NCLEX-PN
Gastrointestinal NCLEX Questions
Extract:
Question 1 of 5
The nurse is caring for a client diagnosed with ulcerative colitis. Which symptom(s) support this diagnosis?
Correct Answer: C
Rationale: Multiple bloody, liquid stools are a hallmark of ulcerative colitis due to mucosal inflammation. Appetite/thirst increase, elevated hemoglobin, and stress-unrelated exacerbations are incorrect.
Question 2 of 5
Which outcome should the nurse identify for the client scheduled to have a cholecystectomy?
Correct Answer: B
Rationale: Ambulation on the first postoperative day prevents complications like thrombosis and atelectasis. Pain management should increase, skin integrity may be disrupted, and knowledge is a process, not an outcome.
Question 3 of 5
An adult has a nasogastric tube in place. Which nursing action will relieve discomfort in the nostril with the NG tube?
Correct Answer: C
Rationale: Looping the NG tube reduces pressure on the nares, alleviating discomfort without compromising function.
Question 4 of 5
The client complains to the nurse of unhappiness with the health-care provider. Which intervention should the nurse implement next?
Correct Answer: B
Rationale: Determining the specific issue allows the nurse to address the concern effectively, whether through communication, advocacy, or escalation. Contacting the HCP or supervisor prematurely or dismissing the client’s request is less appropriate.
Question 5 of 5
The client with appendicitis asks the nurse for a laxative to help relieve her constipation. The nurse explains to her that laxatives are not given to persons with possible appendicitis. What is the primary reason for this?
Correct Answer: D
Rationale: Laxatives increase peristalsis, which could rupture an inflamed appendix, leading to peritonitis.