MED-SURG 2 UPPER GI NCLEX QUESTIONS AND
ANSWERS LATEST VERSION VERIFIED RATIONALE
GRADED A+
The client diagnosed with a hiatal hernia is scheduled for a Nissen fundoplication. Which statement indicates the nurse's teaching is
effective?
A. "I will have 4 to 5 small incisions."
B. I will be in the hospital for at least one week
C. I will not have any pain because this is a laparoscopic surgery
D. I will be returning to work the day after my surgery - ansA
In a laparoscopic Nissen fundoplication, there are 4 to 5 incisions approximately 1 inch apart allowing for the passage of equipment
to visualize the abdominal organs and perform the operation
The client is admitted to the ED complaining of acute epigastric pain and reports vomiting a large amount of bright red blood at
home. Which interventions should the nurse implement? List in order of priority.
A. Assess the client's vital signs
B. Insert an NG tube
C. Begin iced saline lavage
D. Start an IV with an 18-gauge needle
E. Type and crossmatch for a blood transfusion - ansA, D, E, B, C
The client is being prepared for discharge after a laparoscopic cholecystectomy. Which intervention should the nurse implement?
A. Discuss the need to change the abdominal dressing daily
B. Tell the client to check the T-tube output every 8 hours
C. Include the client's significant other in discharge teaching
D. Instruct client to stay off clear liquids for 2 days - ansC
A lap chole is outpatient surgery. The nurse must make sure the significant other taking care of the patient is knowledgeable about
post-op care.
The client is complaining of painful swallowing, secondary to mouth ulcers. Which statement indicates the nurse's teaching has been
effective?
A. "I will brush my teeth with a soft-bristled toothbrush."
B. "I will rinse my mouth with Listerine mouthwash."
C. "I will swish with an antifungal solution, then swallow."
D. "I will avoid spicy foods, tobacco, and alcohol." - ansD
Irritating substances should be avoided during outbreaks of ulcers in the mouth. Spicy foods, alcohol, and tobacco are common
irritants the client should avoid
The nurse identifies the problem of "fluid volume deficit" for a client diagnosed with gastritis. Which intervention should be included
in the plan of care?
ANSWERS LATEST VERSION VERIFIED RATIONALE
GRADED A+
The client diagnosed with a hiatal hernia is scheduled for a Nissen fundoplication. Which statement indicates the nurse's teaching is
effective?
A. "I will have 4 to 5 small incisions."
B. I will be in the hospital for at least one week
C. I will not have any pain because this is a laparoscopic surgery
D. I will be returning to work the day after my surgery - ansA
In a laparoscopic Nissen fundoplication, there are 4 to 5 incisions approximately 1 inch apart allowing for the passage of equipment
to visualize the abdominal organs and perform the operation
The client is admitted to the ED complaining of acute epigastric pain and reports vomiting a large amount of bright red blood at
home. Which interventions should the nurse implement? List in order of priority.
A. Assess the client's vital signs
B. Insert an NG tube
C. Begin iced saline lavage
D. Start an IV with an 18-gauge needle
E. Type and crossmatch for a blood transfusion - ansA, D, E, B, C
The client is being prepared for discharge after a laparoscopic cholecystectomy. Which intervention should the nurse implement?
A. Discuss the need to change the abdominal dressing daily
B. Tell the client to check the T-tube output every 8 hours
C. Include the client's significant other in discharge teaching
D. Instruct client to stay off clear liquids for 2 days - ansC
A lap chole is outpatient surgery. The nurse must make sure the significant other taking care of the patient is knowledgeable about
post-op care.
The client is complaining of painful swallowing, secondary to mouth ulcers. Which statement indicates the nurse's teaching has been
effective?
A. "I will brush my teeth with a soft-bristled toothbrush."
B. "I will rinse my mouth with Listerine mouthwash."
C. "I will swish with an antifungal solution, then swallow."
D. "I will avoid spicy foods, tobacco, and alcohol." - ansD
Irritating substances should be avoided during outbreaks of ulcers in the mouth. Spicy foods, alcohol, and tobacco are common
irritants the client should avoid
The nurse identifies the problem of "fluid volume deficit" for a client diagnosed with gastritis. Which intervention should be included
in the plan of care?
