NCLEX-PN
NCLEX Gastrointestinal Questions
Extract:
Question 1 of 5
The nurse writes a problem 'low self-esteem' for a 16-year-old client diagnosed with anorexia. Which client goal should be included in the plan of care?
Correct Answer: D
Rationale: Verbalizing a positive attribute directly addresses low self-esteem by fostering positive self-perception. Time with parents, eating, and milk shakes are unrelated or nutritional.
Question 2 of 5
The nurse is preparing a client diagnosed with GERD for surgery. Which information warrants notifying the HCP?
Correct Answer: C
Rationale: An elevated WBC count (14,000/mm3) suggests infection or inflammation, which could complicate surgery and requires immediate attention. A positive Bernstein test and hiatal hernia are expected in GERD, and a hemoglobin of 13.8 g/dL is within normal limits.
Question 3 of 5
Which sign/symptom should the nurse expect to find in a client diagnosed with ulcerative colitis?
Correct Answer: A
Rationale: Ulcerative colitis commonly causes frequent bloody stools due to inflammation and ulceration of the colon mucosa. Fever may occur but is less specific, a hard abdomen suggests complications like perforation, and urinary incontinence is unrelated.
Question 4 of 5
The client with a new colostomy is being discharged. Which statement made by the client indicates the need for further teaching?
Correct Answer: B
Rationale: A liquid-only diet is unnecessary; a regular diet can be resumed as tolerated unless otherwise specified, as colostomies begin functioning soon after surgery. The other statements reflect correct colostomy care.
Question 5 of 5
The client with a newly created colostomy is concerned about having satisfying sexual relations. What should the nurse recommend?
Correct Answer: C
Rationale: Emptying the pouch before sexual activity is recommended to decrease the concern of pouch breakage or leakage; cleaning it will reduce odor.