This document contains 35 multiple choice questions about the gastrointestinal system. The questions cover topics like abdominal pain classification, cystic fibrosis symptoms, alcoholic cirrhosis causes, portal hypertension obstruction sites, Kwashiorkor causes, hepatitis types, pediatric diarrhea risks, hernia types, NSAID ulcer causes, pancreatitis pain locations, esophagus cancer risk factors, Hirschsprung's disease complications, atherosclerosis in the elderly, portal hypertension bleeding sites, peptic ulcer disease causes, pyloric stenosis signs, alcoholic cirrhosis autopsy findings, hepatic encephalopathy causes, common upper GI bleeding disorders, cow's milk intolerance in infants, gallstone jaundice presentation, necrotizing enterocolitis in

1. Nurs6501 week 8 quiz latest 2017
Walden NURS6501 Week 8 Quiz latest 2017Question 1A 40-year-old female presents
complaining of pain near the midline in the epigastrium. Assuming the pain is caused by a
stimulus acting on an abdominal organ, the pain felt is classified as:a. Visceralb. Somaticc.
Parietald. ReferredQuestion 2An 8-week-old male was recently diagnosed with cystic
fibrosis. Which of the following digestive alterations would be expected?a. Insufficient bile
productionb. Gastric atrophyc. Hypersecretion of stomach acidd. Nutrient
malabsorptionQuestion 3In alcoholic cirrhosis, hepatocellular damage is caused by:a.
acetaldehyde accumulation.b. bile toxicity.c. acidosis.d. fatty infiltrations.Question 4Where
does the nurse expect the obstruction to be in a patient with extrahepatic portal
hypertension?a. Sinusoidsb. Bile ductsc. Hepatic portal veind. Hepatic arteryQuestion
5Kwashiorkor is a severe dietary deficiency of:a. fat-soluble vitamins.b. carbohydrates.c.
protein.d. calcium and magnesium.Question 6A 27-year-old male presents with fever, GI
bleeding, hepatomegaly, and transient joint pain. He reports that as a child he received
blood transfusions following a motor vehicle accident. He also indicates he was vaccinated
against hepatitis B. Which of the following types of hepatitis does the clinician think he most
likely has?a. Ab. Bc. Cd. DQuestion 7Prolonged diarrhea is more serious in children than
adults because:a. children have lower adipose reserves.b. fluid reserves are lower in
children.c. children have a lower metabolic rate.d. children are more resistant to
antimicrobial therapy.Question 8A 40-year-old male develops an intestinal obstruction
related to protrusion of the intestine through the inguinal ring. This condition is referred to
as:a. Intussusceptionb. A volvulusc. A herniad. AdhesionsQuestion 9A 60-year-old male
presents with GI bleeding and abdominal pain. He reports that he takes NSAIDs daily to
prevent heart attack. Tests reveal that he has a peptic ulcer. The most likely cause of this
disease is:a. Increasing subepithelial bicarbonate productionb. Accelerating the H+ (proton)
pump in parietal cellsc. Inhibiting mucosal prostaglandin synthesisd. Stimulating a shunt of
mucosal blood flowQuestion 10Acute pancreatitis often manifests with pain to which of the
following regions?a. Right lower quadrantb. Right upper quadrantc. Epigastricd.
SuprapubicQuestion 11A 60-year-old male is diagnosed with cancer of the esophagus.
Which of the following factors most likely contributed to his disease?a. Reflux esophagitisb.
Intestinal parasitesc. Ingestion of salty foodsd. Frequent use of antacidsQuestion 12The
primary complication of enterocolitis associated with Hirschsprung disease is related to
which finding?a. Fecal impactionb. Pancreatic insufficiencyc. Hyperactive peristalsisd. Ileal
atresiaQuestion 13The most common cause of chronic vascular insufficiency among the

2. elderly is:a. Anemiab. Aneurysmc. Lack of nutrition in gut lumend. AtherosclerosisQuestion
14The most common clinical manifestation of portal hypertension is _____ bleeding.a.
rectalb. duodenalc. esophageald. intestinalQuestion 15A 54-year-old male is diagnosed with
peptic ulcer disease.This condition is most likely caused by:a. Hereditary hormonal
imbalances with high gastrin levelsb. Breaks in the mucosa and presence of corrosive
secretionsc. Decreased vagal activity and vascular engorgementd. Gastric erosions related
to high ammonia levels and bile refluxQuestion 16The cardinal sign of pyloric stenosis
caused by ulceration or tumors is:a. Constipationb. Diarrheac. Vomitingd.
HeartburnQuestion 17A 55-year-old male died in a motor vehicle accident. Autopsy
revealed an enlarged liver caused by fatty infiltration, testicular atrophy, and mild jaundice
secondary to cirrhosis. The most likely cause of his condition is:a. Bacterial infectionb. Viral
infectionc. Alcoholismd. Drug overdoseQuestion 18Manifestations associated with hepatic
encephalopathy from chronic liver disease are the result of:a. hyperbilirubinemia and
jaundice.b. fluid and electrolyte imbalances.c. impaired ammonia metabolism.d. decreased
cerebral blood flow.Question 19The most common disorder associated with upper GI
bleeding is:a. diverticulosis.b. hemorrhoids.c. esophageal varices.d. cancer.Question 20A 3-
month-old female develops colicky pain, abdominal distention, and diarrhea after drinking
cow’s milk. The best explanation for her symptoms is:a. Deficiency of bile that stimulates
digestive secretions and bowel motilityb. Excess of amylase, which increases the breakdown
of starch and causes an osmotic diarrheac. Overgrowth of bacteria from undigested fat
molecules, which leads to gas formation and de creased bowel motilityd. Excess of
undigested lactose in her digestive tract, resulting in increased fluid movement into the
digestive lumen and increased bowel motilityQuestion 21A 55-year-old female has general
symptoms of gallstones but is also jaundiced. IV cholangiography would most likely reveal
that the gallstones are obstructing the:a. Intrahepatic bile canaliculib. Gallbladderc. Cystic
ductd. Common bile ductQuestion 22A 1-week-old female is brought to her pediatrician for
abdominal distention and unstable temperature. Physical examination reveals bradycardia
and apnea. Tests reveal hypoxic injury to the bowel resulting in bacterial invasion and
perforation. This condition is referred to as:a. Infective enteropathyb. Necrotizing
enterocolitis (NEC)c. Mucoviscidosisd. IleusQuestion 23For the patient experiencing
esophageal reflux, the nurse would expect which sphincter to be malfunctioning?a. Pyloricb.
Lower esophagealc. Upper esophageald. GastricQuestion 24Cholecystitis is inflammation of
the gallbladder wall usually caused by:a. accumulation of bile in the hepatic duct.b.
obstruction of the cystic duct by a gall-stone.c. accumulation of fat in the wall of the
gallbladder.d. viral infection of the gallbladder.Question 25A 6-month-old male infant is
brought to the ER after the sudden development of abdominal pain, irritability, and
vomiting followed by passing of “currant jelly” stool. Ultrasound reveals intestinal
obstruction in which the ileum collapsed through the ileocecal valve and invaginated into
the large intestine. This type of obstruction is referred to as:a. Prolapseb. Pyloric stenosisc.
Intussusceptiond. ImperforationQuestion 26A 22-year-old male underwent brain surgery to
remove a tumor. Following surgery, he experienced a peptic ulcer. His ulcer is referred to as
a(n) _____ ulcer.a. Infectiousb. Cushingc. Ischemicd. CurlingQuestion 27Chronic gastritis is
classified according to the:a. severity.b. location of lesions.c. patient’s age.d. signs and

3. symptoms.Question 28Reflux esophagitis is defined as a(n):a. Immune response to
gastroesophageal refluxb. Inflammatory response to gastroesophageal refluxc. Congenital
anomalyd. Secretory response to hiatal herniaQuestion 29The cardinal signs of small bowel
obstruction are:a. Vomiting and distentionb. Diarrhea and excessive thirstc. Dehydration
and epigastric paind. Abdominal pain and rectal bleedingQuestion 30The nurse assessing
the patient with biliary atresia would expect to find which primary clinical manifestation?a.
Anemiab. Jaundicec. Hypobilirubinemiad. AscitesQuestion 31A 20-year-old male was
recently diagnosed with lactose intolerance. He eats an ice cream cone and develops
diarrhea. His diarrhea can be classified as _____ diarrhea.a. Motilityb. Hypotonicc. Secretoryd.
OsmoticQuestion 32Which of the following symptoms would help a health care provider
distinguish between ulcerative colitis and Crohn disease?a. Pattern of
remission/exacerbationsb. Abdominal painc. Malabsorptiond. DiarrheaQuestion 33A 45-
year-old male complains of heartburn after eating and difficulty swallowing. He probably
has:a. Pyloric stenosisb. Hiatal herniac. Gastric cancerd. AchalasiaQuestion 34The exocrine
portion of the pancreas contains:a. alpha cells.b. beta cells.c. acinar cells.d. islets of
Langerhans.Question 35Outbreaks of hepatitis _____ often occur in young children attending
day care centers and can be attributed to poor hand washing.a. Ab. Bc. Cd. D