NCLEX-PN
Gastrointestinal NCLEX Questions Questions
Extract:
Question 1 of 5
Which type of precaution should the nurse implement to protect from being exposed to any of the hepatitis viruses?
Correct Answer: B
Rationale: Standard Precautions protect against hepatitis viruses (A, B, C,
D) by assuming all body fluids are infectious, covering fecal-oral and bloodborne transmission. Other precautions are inappropriate.
Question 2 of 5
The nurse is assigned to care for four clients. The nurse should plan to assess which client first?
Correct Answer: D
Rationale: D. The client with Crohn’s disease who received an initial dose of certolizumab (Cimzia) and is having generalized rashes should be attended to first. Generalized rash indicates an allergic reaction. This could develop into an anaphylactic reaction. B. The client with a peptic ulcer who now has severe vomiting should be attended to second. Vomiting in PUD may indicate a complication such as mechanical obstruction from scarring. C. The client who had a colonoscopy and is having diarrheal stools should be attended to third. Diarrhea may have been the indication for the client’s colonoscopy or a side effect of the bowel prep. A. The client with ascites who is having mild dyspnea with activity can be attended to last. The dyspnea is usually due to the enlarged abdomen.
Question 3 of 5
The client with acute diverticulitis has a nasogastric tube draining green liquid bile. Which intervention should the nurse implement?
Correct Answer: A
Rationale: Green bile drainage from an NG tube is normal, indicating proper placement and function, so documenting this is appropriate. Further insertion or other assessments are unnecessary unless other symptoms arise.
Question 4 of 5
The female client is more than 10% over ideal body weight. Which nursing intervention should the nurse implement first?
Correct Answer: D
Rationale: Determining eating patterns identifies triggers and habits, guiding weight loss interventions. Asking why is confrontational, gym referral is premature, and goal-setting follows assessment.
Question 5 of 5
The client who has had a hemorrhoidectomy wants to know why she cannot take a sitz bath immediately upon return from the operating room. The nurse's response is based on which of the following concepts?
Correct Answer: C
Rationale: Heat increases blood flow, raising the risk of hemorrhage immediately post-hemorrhoidectomy.