NCLEX Gastrointestinal

Extract:

Question 1 of 5

The client has had a liver biopsy. Which postprocedure intervention should the nurse implement?

Correct Answer: C

Rationale: Placing the client on the right side applies pressure to the biopsy site, reducing bleeding risk. Voiding, NPO status, and BUN/creatinine are not specific to liver biopsy care.

Question 2 of 5

The nurse is preparing a client diagnosed with GERD for discharge following an esophagogastroduodenoscopy (EGD). Which statement indicates the client understands the discharge instructions?

A. I should not eat for at least one (1) day following this procedure. B. I can lie down whenever I want after a meal. It won't make a difference. C. The stomach contents won't bother my esophagus but will make me nauseous. D. I should avoid orange juice and eating tomatoes until my esophagus heals.

Correct Answer: D

Rationale: Avoiding acidic foods like orange juice and tomatoes reduces irritation to the esophagus, indicating understanding of dietary modifications for GERD. Not eating for a day is unnecessary, lying down after meals worsens reflux, and nausea is not the primary concern with GERD.

Question 3 of 5

The nurse is caring for clients on a surgical unit. Which client should the nurse assess first?

A. The client who had an inguinal hernia repair and has not voided in four (4) hours. B. The client who was admitted with abdominal pain who suddenly has no pain. C. The client four (4) hours postoperative abdominal surgery with no bowel sounds. D. The client who is one (1) day postappendectomy and is being discharged.

Correct Answer: B

Rationale: Sudden resolution of abdominal pain may indicate perforation (e.g., appendicitis), a life-threatening emergency requiring immediate assessment. Urinary retention, absent bowel sounds, and discharge are less urgent.

Question 4 of 5

The nurse writes a problem 'low self-esteem' for a 16-year-old client diagnosed with anorexia. Which client goal should be included in the plan of care?

A. The client will spend one (1) hour a day with the parents. B. The client eats 50% of the meals provided. C. Dietary will provide high-protein milk shakes (tid). D. The client will verbalize one positive attribute.

Correct Answer: D

Rationale: Verbalizing a positive attribute directly addresses low self-esteem by fostering positive self-perception. Time with parents, eating, and milk shakes are unrelated or nutritional.

Question 5 of 5

The male client had abdominal surgery and the nurse suspects the client has peritonitis. Which assessment data support the diagnosis of peritonitis?

A. Absent bowel sounds and potassium level of 3.9 mEq/L. B. Abdominal cramping and hemoglobin of 14 g/dL. C. Profuse diarrhea and stool specimen shows Campylobacter. D. Hard, rigid abdomen and white blood cell count 22,000/mm3.

Correct Answer: D

Rationale: A hard, rigid abdomen and elevated WBC count (22,000/mm3) indicate peritonitis due to peritoneal inflammation and infection. Absent bowel sounds are nonspecific, cramping with normal hemoglobin is less indicative, and diarrhea with Campylobacter suggests gastroenteritis.

NCLEX Gastrointestinal | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN