NCLEX-PN
NCLEX Gastrointestinal Questions
Extract:
Question 1 of 5
The nurse is caring for the client to manage and decrease the sensation of nausea. Which nonpharmacological intervention should the nurse recommend?
Correct Answer: A
Rationale: A. Ginger has demonstrated antiemetic properties as well as analgesic and sedative effects on GI motility. B. Avoidance of sudden changes in position and decreasing activity are recommended to control nausea. C. All food should be stopped when nausea is present to prevent stomach stretching and stimulation of the afferent nerve fibers. D. A quiet, calm environment, rather than one that is stimulating, is recommended to decrease nausea.
Question 2 of 5
The nurse is irrigating the client's colostomy when the client complains of cramping. What is the most appropriate initial action by the nurse?
Correct Answer: C
Rationale: Pinching the tubing stops the flow, relieving cramping caused by rapid fluid instillation during colostomy irrigation.
Question 3 of 5
An adult is being treated for a peptic ulcer. The physician has prescribed cimetidine (Tagamet) for which reason?
Correct Answer: A
Rationale: Cimetidine, an H2 receptor blocker, reduces gastric acid secretion, aiding peptic ulcer healing.
Question 4 of 5
The 20-year-old female is being admitted to the hospital with exacerbation of Crohn’s disease. The client is alert and oriented and has been taking azathioprine for disease control. Into which room should the charge nurse place the client?
Correct Answer: C
Rationale: A. The client is alert and oriented; there is no need to be near the nurse’s station. B. The client is at an increased risk for infection and should have a private room rather than rooming with another female with Crohn’s disease. C. The client should be in a private room with a private bathroom due to an increased risk for infection with azathioprine (Imuran). Azathioprine suppresses cell-mediated immune responses and may cause bone marrow suppression. It is also a biohazard medication. D. The client is at an increased risk for infection and should have a private room rather than rooming with another female.
Question 5 of 5
The client diagnosed with diverticulitis is complaining of severe pain in the left lower quadrant and has an oral temperature of 100.6°F. Which intervention should the nurse implement first?
Correct Answer: D
Rationale: Assessing the abdomen first provides critical data on tenderness, rigidity, or rebound, which could indicate complications like perforation, guiding further actions. Notification or medication follows assessment.