NCLEX-PN
NCLEX Gastrointestinal Questions
Extract:
Question 1 of 5
The experienced nurse is instructing the new nurse. The experienced nurse explains that the definitive diagnosis of PUD involves which 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 2 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 3 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 4 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.
Question 5 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.