NCLEX-PN
NCLEX Questions Gastrointestinal System Questions
Extract:
Question 1 of 5
The 36-year-old female client diagnosed with anorexia nervosa tells the nurse 'I am so fat. I won't be able to eat today.' Which response by the nurse is most appropriate?
Correct Answer: A
Rationale: Asking why the client feels fat explores distorted body image, a therapeutic approach in anorexia. Dismissing feelings, threatening restraints, or stating consequences are nontherapeutic.
Question 2 of 5
The client is placed on percutaneous endoscopic gastrostomy (PEG) tube feedings. Which occurrence warrants immediate intervention by the nurse?
Correct Answer: B
Rationale: A dislodged PEG tube risks peritonitis or feeding leakage, requiring immediate intervention.
Tolerated feedings, thirst, and green stool are less urgent.
Question 3 of 5
A client had a barium enema. Following the barium enema, the nurse should anticipate an order for which of the following?
Correct Answer: B
Rationale: Barium is constipating, and a laxative is typically ordered to prevent bowel obstruction post-barium enema.
Question 4 of 5
While performing a home visit, the nurse observes that the client’s head of the bed is raised on 6-in. blocks. The nurse should question the client for a history of which conditions?
Correct Answer: A, D
Rationale: Clients with a hiatal hernia are encouraged to sleep with the HOB elevated on 4- to 6-in. blocks to reduce intraabdominal pressure and to foster esophageal emptying. B. Dumping syndrome occurs after surgery when the stomach no longer has control over the amount of chime that enters the small intestine. Clients are encouraged to lie flat after a meal. C. Crohn’s disease is an inflammatory disease of the bowel. Positioning interventions do not decrease symptoms. D. Clients with GERD are encouraged to sleep with the HOB elevated on 4— to 6-in. blocks to reduce intraabdominal pressure and to foster esophageal emptying. E. Gastritis is inflammation of the gastric mucosa. Positioning interventions do not decrease symptoms.
Question 5 of 5
The postanesthesia care nurse is caring for a client who had abdominal surgery and is complaining of nausea. Which intervention should the nurse implement first?
Correct Answer: B
Rationale: Assessing NG tube patency ensures it is functioning to prevent nausea from gastric distension. Narcotics may worsen nausea, fever is secondary, and neck hyperextension is irrelevant.