Questions 54

NCLEX-RN

NCLEX-RN Test Bank

Gastrointestinal NCLEX RN Questions Questions

Question 1 of 5

The nurse is caring for a client receiving total parenteral nutrition (TPN), which was initiated twelve hours ago. The priority assessment for this client is which of the following?

Correct Answer: D

Rationale: TPN contains high concentrations of glucose, which can lead to hyperglycemia, especially in the early stages of administration. Monitoring capillary blood glucose is critical to detect and manage this potential complication.

Question 2 of 5

The nurse is conducting a telephone call following up with a client with a colostomy placed two weeks ago. Select the findings reported by the client that require follow-up by the nurse.

Correct Answer: C,D

Rationale: Changing the appliance daily (
C) may indicate improper fit or skin irritation, requiring assessment. Using moisturizing soap (
D) can interfere with appliance adhesion and cause skin issues, necessitating education on proper skin care.

Question 3 of 5

The nurse is assessing a client who has appendicitis. Which of the following would be an expected finding? Select all that apply.

Correct Answer: A,C,D,E

Rationale: Appendicitis commonly presents with leukocytosis (
A) due to infection, fever (
C) from inflammation, nausea and vomiting (
D), and anorexia (E) due to gastrointestinal irritation. Melena (
B) is not typically associated with appendicitis.

Extract:

The following scenario applies to the next 1 items
The nurse is caring for a client in the outpatient clinic
Item 1 of 1
Nurses’ Note
35-year-female arrives at the clinic for reported loss of appetite and nausea. The client reports that she is not eating as much because she experiences palpitations, sweating, and dizziness about thirty minutes after she eats. She reports that she has not been adherent to the prescribed diet and her symptoms worsen when she eats something sweet and drinks cola.

Medical History
• Morbid obesity (BMI 42)
• Roux-en-Y procedure eight weeks ago


Question 4 of 5

Complete the following sentence by choosing from the list of options. To prevent.........., the nurse should instruct the client ............. and ...........

Correct Answer: B,E

Rationale: Dumping syndrome (
B) occurs post-Roux-en-Y due to rapid gastric emptying. Avoiding drinking with meals (E) slows digestion, reducing symptoms. Lying down after meals (
C) can worsen symptoms and is not advised.

Extract:


Question 5 of 5

A nurse is caring for a client diagnosed with a duodenal ulcer. Which medication facilitates healing by forming a protective lining over the client's ulcer?

Correct Answer: C

Rationale: Sucralfate (
C) forms a protective barrier over the ulcer, promoting healing by shielding it from stomach acid. Famotidine (
A) and cimetidine (
D) are H2 blockers, and omeprazole (
B) is a proton pump inhibitor, which reduce acid but do not form a physical barrier.

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