Questions 54

NCLEX-RN

NCLEX-RN Test Bank

Gastrointestinal NCLEX RN Questions Questions

Question 1 of 5

The nurse observes a newly hired nurse care for a client with a colostomy. Which action by the newly hired nurse requires follow-up? Select all that apply.

Correct Answer: B,D,E

Rationale: Using moisturizing soap (
B) can interfere with appliance adhesion, sterile gloves (
D) are unnecessary as clean gloves suffice, and isopropyl alcohol (E) can irritate the skin. Emptying the pouch appropriately (
A) and recognizing a normal stoma (
C) are correct.

Question 2 of 5

The nurse is caring for a client who has just been diagnosed with peritonitis. Which of the following medications should the nurse anticipate the primary health care provider (PHCP) will prescribe?

Correct Answer: B

Rationale: Ciprofloxacin, an antibiotic, is used to treat bacterial peritonitis. Pantoprazole reduces acid, lactulose treats hepatic encephalopathy, and loperamide slows motility, none of which address peritonitis directly.

Question 3 of 5

The nurse cares for a client who had a liver transplant 48 hours ago. It would be a priority for the nurse to notify the healthcare provider (HCP) if the client has

Correct Answer: B

Rationale: Rising AST and ALT levels (
B) indicate possible liver graft dysfunction or rejection, a critical finding requiring immediate HCP notification post-transplant.

Question 4 of 5

The nurse is screening individuals at risk for gastric cancer. It would be appropriate for the nurse to identify which of the following as a risk factor for gastric cancer?

Correct Answer: C

Rationale: Chronic gastritis (
C), often caused by H. pylori, is a known risk factor for gastric cancer. The other options are not directly associated.

Question 5 of 5

The nurse is developing a plan of care for a client who had bariatric surgery. Which of the following should the nurse include?

Correct Answer: A

Rationale: Pneumatic compression devices (
A) prevent thromboembolism, a key risk post-bariatric surgery due to immobility and obesity. Catheters (
B), bed rest (
C), and girth measurement (
D) are not routinely required.

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