NCLEX-PN
Gastrointestinal NCLEX Questions
Extract:
Question 1 of 5
The client has a nasogastric tube. The healthcare provider orders IV fluid replacement based on the previous hour's output plus the baseline IV fluid ordered of 125 mL/hr. From 0800 to 0900 the client's N/G tube drained 45 mL. At 0900, what rate should the nurse set for the IV pump?
Correct Answer: 170 mL/hr
Rationale: Baseline IV fluid is 125 mL/hr, plus 45 mL NG output = 125 + 45 = 170 mL/hr.
Question 2 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 3 of 5
The nurse is assessing the client who is 24 hours post—GI hemorrhage. The findings include BUN of 40 mg/dL and serum creatinine of 0.8 mg/dL. Which action should be taken by the nurse?
Correct Answer: C
Rationale: A. No treatment is required; it is unnecessary to call the HCP. B. If acute kidney failure is present, both the BUN and creatinine would be elevated. C. The findings should be documented. The BUN can be elevated after a significant GI hemorrhage from the breakdown of blood proteins. The protein breakdown releases nitrogen that is then converted to urea. D. Limiting protein intake in the presence of healthy kidneys is unnecessary.
Question 4 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.
Question 5 of 5
Which intervention should the nurse include when discussing ways to help prevent potential episodes of gastroenteritis from Clostridium botulism?
Correct Answer: D
Rationale: Clostridium botulinum thrives in improperly canned foods, so discarding damaged cans prevents botulism. Cooking meat, refrigerating dairy, and bottled water are unrelated to botulism.