokalemia and hypochloremic metabolic alkalosis.

Question 3

A patient with hepatitis B asks the nurse how the infection is most commonly transmitted. The correct response is:

Accepted Answer

Contact with infected blood, sexual contact, and perinatal transmission

Answer

Hepatitis B is a bloodborne pathogen transmitted through blood, sexual contact, and from mother to infant at birth.

Question 4

A patient is admitted with a small bowel obstruction. Which assessment finding differentiates a complete obstruction from a partial obstruction?

Accepted Answer

Absence of flatus and bowel sounds

Answer

Absence of flatus (obstipation) and absent bowel sounds distal to the obstruction are hallmarks of a complete small bowel obstruction.

Question 5

When caring for a patient with an ileal pouch-anal anastomosis (J-pouch), the nurse expects the patient to experience which long-term adaptation?

Accepted Answer

Six to eight loose stools per day that decrease over time

Answer

After J-pouch creation, patients typically have 6–8 stools/day initially, which decreases as the pouch capacity increases over 12–18 months.

(MSNCB) Medical-Surgical Nursing Certification Board Practice Test

(MSNCB) Medical-Surgical Nursing Certification Board Practice Test

MSNCB Gastrointestinal Nursing 4