ATI RN
Gastrointestinal NCLEX Questions Questions
Question 1 of 5
In caring for a client with GERD, which task would be appropriate to assign to the nursing assistant?
Correct Answer: C
Rationale: The correct answer is C because reminding the client not to lie down after eating helps prevent acid reflux in GERD. Nursing assistants can provide this basic instruction to promote client safety. Choice A involves sharing strategies that require more in-depth knowledge, not within a nursing assistant's scope. Choice B involves addressing emotional concerns, typically handled by nurses. Choice D involves explaining the rationale, which requires more understanding of the condition, beyond a nursing assistant's role.
Question 2 of 5
A nurse enters the room of a client with cramping, bloating, and flatus, as well as diarrhea and/or constipation, with or without the presence of mucus. What condition do the client's symptoms represent?
Correct Answer: B
Rationale: The correct answer is B: Irritable bowel syndrome. The symptoms described align with the criteria for diagnosing IBS, such as cramping, bloating, and changes in bowel habits. Peritonitis (A) is characterized by severe abdominal pain, fever, and rigidity. Ulcerative colitis (C) presents with bloody diarrhea and abdominal pain. Appendicitis (D) typically causes localized right lower quadrant pain, nausea, and vomiting. Therefore, based on the given symptoms, IBS is the most likely diagnosis.
Question 3 of 5
A nurse is doing discharge teaching on a client with a colostomy. What would the nurse convey to the client regarding when is the best time to perform irrigation?
Correct Answer: D
Rationale: The correct answer is D: Two hours before a meal. This timing allows for the colon to be relatively empty, making irrigation more effective. Irrigating two hours before a meal helps to prevent interference with digestion and absorption processes. Irrigating after a meal (choice A) or during a meal (choice C) may lead to discomfort, bloating, or potential leakage. Irrigating after a bowel movement (choice B) may not provide enough time for the colon to be adequately empty for effective irrigation.
Question 4 of 5
What contributes to increased protein-calorie needs?
Correct Answer: A
Rationale: The correct answer is A: Surgery. Surgery increases protein-calorie needs due to the body's increased demand for nutrients to support healing and recovery. The body requires more protein and calories to repair tissues and maintain immune function post-surgery. Choice B: A vegan diet does not necessarily contribute to increased protein-calorie needs as it is possible to meet nutritional requirements with proper planning. Choice C: Lowered temperature does not directly affect protein-calorie needs. Choice D: Cultural or religious beliefs do not inherently increase protein-calorie needs, as dietary choices can still meet nutritional requirements.
Question 5 of 5
Priority Decision: The nurse admitting a patient for bariatric surgery obtains the following information from the patient. Which finding should be brought to the surgeon's attention before proceeding with further patient preparation?
Correct Answer: B
Rationale: The correct answer is B: History of untreated depression. Before proceeding with further patient preparation for bariatric surgery, it is crucial to address untreated depression as it can significantly impact the patient's mental and emotional well-being post-operatively. Untreated depression can lead to poor compliance with post-operative instructions, medication management issues, and potentially increase the risk of complications. It is essential to involve the surgeon to assess the patient's psychological readiness for surgery and ensure appropriate support and resources are in place. Incorrect choices: A: History of hypertension - While hypertension should be managed pre-operatively, it is not a critical factor that would require immediate attention before further preparation. C: History of multiple attempts at weight loss - This is a common issue in patients undergoing bariatric surgery and does not pose an immediate risk that needs urgent attention. D: History of sleep apnea treated with CPAP - While sleep apnea is a relevant consideration for bariatric surgery, the fact that it is being treated with