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RN TARGETED MEDICAL SURGICAL GASTROINTESTINAL EXAM
NEWEST 2025/2026 ACTUAL EXAM WITH COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS (100% VERIFIED ANSWERS)
|ALREADY GRADED A+| ||PROFESSOR VERIFIED||
A nurse is reviewing the laboratory results of a client who has
hepatic cirrhosis. Which of the following laboratory findings should
the nurse report to the provider? - ANSWER-Ammonia 180
mcg/dL
An ammonia level of 180 mcg/dL is above the expected reference
range of 10 to 80 mcg/dL. The nurse should report an increased
ammonia level because it can indicate portal-systemic
encephalopathy.
A nurse is providing teaching for a client who has cirrhosis and a
new prescription for lactulose. the nurse should include which of
the instructions in the teaching? - ANSWER-Expect to have two to
three soft stools per day
The purpose of administering lactulose is to promote the excretion
of ammonia in the stool. The nurse should instruct the client to
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take the medication every day and inform the client that two to
three bowel movements every day is the treatment goal.
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 distention - ANSWER-
Hiccups
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 because persistent hiccups are distressful to the
client and can lead to complications, such as vomiting.
A nurse is assessing a client who has appendicitis. Which of the
following findings should the nurse expect ( select all that apply) -
ANSWER-Oral temperature 38.4 C (101.1 F)
Nausea and vomiting
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Right lower quadrant pain
Bloody diarrhea is an expected finding for a client who has -
ANSWER-colorectal cancer.
Periumbilical cyanosis is an expected finding for a client who has
- ANSWER-pancreatitis.
Diminished bowel sounds is an expected finding for a client who
has - ANSWER-peritonitis.
Obstipation, or failure to pass stools, is an expected finding in a
client who has - ANSWER-a complete bowel obstruction.
Abdominal distention is an expected finding in a client who has a -
ANSWER-small bowel obstruction.
Periumbilical discoloration is an expected finding in a client who
has - ANSWER-intraperitoneal bleeding.
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An elevated CEA level is an expected finding in a client who has -
ANSWER-colorectal cancer
The nurse should expect a ________________hematocrit level
for a client who has colorectal cancer due to occult intestinal
bleeding. - ANSWER-decreased
A client who has cirrhosis is at risk for hepatic encephalopathy.
The nurse should assess the client's mental status - ANSWER-
every 4 to 8 hr.
A client who has cirrhosis can have edema and ascites and is
usually prescribed a - ANSWER-1 to 2 g sodium-restricted diet to
prevent ascites
A client who has cirrhosis is at risk for dyspnea due to ascites.
The nurse should monitor the client's breath sounds - ANSWER-
every 4 to 8 hr.
RN TARGETED MEDICAL SURGICAL GASTROINTESTINAL EXAM
NEWEST 2025/2026 ACTUAL EXAM WITH COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS (100% VERIFIED ANSWERS)
|ALREADY GRADED A+| ||PROFESSOR VERIFIED||
A nurse is reviewing the laboratory results of a client who has
hepatic cirrhosis. Which of the following laboratory findings should
the nurse report to the provider? - ANSWER-Ammonia 180
mcg/dL
An ammonia level of 180 mcg/dL is above the expected reference
range of 10 to 80 mcg/dL. The nurse should report an increased
ammonia level because it can indicate portal-systemic
encephalopathy.
A nurse is providing teaching for a client who has cirrhosis and a
new prescription for lactulose. the nurse should include which of
the instructions in the teaching? - ANSWER-Expect to have two to
three soft stools per day
The purpose of administering lactulose is to promote the excretion
of ammonia in the stool. The nurse should instruct the client to
,2|Page
take the medication every day and inform the client that two to
three bowel movements every day is the treatment goal.
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 distention - ANSWER-
Hiccups
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 because persistent hiccups are distressful to the
client and can lead to complications, such as vomiting.
A nurse is assessing a client who has appendicitis. Which of the
following findings should the nurse expect ( select all that apply) -
ANSWER-Oral temperature 38.4 C (101.1 F)
Nausea and vomiting
,3|Page
Right lower quadrant pain
Bloody diarrhea is an expected finding for a client who has -
ANSWER-colorectal cancer.
Periumbilical cyanosis is an expected finding for a client who has
- ANSWER-pancreatitis.
Diminished bowel sounds is an expected finding for a client who
has - ANSWER-peritonitis.
Obstipation, or failure to pass stools, is an expected finding in a
client who has - ANSWER-a complete bowel obstruction.
Abdominal distention is an expected finding in a client who has a -
ANSWER-small bowel obstruction.
Periumbilical discoloration is an expected finding in a client who
has - ANSWER-intraperitoneal bleeding.
, 4|Page
An elevated CEA level is an expected finding in a client who has -
ANSWER-colorectal cancer
The nurse should expect a ________________hematocrit level
for a client who has colorectal cancer due to occult intestinal
bleeding. - ANSWER-decreased
A client who has cirrhosis is at risk for hepatic encephalopathy.
The nurse should assess the client's mental status - ANSWER-
every 4 to 8 hr.
A client who has cirrhosis can have edema and ascites and is
usually prescribed a - ANSWER-1 to 2 g sodium-restricted diet to
prevent ascites
A client who has cirrhosis is at risk for dyspnea due to ascites.
The nurse should monitor the client's breath sounds - ANSWER-
every 4 to 8 hr.
