The Gastrointestinal System and | Ch.21 | Complete Test Bank

Chapter 21

The Gastrointestinal System and Related Care

Multiple Choice Questions

1. A client with a nasogastric tube begins to gag. You should:

A) remove the tube and begin suctioning.

B) begin suctioning.

C) call for your immediate supervisor.

D) remove the tube.

LO#6-Identify the extent of the personal care provider’s role in helping with feeding tubes.

2. When checking for fecal impactions, the personal care provider should:

A) insert a gloved, lubricated finger into the anus

B) remove the fecal material

C) administer pain medication first

D) position the client on their right side

LO#4-Identify the extent of the personal care provider’s role in assisting with different types of rectal treatments.

3. A client about to receive an enema complains and appears to be very upset. You should:

A) tell the client you will return in one hour

B) report this to your immediate supervisor

C) wait and report this to the doctor

D) go ahead with the enema

LO#4-Identify the extent of the personal care provider’s role in assisting with different types of rectal treatments.

4. A client complains that he/she is having cramp-like pains after the start of an enema. You should:

A) rapidly increase the flow.

B) tell him/her this is normal and continue.

C) stop the flow until the pain goes away.

D) get your immediate supervisor.

LO#4-Identify the extent of the personal care provider’s role in assisting with different types of rectal treatments.

5. For receiving an enema, the adult client should be placed in the ________ position.

A) Harris

B) Fowler's

C) Trendelenberg

D) Sims'

LO#4-Identify the extent of the personal care provider’s role in assisting with different types of rectal treatments.

6. When a client has a nasogastric tube in place, you should

A) keep the place of insertion clean and free from mucous deposits.

B) when changing the client's gown, unfasten the connecting tubing from the gown, to prevent pulling on the tube.

C) never pull on the tube when moving the client or when changing the client's position.

D) all of the above

LO#6-Identify the extent of the personal care provider’s role in helping with feeding tubes.

7. One of the major differences between the oil retention enema and the ready-to-use cleansing enema is that the

A) a cleansing enema is given in three stages.

B) clients should hold the cleansing enema solution for 10 to 20–minutes.

C) an oil retention enema is given in three stages.

D) clients should hold the oil retention enema solution for 10 to 20–minutes.

LO#4-Identify the extent of the personal care provider’s role in assisting with different types of rectal treatments.

8. When giving a client a Harris flush (return flow enema)

A) completely empty the bag and allow to return.

B) completely empty the enema bag and allow to drain.

C) release 100 mL of fluid and allow to return.

D) release 200 ML of fluid and allow to return.

LO#4-Identify the extent of the personal care provider’s role in assisting with different types of rectal treatments.

9. The left Sims' position

A) is recommended for treatment of backache.

B) facilitates giving an enema.

C) makes it easier for the client to breathe.

D) is used for prevention of intestinal cramps.

LO#4-Identify the extent of the personal care provider’s role in assisting with different types of rectal treatments.

10. During a cleansing enema, the client is covered by a

A) blanket and bath sheet.

B) top sheet and bath blanket.

C) top sheet only.

D) bath blanket only.

LO#4-Identify the extent of the personal care provider’s role in assisting with different types of rectal treatments.

11. Which of the following are ways to avoid/prevent constipation?

A) Drink fluids to stay hydrated.

B) Eat bulk-forming foods such as fruit and grains.

C) Be physically active.

D) all of the above

12. Example(s) of enemas other than a soapsuds enema are:

A) Harris flush.

B) tap water.

C) oil retention.

D) all of the above

LO#4-Identify the extent of the personal care provider’s role in assisting with different types of rectal treatments.

13. Which statement about ostomies is NOT true?

A) An ostomy changes a person’s body.

B) Clients often go through the grieving process after receiving any type of ostomy.

C) No one can provide emotional support to a client after an ostomy.

D) Anxiety and fear are common responses to ostomies.

LO#5-Differentiate between the different types of ostomies, and discuss the emotional impact of ostomies for clients.

14. The normal colour of a stoma is

A) red.

B) black.

C) pink.

D) bluish.

LO#5-Differentiate between the different types of ostomies, and discuss the emotional impact of ostomies for clients.

15. When assisting a client to empty his/her stoma pouch, you should

A) make them do it all by themselves.

B) wear gloves.

C) do it for them.

D) all of the above

LO#5-Differentiate between the different types of ostomies, and discuss the emotional impact of ostomies for clients.

16. Which of the following may irritate the skin around the stoma?

A) soap

B) urine

C) stool

D) all of the above

LO#5-Differentiate between the different types of ostomies, and discuss the emotional impact of ostomies for clients.

17. The jejunum is the:

A) second section of the small intestine measuring approximately 2.5 metres (8 feet) in length

B) third section of the small intestine measuring approximately 3.5 metres (11 feet) in length

C) lowest portion of the large intestine

D) ring-shaped muscle that surrounds and controls a natural opening in the body

LO#1-Identify the major components of the gastrointestinal system and their roles in the digestive process.

18. Peristalsis is known as:

A) a soupy mixture of food particles that exits the stomach

B) the rhythmic wave of contractions and relaxations

C) the movement of tiny food particles through the wall of the digestive tract
D) thousands of tiny, finger-like projections

LO#1-Identify the major components of the gastrointestinal system and their roles in the digestive process.

19. As a person ages, which change occurs in the gastrointestinal system?

A) the flow of saliva increases
B) the number of taste buds increases
C) reduced secretion of digestive juices
D) a stronger gag reflex

LO#2-Describe strategies for supporting clients experiencing age-related changes to the gastrointestinal system.

20. Which statement is true regarding the client’s gastrointestinal system?
A) the rate of peristalsis increases

B) feces move through the large intestine faster

C) decreased water reabsorption in the large intestine
D) the longer feces remain in the large intestine, the drier they become

LO#2-Describe strategies for supporting clients experiencing age-related changes to the gastrointestinal system.

21. The pyloric sphincter:

A) is located between the esophagus and the stomach.

B) is a two-way entrance
C) prevents the movement of food from the esophagus to the stomach
D) is located between the pharynx and the stomach

LO#3-Explain the care required by clients with common diseases and disorders of the gastrointestinal system.

23. Regarding inflammatory bowel disease:

A) it may be cured by medication administration

B) inflammation associated with ulcerative colitis occurs in the ileum only

C) for Crohn’s disease, the most commonly affected location is the jejunum

D) Ulcerative colitis only affects the inner layer of the intestinal wall

LO#3-Explain the care required by clients with common diseases and disorders of the gastrointestinal system.

True/False Questions

1. The liver has only one important responsibility, which is manufacturing bile.

LO#1-Identify the major components of the gastrointestinal system and their roles in the digestive process.

2. The ascending colon, the transverse colon, the descending colon, the rectum, and the anus make up the small intestine.

LO#1-Identify the major components of the gastrointestinal system and their roles in the digestive process.

3. Stomas are a treatment for Crohn's disease.

LO#5-Differentiate between the different types of ostomies, and discuss the emotional impact of ostomies for clients.

4. Stomas are a permanent surgical procedure.

LO#5-Differentiate between the different types of ostomies, and discuss the emotional impact of ostomies for clients.

5. The personal care provider needs to report the color, size, and amount of drainage from a stoma and pouch.

LO#5-Differentiate between the different types of ostomies, and discuss the emotional impact of ostomies for clients.

6. Because metabolism rates decrease with age, older adults require more calories

LO#2-Describe strategies for supporting clients experiencing age-related changes to the gastrointestinal system.

7. As clients age, feces move through the large intestine more slowly, allowing increased water reabsorption

LO#2-Describe strategies for supporting clients experiencing age-related changes to the gastrointestinal system.

8. Risk factors for developing gastroesophageal reflux disease include being overweight, smoking, and alcohol consumption

LO#3-Explain the care required by clients with common diseases and disorders of the gastrointestinal system.

9. The inflammation that is characteristic of inflammatory bowel disease is also present with irritable bowel syndrome

LO#3-Explain the care required by clients with common diseases and disorders of the gastrointestinal system.

10. Many health-care facilities have a policy of warming the prepackaged, ready-to-use enema.

LO#4- Identify the extent of the personal care provider’s role in assisting with different types of rectal treatments.

11. When administering a cleansing enema, the personal care provider should fill the graduated pitcher with 1000 millilitres (34 fluid ounces) of water at 40.5°C (105°F).

LO#4- Identify the extent of the personal care provider’s role in assisting with different types of rectal treatments.

12. A nasogastric tube (NG tube) is inserted through an opening made through the abdomen to the stomach.

LO#6-Identify the extent of the personal care provider’s role in helping with feeding tubes.

13. If a client is receiving enteric feedings, the personal care provider must remember that for adults, the tube must be flushed with 40 millilitres (1.35 fluid ounces) of water before and after the feeding or every 8 hours

LO#6-Identify the extent of the personal care provider’s role in helping with feeding tubes.