MED SURG GASTROINTESTINAL NCLEX
NEWEST EXAM 2025-2026 WITH
MULTIPLE CHOICE QUESTIONS AND
DETAILED SOLVED SOLUTIONS
ALREADY GRADED A+ AND 100%
GUARANTEE PASS (JUST RELEASED!!!!!)
Rationale:
Nursing interventions after a hemorrhoidectomy are aimed at
management of pain and avoidance of bleeding and incision
rupture. Stool softeners and a high-fiber diet will help the client
to avoid straining, thereby reducing the chances of rupturing
the incision. An ice pack will increase comfort and decrease
bleeding. Options 2 and 5 are incorrect interventions.
The nurse is planning to teach a client with gastroesophageal
reflux disease (GERD) about substances to avoid. Which items
should the nurse include on this list? Select all that apply.
A. Coffee
B. Chocolate
C. Peppermint
D. Nonfat milk
E. Fried chicken
F. Scrambled eggs - THE CORRECT ANSWER-A. Coffee
B. Chocolate
,C. Peppermint
E. Fried chicken
Rationale:
Foods that decrease lower esophageal sphincter (LES) pressure
and irritate the esophagus will increase reflux and exacerbate
the symptoms of GERD and therefore should be avoided.
Aggravating substances include coffee, chocolate, peppermint,
fried or fatty foods, carbonated beverages, and alcohol. Options
4 and 6 do not promote this effect.
A client has undergone esophagogastroduodenoscopy. The
nurse should place highest priority on which item as part of the
client's care plan?
1. Monitoring the temperature
2. Monitoring complaints of heartburn
3. Giving warm gargles for a sore throat
4. Assessing for the return of the gag reflex - THE CORRECT ANSWER-
4. Assessing for the return of the gag reflex
Rationale:
The nurse places highest priority on assessing for return of the
gag reflex. This assessment addresses the client's airway. The
nurse also monitors the client's vital signs and for a sudden
increase in temperature, which could indicate perforation of the
gastrointestinal tract. This complication would be accompanied
by other signs as well, such as pain. Monitoring for sore throat
,and heartburn are also important; however, the client's airway
is the priority.
The nurse is providing dietary teaching for a client with a
diagnosis of chronic gastritis. The nurse instructs the client to
include which foods rich in vitamin B12 in the diet? Select all
that apply.
A. Nuts
B. Corn
C. Liver
D. Apples
E. Lentils
F. Bananas - THE CORRECT ANSWER-A. Nuts
C. Liver
E. Lentils
Rationale:
Chronic gastritis causes deterioration and atrophy of the lining
of the stomach, leading to the loss of function of the parietal
cells. The source of intrinsic factor is lost, which results in an
inability to absorb vitamin B12, leading to development of
pernicious anemia. Clients must increase their intake of vitamin
B12 by increasing consumption of foods rich in this vitamin,
such as nuts, organ meats, dried beans, citrus fruits, green leafy
vegetables, and yeast.
, The nurse is monitoring a client with a diagnosis of peptic ulcer.
Which assessment finding would most likely indicate
perforation of the ulcer?
A. Bradycardia
B. Numbness in the legs
C. Nausea and vomiting
D. A rigid, boardlike abdomen - THE CORRECT ANSWER-D. A rigid,
boardlike abdomen
Rationale:
Perforation of an ulcer is a surgical emergency and is
characterized by sudden, sharp, intolerable severe pain
beginning in the mid-epigastric area and spreading over the
abdomen, which becomes rigid and boardlike. Nausea and
vomiting may occur. Tachycardia may occur as hypovolemic
shock develops. Numbness in the legs is not an associated
finding.
The nurse is caring for a client following a gastrojejunostomy
(Billroth II procedure). Which postoperative prescription
should the nurse question and verify?
A. Leg exercises
B. Early ambulation
C. Irrigating the nasogastric tube
D. Coughing and deep-breathing exercises - THE CORRECT ANSWER-
C. Irrigating the nasogastric tube
NEWEST EXAM 2025-2026 WITH
MULTIPLE CHOICE QUESTIONS AND
DETAILED SOLVED SOLUTIONS
ALREADY GRADED A+ AND 100%
GUARANTEE PASS (JUST RELEASED!!!!!)
Rationale:
Nursing interventions after a hemorrhoidectomy are aimed at
management of pain and avoidance of bleeding and incision
rupture. Stool softeners and a high-fiber diet will help the client
to avoid straining, thereby reducing the chances of rupturing
the incision. An ice pack will increase comfort and decrease
bleeding. Options 2 and 5 are incorrect interventions.
The nurse is planning to teach a client with gastroesophageal
reflux disease (GERD) about substances to avoid. Which items
should the nurse include on this list? Select all that apply.
A. Coffee
B. Chocolate
C. Peppermint
D. Nonfat milk
E. Fried chicken
F. Scrambled eggs - THE CORRECT ANSWER-A. Coffee
B. Chocolate
,C. Peppermint
E. Fried chicken
Rationale:
Foods that decrease lower esophageal sphincter (LES) pressure
and irritate the esophagus will increase reflux and exacerbate
the symptoms of GERD and therefore should be avoided.
Aggravating substances include coffee, chocolate, peppermint,
fried or fatty foods, carbonated beverages, and alcohol. Options
4 and 6 do not promote this effect.
A client has undergone esophagogastroduodenoscopy. The
nurse should place highest priority on which item as part of the
client's care plan?
1. Monitoring the temperature
2. Monitoring complaints of heartburn
3. Giving warm gargles for a sore throat
4. Assessing for the return of the gag reflex - THE CORRECT ANSWER-
4. Assessing for the return of the gag reflex
Rationale:
The nurse places highest priority on assessing for return of the
gag reflex. This assessment addresses the client's airway. The
nurse also monitors the client's vital signs and for a sudden
increase in temperature, which could indicate perforation of the
gastrointestinal tract. This complication would be accompanied
by other signs as well, such as pain. Monitoring for sore throat
,and heartburn are also important; however, the client's airway
is the priority.
The nurse is providing dietary teaching for a client with a
diagnosis of chronic gastritis. The nurse instructs the client to
include which foods rich in vitamin B12 in the diet? Select all
that apply.
A. Nuts
B. Corn
C. Liver
D. Apples
E. Lentils
F. Bananas - THE CORRECT ANSWER-A. Nuts
C. Liver
E. Lentils
Rationale:
Chronic gastritis causes deterioration and atrophy of the lining
of the stomach, leading to the loss of function of the parietal
cells. The source of intrinsic factor is lost, which results in an
inability to absorb vitamin B12, leading to development of
pernicious anemia. Clients must increase their intake of vitamin
B12 by increasing consumption of foods rich in this vitamin,
such as nuts, organ meats, dried beans, citrus fruits, green leafy
vegetables, and yeast.
, The nurse is monitoring a client with a diagnosis of peptic ulcer.
Which assessment finding would most likely indicate
perforation of the ulcer?
A. Bradycardia
B. Numbness in the legs
C. Nausea and vomiting
D. A rigid, boardlike abdomen - THE CORRECT ANSWER-D. A rigid,
boardlike abdomen
Rationale:
Perforation of an ulcer is a surgical emergency and is
characterized by sudden, sharp, intolerable severe pain
beginning in the mid-epigastric area and spreading over the
abdomen, which becomes rigid and boardlike. Nausea and
vomiting may occur. Tachycardia may occur as hypovolemic
shock develops. Numbness in the legs is not an associated
finding.
The nurse is caring for a client following a gastrojejunostomy
(Billroth II procedure). Which postoperative prescription
should the nurse question and verify?
A. Leg exercises
B. Early ambulation
C. Irrigating the nasogastric tube
D. Coughing and deep-breathing exercises - THE CORRECT ANSWER-
C. Irrigating the nasogastric tube
