Upper GI: Cholecystitis & Gallbladder Disease NCLEX Review
Test your knowledge of cholecystitis, gallbladder disease, and post-operative care with these challenging NCLEX-style questions.
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Quiz Questions & Answers
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Question 1: A nurse is assessing for Murphy's sign in a patient with suspected cholecystitis. Which finding indicates a positive Murphy's sign?
Patient reports pain when lying flat
Patient abruptly stops inhaling during RUQ palpation
Patient experiences pain only when exhaling
Patient reports pain in the left upper quadrant
Question 2: Which timing pattern is most characteristic of cholecystitis pain?
Immediately after eating any food
2-4 hours after consuming a high-fat meal
Only during midnight hours
Consistently throughout the day regardless of meals
Question 3: A patient post-cholecystectomy has a T-tube. What is the appropriate nursing action regarding meal times?
Keep the tube unclamped at all times
Clamp the tube during meals only
Clamp the tube 1 hour before and after meals
Keep the tube clamped at all times
Question 4: Which patient characteristic is NOT one of the '5 F's' risk factors for cholelithiasis?
Female
Forty
Fertile
Fasting
Question 5: What is the priority nursing intervention during an acute cholecystitis attack?
Encourage clear liquids
Maintain NPO status
Administer antacids
Apply heat to the abdomen
Question 6: A post-laparoscopic cholecystectomy patient complains of right shoulder pain. What is the most appropriate nursing response?
Call the physician immediately
Encourage ambulation
Apply ice to the shoulder
Administer additional pain medication
Question 7: What color change in T-tube drainage indicates normal post-operative progression?
Clear to yellow
Bloody to clear
Bloody/serosanguineous to greenish-brown
Green to red
Question 8: A patient with cholecystitis presents with clay-colored stools. What does this indicate?
Normal finding in cholecystitis
Bile duct obstruction
Dietary changes
Dehydration
Question 9: Which nursing priority differs between open and laparoscopic cholecystectomy?
Pain management
Early ambulation
Respiratory care focus
Wound care
Question 10: What T-tube output volume should be reported to the healthcare provider?
More than 500 mL/day
Less than 100 mL/day
More than 200 mL/day
Any amount of drainage