ATI RN
Med-Surg Gastrointestinal NCLEX Questions Questions
Question 1 of 5
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 2 of 5
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 3 of 5
The nurse evaluates that management of the patient with upper GI bleeding is effective when assessment and laboratory findings reveal which result?
Correct Answer: C
Rationale: Decreasing blood urea nitrogen (BUN) levels indicate improvement in kidney function, which can be impacted by excessive bleeding.
Question 4 of 5
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 5
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.