Advanced Gastrointestinal and Reproductive Systems Nursing Assessment

Code: NURS320GI/REPROEX2

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Which organism causes multiple GI disorders? (Answer: H. pylori)
What condition causes bile reflux and heartburn? (Answer: GERD)
What causes excessive uterine bleeding in DUB? (Answer: Hormone imbalance)
Risk factors for colorectal cancer? (Answer: History of colon polyps)

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Which condition is a risk factor for colorectal cancer?

A High fiber diet

(B) Alcoholism

History of colon polyps

(D) Diet low in animal fats and proteins

Exam Content

Page 29 of 50

Question 29

Which organism is responsible for multiple GI disorders?

A E. Coli

BH. Pylori

streptococcus

pseudomonas

Question 28

Obstruction of the cystic duct commonly causes:

A gastric ulcers

B cholecystitis

pancreatitis

D hepatitis

Question 27

Rectal examination of a patient with prostate cancer would find:

A a tender, soft prostate

B a soft, enlarged prostate

A hard, painless, unmovable prostate

Dan enlarged, tender, bloody prostate

Question 26

A patient with chronic liver disease develops a large fluid-filled abdomen. You understand that this condition is known as:

(A) Peritonitis

B Hepatorenal syndrome

C) Ascites

Viral hepatitis

Question 25

Esophageal varices can be described as:

Protrusion of the stomach through the diaphragmatic opening.

B Poor peristalsis of the esophageal.

Bleeding from dilated veins of the lower esophagus.

Indigestion and mid-upper gastric pain caused by food entrapment.

2 Points

Question 24

2 Points

A client complains of increased gas, heartburn, and the frequent belching of small amounts of bile. Which disorder is the likely cause of these symptoms?

A gastrointestinal bleeding

B gastritis

pancreatitis

D GERD (gastroesophageal reflux disease)

Question 23

Risk factors associated with the development of cholecystitis include:

A female gender

B thin body frame

increased progesterone intake

D male gender

Question 22

Which statement regarding appendicitis is correct?

A High-protein diets increase the risk of developing appendicitis.

B An inflamed appendix puts the patient at risk of developing gastric ulcers.

CAppendicitis causes the bowel to become obstructed and inflamed.

D Diagnosis is made with an upper GI series.

Question 21

Pathophysiology of Inflammatory Bowel Disease (IBD) includes:

A Bleeding from the gastric mucosa.

B Delayed emptying of the stomach.

Increased or decreased peristaltic waves of the bowel.

D Spontaneous rupture of the appendix.

Question 20

A disease where there is a displacement of uterine cells outside the uterus and over the ovaries is known as:

A) Candidiasis

B) Endometriosis

C) Amenorrhea

D) Pelvic Inflammatory Disease

Rectal hemorrhoids develop because of:

A excessive secretion of bile from the liver

B Venous stenosis of the descending colon

twisting of the large intestines

D increased venous pressure from straining during defecation

Question 18

Treatment of patients with diverticulosis includes:

A Administering antibiotics

B High carbohydrate diet

High fiber diet

(D) Colostomy

Question 17

The difference between primary and secondary dysmenorrhea is:

A Results from pelvic disorders such as endometriosis.

B It is a condition that begins a week or so before the onset of menses.

Inflammation that recurs within each cycle causes fibrous tissue development.

Primary dysmenorrhea has no associated pathology of the reproductive tract.

Question 16

Risk factors in the development of Fibrocystic Breast disease include:

A increased intake of caffeine

B moderate alcohol use.

Having small breasts.

D Having large breasts.

Menorrhagia can be described as:

A Short menstrual cycles of less than 3 weeks

B Excessive uterine blood loss.

C Absent or delayed menstrual cycles in teens.

Bleeding between menstrual cycles.

Pelvic inflammatory disease (PID) is described as:

A cancerous endometrial cells

B painful tumor formation of the uterus

irregular vaginal bleeding in the menopausal woman.

Da sexually transmitted, ascending infection of the vagina, uterus, fallopian tubes and ovaries

The disorder when one of the male testes fails to descend into the normal position in the scrotum is called:

A) Hypospadias

B) Hydrocele

D Prostatitis

Which condition is related to Ulcerative Colitis?

A It is a risk factor for gastric ulcerations

B It is characterized by “skip lesions.”

Caused by a chronic intake of aspirin, spicy foods, and non-steroidal anti-inflammatory drugs (NSAIDs).

(D) Can lead to colon cancer

Hepatitis A is transmitted by

A Person-to-person contact, fecal contamination of food/water

B Blood or body fluids

C) Sexually transmitted

IV Needles

A condition in men often caused by untreated hypertension or as a side effect of certain medications is:

A Chlamydia

B Cystitis

Benign Prostatic Hyperplasia

D Erectile Dysfunction

Question 9

After examining a client’s penis, the nurse confirms Peyronie’s disease in the client. Which finding supports the nurse’s

confirmation?

A Excessive growth of the prostate gland

B Presence of a curved penis

Small intrascrotal testes

D Dilatation of the veins within the scrotum

Question 8

Which statement regarding endometriosis is true?

A It can develop into malignant tissue.

B A backflow of endometrial tissue causes it to go through the fallopian tubes.

Women who take hormone therapy for birth control are at greater risk for developing the disease.

D The amount of pain experienced increased during menopause.

2 Points

Question 7

2 Points

A client, after gastric bypass surgery, is unable to absorb essential nutrients and becomes malnourished. You identify that this client has:

(A) Ulcerative colitis

B Malabsorption syndrome

Peptic ulcer disease

D Crohn’s disease

Dysfunctional Uterine Bleed (DUB) is caused by:

hormone imbalance

B prolapsed uterus

collapsing uterine endometrium

D) uterine inflammation

Question 6

Dysfunctional Uterine Bleed (DUB) is caused by:

A hormone imbalance

B prolapsed uterus

collapsing uterine endometrium

(D) uterine inflammation

Question 5

Which diagnostic test will be used to confirm Crohn’s disease?

A Upper GI Series

B Complete blood count

Colonoscopy

D Urinalysis

Advanced Gastrointestinal and Reproductive Systems Nursing Assessment – Spring 2025

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