NCLEX-PN
NCLEX Gastrointestinal Questions
Extract:
Question 1 of 5
The client who is obese presents to the clinic before beginning a weight loss program. Which interventions should the nurse teach? Select all that apply.
Correct Answer: A,B,C,E
Rationale: Walking, identifying eating triggers, consistent weighing, and support groups promote sustainable weight loss. Sodium restriction is less critical unless hypertension is present.
Question 2 of 5
The nurse is caring for a client who uses cathartics frequently. Which statement made by the client indicates an understanding of the discharge teaching?
Correct Answer: B
Rationale: Understanding that daily bowel movements are not necessary reflects proper teaching to reduce cathartic overuse. Bananas, fluid limits, and dairy are incorrect.
Question 3 of 5
The client diagnosed with AIDS is experiencing voluminous diarrhea. Which interventions should the nurse implement? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Monitoring diarrhea, assessing turgor, daily weighing, and sitz baths address dehydration, skin integrity, and comfort. Carbonated drinks may worsen diarrhea.
Question 4 of 5
The nurse is caring for clients on a medical unit. Which client information should be brought to the attention of the HCP immediately?
Correct Answer: A
Rationale: Hyponatremia (sodium 128 mEq/L) in obstipation risks neurological complications, requiring immediate HCP attention. Formed stools, normal potassium, and moderate diarrhea are less urgent.
Question 5 of 5
The clinic nurse is returning client calls. Which client should the nurse call first?
Correct Answer: C
Rationale: Vomiting in a type 1 diabetic risks diabetic ketoacidosis, a medical emergency, requiring immediate attention. Headache, warfarin refill, and food insecurity are less urgent.