Nclex-Rn Practice Questions-Care Of The Adult - Gastrointestinal Disorders Part 4
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Question 1 |
Documentation of an assessment by the nurse for a client diagnosed with a duodenal ulcer will most likely reveal which of the following findings?
A | Hematemesis |
B | Malnourishment |
C | Melena |
D | Pain with eating |
Question 2 |
A client has a percutaneous endoscopic gastrostomy tube inserted for continuous tube feedings. What is the best position for the nurse to place the client in before starting the feeding?
A | Semi-Fowler’s |
B | Supine |
C | Reverse Trendelenburg |
D | High Fowler’s |
Question 3 |
A nurse assists a physician during paracentesis. When documenting the procedure, which information should the nurse include?
A | The nurse’s role during the procedure |
B | The reason for the procedure |
C | The physician’s name and the client’s response to the procedure |
D | Diagnostic tests performed before obtaining the specimen |
Question 4 |
Five days after undergoing surgery, a client develops a small-bowel obstruction. A Miller-Abbott tube is inserted for bowel decompression. Which nursing diagnosis takes priority?
A | Imbalanced nutrition: Less than body requirements |
B | Acute pain |
C | Deficient fluid volume |
D | Excess fluid volume |
Question 5 |
In a client with diarrhea, which outcome indicates that fluid resuscitation is successful?
A | The client passes formed stools at regular intervals. |
B | The client reports a decrease in stool frequency and liquidity. |
C | The client exhibits firm skin turgor. |
D | The client no longer experiences perianal burning. |
Question 6 |
A client with irritable bowel syndrome is being prepared for discharge. Which dietary instructions should be included in the teaching?
A | Low fiber, low fat |
B | High fiber, low fat |
C | Low fiber, high fat |
D | High fiber, high fat |
Question 7 |
After a liver biopsy, a nurse should place a client in which position?
A | Left side-lying position, with the bed flat |
B | Right side-lying position, with the bed flat |
C | Left side-lying position, with the bed in semi-Fowler’s position |
D | Right side-lying position, with the bed in semi-Fowler’s position |
Question 8 |
Which instruction should a nurse give a client with pancreatitis during discharge teaching?
A | Consume high-fat meals. |
B | Consume low-calorie meals. |
C | Limit daily intake of alcohol. |
D | Avoid beverages that contain caffeine. |
Question 9 |
The nurse is reviewing the computerized laboratory results of a client with suspected pancreatitis. Which lab results would confirm the client’s diagnosis of pancreatitis?
A | Elevated amylase, elevated lipase, elevated serum glucose, and decreased serum calcium levels |
B | Elevated amylase, elevated lipase, decreased serum glucose, and decreased serum calcium levels |
C | Decreased amylase, decreased lipase, elevated serum glucose, and increased serum calcium levels |
D | Decreased amylase, decreased lipase, decreased serum glucose, and increased serum calcium levels |
Question 10 |
The nurse is preparing to administer ranitidine (Zantac) to a client diagnosed with peptic ulcer disease. The client asks the nurse what the purpose of the medication is. What is the most appropriate response by the nurse?
A | Neutralize acid |
B | Reduce acid secretions |
C | Stimulate gastrin release |
D | Protect the mucosal barrier |
Question 11 |
The nurse has just admitted a client to the unit with a diagnosis of suspected peptic ulcer. The nurse anticipates that the doctor will order which test?
A | Abdominal X-ray |
B | Barium swallow |
C | Computed tomography (CT) scan of the abdomen |
D | Esophagogastroduodenoscopy (EGD) |
Question 12 |
Assessment of a client with a duodenal ulcer will reveal which of the following characteristics?
A | Early satiety |
B | Pain on eating |
C | Dull upper epigastric pain |
D | Pain on an empty stomach |
Question 13 |
When teaching an elderly client how to prevent constipation, which instruction should the nurse include?
A | “Drink six glasses of fluid each day.” |
B | “Avoid grain products and nuts.” |
C | “Add at least 4 g of bran to your cereal each morning.” |
D | “Be sure to get regular exercise.” |
Question 14 |
A client presents to the clinic for a follow-up appointment after diagnostic tests show he has gastroesophageal reflux disease. Which instruction should the nurse provide?
A | “Lie down and rest after each meal.” |
B | “Avoid alcohol and caffeine.” |
C | “Drink 16 oz of water with each meal.” |
D | “Eat three well-balanced meals every day.” |
Question 15 |
When teaching a community group about measures to prevent colon cancer, which instruction should a nurse include?
A | “Limit fat intake to 20% to 25% of your total daily calories.” |
B | “Include 15 to 20 g of fiber in your daily diet.” |
C | “Get an annual rectal examination after age 35.” |
D | “Undergo sigmoidoscopy annually after age 50.” |
Question 16 |
A 30-year-old client experiences weight loss, abdominal distention, crampy abdominal pain, and intermittent diarrhea after the birth of her second child. Diagnostic tests reveal gluten-induced enteropathy. Which foods must she eliminate from her diet permanently?
A | Milk and dairy products |
B | Protein-containing foods |
C | Cereal grains (except rice and corn) |
D | Carbohydrates |
Question 17 |
To reduce occurrences of the dumping syndrome, the nurse should instruct a client to do which of the following?
A | Sip fluids with meals. |
B | Eat three meals daily. |
C | Rest after meals for 30 minutes. |
D | Eat a high-carbohydrate, low-fat, and low-protein diet. |
Question 18 |
A client presents to the emergency department, reporting that he has been vomiting every 30 to 40 minutes for the past 8 hours. The nurse is aware that the client is at risk for which of the following?
A | Metabolic acidosis and hyperkalemia |
B | Metabolic acidosis and hypokalemia |
C | Metabolic alkalosis and hyperkalemia |
D | Metabolic alkalosis and hypokalemia |
Question 19 |
After a right hemicolectomy for treatment of colon cancer, a 57-year-old client is reluctant to turn while on bed rest. What is the most appropriate intervention by the nurse?
A | Asking a coworker to help turn the client |
B | Explaining to the client why turning is important |
C | Allowing the client to turn when he’s ready to do so |
D | Telling the client that the physician’s order states he must turn every 2 hours |
Question 20 |
An enema is prescribed for a client with suspected appendicitis. What is the most appropriate action by the nurse?
A | Prepare 750 ml of irrigating solution warmed to 100° F (37.8° C). |
B | Question the physician about the order. |
C | Provide privacy and explain the procedure to the client. |
D | Assist the client to left lateral Sims’ position. |
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