NCLEX-PN
NCLEX Gastrointestinal Disorders Questions
Question 1 of 5
The nurse is caring for the client with acute cholecystitis. The nurse anticipates that conservative treatment will include which component?
Correct Answer: B
Rationale: A. The client should be NPO rather than be given a bland diet to decrease gallbladder stimulation. B. The nurse should anticipate giving anticholinergic medications to decrease secretions and counteract smooth muscle spasms. C. The client should be positioned with the head of the bed elevated (not flat) to decrease the pressure of the abdominal contents on the diaphragm and to improve ventilation. D. Laxatives would increase GI stimulation unnecessarily.
Question 2 of 5
The client is in the preicteric phase of hepatitis. Which signs/symptoms should the nurse expect the client to exhibit during this phase?
Correct Answer: D
Rationale: The preicteric phase of hepatitis involves nonspecific symptoms like fatigue and diarrhea before jaundice appears. Clay-colored stools, jaundice, and pruritus occur in the icteric phase.
Question 3 of 5
The charge nurse is monitoring client laboratory values. Which value is expected in the client with cholecystitis who has chronic inflammation?
Correct Answer: C
Rationale: Chronic cholecystitis often causes elevated alkaline phosphatase due to bile duct irritation or obstruction. WBC elevation is more acute, and bilirubin or LDH changes are less specific.
Question 4 of 5
The experienced nurse is teaching the new nurse about surgery to repair a hiatal hernia. The experienced nurse is most likely to state that the surgery is becoming more common to prevent which emergency complication?
Correct Answer: C
Rationale: A. Although dysphagia is a complication of hiatal hernia, it is not an emergency condition. B. Esophageal edema is not a complication of hiatal hernia. C. A hiatal hernia can become strangulated (Circulation of blood to the hernia is cut off by constriction). Strangulation can occur with any type of hernia. D. Although aspiration is a complication of hiatal hernia, it is not an emergency condition.
Question 5 of 5
The client is prescribed infliximab 5 mg/kg every 8 weeks for treatment of Crohn’s disease. The client weighs 116 lb. How many milligrams (mg) should the nurse administer? _________ mg (Record your answer rounded to a whole number.)
Correct Answer: 264
Rationale:
To calculate the dose: 1. Convert weight to kilograms: 116 lb ÷ 2.2 = 52.727 kg. 2. Calculate dose: 5 mg/kg × 52.727 kg = 263.635 mg. 3. Round to a whole number: 264 mg.