NCLEX-PN
Gastrointestinal NCLEX Questions
Extract:
Question 1 of 5
Which outcome should the nurse identify for the client scheduled to have a cholecystectomy?
Correct Answer: B
Rationale: Ambulation on the first postoperative day prevents complications like thrombosis and atelectasis. Pain management should increase, skin integrity may be disrupted, and knowledge is a process, not an outcome.
Question 2 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.
Question 3 of 5
The client is two (2) hours post colonoscopy. Which assessment data warrant immediate intervention by the nurse?
Correct Answer: D
Rationale: Tachycardia (pulse 104) and low BP (98/60) suggest possible bleeding or hypovolemia post-colonoscopy, requiring immediate intervention. A soft abdomen, watery stool, and hyperactive bowel sounds are expected.
Question 4 of 5
The client has a nasogastric tube. The healthcare provider orders IV fluid replacement based on the previous hour's output plus the baseline IV fluid ordered of 125 mL/hr. From 0800 to 0900 the client's N/G tube drained 45 mL. At 0900, what rate should the nurse set for the IV pump?
Correct Answer: 170 mL/hr
Rationale: Baseline IV fluid is 125 mL/hr, plus 45 mL NG output = 125 + 45 = 170 mL/hr.
Question 5 of 5
The nurse completes discharge teaching for the client after a small bowel resection for Crohn’s disease. The nurse determines that more education is needed when overhearing which statement made by the client to the client’s spouse?
Correct Answer: A
Rationale: A. The nurse should determine that the client needs additional education with this statement. Crohn’s disease can occur throughout the GI tract. Surgery in one area of the GI tract will not prevent the disease from recurring in another area. This recurrence can result in the need for further surgery. B. Clients with Crohn’s disease will always need to monitor their weight. C. Most likely, the client will need some type of glucocorticoid medication such as hydrocortisone to treat a future exacerbation. D. Clients will need vitamins to maintain adequate nutrient levels, since inflamed areas of the GI tract do not absorb nutrients well.