NCLEX Gastrointestinal

Extract:

Question 1 of 5

The client with a newly created colostomy is concerned about having satisfying sexual relations. What should the nurse recommend?

Correct Answer: C

Rationale: Emptying the pouch before sexual activity is recommended to decrease the concern of pouch breakage or leakage; cleaning it will reduce odor.

Question 2 of 5

The experienced nurse is instructing the new nurse. The experienced nurse explains that the definitive diagnosis of PUD involves which test?

A. A urea breath test B. Upper GI endoscopy with biopsy C. Barium contrast studies D. The string test

Correct Answer: B

Rationale: A. A urea breath test only tests for the presence of Helicobacter pylori (H. pylori). B. The gastric mucosa can be visualized with an endoscope. A biopsy is possible to differentiate PUD from gastric cancer and to obtain tissue specimens to identify H. pylori. These are used to make a definitive diagnosis of PUD. C. Barium studies do not provide an opportunity for biopsy and H. pylori testing. D. A urea breath test and a string test only test for the presence of H . pylori.

Question 3 of 5

A nasogastric tube is ordered for an alert adult client. In addition to the tube and basin, what is essential for the nurse to have at the bedside during the procedure?

A. A 5-cc syringe filled with water B. A glass filled with water and a straw C. A large clamp D. A container of sterile water

Correct Answer: B

Rationale: A glass of water with a straw helps the client swallow during nasogastric tube insertion, facilitating passage.

Question 4 of 5

Which complaint is significant for the nurse to assess in the adolescent male client who uses oral tobacco?

A. The client complains of clear to white sputum. B. The client has an episodic blister on the upper lip. C. The client complains of a nonhealing sore in the mouth. D. The client has bilateral ducts at the second molars.

Correct Answer: C

Rationale: A nonhealing sore in the mouth is concerning for oral cancer, a risk associated with oral tobacco use, requiring immediate assessment. Sputum, blisters, and salivary ducts are less significant.

Question 5 of 5

The client is diagnosed with an acute exacerbation of IBD. Which priority intervention should the nurse implement?

A. Weigh the client daily and document in the client's chart. B. Teach coping strategies such as dietary modifications. C. Record the frequency, amount, and color of stools. D. Monitor the client's oral fluid intake every shift.

Correct Answer: C

Rationale: Recording stool frequency, amount, and color is critical in acute IBD exacerbation to assess disease activity and guide treatment. Weight and fluid monitoring are important but secondary, and teaching is less urgent during an acute phase.

NCLEX Gastrointestinal | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN