ATI RN
Med-Surg Gastrointestinal NCLEX Questions Questions
Question 1 of 9
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 2 of 9
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 9
Which explanation about weight reduction should be included when teaching the obese patient and her obese husband?
Correct Answer: C
Rationale: Fat is stored after glycogen is depleted, which can affect weight loss progression. This concept is important in understanding the weight loss process.
Question 4 of 9
Priority Decision: When caring for a patient following a glossectomy with dissection of the floor of the mouth and a radical neck dissection for cancer of the tongue what is the nurse's primary concern?
Correct Answer: B
Rationale: The primary concern after such surgeries is maintaining a patent airway to ensure adequate oxygenation and prevent respiratory complications.
Question 5 of 9
What is a risk factor associated with cancer of the pancreas?
Correct Answer: B
Rationale: Cigarette smoking is a well-established risk factor for pancreatic cancer.
Question 6 of 9
The patient asks the nurse to explain what the physician meant when he said the patient had an anorectal abscess. Which description should the nurse use to explain this to the patient?
Correct Answer: B
Rationale: An anorectal abscess is a collection of pus near the anus that can occur due to infected anal glands.
Question 7 of 9
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 8 of 9
The patient presents with jaundice and itching, steatorrhea, and liver enlargement. This patient has also had ulcerative colitis for several years. What diagnosis should the nurse expect for this patient?
Correct Answer: D
Rationale: The combination of jaundice, itching, steatorrhea, and a history of ulcerative colitis points to primary sclerosing cholangitis, a condition linked with autoimmune and inflammatory diseases like ulcerative colitis.
Question 9 of 9
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.