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

30 Questions  I  By Rnpedia
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1.  A male client undergoes total gastrectomy. Several hours after surgery, the nurse notes that the client’s nasogastric (NG) tube has stopped draining. How should the nurse respond?
A.
B.
C.
D.
2.  A male client with cholelithiasis has a gallstone lodged in the common bile duct. When assessing this client, the nurse expects to note:
A.
B.
C.
D.
3.  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.
B.
C.
D.
4.  A male client is recovering from an ileostomy that was performed to treat inflammatory bowel disease. During discharge teaching, the nurse should stress the importance of:
A.
B.
C.
D.
5.  Which of the following factors can cause hepatitis A?
A.
B.
C.
D.
6.  Which condition is most likely to have a nursing diagnosis of fluid volume deficit?
A.
B.
C.
D.
7.  A female client with dysphagia is being prepared for discharge. Which outcome indicates that the client is ready for discharge?
A.
B.
C.
D.
8.  The nurse caring for a client with small-bowel obstruction would plan to implement which nursing intervention first?
A.
B.
C.
D.
9.  The nurse is caring for a female client with active upper GI bleeding. What is the appropriate diet for this client during the first 24 hours after admission?
A.
B.
C.
D.
10.  A male client has just been diagnosed with hepatitis A. On assessment, the nurse expects to note:
A.
B.
C.
D.
11.  A female client with hepatitis C develops liver failure and GI hemorrhage. The blood products that would most likely bring about hemostasis in the client are:
A.
B.
C.
D.
12.  To prevent gastroesophageal reflux in a male client with hiatal hernia, the nurse should provide which discharge instruction?
A.
B.
C.
D.
13.  A male client has undergone a colon resection. While turning him, wound dehiscence with evisceration occurs. The nurse’s first response is to:
A.
B.
C.
D.
14.  What laboratory finding is the primary diagnostic indicator for pancreatitis?
A.
B.
C.
D.
15.  The nurse is monitoring a female client receiving paregoric to treat diarrhea for drug interactions. Which drugs can produce additive constipation when given with an opium preparation?
A.
B.
C.
D.
16.  Mandy, an adolescent girl is admitted to an acute care facility with severe malnutrition. After a thorough examination, the physician diagnoses anorexia nervosa. When developing the plan of care for this client, the nurse is most likely to include which nursing diagnosis?
A.
B.
C.
D.
17.  Which diagnostic test would be used first to evaluate a client with upper GI bleeding?
A.
B.
C.
D.
18.  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.
B.
C.
D.
19.  Which of the following nursing interventions should the nurse perform for a female client receiving enteral feedings through a gastrostomy tube?
A.
B.
C.
D.
20.  A female client with viral hepatitis A is being treated in an acute care facility. Because the client requires enteric precautions, the nurse should:
A.
B.
C.
D.
21.  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.
B.
C.
D.
22.  While a female client is being prepared for discharge, the nasogastric (NG) feeding tube becomes clogged. To remedy this problem and teach the client’s family how to deal with it at home, what should the nurse do?
A.
B.
C.
D.
23.  A female client who has just been diagnosed with hepatitis A asks, “How could I have gotten this disease?” What is the nurse’s best response?
A.
B.
C.
D.
24.  When preparing a male client, age 51, for surgery to treat appendicitis, the nurse formulates a nursing diagnosis of Risk for infection related to inflammation, perforation, and surgery. What is the rationale for choosing this nursing diagnosis?
A.
B.
C.
D.
25.  A male client with pancreatitis complains of pain. The nurse expects the physician to prescribe meperidine (Demerol) instead of morphine to relieve pain because:
A.
B.
C.
D.
26.  While palpating a female client’s right upper quadrant (RUQ), the nurse would expect to find which of the following structures?
A.
B.
C.
D.
27.  Nurse Hannah is teaching a group of middle-aged men about peptic ulcers. When discussing risk factors for peptic ulcers, the nurse should mention:
A.
B.
C.
D.
28.  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.
B.
C.
D.
29.  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.
B.
C.
D.
30.  When evaluating a male client for complications of acute pancreatitis, the nurse would observe for:
A.
B.
C.
D.
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