ATI RN
Med-Surg Gastrointestinal NCLEX Questions Questions
Question 1 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 2 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 3 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 4 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 5 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 6 of 9
Chronic hepatitis C may be treated with:
Correct Answer: B
Rationale: Chronic hepatitis C is often treated with antiviral medications like interferon and ribavirin to manage the infection and prevent liver damage.
Question 7 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 8 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 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.