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Qatar DHP 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 Qatar DHP (QCHP) nursing qualifying 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 Qatar DHP gastrointestinal & hepatic nursing questions
1. What is the recommended first-line treatment for mild to moderate dehydration caused by acute diarrhoea in a patient who can drink?
- A. Intravenous albumin
- B. Fruit juice and fizzy drinks
- C. Antidiarrhoeal medication before rehydration
- D. Oral rehydration solution
Show answer and rationale
Oral rehydration solution contains glucose and electrolytes in proportions that promote water absorption. Sugary drinks can worsen diarrhoea by drawing water into the gut.
Reference: WHO – management of diarrhoea
2. Which instruction should the nurse give a patient before a paracentesis?
- A. Drink 1 litre of water beforehand
- B. Empty the bladder immediately before the procedure
- C. Lie flat on the stomach
- D. Fast for 24 hours
Show answer and rationale
Emptying the bladder reduces the risk of bladder puncture during needle insertion. The patient is usually positioned sitting upright or semi-recumbent.
Reference: Lewis Medical-Surgical Nursing – paracentesis
3. Which finding indicates worsening hepatic encephalopathy?
- A. Improved handwriting
- B. Increased appetite
- C. Normal sleep pattern
- D. Asterixis (flapping tremor) and increasing confusion
Show answer and rationale
Asterixis, confusion, drowsiness and deteriorating handwriting are signs of rising ammonia and worsening encephalopathy. Neurological status should be assessed regularly.
Reference: Lewis Medical-Surgical Nursing – hepatic encephalopathy
4. Which patient is at greatest risk of complications from bowel preparation for colonoscopy?
- A. A 30-year-old with no medical history
- B. A 45-year-old with mild hay fever
- C. An 80-year-old with chronic kidney disease taking diuretics
- D. A 25-year-old with a sprained ankle
Show answer and rationale
Older adults, those with renal impairment and those taking diuretics are at higher risk of dehydration and electrolyte disturbances from bowel preparation. Fluid balance and electrolytes should be monitored.
Reference: Lewis Medical-Surgical Nursing – colonoscopy
5. A patient with cirrhosis and known oesophageal varices suddenly vomits large amounts of bright red blood. What is the nurse's priority?
- A. Maintain the airway and circulation and call for emergency help
- B. Encourage the patient to drink cold water
- C. Give an oral laxative
- D. Lie the patient flat and supine
Show answer and rationale
Variceal haemorrhage is life-threatening; the priorities are protecting the airway (risk of aspiration), large-bore IV access and resuscitation with urgent medical help. Lying flat increases aspiration risk.
Reference: Lewis Medical-Surgical Nursing – oesophageal varices
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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