NCLEX-PN
NCLEX Questions Gastrointestinal System Questions
Extract:
Question 1 of 5
The client has dark, watery, and shiny-appearing stool. Which intervention should the nurse implement first?
Correct Answer: D
Rationale: Dark, watery stool risks perianal skin breakdown, so applying a barrier cream is the first intervention. Impaction is unlikely, fluids are secondary, and labs follow assessment.
Question 2 of 5
Which statement indicates to the emergency department nurse the client diagnosed with acute gastroenteritis understands the discharge teaching?
Correct Answer: C
Rationale: Slowly reintroducing solid foods prevents GI irritation, indicating understanding of gastroenteritis recovery. Leg cramps are possible but not emphasized, and decreasing fluids or bottled water is incorrect.
Question 3 of 5
The nurse is caring for the client scheduled for an abdominal perineal resection for Stage IV colon cancer. Which client problem should the nurse include in the intraoperative care plan?
Correct Answer: A
Rationale: Fluid volume deficit is a key intraoperative concern due to blood loss and fluid shifts during abdominal perineal resection. Perfusion, infection, and immunosuppression are postoperative risks.
Question 4 of 5
Which data should the nurse expect to assess in the client who had an upper gastrointestinal (UGI) series?
Correct Answer: A
Rationale: A UGI series uses barium, which can cause chalky white stools as it is excreted. Heart rate, abdominal firmness, and bowel sounds are not typically affected.
Question 5 of 5
Which outcome should the nurse identify for the client diagnosed with aphthous stomatitis?
Correct Answer: C
Rationale: Aphthous stomatitis (canker sores) can cause painful swallowing, so denying difficulty swallowing is a key outcome. Stress coping and diet are secondary, and antacids are irrelevant.