NCLEX-PN
NCLEX Gastrointestinal Questions
Extract:
Question 1 of 5
The client with a new colostomy is being discharged. Which statement made by the client indicates the need for further teaching?
Correct Answer: B
Rationale: A liquid-only diet is unnecessary; a regular diet can be resumed as tolerated unless otherwise specified, as colostomies begin functioning soon after surgery. The other statements reflect correct colostomy care.
Question 2 of 5
Which assessment data indicate to the nurse the client recovering from an open cholecystectomy may require pain medication?
Correct Answer: B
Rationale: Shallow respirations suggest pain, as patients avoid deep breathing to minimize discomfort. Normal pulse, bowel sounds, and splinting are less direct indicators of pain.
Question 3 of 5
Which intervention should the nurse implement when administering a potassium supplement?
Correct Answer: B
Rationale: Asking about leg cramps assesses for hypokalemia symptoms, ensuring the potassium supplement is needed and effective. Allergies, BP, and CBC are less specific.
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
Which information should the nurse teach the client post-barium enema procedure?
Correct Answer: C
Rationale: A mild laxative helps expel barium, preventing constipation or impaction post-barium enema. NPO, bedrest, and normal stool color are incorrect.