NCLEX-PN
Gastrointestinal NCLEX Questions Questions
Extract:
Question 1 of 5
The client presents to the emergency department experiencing frequent watery, bloody stools after eating some undercooked meat at a fast-food restaurant. Which intervention should be implemented first?
Correct Answer: C
Rationale: Drawing a CBC assesses for infection or anemia due to bloody stools, guiding treatment. Stool samples, antibiotics, and antidiarrheals follow assessment.
Question 2 of 5
The nurse has been assigned to care for a client diagnosed with peptic ulcer disease. Which assessment data require further intervention?
Correct Answer: C
Rationale: A 20 mm Hg drop in systolic BP on positional change suggests orthostatic hypotension, possibly from bleeding, requiring immediate intervention. Normal bowel sounds, belching, and reduced pain are less concerning.
Question 3 of 5
The client is complaining of painful swallowing secondary to mouth ulcers. Which statement indicates the nurse's teaching is effective?
Correct Answer: D
Rationale: Avoiding spicy foods, tobacco, and alcohol reduces irritation of mouth ulcers, indicating effective teaching. Soft brushes help, Listerine may irritate, and antifungal solutions are for candidiasis.
Question 4 of 5
The emergency department nurse is working in a community hospital. During the past two (2) hours, 15 clients have been admitted with Salmonella food poisoning. Which information should the nurse discuss with the clients?
Correct Answer: C
Rationale: Salmonella is commonly associated with undercooked eggs and poultry, making this the most accurate information. Incubation is 6–72 hours, water is less common, and canned foods are linked to botulism.
Question 5 of 5
Which specific data should the nurse obtain from the client who is suspected of having peptic ulcer disease?
Correct Answer: B
Rationale: NSAID use is a major risk factor for peptic ulcer disease, as these drugs can erode the gastric mucosa. While medication side effects and allergies are relevant, they are less specific, and family history is not a priority in this context.