Exam 6 GI NCLEX Questions

The nurse is reviewing the record of a client who has Crohn's disease. Which stool characteristics would the nurse expect to see documented in the record?

Diarrhea

The nurse is preparing to perform an abdominal examination. Which step would be taken first?

Inspection

The nurse is caring for a client after a Billroth II (gastrojejunostomy) procedure. During review of the postoperative prescriptions, which would the nurse clarify?

Irrigating the nasogastric (NG) tube

The nurse reinforces postoperative liver biopsy instructions to a client. Which would the nurse tell the client?

Lie on the right side for 2 hours

The nurse is reinforcing discharge instructions to a client after a gastrectomy. Which measure would the nurse include during client teaching to help prevent dumping syndrome?

Limit the fluids taken with meals

A client with hiatal hernia chronically experiences, heartburn after meals. Which would the nurse teach the client to avoid?

Lying recumbent after meals

The nurse is reinforcing teaching to a client about an upcoming colonoscopy procedure. The nurse would include in the instructions that the client will be placed in which position for the procedure?

Modified left lateral recumbent position

The nurse is monitoring a client for early signs and symptoms of dumping syndrome. Which indicates this occurrence?

Sweating and pallor

The client with ascites is scheduled for a paracentesis. The nurse is assisting the primary healthcare provider with performing the procedure. Which position would the nurse assist the client into for this procedure?

Upright

A client with a peptic ulcer is diagnosed with a H pylori infection. The nurse is reinforcing teaching for the client about the medication's prescribed, including clarithromycin, esomeprazole, and amoxicillin. which statement by the client indicates the best understanding of the medication regimen?

"The medications will kill the bacteria and stop the acid production."

The nurse is reviewing the prescriptions of a client admitted to the hospital with a diagnosis of acute pancreatitis. Which interventions would the nurse expect to be prescribed? Select all that apply.

1. Administer antacids, as prescribed. 2. Encourage coughing and deep breathing. 3. Administer anticholinergics, as prescribed.

A histamine (H2)-receptor antagonist will be prescribed for a client. The nurse understands that which medication are H2-receptor antagonist? Select all that apply.

1. Nizatidine 2. Famotidine 3. Cimetidine

An older client has recently been taking cimetidine. the nurse needs to monitor the client for which most frequent central nervous system side effect of this medication?

Confusion

A client with Crohn's disease is scheduled to receive an infusion of infliximab. The nurse assisting with caring for the client would take which action to monitor the effectiveness of treatment?

Checking the frequency and consistency of bowel movements

It has been determined that a client with hepatitis has contracted the infection from contaminated food. Which type of hepatitis is this client most likely experiencing?

Hepatitis A

The client has an as needed prescription for loperamide hydrochloride. For which condition would the nurse administer this medication?

Acute diarrhea

The client has been taking omeprazole for four weeks. The nurse evaluates that the client is receiving the optimal intended effect of the medication if the client reports the absence of which symptom?

Heartburn

The client has an as needed prescription for ondansetron. For which condition would the nurse administer this medication?

Nausea and vomiting

The client with a gastric ulcer has a prescription for sucralfate 1 g by mouth four times daily. The nurse would schedule the medication to be administered at which times?

One hour before meals and at bedtime

The nurse is reviewing the primary healthcare providers prescriptions written for a client admitted with acute pancreatitis. Which prescription would the nurse verify if noted in the clients chart?

Position the client supine and flat

The nurse is monitoring for stoma prolapse in a client with a colostomy. Which stoma observation would indicate that a prolapse has occurred?

Protruding and swollen

The client has begun medication therapy with pancrelipase. The nurse evaluates that the medication is having the optimal intended benefit if which effect is observed?

Reduction of steatorrhea

The client who frequently uses nonsteroidal anti-inflammatory drugs (NSAIDs) has been taking misoprostol. the nurse determines that this medication is having the intended therapeutic effect if which is noted?

Relief of epigastric pain

An ultrasound of the gallbladder is scheduled for a client with a suspected diagnosis of cholecystitis. Which would the nurse explain to the client about this test?

The test requires the client to lie still for short intervals

The nurse is caring for a client with a diagnosis of chronic gastritis. The nurse anticipates that the client is at risk for which vitamin deficiency?

Vitamin B12