Gastrointestinal NCLEX review

The nurse is monitoring for stoma prolapse in a client with a colostomy. Which stoma observation would indicate that a prolapse has occurred? A. Dark and blush B. Sunken and hidden C. Narrowed and flattened D. Protruding and swollen

D. Protruding and swollen

The nurse is reviewing the prescriptions of a client admitted to the hospital with a diagnosis of acute pancreatitis. Which intervention would the nurse expect to be prescribed? Select All That Apply A. Administer antacids, as prescribed B. Encourage coughing and deep breathing C. Administer anticholinergics, as prescribed D. Maintain the client in a supine and flat position E. Encourage small, frequent, high-calorie feedings

A. Administer antacids, as prescribed B. Encourage coughing and deep breathing C. Administer anticholinergics, as prescribed

The nurse is reviewing the record of a client with Crohn's Disease. Which stool characteristic would the nurse expect to see documented in the record? A. Diarrhea B. Constipation C. Bloody stools D. Stool constantly oozing from the rectum

A. Diarrhea

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? A. Hepatitis A B. Hepatitis B C. Hepatitis C D. Hepatitis D

A. Hepatitis A

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? A. Left Sims position B. Lithotomy position C. Knee-Chest position D. Right Sims position

A. Left sims position

A client with hiatal hernia chronically experiences heartburn after meals. Which would the nurse teach the client to avoid? A. Lying recumbent after meals B. Eating small, frequent, bland meals C. Raising the head of the bed on 6-inch blocks D. Taking histamine receptor antagonist medication, as prescribed

A. Lying recumbent after meals

The nurse is monitoring a client for the early signs/symptoms of dumping syndrome. Which indicates this occurrence? A. Sweating and pallor B. Dry skin and stomach pain C. Bradycardia and indigestion D. Double vision and chest pain

A. Sweating and pallor

The nurse is preparing to perform an abdominal examination. Which step would be taken first? A. Palpation B. Inspection C. Percussion D. Auscultation

B. Inspection.

A client with ascites is scheduled for a paracentesis. The nurse is assisting the primary health care provider with performing the procedure. Which position would the nurse assist the client into for this procedure? A. Flat B. Upright C. Left side-lying D. Right side-lying

B. Upright

The nurse is caring for a client after a Billroth II (gastrojejunostomy) procedure. During review of the postoperative prescriptions, which would the nurse clarify. A. Leg exercises B. Early Ambulation C. Irrigating the nasogastric (NG) tube D. Coughing and deep-breathing exercises

C. Irrigating the nasogastric (NG) tube

The nurse reinforces postoperative liver biopsy instructions to a client. Which would the nurse tell the client? A. Avoid alcohol for 8 hours B. Remain NPO for 24 hours C. Lie on the right side for 2 hours D. Save all stools to be checked for blood

C. 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? A. Ambulate after a meal B. Eat high-carbohydrate foods C. Limit the fluids taken with meals D. Sit in a high-fowlers position during meals

C. Limit the fluids taken with meals

The nurse is reviewing the primary health care providers prescription written for a client admitted with acute pancreatitis. Which PHCP prescription would the nurse verify if noted in the clients chart? A. NPO status B. An anticholinergic medication C. Position the client supine and flat D. Prepare to insert a nasogastric (NG) tube

C. Position the client supine and flat

An ultrasound of the gallbladder is scheduled for the client with a suspected diagnosis of cholecystitis. Which would the nurse explain to the client about this test? A. The test is uncomfortable B. The test requires that the client be NPO C. The test requires the client to lie still for short intervals D. The test is preceded by the administration of oral tablets

C. The test requires the client to lie still for short intervals

The nurse is caring for a client with the diagnosis of chronic gastritis. The nurse anticipates that the client is at risk for which vitamin deficiency? A. Vitamin A B. Vitamin C C. Vitamin E D. Vitamin B12

D. Vitamin B12