Gastrointestinal Diseases NCLEX Review Questions Part 2 (exam Mode) By Rnpedia.com

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 gastrointestinal diseases NCLEX review questions part 2 (exam mode) by rnpedia.com
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  • 1. 
    During preparation for bowel surgery, a male client receives an antibiotic to reduce intestinal bacteria. Antibiotic therapy may interfere with synthesis of which vitamin and may lead to hypoprothrombinemia?
    • A. 

      Vitamin A

    • B. 

      Vitamin D

    • C. 

      Vitamin E

    • D. 

      Vitamin K


  • 2. 
    When evaluating a male client for complications of acute pancreatitis, the nurse would observe for:
    • A. 

      Increased intracranial pressure.

    • B. 

      Decreased urine output.

    • C. 

      Bradycardia

    • D. 

      Hypertension


  • 3. 
    A male client with a recent history of rectal bleeding is being prepared for a colonoscopy. How should the nurse position the client for this test initially?
    • A. 

      Lying on the right side with legs straight

    • B. 

      Lying on the left side with knees bent

    • C. 

      Prone with the torso elevated

    • D. 

      Bent over with hands touching the floor


  • 4. 
    A male client with extreme weakness, pallor, weak peripheral pulses, and disorientation is admitted to the emergency department. His wife reports that he has been “spitting up blood.” A Mallory-Weiss tear is suspected, and the nurse begins taking a client history from the client’s wife. The question by the nurse that demonstrates her understanding of Mallory-Weiss tearing is:
    • A. 

      “Tell me about your husband’s alcohol usage.”

    • B. 

      “Is your husband being treated for tuberculosis?”

    • C. 

      “Has your husband recently fallen or injured his chest?”

    • D. 

      “Describe spices and condiments your husband uses on food.”


  • 5. 
    Which of the following nursing interventions should the nurse perform for a female client receiving enteral feedings through a gastrostomy tube?
    • A. 

      Change the tube feeding solutions and tubing at least every 24 hours.

    • B. 

      Maintain the head of the bed at a 15-degree elevation continuously.

    • C. 

      Check the gastrostomy tube for position every 2 days.

    • D. 

      Maintain the client on bed rest during the feedings.


  • 6. 
    A male client is recovering from a small-bowel resection. To relieve pain, the physician prescribes meperidine (Demerol), 75 mg I.M. every 4 hours. How soon after administration should meperidine’s onset of action occur?
    • A. 

      5 to 10 minutes

    • B. 

      15 to 30 minutes

    • C. 

      30 to 60 minutes

    • D. 

      2 to 4 hours


  • 7. 
    The nurse is caring for a male client with cirrhosis. Which assessment findings indicate that the client has deficient vitamin K absorption caused by this hepatic disease?
    • A. 

      Dyspnea and fatigue

    • B. 

      Ascites and orthopnea

    • C. 

      Purpura and petechiae

    • D. 

      Gynecomastia and testicular atrophy


  • 8. 
    Which condition is most likely to have a nursing diagnosis of fluid volume deficit?
    • A. 

      Appendicitis

    • B. 

      Pancreatitis

    • C. 

      Cholecystitis

    • D. 

      Gastric ulcer


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