Digestive & Gastrointestinal System Disorders | NCLEX Quiz 73

10 Questions | By Santepro | Last updated: Mar 22, 2022 | Total Attempts: 913

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All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.

Questions and Answers

1.

The client has just had surgery to create an ileostomy. The nurse assesses the client in the immediate post-op period for which of the following most frequent complications of this type of surgery?
- A.
  
  Intestinal obstruction
- B.
  
  Fluid and electrolyte imbalance
- C.
  
  Malabsorption of fat
- D.
  
  Folate deficiency
2.

The nurse is doing pre-op teaching with the client who is about to undergo creation of a Kock pouch. The nurse interprets that the client has the best understanding of the nature of the surgery if the client makes which of the following statements?
- A.
  
  “I will need to drain the pouch regularly with a catheter.”
- B.
  
  “I will need to wear a drainage bag for the rest of my life.”
- C.
  
  “The drainage from this type of ostomy will be formed.”
- D.
  
  “I will be able to pass stool from my rectum eventually.”
3.

The client with a colostomy has an order for irrigation of the colostomy. The nurse used which solution for irrigation?
- A.
  
  Distilled water
- B.
  
  Tap water
- C.
  
  Sterile water
- D.
  
  Lactated Ringer’s
4.

A nurse is monitoring a client admitted to the hospital with a diagnosis of appendicitis. The client is scheduled for surgery in 2 hours. The client begins to complain of increased abdominal pain and begins to vomit. On assessment the nurse notes that the abdomen is distended and the bowel sounds are diminished. Which of the following is the most appropriate nursing intervention?
- A.
  
  Administer dilaudid
- B.
  
  Notify the physician
- C.
  
  Call and ask the operating room team to perform the surgery as soon as possible
- D.
  
  Reposition the client and apply a heating pad on a warm setting to the client’s abdomen.
5.

The client has been admitted with a diagnosis of acute pancreatitis. The nurse would assess this client for pain that is:
- A.
  
  Severe and unrelenting. located in the epigastric area and radiating to the back.
- B.
  
  Severe and unrelenting. located in the left lower quadrant and radiating to the groin.
- C.
  
  Burning and aching. located in the epigastric area and radiating to the umbilicus.
- D.
  
  Burning and aching. located in the left lower quadrant and radiating to the hip.
6.

The client with Crohn’s disease has a nursing diagnosis of acute pain. The nurse would teach the client to avoid which of the following in managing this problem?
- A.
  
  Lying supine with the legs straight
- B.
  
  Massaging the abdomen
- C.
  
  Using antispasmodic medication
- D.
  
  Using relaxation techniques
7.

A client with ulcerative colitis has an order to begin salicylate medication to reduce inflammation. The nurse instructs the client to take the medication:
- A.
  
  30 minutes before meals
- B.
  
  On an empty stomach
- C.
  
  After meals
- D.
  
  On arising
8.

During the assessment of a client’s mouth. the nurse notes the absence of saliva. The client is also complaining of pain near the area of the ear. The client has been NPO for several days because of the insertion of a NG tube. Based on these findings. the nurse suspects that the client is developing which of the following mouth conditions?
- A.
  
  Stomatitis
- B.
  
  Oral candidiasis
- C.
  
  Parotitis
- D.
  
  Gingivitis
9.

The nurse evaluates the client’s stoma during the initial post-op period. Which of the following observations should be reported immediately to the physician?
- A.
  
  The stoma is slightly edematous
- B.
  
  The stoma is dark red to purple
- C.
  
  The stoma oozes a small amount of blood
- D.
  
  The stoma does not expel stool
10.

When planning care for a client with ulcerative colitis who is experiencing symptoms. which client care activities can the nurse appropriately delegate to a unlicensed assistant? Select all that apply.
- A.
  
  Assessing the client’s bowel sounds
- B.
  
  Providing skin care following bowel movements
- C.
  
  Evaluating the client’s response to antidiarrheal medications
- D.
  
  Maintaining intake and output records
- E.
  
  Obtaining the client’s weight.