A client with peptic ulcer disease from chronic nonsteroidal anti-infl

Gastrointestinal NCLEX RN Questions

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Question 1 of 5.

A client with peptic ulcer disease from chronic nonsteroidal anti-inflammatory drug (NSAID) use is prescribed misoprostol. The nurse would be correct in informing the client that this medication does which of the following?

A. Decreases gas formation

B. Increases the speed of gastric emptying

C. Lines the stomach for protection

D. Increases the lower esophageal sphincter pressure

Explanation: Misoprostol (C) protects the stomach by increasing mucus production and reducing acid secretion, helping to heal NSAID-induced ulcers.

Question 2 of 5.

The nurse is caring for a client receiving total parenteral nutrition (TPN), which was initiated twelve hours ago. The priority assessment for this client is which of the following?

A. Urine output

B. Oral temperature

C. Weight

D. Capillary blood glucose

Explanation: TPN contains high concentrations of glucose, which can lead to hyperglycemia, especially in the early stages of administration. Monitoring capillary blood glucose is critical to detect and manage this potential complication.

Question 3 of 5.

The nurse is conducting a telephone call following up with a client with a colostomy placed two weeks ago. Select the findings reported by the client that require follow-up by the nurse.

A. The client reports that he has no pain at the stoma.

B. He states that the stoma is red and moist.

C. He reports changing the appliance daily

D. He reports using moisturizing soap around the stoma.

E. The client notes that he empties the pouch when it is one-half to one-third full of stool.

F. The client stated that his stoma has been getting smaller in size since surgery.

Explanation: Changing the appliance daily (C) may indicate improper fit or skin irritation, requiring assessment. Using moisturizing soap (D) can interfere with appliance adhesion and cause skin issues, necessitating education on proper skin care.

Question 4 of 5.

The nurse is assessing a client who has appendicitis. Which of the following would be an expected finding? Select all that apply.

A. Leukocytosis

B. Melena

C. Fever

D. Nausea and Vomiting

E. Anorexia

Explanation: Appendicitis commonly presents with leukocytosis (A) due to infection, fever (C) from inflammation, nausea and vomiting (D), and anorexia (E) due to gastrointestinal irritation. Melena (B) is not typically associated with appendicitis.

Question 5 of 5.

Complete the following sentence by choosing from the list of options. To prevent.........., the nurse should instruct the client ............. and ...........

A. Pernicious anemia

B. Dumping syndrome

C. Lie down after meals

D. Exercise after meals

E. Avoid drinking with meals

F. Eat food high in carbohydrates

G. Eat food high in vitamin B12

Explanation: Dumping syndrome (B) occurs post-Roux-en-Y due to rapid gastric emptying. Avoiding drinking with meals (E) slows digestion, reducing symptoms. Lying down after meals (C) can worsen symptoms and is not advised.