NCLEX-PN
NCLEX Questions Gastrointestinal System Questions
Extract:
Question 1 of 5
The nurse is caring for the client scheduled for an abdominal perineal resection for Stage IV colon cancer. Which client problem should the nurse include in the intraoperative care plan?
Correct Answer: A
Rationale: Fluid volume deficit is a key intraoperative concern due to blood loss and fluid shifts during abdominal perineal resection. Perfusion, infection, and immunosuppression are postoperative risks.
Question 2 of 5
The nurse is caring for clients in an outpatient clinic. Which information should the nurse teach regarding the American Cancer Society's recommendations for the early detection of colon cancer?
Correct Answer: C
Rationale: The American Cancer Society recommends a colonoscopy starting at age 45–50, then every 5–10 years for average-risk individuals, as it effectively detects polyps and cancer. Other options are outdated or incorrect.
Question 3 of 5
The client is admitted to the medical unit with a diagnosis of acute diverticulitis. Which healthcare provider's order should the nurse question?
Correct Answer: A
Rationale: An NG tube is not routinely needed for acute diverticulitis unless there is vomiting or obstruction, which is not indicated. IV fluids, clear liquids, and bedrest are standard to rest the bowel and manage inflammation.
Question 4 of 5
The client has dark, watery, and shiny-appearing stool. Which intervention should the nurse implement first?
Correct Answer: D
Rationale: Dark, watery stool risks perianal skin breakdown, so applying a barrier cream is the first intervention. Impaction is unlikely, fluids are secondary, and labs follow assessment.
Question 5 of 5
The nurse is caring for a client diagnosed with rule-out peptic ulcer disease. Which test confirms this diagnosis?
Correct Answer: A
Rationale: Esophagogastroduodenoscopy (EG
D) directly visualizes the gastric mucosa to confirm the presence of ulcers, making it the gold standard for diagnosing peptic ulcer disease. MRI is not used, occult blood tests are nonspecific, and gastric acid stimulation assesses acid production, not ulcers.