NCLEX-PN
Gastrointestinal NCLEX Questions
Extract:
Question 1 of 5
The weight loss clinic nurse identifies the concept of nutrition for a client diagnosed with obesity. Which interventions should the nurse implement? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Asking about diets, dietitian referral, weighing, and setting goals support nutritional management for obesity. A sedentary lifestyle is contraindicated.
Question 2 of 5
Which data should the nurse report to the healthcare provider when assessing the oral cavity of an elderly client?
Correct Answer: A
Rationale: A rough, beefy red tongue may indicate vitamin B12 deficiency or glossitis, warranting HCP notification. Normal tonsil size, pink/moist mucosa, and uvula movement are expected findings.
Question 3 of 5
The client is diagnosed with peritonitis. Which assessment data indicate to the nurse the client's condition is improving?
Correct Answer: C
Rationale: A decrease in temperature and a soft abdomen indicate resolving infection and inflammation in peritonitis. Increased pain medication, coffee-ground drainage, and bowel movements are not improvement signs.
Question 4 of 5
An upper GI series is ordered for a client. Which action is essential for the nurse before the test?
Correct Answer: B
Rationale: Preparation for an upper GI series requires NPO for eight hours to ensure a clear view of the GI tract. Shellfish allergies are irrelevant as iodine dye is not used, and fat restriction applies to gallbladder tests.
Question 5 of 5
The client is diagnosed with Crohn's disease, also known as regional enteritis. Which statement by the client supports this diagnosis?
Correct Answer: C
Rationale: Crohn's disease often causes alternating diarrhea and constipation due to inflammation and strictures throughout the GI tract. Pain relief after bowel movements is less specific, bright red blood is more typical of ulcerative colitis, and a rigid abdomen suggests complications.