NP4 PREBOARDS EXAM (2026/2027) ACTUAL
QUESTIONS AND CORRECT ANSWERS GRADED
A+
Nurse Estela is caring for a client who returned to the nursing unit 6 hours ago
after having an Esophagogastrectomy. Which nursing action should be included in
the plan of care at this time?
A. Keep head of bed elevated to 30 degrees.
B. Initiate tube feedings at 30 mL/hr.
C. Reposition nasogastric tube as needed for abdominal distention.
D. Report bloody nasogastric drainage to the physician stat.
A. Keep head of bed elevated to 30 degrees.
Which information about a client who is taking a full liquid diet 6 days after an
Esophagogastrectomy should nurse Estela report immediately to the Physician?
A. The client refuses to take more than 100 mL.
B. The client has hypotonic bowel sounds.
C. The client's blood pressure is 88/46 mm Hg.
D. The client has bibasilar fine lung crackles.
C. The client's blood pressure is 88/46 mm Hg.
,Angel a charge nurse is preparing the client with a Peptic Ulcer and has Ranitidine
(Zantac) scheduled for 10:00 AM. What time should Nurse Angel administer the
ordered 30 mL of calcium carbonate-magnesium carbonate (Mylanta)?
A. 9:00 AM
B. 9:30 AM
C. 10:00 AM
D. 11:00 AM
A. 9:00 AM
Nurse Angel has another client with duodenal ulcer. Which information about a
client admitted with a Duodenal ulcer should Nurse Angel report immediately to
the Physician?
A. The client's abdomen is rigid and painful.
B. The client is complaining of intermittent nausea.
C. The client's NG drainage has a coffee-ground appearance.
D. The client reports drinking approximately 10 beers every day.
A. The client's abdomen is rigid and painful.
Nurse Timmy received a new female client. Fifteen minutes after eating, a client
who has had a Gastrojejunostomy complains of abdominal cramping and
palpitations. Which action should the nurse take?
,A. Administer prn metoclopramide (Reglan).
B. Have the client lie down.
C. Place the client on NPO status for 24 hours.
D. Notify the physician.
B. Have the client lie down.
Nurse Estela prepares which of the following diagnostic studies to confirm the real
cause of the problem:
A. an esophagogastroduodenoscopy (EGD).
B. an upper gastrointestinal (GI) tract x-ray series.
C. blood testing for Helicobacter pylori.
D. stool testing for occult blood.
A. an esophagogastroduodenoscopy (EGD).
1. Management of Gastroesophageal reflux (GERD) begins on teaching the client
to avoid situations that cause decreased lower esophageal sphincter pressure and
esophageal irritation. Which statement by a client who has received education
about GERD indicates that the nurse may need to provide additional teaching?
A. "I will take antacids before I eat."
B. "I should have my big meal at lunchtime."
C. "I am going to quit smoking today."
, D. "I should use two pillows to sleep on at night."
B. "I should have my big meal at lunchtime."
2. Which snack choice by a client with gastroesophageal reflux disease (GERD)
indicates that the nurse's teaching about appropriate diet has been effective?
A. Chocolate pudding
B. Peppermint tea
C. Cheese sandwich
D. Dried apples
D. Dried apples
3. Kate 54 years old is diagnosed of Esophageal Cancer. Which information about
a client who has Esophageal cancer being admitted for an Esophagogastrectomy is
of most concern to the nurse?
A. The client complains of odynophagia.
B. The client has difficulty swallowing soft foods.
C. The client has had radiation for 6 weeks.
D. The client's serum albumin level is 1.7 mg/dL.
D. The client's serum albumin level is 1.7 mg/dL.
QUESTIONS AND CORRECT ANSWERS GRADED
A+
Nurse Estela is caring for a client who returned to the nursing unit 6 hours ago
after having an Esophagogastrectomy. Which nursing action should be included in
the plan of care at this time?
A. Keep head of bed elevated to 30 degrees.
B. Initiate tube feedings at 30 mL/hr.
C. Reposition nasogastric tube as needed for abdominal distention.
D. Report bloody nasogastric drainage to the physician stat.
A. Keep head of bed elevated to 30 degrees.
Which information about a client who is taking a full liquid diet 6 days after an
Esophagogastrectomy should nurse Estela report immediately to the Physician?
A. The client refuses to take more than 100 mL.
B. The client has hypotonic bowel sounds.
C. The client's blood pressure is 88/46 mm Hg.
D. The client has bibasilar fine lung crackles.
C. The client's blood pressure is 88/46 mm Hg.
,Angel a charge nurse is preparing the client with a Peptic Ulcer and has Ranitidine
(Zantac) scheduled for 10:00 AM. What time should Nurse Angel administer the
ordered 30 mL of calcium carbonate-magnesium carbonate (Mylanta)?
A. 9:00 AM
B. 9:30 AM
C. 10:00 AM
D. 11:00 AM
A. 9:00 AM
Nurse Angel has another client with duodenal ulcer. Which information about a
client admitted with a Duodenal ulcer should Nurse Angel report immediately to
the Physician?
A. The client's abdomen is rigid and painful.
B. The client is complaining of intermittent nausea.
C. The client's NG drainage has a coffee-ground appearance.
D. The client reports drinking approximately 10 beers every day.
A. The client's abdomen is rigid and painful.
Nurse Timmy received a new female client. Fifteen minutes after eating, a client
who has had a Gastrojejunostomy complains of abdominal cramping and
palpitations. Which action should the nurse take?
,A. Administer prn metoclopramide (Reglan).
B. Have the client lie down.
C. Place the client on NPO status for 24 hours.
D. Notify the physician.
B. Have the client lie down.
Nurse Estela prepares which of the following diagnostic studies to confirm the real
cause of the problem:
A. an esophagogastroduodenoscopy (EGD).
B. an upper gastrointestinal (GI) tract x-ray series.
C. blood testing for Helicobacter pylori.
D. stool testing for occult blood.
A. an esophagogastroduodenoscopy (EGD).
1. Management of Gastroesophageal reflux (GERD) begins on teaching the client
to avoid situations that cause decreased lower esophageal sphincter pressure and
esophageal irritation. Which statement by a client who has received education
about GERD indicates that the nurse may need to provide additional teaching?
A. "I will take antacids before I eat."
B. "I should have my big meal at lunchtime."
C. "I am going to quit smoking today."
, D. "I should use two pillows to sleep on at night."
B. "I should have my big meal at lunchtime."
2. Which snack choice by a client with gastroesophageal reflux disease (GERD)
indicates that the nurse's teaching about appropriate diet has been effective?
A. Chocolate pudding
B. Peppermint tea
C. Cheese sandwich
D. Dried apples
D. Dried apples
3. Kate 54 years old is diagnosed of Esophageal Cancer. Which information about
a client who has Esophageal cancer being admitted for an Esophagogastrectomy is
of most concern to the nurse?
A. The client complains of odynophagia.
B. The client has difficulty swallowing soft foods.
C. The client has had radiation for 6 weeks.
D. The client's serum albumin level is 1.7 mg/dL.
D. The client's serum albumin level is 1.7 mg/dL.
