NCLEX Gastrointestinal Disorders
Home / Nursing & Allied Health Certifications / NCLEX PN / Gastrointestinal
Question 1 of 5.
During a health promotion seminar for senior citizens, a participant asks the nurse to discuss symptoms of gastric cancer. Which statement should be the basis for the nurse's response?
A. Cancers that do not penetrate the gastric muscular layer are asymptomatic in the majority of clients.
B. Pain from early gastric cancer lesions cannot be reduced by over-the-counter (OTC) histamine receptor antagonists.
C. Unexplained weight gain and increased body mass index (BMI) are early symptoms of gastric cancer.
D. Anemia is uncommon in gastric cancer, but if it occurs, it is likely due to the effects of aging.
Explanation: A. Eighty percent of clients with early gastric cancer do not have symptoms. B. Pain caused by gastric cancer can be alleviated by OTC histamine receptor antagonists. C. Weight loss and anemia are common symptoms, not weight gain and increased BMI. D. Anemia occurs from malabsorption and nutritional deficiencies, not the effects of aging.
Question 2 of 5.
The client who had abdominal surgery tells the nurse, 'I felt something give way in my stomach.' Which intervention should the nurse implement first?
A. Notify the surgeon immediately.
B. Instruct the client to splint the incision.
C. Assess the abdominal wound incision.
D. Administer pain medication intravenously.
Explanation: Assessing the wound first determines if dehiscence or evisceration has occurred, guiding further action. Notification, splinting, or pain medication follow based on findings.
Question 3 of 5.
The client who had an abdominal surgery has a Jackson Pratt (JP) drainage tube. Which assessment data warrant immediate intervention by the nurse?
A. The bulb is round and has 40 mL of fluid.
B. The drainage tube is taped to the dressing.
C. The JP insertion site is pink and has no drainage.
D. The JP bulb has suction and is sunken in.
Explanation: A round JP bulb with 40 mL of fluid indicates loss of suction, risking fluid accumulation and infection, requiring immediate intervention. Taping, pink site, and suction are normal.
Question 4 of 5.
The 84-year-old client comes to the clinic complaining of right lower abdominal pain. Which question is most appropriate for the nurse to ask the client?
A. When was your last bowel movement?
B. Did you have a high-fat meal last night?
C. Can you describe the type of pain?
D. Have you been experiencing any gas?
Explanation: Describing the type of pain (e.g., sharp, dull, colicky) helps differentiate causes like appendicitis, diverticulitis, or obstruction, guiding diagnosis. Bowel movements, diet, and gas are secondary.
Question 5 of 5.
The female client diagnosed with anorexia nervosa is admitted to the hospital. The client is 67 inches tall and weighs 40 kg. Which client problem has the highest priority?
A. Altered nutrition.
B. Low self-esteem.
C. Disturbed body image.
D. Altered sexuality.
Explanation: Altered nutrition is the priority due to severe underweight (BMI ~13.2), risking organ failure and death. Self-esteem, body image, and sexuality are psychosocial and secondary.
Related Questions