Gastrointestinal nursinG examination
Comprehensive assessment and manaGement
of mediCal-surGiCal Gastrointestinal
disorders, diaGnostiC proCedures,
therapeutiC interventions, and patient
Care protoCols | latest all versions
aCtual exam Complete Questions and
CorreCt detailed ansWers (verified
ansWers) | alreadY Graded a+ 2026/2027
With free praCtiCe test sets.
Section 1: Post-Endoscopy Assessment
Question 1: A nurse is caring for a client in an endoscopy suite at a surgical center. A nurse is
assessing the client following the procedure. Which of the following findings should the nurse
report to the provider? (Select all that apply.)
A) Throat sensation
B) Voice quality
C) Temperature
D) Oxygen saturation
E) Pain
F) Swallowing ability
G) Bloating
,✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ C, D, E, F
Rationale: Following an endoscopic procedure, the nurse should report the following findings to
the provider:
• Temperature: An elevated temperature may indicate infection or perforation, which are
serious complications requiring immediate medical intervention.
• Oxygen saturation: Decreased oxygen saturation can indicate respiratory depression or
aspiration, which requires immediate attention.
• Pain: Severe or increasing pain may indicate perforation or bleeding, necessitating
prompt evaluation.
• Swallowing ability: Difficulty swallowing or absent gag reflex indicates the client is at risk
for aspiration and the sedative effects have not fully resolved.
Throat sensation, voice quality, and bloating are expected findings following endoscopy and do
not require immediate reporting to the provider.
Section 2: Postoperative Gastrectomy Assessment
Question 2: A nurse is caring for a client on a medical-surgical unit. Click to highlight the findings
that require immediate follow-up. To deselect a finding, click on the finding again.
Nurses Notes:
• Drainage from NG is dark brown drainage with small amount of old blood noted.
• Coughing and hoarse voice after swallowing.
• Client supports abdomen when coughing.
• Client reports feeling of abdominal fullness and is unable to belch.
Vital Signs:
• Day 9: Oxygen saturation 90% on room air
,Correct Answers:
• Coughing and hoarse voice after swallowing.
• Oxygen saturation 90% on room air.
• Client reports feeling of abdominal fullness and is unable to belch.
Rationale: These findings require immediate follow-up:
• Coughing and hoarse voice after swallowing: This indicates possible aspiration or
laryngeal nerve injury, which requires immediate assessment.
• Oxygen saturation 90% on room air: This is below the expected reference range of 95-
100% and indicates hypoxemia requiring immediate intervention.
• Abdominal fullness and inability to belch: This may indicate gastric distension or
obstruction, which requires prompt evaluation.
Section 3: Acute Hepatitis B Assessment
Question 3: A nurse is assessing a client who has acute hepatitis B. Which of the following
findings should the nurse expect?
A) Joint pain
B) Severe headache
C) Bradycardia
D) Hypertension
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A) Joint pain
Rationale: Joint pain is an expected finding in a client who has acute hepatitis B. Other expected
findings include fatigue, nausea, vomiting, abdominal pain, dark urine, clay-colored stools, and
jaundice. Headache, bradycardia, and hypertension are not typical manifestations of acute
hepatitis B.
, Section 4: Acute Pancreatitis Priority Action
Question 4: A nurse is admitting a client who has acute pancreatitis. Which of the following
actions should the nurse take first?
A) Administer pain medication
B) Identify the client's current level of pain
C) Insert a nasogastric tube
D) Obtain laboratory samples
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ B) Identify the client's current level of
pain
Rationale: The first action the nurse should take when using the nursing process is to assess the
client. Clients who have acute pancreatitis often have severe abdominal pain. By assessing the
client's level of pain, the nurse can identify the need for, and implement interventions to
alleviate the client's pain. Therefore, this is the priority action the nurse should take.
Administering pain medication, inserting a nasogastric tube, and obtaining laboratory samples
are all appropriate interventions but should occur after the initial pain assessment.
Section 5: Post-Gastrectomy Abdominal Distension
Question 5: A nurse is assessing a client who is postoperative following a gastrectomy. The
nurse should identify which of the following findings as an indication of abdominal distension?
A) Hiccups
B) Diarrhea
C) Bradycardia
D) Polyuria
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A) Hiccups
Rationale: Following surgery, hiccups can be caused by irritation of the phrenic nerve due to
abdominal distension. If the hiccups are intractable, the nurse should anticipate a prescription
for chlorpromazine. This is because persistent hiccups are distressful to the client and can lead
Comprehensive assessment and manaGement
of mediCal-surGiCal Gastrointestinal
disorders, diaGnostiC proCedures,
therapeutiC interventions, and patient
Care protoCols | latest all versions
aCtual exam Complete Questions and
CorreCt detailed ansWers (verified
ansWers) | alreadY Graded a+ 2026/2027
With free praCtiCe test sets.
Section 1: Post-Endoscopy Assessment
Question 1: A nurse is caring for a client in an endoscopy suite at a surgical center. A nurse is
assessing the client following the procedure. Which of the following findings should the nurse
report to the provider? (Select all that apply.)
A) Throat sensation
B) Voice quality
C) Temperature
D) Oxygen saturation
E) Pain
F) Swallowing ability
G) Bloating
,✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ C, D, E, F
Rationale: Following an endoscopic procedure, the nurse should report the following findings to
the provider:
• Temperature: An elevated temperature may indicate infection or perforation, which are
serious complications requiring immediate medical intervention.
• Oxygen saturation: Decreased oxygen saturation can indicate respiratory depression or
aspiration, which requires immediate attention.
• Pain: Severe or increasing pain may indicate perforation or bleeding, necessitating
prompt evaluation.
• Swallowing ability: Difficulty swallowing or absent gag reflex indicates the client is at risk
for aspiration and the sedative effects have not fully resolved.
Throat sensation, voice quality, and bloating are expected findings following endoscopy and do
not require immediate reporting to the provider.
Section 2: Postoperative Gastrectomy Assessment
Question 2: A nurse is caring for a client on a medical-surgical unit. Click to highlight the findings
that require immediate follow-up. To deselect a finding, click on the finding again.
Nurses Notes:
• Drainage from NG is dark brown drainage with small amount of old blood noted.
• Coughing and hoarse voice after swallowing.
• Client supports abdomen when coughing.
• Client reports feeling of abdominal fullness and is unable to belch.
Vital Signs:
• Day 9: Oxygen saturation 90% on room air
,Correct Answers:
• Coughing and hoarse voice after swallowing.
• Oxygen saturation 90% on room air.
• Client reports feeling of abdominal fullness and is unable to belch.
Rationale: These findings require immediate follow-up:
• Coughing and hoarse voice after swallowing: This indicates possible aspiration or
laryngeal nerve injury, which requires immediate assessment.
• Oxygen saturation 90% on room air: This is below the expected reference range of 95-
100% and indicates hypoxemia requiring immediate intervention.
• Abdominal fullness and inability to belch: This may indicate gastric distension or
obstruction, which requires prompt evaluation.
Section 3: Acute Hepatitis B Assessment
Question 3: A nurse is assessing a client who has acute hepatitis B. Which of the following
findings should the nurse expect?
A) Joint pain
B) Severe headache
C) Bradycardia
D) Hypertension
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A) Joint pain
Rationale: Joint pain is an expected finding in a client who has acute hepatitis B. Other expected
findings include fatigue, nausea, vomiting, abdominal pain, dark urine, clay-colored stools, and
jaundice. Headache, bradycardia, and hypertension are not typical manifestations of acute
hepatitis B.
, Section 4: Acute Pancreatitis Priority Action
Question 4: A nurse is admitting a client who has acute pancreatitis. Which of the following
actions should the nurse take first?
A) Administer pain medication
B) Identify the client's current level of pain
C) Insert a nasogastric tube
D) Obtain laboratory samples
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ B) Identify the client's current level of
pain
Rationale: The first action the nurse should take when using the nursing process is to assess the
client. Clients who have acute pancreatitis often have severe abdominal pain. By assessing the
client's level of pain, the nurse can identify the need for, and implement interventions to
alleviate the client's pain. Therefore, this is the priority action the nurse should take.
Administering pain medication, inserting a nasogastric tube, and obtaining laboratory samples
are all appropriate interventions but should occur after the initial pain assessment.
Section 5: Post-Gastrectomy Abdominal Distension
Question 5: A nurse is assessing a client who is postoperative following a gastrectomy. The
nurse should identify which of the following findings as an indication of abdominal distension?
A) Hiccups
B) Diarrhea
C) Bradycardia
D) Polyuria
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A) Hiccups
Rationale: Following surgery, hiccups can be caused by irritation of the phrenic nerve due to
abdominal distension. If the hiccups are intractable, the nurse should anticipate a prescription
for chlorpromazine. This is because persistent hiccups are distressful to the client and can lead
