NCLEX-PN
NCLEX Questions Gastrointestinal System Questions
Extract:
Question 1 of 5
The client is hospitalized with a large bowel obstruction resulting in massive abdominal distention. Which assessment findings should be most concerning to the nurse?
Correct Answer: C
Rationale: Decreased lung sounds are the most concerning finding because it can be life-threatening. Massive distention can impair function of the diaphragm, which in turn leads to atelectasis and compromised respiratory function.
Question 2 of 5
The nurse is caring for a client diagnosed with rule-out peptic ulcer disease. Which test confirms this diagnosis?
Correct Answer: A
Rationale: Esophagogastroduodenoscopy (EG
D) directly visualizes the gastric mucosa to confirm the presence of ulcers, making it the gold standard for diagnosing peptic ulcer disease. MRI is not used, occult blood tests are nonspecific, and gastric acid stimulation assesses acid production, not ulcers.
Question 3 of 5
The client tells the nurse about being diagnosed with a 2-cm cancerous tumor in the liver. The client wants to know about the treatment. Which statement should be the basis for the nurse’s response?
Correct Answer: C
Rationale: A. Chemotherapy is only used for clients who are not likely to benefit from other therapies. B. Liver transplantation is used when the tumor is large or localized. C. Radiofrequency ablation is a treatment technique that uses high-frequency alternating electrical current to heat tissue cells and destroy them. It can be successfully used to treat tumors less than 5 cm in size because these tumors tend to be slow growing and encapsulated. D. Surgical resection of the tumor is used when the tumor is large or localized.
Question 4 of 5
The nurse is admitting a client diagnosed with protein calorie malnutrition. Which interventions should the nurse implement? Select all that apply.
Correct Answer: A,C,D,E
Rationale: Calorie count, weight, medication list, and dietitian referral assess and manage malnutrition. Stool description is less relevant unless GI issues are present.
Question 5 of 5
The client who has had an abdominal perineal resection is being discharged. Which discharge information should the nurse teach?
Correct Answer: D
Rationale: Emptying the pouch when one-third to one-half full prevents leaks and skin irritation. A healthy stoma is pink/moist, ambulation is encouraged, and pain medication should be taken before pain becomes severe.