NCLEX-PN
NCLEX Questions Gastrointestinal System Questions
Extract:
Question 1 of 5
Which blood test results would confirm a diagnosis of appendicitis?
Correct Answer: A
Rationale: An elevated WBC count (e.g., 13,000) indicates inflammation, supporting an appendicitis diagnosis. Normal RBC and platelet counts are not specific, and a heterophil antibody test is for infectious mononucleosis.
Question 2 of 5
The nurse is caring for the client diagnosed with hemorrhoids. Which statement indicates further teaching is needed?
Correct Answer: C
Rationale: Daily laxatives are not necessary and may cause dependency; hemorrhoid management focuses on diet and symptom relief. Increased fiber/fluids, sitz baths, and analgesics are correct.
Question 3 of 5
The public health nurse is teaching day-care workers. Which type of hepatitis is transmitted by the fecal-oral route via contaminated food, water, or direct contact with an infected person?
Correct Answer: A
Rationale: Hepatitis A is transmitted via the fecal-oral route through contaminated food, water, or contact, common in settings like daycares. Other types are bloodborne or require co-infection.
Question 4 of 5
The nurse is discharging the client after Billroth II surgery (gastrojejunostomy). To assist the client to control dumping syndrome, which information should the nurse include in the client’s discharge instructions?
Correct Answer: D
Rationale: A. Drinking fluids at mealtime increases the size of the food bolus that enters the stomach. B. Carbohydrates are more rapidly digested than fats and proteins and would cause the food bolus to pass quickly into the intestine, increasing the likelihood that dumping syndrome would occur. Meals high in carbohydrates result in postprandial hypoglycemia, which is considered a variant of dumping syndrome. C. Small, frequent meals are recommended to decrease dumping syndrome. D. Lying down after meals slows the passage of the food bolus into the intestine and helps to control dumping syndrome.
Question 5 of 5
Which task is most appropriate for the nurse to delegate to the unlicensed assistive personnel (UAP)?
Correct Answer: C
Rationale: Performing a glucometer check is within the UAP’s scope with proper training. Drawing blood, evaluating intake/output, and transcribing orders require RN skills.