NCLEX-PN
Gastrointestinal NCLEX Questions Questions
Extract:
Question 1 of 5
The client diagnosed with liver failure is experiencing pruritus secondary to severe jaundice. Which action by the unlicensed assistive personnel (UAP) warrants intervention by the nurse?
Correct Answer: A
Rationale: Hot, soapy showers can worsen pruritus by drying the skin, requiring intervention. Emollients, mittens (to prevent scratching), and patting dry are appropriate.
Question 2 of 5
The client presents to the emergency department experiencing frequent watery, bloody stools after eating some undercooked meat at a fast-food restaurant. Which intervention should be implemented first?
Correct Answer: C
Rationale: Drawing a CBC assesses for infection or anemia due to bloody stools, guiding treatment. Stool samples, antibiotics, and antidiarrheals follow assessment.
Question 3 of 5
Which specific data should the nurse obtain from the client who is suspected of having peptic ulcer disease?
Correct Answer: B
Rationale: NSAID use is a major risk factor for peptic ulcer disease, as these drugs can erode the gastric mucosa. While medication side effects and allergies are relevant, they are less specific, and family history is not a priority in this context.
Question 4 of 5
The emergency department nurse is working in a community hospital. During the past two (2) hours, 15 clients have been admitted with Salmonella food poisoning. Which information should the nurse discuss with the clients?
Correct Answer: C
Rationale: Salmonella is commonly associated with undercooked eggs and poultry, making this the most accurate information. Incubation is 6–72 hours, water is less common, and canned foods are linked to botulism.
Question 5 of 5
The client is admitted to a hospital for medical management of acute diverticulitis. The nurse should anticipate that this client’s treatment plan will include which component?
Correct Answer: A, C
Rationale: The nurse should plan for the client to be NPO. Medical management for diverticulitis includes resting the bowel. NPO status will help to achieve this. B. Ambulation is not encouraged; resting the body promotes bowel rest. C. Broad-spectrum antibiotics effective against known enteric pathogens are used in treating every stage of diverticulitis. D. Nausea is not a concern with diverticulitis. E. The client did not have surgery; there is no need for deep breathing every 2 hours.