NCLEX-PN
NCLEX Questions Gastrointestinal System Questions
Extract:
Question 1 of 5
The client diagnosed with ulcerative colitis has an ileostomy. Which statement indicates the client needs more teaching concerning the ileostomy?
Correct Answer: B
Rationale: Ileostomies typically do not require routine irrigation, as the output is liquid and continuous, unlike colostomies. The other statements reflect correct understanding of stoma care and management.
Question 2 of 5
Which priority teaching information should the nurse discuss with the client to help prevent contracting hepatitis B?
Correct Answer: B
Rationale: The hepatitis B vaccine is the most effective way to prevent hepatitis B, a bloodborne virus. Handwashing and food safety are less relevant, and Standard Precautions are for healthcare settings.
Question 3 of 5
The nurse writes the problem 'risk for impaired skin integrity' for a client with a sigmoid colostomy. Which expected outcome would be appropriate for this client?
Correct Answer: A
Rationale: Intact skin around the stoma directly addresses the risk for impaired skin integrity due to colostomy leakage or irritation. Other outcomes are unrelated or secondary.
Question 4 of 5
Which expected outcome should the nurse include for a client diagnosed with peptic ulcer disease?
Correct Answer: B
Rationale: Lifestyle modifications (e.g., avoiding NSAIDs, alcohol, and trigger foods) are critical for managing peptic ulcer disease and preventing recurrence. NSAIDs worsen ulcers, hemoptysis is unrelated, and antacids are not typically taken with meals.
Question 5 of 5
The nurse has been assigned to care for four clients. Which client should the nurse plan to assess first?
Correct Answer: B
Rationale: A. The client with a pain rating of 6 out of 10 on a numerical scale needs attention, but the pain is not a life-threatening concern. B. Bleeding esophageal varices are the most life-threatening complication of cirrhosis. Coughing can precipitate a bleeding episode. The nurse should assess this client first. C. The client who is postcholecystectomy is reported as being stable and could be assessed last. D. The client reporting itching needs attention, but the itching is not a life-threatening concern.