NCLEX - GI

When collecting data on a client during a routine checkup, the nursing student reviews the history and notes that the client had aphthous stomatitis at the time of the last visit. The student asks the nurse what is aphthous stomatitis? What is the nurse's best response?

1). "Aphthous stomatitis is an early sign of peptic ulcer disease." 2). "Aphthous stomatitis is an acute stomach infection." 3). "Aphthous stomatitis is acid indigestion." 4). "Aphthous stomatitis is a canker sore of the oral soft tissues."

The nurse is reinforcing discharge instructions to a client with chronic cholecystitis. Which response by the client indicates the education has been effective?

1). "I should avoid taking antacids." 2). "I should increase the fat in my diet." 3). "I need to rest more." 4). "I will take my anticholinergic medications as prescribed."

The nurse reinforces discharge education for a client with Crohn's disease. Which long-term symptom management instruction should the nurse reinforce to this client?

1). "Keep a food diary and eat small, frequent meals." 2). "Increase your intake of fiber and take a probiotic daily." 3). "Take your multivitamin and corticosteroid for a year." 4). "Join a support group and exercise three times a day."

A client with colon cancer asks the nurse why radiation therapy is being received before surgery. Which response would be most appropriate?

1). "The therapy helps to heal the bowel after surgery." 2). "The chances of curing the cancer are improved." 3). "It eliminates the malignant cells." 4). "It helps reduce the size of the tumor."

After checking the client's chart for possible contraindications, the nurse is administering meperidine, 50 mg I.M., to a client with pain after an appendectomy. The nurse would question which medication if noted on the physician's orders for this client?

1). An antibiotic 2). An antiemetic 3). A monoamine oxidase (MAO) inhibitor 4). A loop diuretic

The nurse is admitting a client with abdominal pain, bloody stools, weakness, and dizziness when the client reports feeling the urge to have a bowel movement. What is the priority action by the nurse?

1). Ask the client to wait for specimen collection. 2). Assist the client to the bedside commode. 3). Have the client ambulate to the bathroom. 4). Assist the client onto the bedpan.

The nurse is caring for a client in the postoperative period who had an open colon resection. The nurse attempts to change the dressing but observes the protrusion of intestine through the wound. What is the priority nursing action at this time?

1). Call the health care provider to provide a description of the wound. 2). Put the dressing back over the wound until the health care provider arrives. 3). Push the abdominal contents back into the wound and secure with a binder. 4). Cover the wound with a sterile dressing moistened with normal saline.

A male client has acute upper GI bleeding. Which diagnostic test would the nurse first prepare the client for first to evaluate his acute upper GI bleeding?

1). Endoscopy 2). Upper GI series 3). Hemoglobin (Hb) levels and hematocrit (HCT) 4). Arteriography

The nurse cares for a client who is post-op bowel resection and has a nasogastric (NG) tube to low intermittent suction. Which care intervention should the nurse administer?

1). Flush the NG with saline once per shift. 2). Secure the suction tubing to the bed rail. 3). Provide meticulous mouth care as needed. 4). Offer ice chips to moisturize the mouth.

A nurse approaches a client with an 0800 dose of his scheduled pancreatin. The client states, "I'm not going to take that medicine. It makes me nauseated." What should the nurse do first?

1). Instruct the client about the benefits of taking the medication. 2). Ask the client to talk to his physician about changing the medication. 3). Tell the patient that he is required to take all prescribed medications. 4). Delay giving the medication until later in the day.

A client is scheduled for an endoscopy. On admission, the nurse asks the client if he has an advance directive, and the client states, "No." What should the nurse do next?

1). Refer the client to the admissions office, where he can obtain an advance directive. 2). Advise the client that an advance directive is required before the procedure. 3). Provide the client with information about an advance directive. 4). Ask the client if he has a substitute document, such as a living will or a durable power of attorney.

A client is scheduled for bowel resection with anastomosis involving the large intestine. Because of the surgical site, the nurse assists in formulating the nursing diagnosis of Risk for infection. To complete the nursing diagnosis statement, which "related-to" phrase should be added?

1). Related to malnutrition secondary to bowel resection with anastomosis 2). Related to major surgery required by bowel resection 3). Related to the presence of bacteria at the surgical site 4). Related to the presence of a nasogastric (NG) tube postoperatively

A client is admitted to the health care facility with abdominal pain, a low-grade fever, abdominal distention, and weight loss. The physician diagnoses acute pancreatitis. What is the primary goal of nursing care for this client?

1). Relieving abdominal pain 2). Preventing fluid volume overload 3). Maintaining adequate nutritional status 4). Teaching about the disease and its treatment

Why are antacids administered regularly, rather than as needed, to treat peptic ulcer disease?

1). To keep gastric pH at 3.0 to 3.5 2). To promote client compliance 3). To maintain a regular bowel pattern 4). To increase pepsin activity

As a result of a viral infection, a client develops gastroenteritis. The physician prescribes kaolin and pectin mixture, 60 ml by mouth after each loose bowel movement, up to eight doses daily. The nurse informs the client that the medication will take effect in how many minutes?

1). Within 1 hour 2). In 5 to 10 minutes 3). Within 30 minutes 4). Within 2 hours

The nurse is reviewing laboratory results for a client with peritonitis. Which results would the nurse expect to observe?

1). partial thromboplastin time (PTT) longer than 100 seconds 2). hemoglobin (Hb) level below 10 mg/dl 3). potassium level above 5.5 mEq/L 4). white blood cell (WBC) count above 15,000/μL

During the first few days of recovery from ostomy surgery for ulcerative colitis, what should be the priority of client care?

1). sexual concerns 2). body image 3). skin care 4). ostomy care

A surgeon is discussing surgery with a client diagnosed with colon cancer. The client is visibly shaken over the possibility of a colostomy. Based on the client's response, the surgeon should collaborate with which health team member?

1). social worker 2). staff nurse 3). clinical educator 4). enterostomal nurse

A client who has just arrived on the medical-surgical unit after an appendectomy appears to be malnourished. Which nutritional deficiency can delay wound healing?

1). thiamine 2). vitamin C 3). folate 4). glucose

A nurse is caring for a client after a hemorrhoidectomy. Which order would the nurse question on the medical record?

1). warm sitz baths as needed 2). fluid encouragement 3). stool softener daily 4). low-fiber diet