NCLEX-PN
NCLEX Gastrointestinal Questions
Extract:
Question 1 of 5
The client is admitted with end-stage liver failure and is prescribed the laxative lactulose (Chronulac). Which statement indicates the client needs more teaching concerning this medication?
Correct Answer: B
Rationale: Clients do not routinely check ammonia levels at home; this is done clinically if needed. The other statements reflect correct understanding of lactulose use for hepatic encephalopathy.
Question 2 of 5
A low-residue diet is ordered for a client. Which food would be contraindicated for this person?
Correct Answer: B
Rationale: Fresh peas are high in residue due to their fiber content, contraindicated for a low-residue diet. Roast beef, mashed potatoes, and baked chicken are low-residue.
Question 3 of 5
Which data should the nurse expect to assess in the client diagnosed with acute gastroenteritis?
Correct Answer: D
Rationale: Loud, rushing bowel sounds are expected in gastroenteritis due to increased peristalsis from irritation. Decreased sounds, hard abdomen, or melena suggest other conditions.
Question 4 of 5
The client is diagnosed with salmonellosis secondary to eating some slightly cooked hamburger meat. Which clinical manifestations should the nurse expect the client to report?
Correct Answer: A
Rationale: Salmonellosis typically causes abdominal cramping, nausea, and vomiting due to bacterial irritation of the GI tract. Paralysis is botulism, bloody diarrhea is more typical of other pathogens, and rice water stool is cholera.
Question 5 of 5
The nurse is irrigating the client's colostomy when the client complains of cramping. What is the most appropriate initial action by the nurse?
Correct Answer: C
Rationale: Pinching the tubing stops the flow, relieving cramping caused by rapid fluid instillation during colostomy irrigation.