ATI RN
Med-Surg Gastrointestinal NCLEX Questions Questions
Question 1 of 9
The nurse is monitoring a client diagnosed with peptic ulcer disease. She is observing this nonsurgical client for any sign of medical complications. Which of the following assessment measures is the most useful?
Correct Answer: D
Rationale: Vital signs and fluid status help detect complications such as bleeding, perforation, or hypovolemia.
Question 2 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 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
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 5 of 9
Priority Decision: Following auscultation of the abdomen, what should the nurse's next action be?
Correct Answer: A
Rationale: After auscultation percussing the abdomen helps assess for fluid gas or organ enlargement.
Question 6 of 9
The nurse is monitoring a client diagnosed with peptic ulcer disease. She is observing this nonsurgical client for any sign of medical complications. Which of the following assessment measures is the most useful?
Correct Answer: D
Rationale: Vital signs and fluid status help detect complications such as bleeding, perforation, or hypovolemia.
Question 7 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 8 of 9
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 9 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.