Gastrointestinal NCLEX Questions

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Question 1 of 5.

The male client tells the nurse he has been experiencing 'heartburn' at night that awakens him. Which assessment question should the nurse ask?

A. How much weight have you gained recently?

B. What have you done to alleviate the heartburn?

C. Do you consume many milk and dairy products?

D. Have you been around anyone with a stomach virus?

Explanation: Asking what the client has done to alleviate the heartburn helps the nurse understand the severity, triggers, and any self-management strategies, which are critical for assessing GERD. Weight gain, dairy consumption, or exposure to a stomach virus are less directly related to the immediate assessment of heartburn symptoms.

Question 2 of 5.

The nurse is caring for an adult client diagnosed with GERD. Which condition is the most common comorbid disease associated with GERD?

A. Adult-onset asthma.

B. Pancreatitis.

C. Peptic ulcer disease.

D. Increased gastric emptying.

Explanation: GERD is commonly associated with adult-onset asthma due to acid reflux irritating the airways, leading to bronchospasm. Pancreatitis and peptic ulcer disease are less directly linked, and increased gastric emptying is not a typical comorbidity.

Question 3 of 5.

The nurse is performing an admission assessment on a client diagnosed with GERD. Which signs and symptoms would indicate GERD?

A. Pyrosis, water brash, and flatulence.

B. Weight loss, dysarthria, and diarrhea.

C. Decreased abdominal fat, proteinuria, and constipation.

D. Midepigastric pain, positive H. pylori test, and melena.

Explanation: Pyrosis (heartburn), water brash (regurgitation of sour fluid), and flatulence are classic symptoms of GERD due to acid reflux and gas buildup. The other options include symptoms more associated with other conditions like peptic ulcer disease or systemic disorders.

Question 4 of 5.

The client is diagnosed with an acute exacerbation of ulcerative colitis. Which intervention should the nurse implement?

A. Provide a low-residue diet.

B. Rest the client's bowel.

C. Assess vital signs daily.

D. Administer antacids orally.

Explanation: During an acute exacerbation of ulcerative colitis, resting the bowel (often via NPO status or clear liquids) reduces inflammation and irritation. A low-residue diet is used in stable phases, daily vital signs are routine, and antacids are irrelevant.

Question 5 of 5.

The client diagnosed with IBD is prescribed sulfasalazine (Asulfidine), a sulfonamide antibiotic. Which statement best describes the rationale for administering this medication?

A. It is administered rectally to help decrease colon inflammation.

B. This medication slows gastrointestinal (GI) motility and reduces diarrhea.

C. This medication kills the bacteria causing the exacerbation.

D. It acts topically on the colon mucosa to decrease inflammation.

Explanation: Sulfasalazine reduces inflammation in IBD by acting topically on the colon mucosa, delivering its active component (mesalamine) to the inflamed areas. It is not primarily an antibiotic, does not slow motility, and is taken orally, not rectally.

Question 1 of 5.

The male client tells the nurse he has been experiencing 'heartburn' at night that awakens him. Which assessment question should the nurse ask?

A. How much weight have you gained recently?

B. What have you done to alleviate the heartburn?

C. Do you consume many milk and dairy products?

D. Have you been around anyone with a stomach virus?

Question 2 of 5.

The nurse is caring for an adult client diagnosed with GERD. Which condition is the most common comorbid disease associated with GERD?

A. Adult-onset asthma.

B. Pancreatitis.

C. Peptic ulcer disease.

D. Increased gastric emptying.

Question 3 of 5.

The nurse is performing an admission assessment on a client diagnosed with GERD. Which signs and symptoms would indicate GERD?

A. Pyrosis, water brash, and flatulence.

B. Weight loss, dysarthria, and diarrhea.

C. Decreased abdominal fat, proteinuria, and constipation.

D. Midepigastric pain, positive H. pylori test, and melena.

Question 4 of 5.

The client is diagnosed with an acute exacerbation of ulcerative colitis. Which intervention should the nurse implement?

A. Provide a low-residue diet.

B. Rest the client's bowel.

C. Assess vital signs daily.

D. Administer antacids orally.

Question 5 of 5.

The client diagnosed with IBD is prescribed sulfasalazine (Asulfidine), a sulfonamide antibiotic. Which statement best describes the rationale for administering this medication?

A. It is administered rectally to help decrease colon inflammation.

B. This medication slows gastrointestinal (GI) motility and reduces diarrhea.

C. This medication kills the bacteria causing the exacerbation.

D. It acts topically on the colon mucosa to decrease inflammation.

Question 1 of 5.

The male client tells the nurse he has been experiencing 'heartburn' at night that awakens him. Which assessment question should the nurse ask?

A. How much weight have you gained recently?

B. What have you done to alleviate the heartburn?

C. Do you consume many milk and dairy products?

D. Have you been around anyone with a stomach virus?

Question 2 of 5.

The nurse is caring for an adult client diagnosed with GERD. Which condition is the most common comorbid disease associated with GERD?

A. Adult-onset asthma.

B. Pancreatitis.

C. Peptic ulcer disease.

D. Increased gastric emptying.

Question 3 of 5.

The nurse is performing an admission assessment on a client diagnosed with GERD. Which signs and symptoms would indicate GERD?

A. Pyrosis, water brash, and flatulence.

B. Weight loss, dysarthria, and diarrhea.

C. Decreased abdominal fat, proteinuria, and constipation.

D. Midepigastric pain, positive H. pylori test, and melena.

Question 4 of 5.

The client is diagnosed with an acute exacerbation of ulcerative colitis. Which intervention should the nurse implement?

A. Provide a low-residue diet.

B. Rest the client's bowel.

C. Assess vital signs daily.

D. Administer antacids orally.

Question 5 of 5.

The client diagnosed with IBD is prescribed sulfasalazine (Asulfidine), a sulfonamide antibiotic. Which statement best describes the rationale for administering this medication?

A. It is administered rectally to help decrease colon inflammation.

B. This medication slows gastrointestinal (GI) motility and reduces diarrhea.

C. This medication kills the bacteria causing the exacerbation.

D. It acts topically on the colon mucosa to decrease inflammation.

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