RN TARGETED MEDICAL SURGICAL GASTROINTESTINAL EXAM NEWEST 2025 ACTUAL EXAM
COMPLETE 60 QUESTIONS AND CORRECT DETAILED ANSWERS
A nurse is teaching a client to prepare for a colonoscopy. Which of the following instructions
should the nurse include in the teaching - (answer) "Drink clear liquids for 24 hr prior to
the procedure, then take nothing by mouth for 6 hr before the procedure
The nurse should instruct the client to drink clear liquids for 24 hr prior to the colonoscopy to
promote adequate bowel cleansing.
A nurse is providing discharge teaching for a client who has mild diverticulitis. Which of the
following statements made by the client indicates an understanding of the teaching - (answer)
"I should eat foods that are low in fiber
The nurse should instruct a client who has diverticulitis to follow a low-fiber diet. When the
inflammation subsides, the client should consume foods that are high in fiber.
A nurse is providing discharge teaching for a client following an ileostomy. The nurse should
instruct the client to report which of the following to the provider? - (answer) Dark purple
stoma
The nurse should instruct the client to contact the provider if the stoma is a dark purple color,
which is an indication of bowel ischemia.
A nurse is assessing a client who has a duodenal ulcer. Which of the following findings should
the nurse expect? - (answer) The client reports that the pain occurs during the night
Pain associated with a duodenal ulcer occurs when the stomach is empty, which is typically 1.5
to 3 hr after meals and during the night.
A nurse is reviewing the laboratory results of a client whose has acute pancreatitis. Which of the
following findings should the nurse expect? - (answer) Increased amylase
, RN TARGETED MEDICAL SURGICAL GASTROINTESTINAL EXAM NEWEST 2025 ACTUAL EXAM
COMPLETE 60 QUESTIONS AND CORRECT DETAILED ANSWERS
Serum amylase levels are increased in a client who has acute pancreatitis due to pancreatic cell
injury.
A nurse is caring for a client who has GERD and a new prescription for metoclopramide. The
nurse should plan to monitor for which of the following adverse effects? - (answer) Ataxia
The nurse should plan to monitor the client for extrapyramidal symptoms, such as ataxia, and
should report any of these findings to the provider.
A nurse is caring for a client who has colorectal cancer and is having chemotherapy. The client
ask the nurse why blood is being drawn for a carcinoembryonic antigen (CEA) level. Which of
the following responses should the nurse make - (answer) "The CEA determines the
efficacy of your chemotherapy"
A provider uses the CEA level to determine the efficacy of the chemotherapy. The client's CEA
levels will decrease if the chemotherapy is effective.
A nurse is assessing a client who has acute hepatitis B. Which of the following findings should
the nurse expect? - (answer) Joint pain
Joint pain is an expected finding in a client who has acute hepatitis B.
A nurse is providing discharge teaching for a client who has GERD. Which of the following
statements by the client indicates an understanding of the teaching? - (answer) "I will
decrease the amount of carbonated beverages I drink"
COMPLETE 60 QUESTIONS AND CORRECT DETAILED ANSWERS
A nurse is teaching a client to prepare for a colonoscopy. Which of the following instructions
should the nurse include in the teaching - (answer) "Drink clear liquids for 24 hr prior to
the procedure, then take nothing by mouth for 6 hr before the procedure
The nurse should instruct the client to drink clear liquids for 24 hr prior to the colonoscopy to
promote adequate bowel cleansing.
A nurse is providing discharge teaching for a client who has mild diverticulitis. Which of the
following statements made by the client indicates an understanding of the teaching - (answer)
"I should eat foods that are low in fiber
The nurse should instruct a client who has diverticulitis to follow a low-fiber diet. When the
inflammation subsides, the client should consume foods that are high in fiber.
A nurse is providing discharge teaching for a client following an ileostomy. The nurse should
instruct the client to report which of the following to the provider? - (answer) Dark purple
stoma
The nurse should instruct the client to contact the provider if the stoma is a dark purple color,
which is an indication of bowel ischemia.
A nurse is assessing a client who has a duodenal ulcer. Which of the following findings should
the nurse expect? - (answer) The client reports that the pain occurs during the night
Pain associated with a duodenal ulcer occurs when the stomach is empty, which is typically 1.5
to 3 hr after meals and during the night.
A nurse is reviewing the laboratory results of a client whose has acute pancreatitis. Which of the
following findings should the nurse expect? - (answer) Increased amylase
, RN TARGETED MEDICAL SURGICAL GASTROINTESTINAL EXAM NEWEST 2025 ACTUAL EXAM
COMPLETE 60 QUESTIONS AND CORRECT DETAILED ANSWERS
Serum amylase levels are increased in a client who has acute pancreatitis due to pancreatic cell
injury.
A nurse is caring for a client who has GERD and a new prescription for metoclopramide. The
nurse should plan to monitor for which of the following adverse effects? - (answer) Ataxia
The nurse should plan to monitor the client for extrapyramidal symptoms, such as ataxia, and
should report any of these findings to the provider.
A nurse is caring for a client who has colorectal cancer and is having chemotherapy. The client
ask the nurse why blood is being drawn for a carcinoembryonic antigen (CEA) level. Which of
the following responses should the nurse make - (answer) "The CEA determines the
efficacy of your chemotherapy"
A provider uses the CEA level to determine the efficacy of the chemotherapy. The client's CEA
levels will decrease if the chemotherapy is effective.
A nurse is assessing a client who has acute hepatitis B. Which of the following findings should
the nurse expect? - (answer) Joint pain
Joint pain is an expected finding in a client who has acute hepatitis B.
A nurse is providing discharge teaching for a client who has GERD. Which of the following
statements by the client indicates an understanding of the teaching? - (answer) "I will
decrease the amount of carbonated beverages I drink"
