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Kuwait MOH Gastrointestinal & Hepatic Nursing Practice Questions

What this topic covers

GI bleeding, bowel obstruction, liver disease, pancreatitis, enteral feeding, stomas and post-operative GI care.

Free Kuwait MOH gastrointestinal & hepatic nursing questions

1. A patient with Crohn's disease is receiving long-term corticosteroids. Which teaching point is most important?
  1. Do not stop the medication suddenly
  2. Take the medication on an empty stomach
  3. Increase intake of foods high in sodium
  4. Stop the medication once diarrhoea settles
Show answer and rationale

Answer: A. Do not stop the medication suddenly

Stopping long-term corticosteroids abruptly can cause adrenal insufficiency, so they must be tapered as prescribed. They should be taken with food to reduce gastric irritation.

Reference: Standard nursing pharmacology – corticosteroids

2. Which type of stoma output is expected from a patient with an ileostomy?
  1. Formed, solid stool once a day
  2. Dry, hard stool every 2–3 days
  3. No output for the first two weeks
  4. Liquid to semi-liquid output that is continuous
Show answer and rationale

Answer: D. Liquid to semi-liquid output that is continuous

Ileostomy output is liquid to semi-liquid and frequent because it bypasses the colon, where water is absorbed. Patients are at risk of dehydration and electrolyte loss and need to maintain fluid intake.

Reference: Lewis Medical-Surgical Nursing – ileostomy

3. A patient is prescribed regular morphine for cancer pain. Which should the nurse anticipate being prescribed alongside it?
  1. A laxative to prevent constipation
  2. An antidiarrhoeal
  3. A potassium supplement
  4. An antibiotic
Show answer and rationale

Answer: A. A laxative to prevent constipation

Opioids reduce gut motility and commonly cause constipation, which does not diminish with continued use; a regular laxative should be prescribed prophylactically.

Reference: Standard nursing pharmacology – opioids

4. A patient with cirrhosis and ascites is prescribed spironolactone. Which laboratory value should the nurse monitor closely?
  1. Serum potassium
  2. Serum amylase
  3. Haemoglobin A1c
  4. Serum troponin
Show answer and rationale

Answer: A. Serum potassium

Spironolactone is a potassium-sparing diuretic and can cause hyperkalaemia. Sodium, renal function, weight and fluid balance are also monitored.

Reference: Standard nursing pharmacology – spironolactone

5. Which blood test is most important to monitor regularly in a patient receiving parenteral nutrition?
  1. Serum amylase only
  2. Troponin
  3. Thyroid function
  4. Blood glucose
Show answer and rationale

Answer: D. Blood glucose

Parenteral nutrition contains concentrated dextrose, so hyperglycaemia is a common complication and blood glucose is monitored frequently. Electrolytes, renal and liver function are also checked.

Reference: Lewis Medical-Surgical Nursing – parenteral nutrition

Questions are written with AI assistance. About 10% (150+) have been reviewed by a licensed nurse so far, and more are reviewed every month. Practice questions are for study only and may contain mistakes; verify with official study guides from your destination country. Report a question

Study tip

Signs of bleeding or perforation (rigid abdomen, falling BP, rising pulse) always outrank comfort measures.

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