NCLEX-PN
Gastrointestinal NCLEX Questions
Extract:
Question 1 of 4
The nurse is preparing a client with Crohn's disease for discharge. Which of the following statements indicates that he needs further teaching?
Correct Answer: B
Rationale: Crohn’s disease increases the risk of colon cancer, so the statement indicates a need for further teaching. The other statements are correct.
Question 2 of 4
The day after surgery in which a colostomy was performed, the client says, 'I know the doctor did not really do a colostomy.' The nurse understands that the client is in an early stage of adjustment to the diagnosis and surgery. What nursing action is indicated at this time?
Correct Answer: B
Rationale: Acknowledging the difficulty of the surgery supports the client emotionally during the denial stage without forcing confrontation.
Question 3 of 4
Following a hemorrhoidectomy, the nurse assesses the client's voiding. What is the reason for this concern?
Correct Answer: B
Rationale: Urinary retention is common post-hemorrhoidectomy due to pain and swelling affecting pelvic nerves.
Question 4 of 4
The client's temperature rises to 38°C (100.4°F) on the first postoperative day following abdominal surgery. The nurse interprets this to be:
Correct Answer: B
Rationale: A slight temperature elevation (100.4°F) on the first postoperative day is a normal response to surgical trauma.
Question 5 of 4
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.