NCLEX CRUSADE ACADEMY TEST - 14 GASTROINTESTINAL DISORDERS

1. A patient presents with acute, unprovoked abdominal pain without traum. What condition should the nurse suspect? A. Chronic gastritis. Surgical abdomen. Peptic ulcer disease. Irritable bowel syndrome.

2. What is the primary nursing goal when managing patients with acute abdominal emergencies?. Promote appetite. Prevent dehydration. Prevent peritonitis and septic shock. Encourage ambulation.

3. Pain that begins around the umbilicus and later localizes to the right lower quadrant suggests which condition?. Diverticulitis. Pancreatitis. Appendicitis. Cholecystitis.

4. What assessment finding is associated with rebound tenderness in appendicitis?. Pain during inhalation. Pain when abdominal pressure is released. Pain only when coughing. Pain during swallowing.

5. Rovsings sign is positive when: Palpation of the RLQ causes LLQ pain. Palpation of the LLQ causes RLQ pain. Pain radiates to the back. The patient cannot pass gas.

6. Which pre operative intervention is essential for a patient suspected of appendicitis?. High fiber diet. Heat application. Strict NPO status. Enemas.

7. Which intervention is contraindicated in suspected appendicitis?. Ice packs. NPO status. Heating pad. IV fluids.

8. Sudden relief of appendicitis pain followed by severe generalized abdominal pain indicates: Recovery. Appendiceal rupture. Gastritis. Ileus.

9. Which is the most common cause of small bowel obstruction (SBO)?. Infection. Adhesions from prior surgery. Viral illness. Gallstones.

10. A hallmark sign of small bowel obstruction is: Ability to pass gas. Severe diarrhea. Inability to pass stool or gas. Hyperactive urination.

11. What abdominal sound is typically heard early in small bowel obstruction?. Absent bowel sounds. Hypoactive bowel sounds. High pitched bowel sounds. Normal bowel sounds.

12. What is the priority intervention for decompression in SBO?. Enema. NG tube insertion. Oral laxatives. High fiber diet.

13. Which medication class should generally be avoided in SBO?. Antibiotics. Opioids. Antiemetics. IV fluids.

14. Diverticulosis refers to: Infection of diverticula. Herniation of intestinal mucosa. Colon cancer. Inflammation of pancreas.

15. Diverticulitis is best described as: Asymptomatic diverticula. Viral infection. Inflamed or infected diverticula. Autoimmune colon disease.

16. Severe LLQ pain, fever, and chills are most consistent with: Appendicitis. Diverticulitis. SBO. Pancreatitis.

17. During acute diverticulitis, which diet is appropriate?. High fiber. High fat. Clear liquid or NPO. Regular diet.

18. Which medication type is used in diverticulitis treatment?. Antibiotics. Antidepressants. Antivirals. Diuretics.

19. The most specific lab indicator for pancreatitis is: Hemoglobin. Lipase. Potassium. Sodium.

20. Pancreatitis pain typically occurs in which location?. Right lower quadrant. Epigastric radiating to the back. Left flank. Pelvic region.

21. Which positioning helps relieve pancreatitis pain?. Supine. Trendelenburg. Fetal position. Standing.

22. What diet is recommended initially for pancreatitis?. High protein. Strict NPO. High fiber. High fat.

23. Cullens sign indicates: Umbilical bruising. RLQ tenderness. Flank pain. Intestinal bleeding.

24. Turners sign refers to: Chest bruising. Flank bruising. Neck bruising. Leg bruising.

25. Peritonitis is characterized by which clinical finding?. Soft abdomen. Board like rigid abdomen. Mild discomfort. No pain.

26. Which symptom combination strongly suggests peritonitis?. Mild pain and diarrhea. Fever, tachycardia, severe abdominal pain. Headache and nausea. Hypertension and cough.

27. What is the priority treatment for peritonitis?. Oral antibiotics. Bed rest. Immediate surgical intervention and IV antibiotics. Antacids.

28. According to NCLEX prioritization strategy, which action should be chosen when multiple correct interventions exist?. The fastest intervention. The umbrella action that includes others. The least invasive. The cheapest option.

29. In emergency prioritization, Maslows hierarchy suggests focusing on: Psychosocial needs first. Physiological survival needs. Self actualization. Emotional comfort.

30. Which intervention would be inappropriate for suspected appendicitis according to NCLEX exam strategy?. NPO status. IV fluids. Deep abdominal palpation. Preparing for surgery.