NCLEX-PN
NCLEX Gastrointestinal Questions
Extract:
Question 1 of 5
Which intervention should the nurse implement when administering a potassium supplement?
Correct Answer: B
Rationale: Asking about leg cramps assesses for hypokalemia symptoms, ensuring the potassium supplement is needed and effective. Allergies, BP, and CBC are less specific.
Question 2 of 5
The client is diagnosed with an acute exacerbation of inflammatory bowel disease (IBD). Which food selection would be the best choice for a meal?
Correct Answer: D
Rationale: Roasted turkey, instant mashed potatoes, and water are low-residue, easy-to-digest foods suitable for acute IBD exacerbation. Other options are high-fiber or irritating.
Question 3 of 5
The 25-year-old client, hospitalized with an exacerbation of distal ulcerative colitis, is prescribed mesalamine rectally via enema. The client states that an enema is disgusting and wants to know why the medication cannot be given orally. Which is the best response by the nurse?
Correct Answer: B
Rationale: A. If the client still desires a change in medication route after the rationale for rectal administration is explained, the HCP should be consulted. B. This is the nurse’s best response because it explains the purpose for administration via enema. This route delivers mesalamine (Asacol) directly to the affected area, thus maximizing effectiveness and minimizing side effects. C. Oral administration is possible, but rectal administration is preferred in distal colitis. D. Nurses cannot order medications or change medication routes without specific approval by the HCP, who is licensed to prescribe medications.
Question 4 of 5
The nurse is caring for a client who uses cathartics frequently. Which statement made by the client indicates an understanding of the discharge teaching?
Correct Answer: B
Rationale: Understanding that daily bowel movements are not necessary reflects proper teaching to reduce cathartic overuse. Bananas, fluid limits, and dairy are incorrect.
Question 5 of 5
Which complaint is significant for the nurse to assess in the adolescent male client who uses oral tobacco?
Correct Answer: C
Rationale: A nonhealing sore in the mouth is concerning for oral cancer, a risk associated with oral tobacco use, requiring immediate assessment. Sputum, blisters, and salivary ducts are less significant.