NCLEX-PN
Gastrointestinal NCLEX Questions
Extract:
Question 1 of 5
An upper GI series is ordered for a client. Which action is essential for the nurse before the test?
Correct Answer: B
Rationale: Preparation for an upper GI series requires NPO for eight hours to ensure a clear view of the GI tract. Shellfish allergies are irrelevant as iodine dye is not used, and fat restriction applies to gallbladder tests.
Question 2 of 5
Which nursing problem is priority for the 76-year-old client diagnosed with gastroenteritis from staphylococcal food poisoning?
Correct Answer: A
Rationale: Fluid volume deficit is the priority in elderly patients with gastroenteritis, as dehydration from vomiting and diarrhea poses significant risks. Nausea, aspiration, and urinary issues are secondary.
Question 3 of 5
The nurse has received the a.m. shift report. Which client should the nurse assess first?
Correct Answer: C
Rationale: Tented skin turgor and dry mucous membranes in an elderly IBD patient indicate severe dehydration, a life-threatening condition requiring immediate assessment. Other clients have concerning but less urgent symptoms.
Question 4 of 5
The nurse is caring for a client diagnosed with bulimia nervosa. Which nursing intervention should the nurse implement after the client's evening meal?
Correct Answer: B
Rationale: Staying with the client prevents purging, a key behavior in bulimia, post-meal. Praising eating, exercise, or bedrest does not address purging.
Question 5 of 5
The nurse is administering morning medications at 0730. Which medication should have priority?
Correct Answer: A
Rationale: Proton pump inhibitors (PPIs) are the mainstay treatment for GERD, reducing acid production and preventing esophageal damage. They should be prioritized over analgesics, histamine receptor antagonists, or mucosal barrier agents, which are less critical for immediate symptom control and healing.