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Kuwait MOH Gastrointestinal & Hepatic Nursing Practice Questions
GI questions cover bleeding, obstruction, liver disease and nutrition, with a strong focus on spotting complications early. Below are 5 free sample questions for the Kuwait MOH nursing exam, each with the answer and a rationale.
What this topic covers
- GI bleeding signs
- Bowel obstruction and appendicitis
- Cirrhosis, ascites and hepatic encephalopathy
- Hepatitis transmission and prevention
- Pancreatitis and cholecystitis
- Stoma care and nutrition
The full bank has 70 gastrointestinal & hepatic nursing questions, part of 1,500 questions across 16 nursing topics.
Free Kuwait MOH gastrointestinal & hepatic nursing questions
1. Which stool appearance suggests bleeding from the upper gastrointestinal tract?
- A. Clay-coloured, pale stools
- B. Bright red blood coating formed stools
- C. Black, tarry, sticky stools (melaena)
- D. Green, watery stools
Show answer and rationale
Melaena results from blood being digested as it passes through the gut, typically from an upper GI source such as a peptic ulcer. Bright red blood usually indicates a lower GI source, and pale stools suggest biliary obstruction.
Reference: Lewis Medical-Surgical Nursing – GI bleeding
2. A patient with severe acute pancreatitis reports numbness and tingling around the mouth and muscle twitching. Which electrolyte imbalance should the nurse suspect?
- A. Hypocalcaemia
- B. Hyperkalaemia
- C. Hypernatraemia
- D. Hypermagnesaemia
Show answer and rationale
Hypocalcaemia is a recognised complication of severe pancreatitis because calcium binds to areas of fat necrosis. It causes perioral tingling, tetany and positive Chvostek's and Trousseau's signs.
Reference: Lewis Medical-Surgical Nursing – pancreatitis
3. Which finding is typical of acute cholecystitis?
- A. Left lower quadrant pain with diarrhoea
- B. Periumbilical pain moving to the right iliac fossa
- C. Epigastric pain relieved by eating
- D. Right upper quadrant pain after a fatty meal, possibly radiating to the right shoulder
Show answer and rationale
Cholecystitis causes right upper quadrant pain, often after fatty meals, that may radiate to the right shoulder or scapula, with nausea and fever. A positive Murphy's sign may be present.
Reference: Lewis Medical-Surgical Nursing – cholecystitis
4. A patient with cirrhosis reports severe itching caused by jaundice. Which intervention is appropriate?
- A. Hot baths several times a day
- B. Alcohol-based skin lotions
- C. Scratching with a firm brush
- D. Keeping nails short, using cool water and emollients
Show answer and rationale
Itching (pruritus) from bile salts is eased by cool water, soothing emollients and keeping nails short to prevent skin damage. Hot water and alcohol-based lotions dry the skin and worsen itching.
Reference: Lewis Medical-Surgical Nursing – cirrhosis
5. A patient with a known duodenal ulcer suddenly develops severe, sharp abdominal pain, a rigid board-like abdomen and shallow breathing. What should the nurse suspect?
- A. Perforation with peritonitis
- B. Gastro-oesophageal reflux
- C. An expected ulcer flare
- D. Constipation
Show answer and rationale
Sudden severe pain with a rigid abdomen suggests ulcer perforation and peritonitis, a surgical emergency. The patient should be kept nil by mouth and the doctor informed immediately.
Reference: Lewis Medical-Surgical Nursing – peptic ulcer complications
Study tip
Signs of shock in a GI patient (rising heart rate, falling blood pressure) point to bleeding and need escalation.
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