Labeling feeding tubing at both ends and tracing every line back to its source helps prevent tubing misconnections.
Correct Answer
True
True. Connecting an enteral line to an IV port can be fatal, so lines are labeled at both ends, traced to their origin at every reconnection, and rechecked at handoff. Devices are never modified to make them fit.
Category: Nutrition Support
Question 2
Checking gastric residual volume often helps keep feeding tubes from clogging.
Correct Answer
False
False. Aspirating for residual volume is a cause of clogging, because acidic stomach contents can make formula protein clump inside the tube. Limiting residual checks and flushing with water before and after feedings and medications prevent clogs.
Category: Nutrition Support
Question 3
Water is the first choice for clearing a clogged feeding tube.
Correct Answer
True
True. Water is tried first; if it fails, second-line options include a pancreatic enzyme solution, an enzymatic declogging kit or a mechanical clearing device.
Category: Nutrition Support
Question 4
Parenteral nutrition with a high dextrose concentration is usually given through a small peripheral vein because it is gentle on vessel walls.
Correct Answer
False
False. Concentrated dextrose irritates small veins and can cause chemical phlebitis, so parenteral nutrition usually runs through a large central vein such as the subclavian or internal jugular. Peripheral parenteral nutrition is reserved for short-term support.
Category: Nutrition Support
Question 5
Patients hospitalized with anorexia nervosa may need supervised meals and suicide precautions.
Correct Answer
True
True. These patients are often medically unstable with electrolyte imbalances and can be at increased risk of self-harm. Nurses supervise feedings, follow facility suicide precautions and work closely with psychiatry and the dietitian.
Category: Nutritional Disorders
Question 6
Early oral cancer usually causes severe pain that prompts patients to seek care quickly.
Correct Answer
False
False. Patients are usually otherwise symptom-free, which delays diagnosis. A mouth sore or patch that does not heal, a lump, or trouble chewing or swallowing should be evaluated.
Category: Oral Cavity Disorders
Question 7
Teaching for a patient with a temporomandibular disorder includes avoiding hard foods and applying heat or cold to the jaw.
Correct Answer
True
True. Self-care for temporomandibular disorders includes avoiding hard foods and gum chewing, reducing jaw clenching, applying heat or cold, gentle jaw stretches and stress management to reduce grinding.
Category: Oral Cavity Disorders
Question 8
Barrett esophagus is considered precancerous because it raises the risk of esophageal adenocarcinoma.
Correct Answer
True
True. In Barrett esophagus, chronic reflux injury causes the esophageal lining to change to cells that resemble intestinal cells. This change increases the risk of adenocarcinoma, so reflux is controlled and the patient is followed with endoscopy.
Category: Upper GI Disorders
Question 9
Chronic gastritis usually produces severe epigastric pain that brings patients in for care.
Correct Answer
False
False. Chronic gastritis, most often caused by Helicobacter pylori, is usually asymptomatic. Acute gastritis is the form that causes epigastric pain, nausea and vomiting.
Category: Upper GI Disorders
Question 10
An enema should not be given when bowel perforation is suspected.
Correct Answer
True
True. Fluid forced into a perforated bowel could spread contents into the peritoneal cavity. Enemas are also avoided in fluid and electrolyte imbalance, some cardiac conditions and immunocompromise.
Category: Lower GI Disorders
Question 11
Every patient with suspected irritable bowel syndrome needs a colonoscopy to confirm the diagnosis.
Correct Answer
False
False. Irritable bowel syndrome is diagnosed mainly from a focused history of recurrent abdominal pain related to defecation and a change in stool frequency or form. Testing is reserved for alarm features such as rectal bleeding, iron deficiency or weight loss.
Category: Lower GI Disorders
Question 12
Stress management is part of care for inflammatory bowel disease because stress can worsen its symptoms.
Correct Answer
True
True. Inflammatory bowel disease is a chronic inflammatory disorder of the GI tract with flares and remissions. Stress can trigger or intensify symptoms, so the nurse teaches stress management along with diet and medication adherence.
Category: Inflammatory Bowel Disease
Question 13
After the intestinal lining heals, a patient with celiac disease can safely return to eating gluten.
Correct Answer
False
False. Celiac disease requires a strict gluten-free diet for life. Eating gluten restarts the immune attack on the villi and raises the risk of malabsorption, anemia, bone loss and cancer.
Category: Lower GI Disorders
Question 14
Cirrhosis can be cured once its cause, such as alcohol use, is removed.
Correct Answer
False
False. The scarring of cirrhosis is not reversible. Treating the cause, such as stopping alcohol or suppressing viral hepatitis, can slow progression, and transplantation is the treatment of choice for end-stage liver disease.
Category: Liver Disease
Question 15
Hepatitis can be caused by alcohol, medications, toxins or autoimmune disease as well as by viruses.
Correct Answer
True
True. Viral hepatitis is common, but nonviral hepatitis results from heavy alcohol use, drugs such as an acetaminophen overdose, toxins or an autoimmune attack on the liver. Identifying the cause guides treatment.
Category: Liver Disease
Question 16
After a liver transplant, immunosuppressant drugs can be stopped once the new liver is working well.
Correct Answer
False
False. Immunosuppression is lifelong to prevent graft rejection. Because it raises the risk of infection, patients avoid unpasteurized milk, untreated water and raw or undercooked foods.
Category: Liver Disease
Question 17
A patient with acute cholecystitis is often kept NPO with IV fluids at first to rest the gallbladder.
Correct Answer
True
True. Withholding food reduces stimulation of the gallbladder and lets inflammation settle, while IV fluids prevent volume loss. Surgery to remove the stone or gallbladder is the recommended treatment.
Category: Biliary and Pancreatic Disorders
Question 18
Blood glucose monitoring is unnecessary in acute pancreatitis because the pancreas plays no role in glucose control.
Correct Answer
False
False. The inflamed pancreas may not release enough insulin, so blood glucose can rise. Glucose is monitored along with fluids, electrolytes and respiratory status.
Category: Biliary and Pancreatic Disorders
Question 19
A person with a colostomy cannot feel or voluntarily control when stool passes through the stoma.
Correct Answer
True
True. The stoma has no sphincter and no sensory nerves for defecation, so output is collected in a pouch. Some patients with a descending or sigmoid colostomy use irrigation to train regular emptying.
Category: Ostomy Care
Question 20
A person with an ostomy must remove the pouch before swimming or showering.
Correct Answer
False
False. Pouching systems are made to stay on in water, so patients can shower and swim while wearing them. The pouch is changed when it leaks, smells, or causes itching or burning under the barrier.
Category: Ostomy Care