NCLEX-PN
Gastrointestinal NCLEX Questions
Extract:
Question 1 of 5
The nurse is preparing to care for the client immediately after a Whipple procedure. The nurse should plan to include which action?
Correct Answer: A
Rationale: A. The Whipple procedure induces insulin-dependent diabetes because the proximal pancreas is resected. Thus, the blood glucose levels should be monitored closely starting immediately after surgery. B. Parenteral (not enteral) feedings are the method of choice for providing nutrition immediately after surgery. C. The NG tube is strategically placed during surgery and should not be irrigated without a surgeon’s order. With an order, gentle irrigation with 10 to 20 mL of NS is appropriate. D. Since this surgery reshapes the GI tract, the client will not have peristalsis and bowel movements for several days.
Question 2 of 5
The nurse is administering morning medications at 0730. Which medication should have priority?
Correct Answer: A
Rationale: Proton pump inhibitors (PPIs) are the mainstay treatment for GERD, reducing acid production and preventing esophageal damage. They should be prioritized over analgesics, histamine receptor antagonists, or mucosal barrier agents, which are less critical for immediate symptom control and healing.
Question 3 of 5
Which oral medication should the nurse question before administering to the client with peptic ulcer disease?
Correct Answer: A
Rationale: E-mycin (erythromycin) can irritate the gastric mucosa and exacerbate peptic ulcer disease, so it should be questioned. Prilosec and Flagyl treat ulcers (especially H. pylori-related), and Tylenol is safe for pain relief.
Question 4 of 5
The client who is morbidly obese has undergone gastric bypass surgery. Which immediate postoperative intervention has the greatest priority?
Correct Answer: A
Rationale: Monitoring respiratory status is critical post-gastric bypass due to obesity-related risks like apnea or atelectasis. Weighing, diet teaching, and behavior modification are postoperative but not immediate.
Question 5 of 5
The client is being prepared for discharge after a laparoscopic cholecystectomy. Which intervention should the nurse implement?
Correct Answer: C
Rationale: Including the significant other ensures support and reinforces discharge teaching for recovery. Daily dressing changes are unnecessary, T-tubes are not used in laparoscopic procedures, and clear liquids are encouraged.