Invasives GI Practice Exam

These questions are part of the practice quiz. Start practicing

• Which of the following is an important consideration when using esophageal stents for benign disease?
• What are the bowel sounds with a mechanical bowel obstruction?
• Which type of tube is at risk for hypokalemia?
• Hypoactive bowel sounds are defined as fewer than how many sounds per minute?
• What are key post-endoscopy instructions to minimize complications?
• Chvostek's sign is best described as which phenomenon?
• Which of the following is a primary nursing consideration for bolus tube feeding?
• If a residual is high, what is the appropriate action regarding the next feeding?
• Which statement about Hepatitis B prevention is correct?
• A nurse is administering an enteral feeding through a client's NG tube. Which of the following actions should the nurse take?
• Which factors influence adenoma detection rate (ADR) during colonoscopy, and how can ADR be improved?
• Which statement best describes how surveillance intervals after polypectomy are determined?
• Besides gallstones, which is another common cause of acute pancreatitis?
• According to pediatric nutrition guidance, when is it appropriate to start introducing solid foods for an infant?
• What is a key step after placing a gastrostomy or jejunostomy tube endoscopically?
• How can Crohn's disease be distinguished from ulcerative colitis on endoscopy and histology?
• For intermittent enteral feedings via NG tube, gastric residual should be measured for which purpose?
• If a perforation occurs during ERCP, what is the appropriate next step?
• Cullen's sign is best described as which of the following?
• In hepatic encephalopathy assessment, which sign is often evaluated?
• In early Hepatitis A, which manifestation is expected?
• In which scenario is endoscopic ultrasound (EUS) preferred over transabdominal imaging?
• How often is intermittent tube feeding administered?
• In adults at average risk, what is the commonly cited starting age range for colorectal cancer screening colonoscopy?
• Regarding temperature handling, which statement is correct for bolus feeding?
• Which statement about capsule endoscopy is correct?
• Where is water primarily absorbed in the GI tract?
• Which set comprises the major GI tract sphincters typically considered in endoscopy?
• Which endoscopic finding differentiates portal hypertensive gastropathy from ordinary gastritis?
• During moderate to deep sedation for GI endoscopy, which parameter is not routinely monitored?
• Which statement best describes the difference between mechanical and non-mechanical bowel obstruction?
• A client with an NG tube requires a sublingual medication. Which action is appropriate?
• Before requesting restraints for a client who repeatedly pulls an NG tube, which intervention should the nurse consider?
• In acute pancreatitis, how does eating, particularly high-fat meals, affect the pain?
• Which statement about TPN monitoring is true?
• A nurse is caring for a client with a small bowel obstruction. Which intervention should be included in the plan of care?
• Which lab finding is most specific for biliary obstruction?
• A client with a small bowel obstruction should have senna withheld based on understanding of which reason?
• Which patient factors increase the risk of sedation-related adverse events during GI endoscopy?
• What are the general guidelines for colorectal cancer screening intervals after polypectomy?
• Which of the following is least accurate about ERCP indications?
• Which head-of-bed position is recommended during bolus feeding and for a period afterward?
• An enteral feeding via an established nasogastric tube is prepared. In which order should the following steps be performed?
• Which two laboratory tests are indicated to confirm a diagnosis of acute pancreatitis?
• Nonorganic failure to thrive is best described as
• Which action is appropriate to maintain oral comfort for a patient with an NG tube?
• What is the normal range for serum lipase?
• What is a typical initial medical treatment for acute pancreatitis?
• Which two parameters should be checked every 4 hours for someone on TPN?
• Which is a major complication of ERCP and its general management?
• Which statement accurately reflects residual monitoring during bolus feeding?
• During ERCP, pancreatic duct stenting is indicated for which scenario?
• What strategy may reduce the risk of iodine-based contrast reactions in high-risk patients undergoing future radiologic procedures?
• Which sign indicates Vitamin C deficiency in a patient receiving chemotherapy?
• What is the most common cause of pancreatitis?
• Before initiating an intermittent enteral feeding through a client's NG tube, what is the first nursing action to reduce aspiration risk?
• Which of the following describes the bowel sounds in a non-mechanical obstruction?
• Which factor contributes to high-quality mucosal inspection during withdrawal?
• A community health nurse is planning an educational program about hepatitis A. When preparing the materials, the nurse should identify that what age group is most at risk?
• Which procedure is used to visualize the pancreas, gallbladder, and bile ducts and can treat pancreatitis complications?
• Which statement about positioning during home enteral feeding is correct?
• A provider prescribes a sublingual medication for a client who has an NG tube in place. Which action should the nurse take?
• A client with celiac disease should remove which from the meal tray?
• Two types of failure to thrive?
• A family member is learning how to position a client for home enteral feedings. Which statement indicates understanding?
• Which procedure enables en bloc resection of larger mucosal lesions with higher R0 rates but carries a greater risk of perforation?
• Which option appropriately describes daily weight monitoring for bolus feeding patients?
• How should a patient with acute upper GI bleeding be approached endoscopically?
• A client has a gastrostomy tube with continuous enteral feedings. Which intervention should the nurse include?
• Cold snare polypectomy is indicated for diminutive polyps of what maximum size?
• Which statement best describes the roles of capsule endoscopy and device-assisted enteroscopy in small bowel evaluation?
• How often should the IV bag and tubing for TPN be changed?
• Which 4-action combination aligns with standard nursing considerations for bolus feeding?
• What are the four parts of the Denver Developmental Screening Test?
• In the care of a patient receiving bolus feeding, how often should residual be checked according to standard practice?
• Which signs indicate hypocalcemia and can be seen in pancreatitis?
• When administering a gastrostomy medication via a tube, at which times should 15 to 30 mL of water be instilled? (Single best answer)
• The nurse is teaching a mother on how to take care of her child who is experiencing failure to thrive. The mother would not be correct in saying...
• Which statement best describes the implications of diverticulosis for colonoscopy technique and safety?
• Which statement about biliary stents is true?
• Which statement best describes the role of pancreatic enzymes in digestion?
• In chronic pancreatitis, which dietary change is recommended?
• In biliary stone extraction during ERCP, which sequence describes standard steps?
• Formulas for enteral feeding require what?
• What is the first-line endoscopic therapy for acute esophageal variceal bleeding?
• Discharge teaching for a client with acute pancreatitis includes fat-soluble vitamins. Which supplement should the nurse include?
• How long should a NG tube be in? A G-tube?
• How should abnormal coagulation be managed before endoscopic procedures?
• Postoperative client has a nasogastric tube. Which action should the nurse include in the plan of care?
• A nurse collecting data from a client who is receiving chemotherapy and is showing manifestations of malnutrition. Which of the following indicates a Vitamin C deficiency?
• Trousseau's sign is best described as which of the following?
• Which intervention should the nurse include for a client with acute pancreatitis?
• What is the recommended practice for daily weight monitoring in bolus feeding patients?
• Why do people with chronic pancreatitis lose weight even when appetite and eating habits are normal?
• Which product is a standard brand name for pancreatic enzyme replacement?
• In acute pancreatitis, which nursing action helps minimize pancreatic stimulation?
• Which is a hallmark example of a histamine receptor antagonist?
• Acute pancreatitis: which laboratory value should return to the expected reference range within 72 hours?
• How much gastric residual aspiration would make you consider holding a feeding?
• Which of the following is a common contraindication to GI endoscopy?
• Which statement about residual volume monitoring is accurate for bolus feeding?
• Which of the following best lists the common complications of biliary stents and their management?
• Hyperactive bowel sounds are defined as more than how many sounds per minute?
• Which statement best reflects testing for pancreatitis?
• Which is a common biliary/pancreatic indication for ERCP?
• What is the role of the pancreas in digestion?
• What is the role of endoscopy in the placement or management of enteral feeding tubes?
• Which endoscopic hemostasis modalities are commonly used for stigmata of recent hemorrhage?
• Which combination of signs and symptoms is typical of chronic pancreatitis?
• Discharge teaching for chronic pancreatitis: which statement is appropriate?
• Name a key anatomic landmark used to orient during colonoscopy.
• During TPN therapy, what should be monitored?
• Esophageal stents are indicated for which of the following?
• A client with acute pancreatitis: which history factor is anticipated?
• 4 hours postoperative after laparoscopic cholecystectomy, which finding should the nurse expect?
• Which statement best describes typical symptoms of acute pancreatitis?
• ERCP is a procedure used to visualize which structures and can treat complications of pancreatitis.
• Which acid-base disorder should be monitored in a client with bowel obstructions?
• For how long should an infant's nutritional intake be limited to breast milk or formula, along with water?
• What term describes fluid accumulation in the peritoneal cavity?
• For a client with an intestinal obstruction receiving continuous GI decompression with an NG tube, which intervention is appropriate?
• Which nursing action is recommended after delivering a bolus tube feeding?
• Turner's sign is best described as which of the following?
• Which statement correctly describes endoscopic features typical of Crohn's disease?
• For a client with acute pancreatitis, which intervention should the nurse include?
• Which reversal agents reverse sedation and when should they be used during GI endoscopy?
• Following a gastric bypass, initial feeding should be which kind of liquid?
• Which scoring indices are used for endoscopic assessment in inflammatory bowel disease?
• Which option is NOT an appropriate practice for a client receiving continuous enteral feedings?
• Which statement reflects the guidance on giving fruit juice to infants?
• When is EUS-guided biliary drainage used?
• Which of the following describes ileoscopy indications during endoscopy?
• Which statement about pancreatic enzyme supplementation with meals is true?
• A client receiving intermittent enteral feedings has a lab value that indicates the need to change the formula. Which value indicates this?
• Prior to a liver biopsy, which lab should be monitored?
• Which endoscopic hemostasis method is typically used for rapid vasoconstriction in bleeding?
• What is the typical medical treatment for chronic pancreatitis?
• How does endoscopic ultrasound contribute to TNM staging in GI cancers?
• Which lab test is most indicative of recent excessive alcohol use?
• Which step is essential to prevent cross-contamination during endoscope reprocessing?
• Bleeding esophageal varices: which medication is anticipated?
• Organic failure to thrive is defined as
• A nurse is reinforcing teaching about nutrition with a parent of a toddler. Which statement should the nurse include in the teaching?
• Which is a potential complication of hot snare polypectomy?
• In inflammatory bowel disease, why is endoscopy used to plan surveillance intervals?
• Which statement about granulomas in Crohn's disease is accurate?
• Bowel preparation quality is assessed with the Boston Bowel Preparation Scale. How many segments are scored?
• How are GI tract perforations managed endoscopically and when is surgery indicated?
• Which statement describes essential steps and risks of biliary sphincterotomy during ERCP?
• Endoscopy is used in Crohn's disease and ulcerative colitis to do which of the following?
• What is listed as the normal range for serum amylase?
• Ascites is defined as?
• Insertion of a nasogastric tube for bowel obstruction, which action demonstrates correct technique?
• What biopsy sampling strategy maximizes diagnostic yield in suspected GI lesions?
• Which statement appropriately describes the practice of daily weight monitoring for bolus feeding?
• Which factors influence the selection of endoscopic retrieval tools for ingested foreign bodies?
• Which adjunct technique is used to enhance mucosal visualization during colonoscopy?
• Which scenario constitutes a colonoscopy surveillance indication?
• What are the bowel sounds with a non-mechanical bowel obstruction?
• What is the mechanism of histamine receptor antagonists?
• Which action should be performed to monitor NG tube drainage content?
• What is essential for pathology submission when biopsies are taken?
• What does TPN stand for and how is it delivered?
• A nurse reinforcing teaching with a client with Barrett's esophagus and is scheduled to undergo an EGD. Which statement should the nurse include?
• What measures are recommended to mitigate sedation-related adverse events during GI endoscopy?
• Which statement describes the pattern for Hgb, BUN, creatinine, and Hct in bowel obstruction?
• Which statement best describes temperature handling for bolus feeding administration?
• Which patient factors increase the risk of poor bowel preparation and what strategies mitigate this risk?
• Which statement accurately describes common biliary stent complications and their management?
• Which management is appropriate for ERCP-associated cholangitis?
• What is the key difference between EUS-guided FNA and FNB?
• Which of the following describes a common initial therapeutic goal in chronic pancreatitis management?
• During pancreatitis, what happens to glucose and white blood cell counts?
• Withdrawal time to optimize mucosal inspection is typically recommended to be:
• The nurse should monitor for which condition as a complication of total parenteral nutrition (TPN)?
• A nurse is preparing to administer a bolus enteral feeding to a client who has a gastrostomy tube. Which action should the nurse take first?
• What is the correct amount of water to flush the NG/tube every 4 hours during continuous enteral feeding?
• Which food choice should a client with a history of pancreatitis avoid?
• What dietary pattern is recommended for pancreatitis?
• Which statement best describes a mechanical bowel obstruction?
• How often should residual be checked during bolus tube feeding?
• In the first year of life, what happens to the infant's growth?
• During ERCP stone extraction, lithotripsy is used for which situation?
• Why is controlled insufflation and suction important during endoscopy?
• In the management of delayed post-polypectomy bleeding in the endoscopy suite, which approach is commonly used to achieve hemostasis?
• Which position is recommended for a patient with an NG tube to reduce the risk of aspiration?
• What is the first step in endoscope reprocessing to prevent cross-contamination?
• Capsule endoscopy is not suitable in which scenario?
• Which test screens for developmental delays in young children?
• Which statement is correct regarding the temperature of bolus feeding solutions?
• Which factor contributes to ascites in cirrhosis?
• Which of the following is NOT a domain of the Denver Developmental Screening Test?
• A postoperative client with a NG tube that has drained 2500 mL in 6 hours should be monitored for which electrolyte imbalance?
• To estimate the appropriate insertion depth of an NG tube in an adult, measure from the tip of the nose to which landmark?
• For continuous enteral feedings, which action should the nurse plan to take?
• Which risk-stratification tool is commonly used to assess bleeding risk and determine endoscopy urgency in upper GI bleeding?
• Which action supports accurate monitoring of a child's nutrition in at-risk infants?
• A nurse is reinforcing infant nutrition teaching. Which statement indicates understanding?
• How should iodine-based contrast reactions be managed during radiologic endoscopy or ERCP?
• What is double-balloon enteroscopy and when is it used?
• Which patient position is recommended during bolus feeding?
• Which treatment reduces ammonia in hepatic encephalopathy?
• Which of the following is NOT a major ERCP complication?
• What test do doctors use to show developmental delays?
• Which of the following is an anatomic landmark used to orient during colonoscopy to confirm cecal intubation?
• What is a major consequence of poor bowel prep during colonoscopy?
• What defines a complete colon examination during colonoscopy?
• Which lab value best reflects the liver's synthetic function?
• Which statement describes the typical initial management of acute pancreatitis?
• What EUS features suggest malignant versus benign submucosal lesions?