ATI LPN
Questions for Review of Systems Gastrointestinal Questions
Question 1 of 5
The diagnosis of hemochromatosis involves all of the following except
Correct Answer: D
Rationale: Slit lamp examination is performed when there is clinical suspicion of Wilson's disease. All the other markers are used in the diagnosis. Transferrin saturation is the ideal screening test, since serum ferritin is an acute phase reactant and therefore may be elevated nonspecifically. However, the gold standard for diagnosis is liver biopsy with iron quantitation. Genetic mutations (i.e., C282Y and H63D) may be seen in approximately $85 \%$ of patients with hemochromatosis and therefore is not a good test to screen for hemochromatosis.
Question 2 of 5
A patient with a history of PUD is experiencing severe, sharp, and sudden abdominal pain. What is the nurse's immediate action?
Correct Answer: B
Rationale: Sudden, severe pain may indicate a perforation, a medical emergency requiring immediate physician intervention to prevent complications like peritonitis.
Question 3 of 5
When monitoring a patient with PUD, what is a key indicator of gastrointestinal perforation?
Correct Answer: B
Rationale: Sudden, sharp abdominal pain is a key sign of perforation, indicating a breach in the stomach or duodenal wall requiring urgent attention.
Question 4 of 5
Which symptom is most likely to occur with a duodenal ulcer rather than a gastric ulcer?
Correct Answer: A
Rationale: Duodenal ulcer pain is typically relieved by eating due to buffering of acid, unlike gastric ulcers where pain often worsens with food.
Question 5 of 5
In managing PUD, why is it important for patients to avoid eating spicy foods?
Correct Answer: A
Rationale: Spicy foods stimulate gastric acid secretion, exacerbating PUD symptoms and delaying healing.