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GI Practice NCLEX Questions Flashcards | StudBud
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GI Practice NCLEX Questions
GI Practice NCLEX Questions
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1
45yo married pt with 2 kids is s/p hemicolectomy for colon cancer.What should be considered when caring for this pt?SATA
Children typically aren't affected by adult illness.
Illness in one family member can affect all members.
Family roles don't change because of illness.
A family member may have more than one role at a time in a family.
2
A pt has just been scheduled for a barium swallow the next day.What instructions should the pt follow before the test?
Monitor own bowel movement pattern for constipation
Eat a regular supper and breakfast
Start the prep 2-3 days before the test
Fast for 8-12 hours before the test
3
Prior to a tube feeding,the nurse obtains a residual amount of 150 mL from the NG tube.What is the nurse's next action?
Reinstill the amount and continue with administering the feeding
Lower the patient's head and continue with the feeding
Discard the residual amount and proceed with administering the feeding
Hold the feeding
4
Which intervention should the nurse perform for a pt receiving enteral feedings thru a gastrostomy tube?
Check the gastrostomy tube for position every 2 days.
Maintain the client on bed rest during the feedings.
Maintain the head of the bed at a 15-degree elevation continuously.
Change the tube feeding solutions and tubing at least every 24 hours.
5
After teaching a pt about collecting a stool sample for occult testing,which statement indicates effective teaching?SATA
“I’ll take the sample from different areas of the stool.”
"I'lll stop taking NSAIDs 7 days prior and during stool collection."
“I need to eat foods low in fiber days prior to collecting the sample.”
“I will avoid eating red meat for 3 days before getting a stool sample.”
6
The nurse is assessing placement of a NG tube.The nurse verifies correct placement if the pH of the gastric aspirate is?
7.0
6,0
7.5
3.5
7
A nurse is caring for a pt who had gastric bypass surgery 2 days ago. Which assessment requires immediate intervention?
The client states he is nauseated.
The client complains of pain at the surgical site.
The client's right lower leg is red and swollen.
The client states he has been passing gas.
8
What should be the first nursing action if an NG tube is not draining?
reposition the client
determine placement
Irrigate the tube
remove tube and reinsert
9
The nurse is caring for a pt s/p gastroscopy. Which symptoms indicate that the pt is developing a complication? SATA
Complains of sore throat
Has a temperature of 100 degrees F
Experiences hematemesis
Complains of epigastric pain
10
A pt's VS who is 1 day post gastric bypass: T-37.9,P 100,R 18,BP 130/80,pain 2/10,O2 Sat 92% RA.The nurse should first
Notify the physician for antibiotic orders
Have the client use the incentive spirometer
Increase IV fluids
Administer pain meds
11
A pt with PUD reports nausea and feeling lightheaded/dizzy. Which nursing action would be most appropriate?
Monitor the client’s vital signs
Initiate oxygen therapy
Administer an antacid hourly to relieve nausea
Reassess the client in an hour
12
A pt using polyethylene glycol-electrlyte solution for a colonoscopy prep has diarrhea.What is the nurse's best action?
Explain that diarrhea is expected
Start an IV infusion
Administer an enema
Cancel the diagnostic test
13
The nurse is assessing a 2yo pt with bacterial meningitis.Which S&S of meningeal irritation should the nurse expect?SATA
Photophobia
Positive Brudzinski's sign
Babinski reflex
Nuchal rigidity
14
A child receiving amoxicillin for otitis media develops diarrhea.Which would the nurse recommend the mother to do?SATA
Avoid juices
Maintain on a regular diet if not dehydrated
Watch for decreased urine output
Call the physician if the child develops a high fever
15
A pt with tonic-clonic seizures is being d/c.The nurse should include which instructions on Phenytoin (Dilantin)?SATA
"Receive necessary periodic blood work as directed."
"Perform good oral hygiene, including daily brushing and flossing."
"Do not stop taking this med all of a sudden without calling PCP.:
"Call PCP for problems: walking, coordination, slurred speech,or nausea."
16
A male client,recovering from surgery,has been advanced to a full liquid diet.The nurse would offer which full liquid?
Custard
Gelatin
Tea
Popsicle
17
One day after surgery for intestinal resection, a client has no bowel sounds. Which action should a nurse take?
Record this expected finding
Take the vital signs and notify the physician
Check rectally for impacted stool
Perform abdominal massage
18
After instructing a pt with diverticulosis about self-care, which of the pt comments indicate effective teaching?SATA
“I should follow a diet that’s high in fiber.”
“I should exercise regularly.”
“With careful attention to my diet, my diverticulosis can be cured.”
“Using a cathartic laxative weekly is okay to control bowel movements.”
19
Parents of a child with celiac disease are taught about diet.Which,if stated to avoid,indicates effective teaching?SATA
Rye toast
Hot dogs
White rice
Chocolate candy
20
While preparing a pt for an upper EGD (esophagogastroduodenoscopy), the nurse should implement which interventions?SATA
Tell the pt he must be on a clear liquid diet before the procedure.
Tell the pt he shouldn't eat or drink for 6-12 hours before the procedure.
Inform the pt that he'll receive a sedative before the procedure.
Administer a preparation to cleanse the GI tract, such as Golytely.
21
The nurse is reviewing the record of a pt with Crohn’s disease.Which stool characteristic should the nurse expect?
Constipation alternating with diarrhea
Continual oozing of stool from rectum
Chronic constipation
Diarrhea
22
After assessing a client with peritonitis, the nurse most likely would document the client's bowel sounds as:
High pitched
Absent
Mild
Hyperactive
23
The nurse is monitoring a pt with a peptic ulcer.Which assessment finding would indicate perforation of the ulcer?
Nausea and vomiting
Rigid, board-like abdomen
Numbness of the legs
Bradycardia
24
The nurse caring for a client with small-bowel obstruction would plan to implement which nursing intervention first?
Obtaining a blood sample for laboratory studies
Preparing to insert a nasogastric (NG) tube
Administering pain medication
Administering I.V. fluids
25
A nurse should expect the client with a severe loss of potassium from diarrhea will have:
confusion, pitting edema, irregular pulse
muscle cramps, cardiac irritability, weakness and fatigue
kussmaul’s respirations, thirst, furrowed tongue
fatigue, tetany, and cardiac standstill
26
The nurse is caring for a pt whose cultural background is different from her own. Which actions are appropriate? SATA
Understand that all cultures experience pain in the same way.
Explain nurse's beliefs so that the pt will understand the differences.
Know that nonverbal cues may have different meanings in other cultures
Respect the client's cultural beliefs.
27
Which of the following might the nurse assess in a newborn with an anorectal malformation? SATA
Vomiting
Abdominal distention
Meconium in the urine
Meconium stools
28
Which findings are common in neonates born with esophageal atresia and tracheoesophageal fistula? SATA
Cyanosis
Coughing
Choking
Inability to cough
29
If a bowel obstruction occurs at the transverse colon, a nurse will initially hear bowel sounds that are:
absent RLQ and absent LLQ
increased RLQ and decreased LLQ
Decreased RLQ and increased LLQ
decreased RLQ and decrease LLQ
30
A pt receives a local anesthetic to suppress the gag reflex for an UGI test.Which priority action should the nurse take?
The pt should be monitored for cramping or abdominal distention
The pt should be monitored for breathing related disorder or discomforts
Measure the pt's fluid output for at least 24 hours after the procedure
The pt should not be given any food and fluids until the gag reflex returns
31
What care activities can be delegated to a NA for a pt with ulcerative colitis who is experiencing an exacerbation?SATA
Evaluating the client's response to antidiarrheal medications.
Obtaining the client's weight.
Assessing the client's bowel sounds.
Providing skin care following bowel movements.
32
A pt,s/p gastrectomy,is learning how to prevent dumping syndrome.What statement by the pt exhibits effective teaching?
"I will ambulate following my meal."
"I will eat foods high in carbohydrates."
"I will sit in a high fowlers position following meals."
"I'll be sure to limit my fluids with meals."
33
The nurse,performing an abdominal assessment,inspects the skin of the abdomen.The nurse performs which assessment next?
Palpates the liver at the right rib margin
Listens to bowel sounds in all for quadrants
Palpates the abdomen for size
Percusses the right lower abdominal quadrant
34
Which of the following patients would the nurse assign to unlicensed assistive personnel?SATA
An 11 year old child in sickle cell crisis admitted 3 hours ago
A 3 month old infant with dehydration who will be discharged tomorrow.
A 17 year old child with appendectomy last night with stable vital signs
A 16 year old child with mononucleosis and temp of 103.8 degrees F (39.9C)
35
The nurse is preparing to administer medication through a NG tube that is connected to suction.The nurse would:
Position the client supine to assist in medication absorption
Aspirate the NG tube after medication administration to maintain patency
Clamp the nasogastric tube for 30 minutes after med administration
Change the suction setting to low intermittent suction for 30 minutes
36
Which of the following pts can the nurse to assign to a LPN ?SATA
A pt who is 1 day postop for an inguinal hernia repair.
A client with Crohn's disease who is receiving TPN.
A pt with diverticulitis who needs teaching on his take-home medications.
A client who is experiencing an exacerbation of his ulcerative colitis.
37
A pt with a T5 spinal cord injury is c/o flushed skin,diaphoresis above T5,BP 162/96 & HA.Nursing action includes:SATA
Assessing for bladder distention and bowel impaction
Elevating the head of the bed 90 degrees
Loosening constrictive clothing
Placing the client in a supine position with legs elevated
38
A nurse is making a plan of care for a pt with Crohn’s disease receiving TPN.Which interventions should be included?SATA
Tape all tubing connections securely
Change the central venous line dressing daily
Weigh the patient daily
Monitor the TPN infusion rate hourly
39
Which diagnostic test would be used first to evaluate a client with upper GI bleeding?
Arteriography
Upper GI series
Endoscopy
Hemoglobin (Hb) levels and hematocrit (HCT)
40
A nurse is observing a pt for possible postop peritonitis.What would the nurse expect to see for this complication?SATA
abdominal rigidity
abdominal pain and rebound tenderness
tachycardia
hyperactive bowel sounds
