Medical-Surgical Nursing: Gastrointestinal & Endocrine
Disorders - 330 NCLEX Questions
Course: Nursing Fundamentals | Medical-Surgical | NCLEX-RN Prep
Total Questions: 330 with Answers & Rationales
Edition: 2026 High-Yield | Seller: Original Author
INSTRUCTIONS: Each question includes 4 options, correct answer, and detailed
rationale for learning. Suitable for NCLEX-RN, ATI, HESI.
1. Client with diabetic ketoacidosis has K+ 5.8. What should nurse monitor first?
A. Insulin infusion and hydration status
B. Give potassium supplement
C. Hold all fluids
D. Encourage orange juice
Correct Answer: A
Rationale: DKA: insulin drives K+ into cells and fluids correct dehydration. Hyperkalemia initially from acidosis but will
drop quickly.
2. Post-op cholecystectomy client reports clay-colored stools. Nurse understands this indicates?
A. Bile duct obstruction
B. Normal finding
C. Iron deficiency
D. High fiber diet
Correct Answer: A
Rationale: Clay/acholic stools indicate lack of bile reaching intestine due to obstruction.
3. Client with diabetic ketoacidosis has K+ 5.8. What should nurse monitor first?
A. Insulin infusion and hydration status
B. Give potassium supplement
C. Hold all fluids
D. Encourage orange juice
Correct Answer: A
Rationale: DKA: insulin drives K+ into cells and fluids correct dehydration. Hyperkalemia initially from acidosis but will
drop quickly.
4. Post-op cholecystectomy client reports clay-colored stools. Nurse understands this indicates?
A. Bile duct obstruction
B. Normal finding
C. Iron deficiency
D. High fiber diet
Correct Answer: A
,Rationale: Clay/acholic stools indicate lack of bile reaching intestine due to obstruction.
5. Client with diabetic ketoacidosis has K+ 5.8. What should nurse monitor first?
A. Insulin infusion and hydration status
B. Give potassium supplement
C. Hold all fluids
D. Encourage orange juice
Correct Answer: A
Rationale: DKA: insulin drives K+ into cells and fluids correct dehydration. Hyperkalemia initially from acidosis but will
drop quickly.
6. Post-op cholecystectomy client reports clay-colored stools. Nurse understands this indicates?
A. Bile duct obstruction
B. Normal finding
C. Iron deficiency
D. High fiber diet
Correct Answer: A
Rationale: Clay/acholic stools indicate lack of bile reaching intestine due to obstruction.
7. Client with diabetic ketoacidosis has K+ 5.8. What should nurse monitor first?
A. Insulin infusion and hydration status
B. Give potassium supplement
C. Hold all fluids
D. Encourage orange juice
Correct Answer: A
Rationale: DKA: insulin drives K+ into cells and fluids correct dehydration. Hyperkalemia initially from acidosis but will
drop quickly.
8. Post-op cholecystectomy client reports clay-colored stools. Nurse understands this indicates?
A. Bile duct obstruction
B. Normal finding
C. Iron deficiency
D. High fiber diet
Correct Answer: A
Rationale: Clay/acholic stools indicate lack of bile reaching intestine due to obstruction.
9. Client with diabetic ketoacidosis has K+ 5.8. What should nurse monitor first?
A. Insulin infusion and hydration status
B. Give potassium supplement
C. Hold all fluids
D. Encourage orange juice
Correct Answer: A
Rationale: DKA: insulin drives K+ into cells and fluids correct dehydration. Hyperkalemia initially from acidosis but will
drop quickly.
,10. Post-op cholecystectomy client reports clay-colored stools. Nurse understands this indicates?
A. Bile duct obstruction
B. Normal finding
C. Iron deficiency
D. High fiber diet
Correct Answer: A
Rationale: Clay/acholic stools indicate lack of bile reaching intestine due to obstruction.
11. Client with diabetic ketoacidosis has K+ 5.8. What should nurse monitor first?
A. Insulin infusion and hydration status
B. Give potassium supplement
C. Hold all fluids
D. Encourage orange juice
Correct Answer: A
Rationale: DKA: insulin drives K+ into cells and fluids correct dehydration. Hyperkalemia initially from acidosis but will
drop quickly.
12. Post-op cholecystectomy client reports clay-colored stools. Nurse understands this indicates?
A. Bile duct obstruction
B. Normal finding
C. Iron deficiency
D. High fiber diet
Correct Answer: A
Rationale: Clay/acholic stools indicate lack of bile reaching intestine due to obstruction.
13. Client with diabetic ketoacidosis has K+ 5.8. What should nurse monitor first?
A. Insulin infusion and hydration status
B. Give potassium supplement
C. Hold all fluids
D. Encourage orange juice
Correct Answer: A
Rationale: DKA: insulin drives K+ into cells and fluids correct dehydration. Hyperkalemia initially from acidosis but will
drop quickly.
14. Post-op cholecystectomy client reports clay-colored stools. Nurse understands this indicates?
A. Bile duct obstruction
B. Normal finding
C. Iron deficiency
D. High fiber diet
Correct Answer: A
Rationale: Clay/acholic stools indicate lack of bile reaching intestine due to obstruction.
15. Client with diabetic ketoacidosis has K+ 5.8. What should nurse monitor first?
, A. Insulin infusion and hydration status
B. Give potassium supplement
C. Hold all fluids
D. Encourage orange juice
Correct Answer: A
Rationale: DKA: insulin drives K+ into cells and fluids correct dehydration. Hyperkalemia initially from acidosis but will
drop quickly.
16. Post-op cholecystectomy client reports clay-colored stools. Nurse understands this indicates?
A. Bile duct obstruction
B. Normal finding
C. Iron deficiency
D. High fiber diet
Correct Answer: A
Rationale: Clay/acholic stools indicate lack of bile reaching intestine due to obstruction.
17. Client with diabetic ketoacidosis has K+ 5.8. What should nurse monitor first?
A. Insulin infusion and hydration status
B. Give potassium supplement
C. Hold all fluids
D. Encourage orange juice
Correct Answer: A
Rationale: DKA: insulin drives K+ into cells and fluids correct dehydration. Hyperkalemia initially from acidosis but will
drop quickly.
18. Post-op cholecystectomy client reports clay-colored stools. Nurse understands this indicates?
A. Bile duct obstruction
B. Normal finding
C. Iron deficiency
D. High fiber diet
Correct Answer: A
Rationale: Clay/acholic stools indicate lack of bile reaching intestine due to obstruction.
19. Client with diabetic ketoacidosis has K+ 5.8. What should nurse monitor first?
A. Insulin infusion and hydration status
B. Give potassium supplement
C. Hold all fluids
D. Encourage orange juice
Correct Answer: A
Rationale: DKA: insulin drives K+ into cells and fluids correct dehydration. Hyperkalemia initially from acidosis but will
drop quickly.
20. Post-op cholecystectomy client reports clay-colored stools. Nurse understands this indicates?
A. Bile duct obstruction
Disorders - 330 NCLEX Questions
Course: Nursing Fundamentals | Medical-Surgical | NCLEX-RN Prep
Total Questions: 330 with Answers & Rationales
Edition: 2026 High-Yield | Seller: Original Author
INSTRUCTIONS: Each question includes 4 options, correct answer, and detailed
rationale for learning. Suitable for NCLEX-RN, ATI, HESI.
1. Client with diabetic ketoacidosis has K+ 5.8. What should nurse monitor first?
A. Insulin infusion and hydration status
B. Give potassium supplement
C. Hold all fluids
D. Encourage orange juice
Correct Answer: A
Rationale: DKA: insulin drives K+ into cells and fluids correct dehydration. Hyperkalemia initially from acidosis but will
drop quickly.
2. Post-op cholecystectomy client reports clay-colored stools. Nurse understands this indicates?
A. Bile duct obstruction
B. Normal finding
C. Iron deficiency
D. High fiber diet
Correct Answer: A
Rationale: Clay/acholic stools indicate lack of bile reaching intestine due to obstruction.
3. Client with diabetic ketoacidosis has K+ 5.8. What should nurse monitor first?
A. Insulin infusion and hydration status
B. Give potassium supplement
C. Hold all fluids
D. Encourage orange juice
Correct Answer: A
Rationale: DKA: insulin drives K+ into cells and fluids correct dehydration. Hyperkalemia initially from acidosis but will
drop quickly.
4. Post-op cholecystectomy client reports clay-colored stools. Nurse understands this indicates?
A. Bile duct obstruction
B. Normal finding
C. Iron deficiency
D. High fiber diet
Correct Answer: A
,Rationale: Clay/acholic stools indicate lack of bile reaching intestine due to obstruction.
5. Client with diabetic ketoacidosis has K+ 5.8. What should nurse monitor first?
A. Insulin infusion and hydration status
B. Give potassium supplement
C. Hold all fluids
D. Encourage orange juice
Correct Answer: A
Rationale: DKA: insulin drives K+ into cells and fluids correct dehydration. Hyperkalemia initially from acidosis but will
drop quickly.
6. Post-op cholecystectomy client reports clay-colored stools. Nurse understands this indicates?
A. Bile duct obstruction
B. Normal finding
C. Iron deficiency
D. High fiber diet
Correct Answer: A
Rationale: Clay/acholic stools indicate lack of bile reaching intestine due to obstruction.
7. Client with diabetic ketoacidosis has K+ 5.8. What should nurse monitor first?
A. Insulin infusion and hydration status
B. Give potassium supplement
C. Hold all fluids
D. Encourage orange juice
Correct Answer: A
Rationale: DKA: insulin drives K+ into cells and fluids correct dehydration. Hyperkalemia initially from acidosis but will
drop quickly.
8. Post-op cholecystectomy client reports clay-colored stools. Nurse understands this indicates?
A. Bile duct obstruction
B. Normal finding
C. Iron deficiency
D. High fiber diet
Correct Answer: A
Rationale: Clay/acholic stools indicate lack of bile reaching intestine due to obstruction.
9. Client with diabetic ketoacidosis has K+ 5.8. What should nurse monitor first?
A. Insulin infusion and hydration status
B. Give potassium supplement
C. Hold all fluids
D. Encourage orange juice
Correct Answer: A
Rationale: DKA: insulin drives K+ into cells and fluids correct dehydration. Hyperkalemia initially from acidosis but will
drop quickly.
,10. Post-op cholecystectomy client reports clay-colored stools. Nurse understands this indicates?
A. Bile duct obstruction
B. Normal finding
C. Iron deficiency
D. High fiber diet
Correct Answer: A
Rationale: Clay/acholic stools indicate lack of bile reaching intestine due to obstruction.
11. Client with diabetic ketoacidosis has K+ 5.8. What should nurse monitor first?
A. Insulin infusion and hydration status
B. Give potassium supplement
C. Hold all fluids
D. Encourage orange juice
Correct Answer: A
Rationale: DKA: insulin drives K+ into cells and fluids correct dehydration. Hyperkalemia initially from acidosis but will
drop quickly.
12. Post-op cholecystectomy client reports clay-colored stools. Nurse understands this indicates?
A. Bile duct obstruction
B. Normal finding
C. Iron deficiency
D. High fiber diet
Correct Answer: A
Rationale: Clay/acholic stools indicate lack of bile reaching intestine due to obstruction.
13. Client with diabetic ketoacidosis has K+ 5.8. What should nurse monitor first?
A. Insulin infusion and hydration status
B. Give potassium supplement
C. Hold all fluids
D. Encourage orange juice
Correct Answer: A
Rationale: DKA: insulin drives K+ into cells and fluids correct dehydration. Hyperkalemia initially from acidosis but will
drop quickly.
14. Post-op cholecystectomy client reports clay-colored stools. Nurse understands this indicates?
A. Bile duct obstruction
B. Normal finding
C. Iron deficiency
D. High fiber diet
Correct Answer: A
Rationale: Clay/acholic stools indicate lack of bile reaching intestine due to obstruction.
15. Client with diabetic ketoacidosis has K+ 5.8. What should nurse monitor first?
, A. Insulin infusion and hydration status
B. Give potassium supplement
C. Hold all fluids
D. Encourage orange juice
Correct Answer: A
Rationale: DKA: insulin drives K+ into cells and fluids correct dehydration. Hyperkalemia initially from acidosis but will
drop quickly.
16. Post-op cholecystectomy client reports clay-colored stools. Nurse understands this indicates?
A. Bile duct obstruction
B. Normal finding
C. Iron deficiency
D. High fiber diet
Correct Answer: A
Rationale: Clay/acholic stools indicate lack of bile reaching intestine due to obstruction.
17. Client with diabetic ketoacidosis has K+ 5.8. What should nurse monitor first?
A. Insulin infusion and hydration status
B. Give potassium supplement
C. Hold all fluids
D. Encourage orange juice
Correct Answer: A
Rationale: DKA: insulin drives K+ into cells and fluids correct dehydration. Hyperkalemia initially from acidosis but will
drop quickly.
18. Post-op cholecystectomy client reports clay-colored stools. Nurse understands this indicates?
A. Bile duct obstruction
B. Normal finding
C. Iron deficiency
D. High fiber diet
Correct Answer: A
Rationale: Clay/acholic stools indicate lack of bile reaching intestine due to obstruction.
19. Client with diabetic ketoacidosis has K+ 5.8. What should nurse monitor first?
A. Insulin infusion and hydration status
B. Give potassium supplement
C. Hold all fluids
D. Encourage orange juice
Correct Answer: A
Rationale: DKA: insulin drives K+ into cells and fluids correct dehydration. Hyperkalemia initially from acidosis but will
drop quickly.
20. Post-op cholecystectomy client reports clay-colored stools. Nurse understands this indicates?
A. Bile duct obstruction
