ATI RN
Med-Surg Gastrointestinal NCLEX Questions Questions
Question 1 of 5
Priority Decision: A patient with ulcerative colitis has a total proctocolectomy with formation of a terminal ileum stom What is the most important nursing intervention for this patient postoperatively?
Correct Answer: A
Rationale: Measuring ileostomy output is crucial to assess fluid balance and prevent dehydration in the patient postoperatively.
Question 2 of 5
Which of the following instructions should a nurse provide a client with an ileostomy when using the catheter?
Correct Answer: B
Rationale: Resistance at the nipple valve may indicate blockage, and the client should report it to avoid complications.
Question 3 of 5
The nurse is monitoring a client diagnosed with peptic ulcer disease. She is observing this nonsurgical client for any sign of medical complications. Which of the following assessment measures is the most useful?
Correct Answer: D
Rationale: Vital signs and fluid status help detect complications such as bleeding, perforation, or hypovolemia.
Question 4 of 5
For clients coming to the ambulatory care GI clinic, which task would be most appropriate to assign to the LPN/LVN?
Correct Answer: B
Rationale: LPNs are trained to assist with procedures such as incision and drainage, whereas client education and evaluation require an RN.
Question 5 of 5
The nurse evaluates that management of the patient with upper GI bleeding is effective when assessment and laboratory findings reveal which result?
Correct Answer: C
Rationale: Decreasing blood urea nitrogen (BUN) levels indicate improvement in kidney function, which can be impacted by excessive bleeding.