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 Question 11 A male patient admitted with a gastrointestinal bleed and a hematocrit level of 40% receives fluid resuscitation. In a few hours, the hematocrit level drops to 32%. How should the nurse evaluate this finding? 1. It is very likely that this patient has underlying renal disease. 2. There must be an undiagnosed second site of bleeding. 3. The patient is experiencing hemodilution caused by fluid resuscitation. 4. Efforts to stop the bleeding have not been successful. Question 12 A patient with liver disease has a decline in his previously elevated urobilinogen levels. The nurse would anticipate further testing for which condition? 1. Overhydration 2. Gastrointestinal bleeding 3. Worsening of the liver failure 4. Protein catabolism Question 13 A patient was admitted with acute abdominal and back pain. Which test results would the nurse evaluate as indicating additional testing for acute pancreatitis is likely? 1. Secretin stimulation test 2. Hematocrit level 3. Hemoglobin level 4. Serum lipase level 5. Amylase Question 14 A patient has just received an upper GI series diagnostic test. What nursing intervention is indicated? 1. Keep on bed rest for 6 hours postprocedure. 2. Monitor urine output. 3. Administer the prescribed cathartic. 4. Keep the patient on nothing by mouth status. Question 15 A patient is admitted with acute abdominal pain. Which preexisting conditions would prevent this patient from having a nuclear scan to diagnose the cause of the abdominal pain? 1. The patient is being treated for congestive heart failure. 2. The patient has severe rheumatoid arthritis. 3. The patient had an appendectomy 6 months ago. 4. The patient has bilateral titanium hip replacements 5. The patient had a similar scan done last week. Question 16 The nurse is assessing a patient admitted with acute abdominal pain. Which information would the nurse associate with changes in the gastrointestinal system? 1. The patient is taking more of the proton pump inhibitor than is typically indicated for gastroesophageal reflux. 2. The patient reports that his mother was just diagnosed with renal failure. 3. The patient reports an itchy red rash over his thigh that has been present for several weeks. 4. The patient works as an insurance agent. 5. The patient often repeats himself and seems confused at times. Question 17 The nurse has completed the focused history for a patient admitted with acute abdominal pain. How should the nurse continue with the assessment? 1. Palpate for abdominal masses or tenderness. 2. Auscultate for bowel sounds. 3. Inspect the abdomen. 4. Percuss for abdominal tones. Question 18 A patient is in congestive heart failure due to damage from a myocardial infarction. Which gastrointestinal manifestation would the nurse expect on assessment? 1. Severe stomach cramping 2. Decreased bowel sounds 3. Enlargement of the liver 4. Esophageal reflux Question 19 A patient will undergo an elastase test for pancreatic function. The nurse will collect which sample? 1. Stool 2. Serum 3. Saliva 4. Urine Question 20 A patient is scheduled to have sublingual capnometry. How would the nurse explain the purpose of this test? 1. This test will help us learn about the blood flow to your gastrointestinal organs. 2. This test will monitor the acidity of your gastric acids. 3. This test will determine if your pancreas if functioning. 4. This test will help us determine if you have an infection in your gastrointestinal tract.