NCLEX Questions Gastrointestinal System

Extract:

Question 1 of 5

The female client presents to the clinic for an examination because she has not had a menstrual cycle for several months and wonders if she could be pregnant. The client is 5'10 tall and weighs 45 kg. Which assessment data should the nurse obtain first?

Correct Answer: D

Rationale: Low weight (BMI ~13.6) suggests anorexia, and vital signs (pulse, BP) assess for hemodynamic instability, a priority. Diet recall, birth control, and reweighing are secondary.

Question 2 of 5

The client had Billroth II surgery 24 hours ago. The client’s son approaches the nurse in the hallway and asks for information regarding his father’s condition. The wife is listed as the designated contact person. Which nurse response is best?

A. “What has the surgeon told you about your father’s condition?” B. “Let’s both go into your father’s room and ask him how he feels.” C. “Let’s go to a more private place to discuss your father’s condition.” D. “Let’s review your father’s medical record information together.”

Correct Answer: B

Rationale: A. Discussing client information in a hospital hallway is inappropriate; individuals passing by could overhear confidential client information. B. Going into the client’s room together allows the client to determine if he wants to disclose information and how much information he wants to disclose. C. Even if in a private location, the nurse should not share confidential client information with anyone unless the client has specifically given permission. D. The nurse should not review the medical record of the client with a family member without permission. Some facilities require the client to complete a form requesting permission to review his or her own medical records.

Question 3 of 5

When an elderly client is receiving cimetidine [Tagamet], it is important that the nurse monitor for which side effect?

A. Chest pain B. Confusion C. Dyspnea D. Urinary retention

Correct Answer: B

Rationale: Confusion is a potential side effect of cimetidine in elderly clients due to its central nervous system effects.

Question 4 of 5

The client diagnosed with ulcerative colitis has an ileostomy. Which statement indicates the client needs more teaching concerning the ileostomy?

A. My stoma should be pink and moist. B. I will irrigate my ileostomy every morning. C. If I get a red, bumpy, itchy rash I will call my HCP. D. I will change my pouch if it starts leaking.

Correct Answer: B

Rationale: Ileostomies typically do not require routine irrigation, as the output is liquid and continuous, unlike colostomies. The other statements reflect correct understanding of stoma care and management.

Question 5 of 5

A client had a barium enema. Following the barium enema, the nurse should anticipate an order for which of the following?

A. An antacid B. A laxative C. A muscle relaxant D. A sedative

Correct Answer: B

Rationale: Barium is constipating, and a laxative is typically ordered to prevent bowel obstruction post-barium enema.

NCLEX Questions Gastrointestinal System | Nurselytic

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