Gastrointestinal NCLEX RN Questions
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Question 1 of 5.
Extract:The following scenario applies to the next 1 items. The nurse is caring for a 44-year-old male with abdominal pain and persistent nausea/vomiting. Item 1 of 1 History of Present Illness Abdominal pain that started one day ago following heavy alcohol use. The pain is localized to the epigastric region. Persistent nausea and vomiting were reported. Physical exam showed ecchymosis around the umbilicus and tenderness upon palpation. Vital Signs • Oral temperature 99.0° F (37° C) • Pulse 119 • Respirations 22 • BP 90/58 • Pulse oximetry 95% on room air
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, two priority actions the nurse should take to address that condition, and two priority parameters the nurse should monitor to assess the client's progress.
Action To take
- A.Obtain a prescription of 0.9% saline bolus
- B. Inquire about the clients alcohol drinking habits
- C. Obtain a prescription for regular insulin
- D. Establish peripheral intravenous (IV) access
- E. Transport the client for an abdominal computed tomography (CT) scan.
Potential Condition
- A.Acute Pancreatitis
- B. Peptic Ulcer Disease
- C. Diverticulitis
- D. Peritonitis
- E. Gastroenteritis.
Parameter to Monitor
- A.Level of Consciousness (LOC)
- B. Bowel Sounds
- C. Vital Signs
- D. Serum Glucose Level
- E. Daily Weights.
Explanation: Epigastric pain, nausea/vomiting, and periumbilical ecchymosis suggest acute pancreatitis (B). Saline bolus and IV access (A) address hypovolemia. Monitoring vital signs and LOC (C) tracks hemodynamic stability and complications.
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.
Extract:The following scenario applies to the next 1 items The nurse is caring for a client in the outpatient clinic Item 1 of 1 Nurses' Note 35-year-female arrives at the clinic for reported loss of appetite and nausea. The client reports that she is not eating as much because she experiences palpitations, sweating, and dizziness about thirty minutes after she eats. She reports that she has not been adherent to the prescribed diet and her symptoms worsen when she eats something sweet and drinks cola. Medical History • Morbid obesity (BMI 42) • Roux-en-Y procedure eight weeks ago
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.
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