LEWIS MED SURG - UPPER AND LOWER GI NCLEX
PRACTICE QUESTIONS AND ANSWERS 2024 VERSION
VERIFIED RATIONALE GRADED A+
A 61-year-old patient with suspected bowel obstruction had a nasogastric tube inserted at 4:00 AM. The
nurse shares in the morning report that the day shift staff should check the tube for patency at what
times?
A. 7:00 AM, 10:00 AM, and 1:00 PM
B. 8:00 AM, 12:00 PM, and 4:00 PM
C. 9:00 AM and 3:00 PM
D. 9:00 AM, 12:00 PM, and 3:00 PM - ansB. 8:00 AM, 12:00 PM, and 4:00 PM
A nasogastric tube should be checked for patency routinely at 4-hour intervals. Thus if the tube were
inserted at 4:00 AM, it would be due to be checked at 8:00 AM, 12:00 PM, and 4:00 PM.
A 72-year-old patient was admitted with epigastric pain due to a gastric ulcer. Which patient assessment
warrants an urgent change in the nursing plan of care?
A. Chest pain relieved with eating or drinking water
B. Back pain 3 or 4 hours after eating a meal
C. Burning epigastric pain 90 minutes after breakfast
D. Rigid abdomen and vomiting following indigestion - ansD. Rigid abdomen and vomiting following
indigestion
A rigid abdomen with vomiting in a patient who has a gastric ulcer indicates a perforation of the ulcer,
especially if the manifestations of perforation appear suddenly. Midepigastric pain is relieved by eating,
drinking water, or antacids with duodenal ulcers, not gastric ulcers. Back pain 3-4 hours after a meal is
more likely to occur with a duodenal ulcer. Burning epigastric pain 1-2 hours after a meal is an expected
manifestation of a gastric ulcer related to increased gastric secretions and does not cause an urgent
change in the nursing plan of care.
, LEWIS MED SURG - UPPER AND LOWER GI NCLEX
PRACTICE QUESTIONS AND ANSWERS 2024 VERSION
VERIFIED RATIONALE GRADED A+
A female patient has a sliding hiatal hernia. What nursing interventions will prevent the symptoms of
heartburn and dyspepsia that she is experiencing?
A. Keep the patient NPO.
B. Put the bed in the Trendelenberg position.
C. Have the patient eat 4 to 6 smaller meals each day.
D. Give various antacids to determine which one works for the patient. - ansC. Have the patient eat 4 to
6 smaller meals each day.
Eating smaller meals during the day will decrease the gastric pressure and the symptoms of hiatal hernia.
Keeping the patient NPO or in a Trendelenberg position are not safe or realistic for a long period of time
for any patient. Varying antacids will only be done with the care provider's prescription, so this is not a
nursing intervention.
A patient complains of nausea. When administering a dose of metoclopramide (Reglan), the nurse
should teach the patient to report which potential adverse effect?
A. Tremors
B. Constipation
C. Double vision
D. Numbness in fingers and toes - ansA. Tremors
Extrapyramidal side effects, including tremors and tardive dyskinesias, may occur as a result of
metoclopramide (Reglan) administration. Constipation, double vision, and numbness in fingers and toes
are not adverse effects of metoclopramide.
A patient reports having a dry mouth and asks for something to drink. The nurse recognizes that this
symptom can most likely be attributed to a common adverse effect of which medication that the patient
is taking?
PRACTICE QUESTIONS AND ANSWERS 2024 VERSION
VERIFIED RATIONALE GRADED A+
A 61-year-old patient with suspected bowel obstruction had a nasogastric tube inserted at 4:00 AM. The
nurse shares in the morning report that the day shift staff should check the tube for patency at what
times?
A. 7:00 AM, 10:00 AM, and 1:00 PM
B. 8:00 AM, 12:00 PM, and 4:00 PM
C. 9:00 AM and 3:00 PM
D. 9:00 AM, 12:00 PM, and 3:00 PM - ansB. 8:00 AM, 12:00 PM, and 4:00 PM
A nasogastric tube should be checked for patency routinely at 4-hour intervals. Thus if the tube were
inserted at 4:00 AM, it would be due to be checked at 8:00 AM, 12:00 PM, and 4:00 PM.
A 72-year-old patient was admitted with epigastric pain due to a gastric ulcer. Which patient assessment
warrants an urgent change in the nursing plan of care?
A. Chest pain relieved with eating or drinking water
B. Back pain 3 or 4 hours after eating a meal
C. Burning epigastric pain 90 minutes after breakfast
D. Rigid abdomen and vomiting following indigestion - ansD. Rigid abdomen and vomiting following
indigestion
A rigid abdomen with vomiting in a patient who has a gastric ulcer indicates a perforation of the ulcer,
especially if the manifestations of perforation appear suddenly. Midepigastric pain is relieved by eating,
drinking water, or antacids with duodenal ulcers, not gastric ulcers. Back pain 3-4 hours after a meal is
more likely to occur with a duodenal ulcer. Burning epigastric pain 1-2 hours after a meal is an expected
manifestation of a gastric ulcer related to increased gastric secretions and does not cause an urgent
change in the nursing plan of care.
, LEWIS MED SURG - UPPER AND LOWER GI NCLEX
PRACTICE QUESTIONS AND ANSWERS 2024 VERSION
VERIFIED RATIONALE GRADED A+
A female patient has a sliding hiatal hernia. What nursing interventions will prevent the symptoms of
heartburn and dyspepsia that she is experiencing?
A. Keep the patient NPO.
B. Put the bed in the Trendelenberg position.
C. Have the patient eat 4 to 6 smaller meals each day.
D. Give various antacids to determine which one works for the patient. - ansC. Have the patient eat 4 to
6 smaller meals each day.
Eating smaller meals during the day will decrease the gastric pressure and the symptoms of hiatal hernia.
Keeping the patient NPO or in a Trendelenberg position are not safe or realistic for a long period of time
for any patient. Varying antacids will only be done with the care provider's prescription, so this is not a
nursing intervention.
A patient complains of nausea. When administering a dose of metoclopramide (Reglan), the nurse
should teach the patient to report which potential adverse effect?
A. Tremors
B. Constipation
C. Double vision
D. Numbness in fingers and toes - ansA. Tremors
Extrapyramidal side effects, including tremors and tardive dyskinesias, may occur as a result of
metoclopramide (Reglan) administration. Constipation, double vision, and numbness in fingers and toes
are not adverse effects of metoclopramide.
A patient reports having a dry mouth and asks for something to drink. The nurse recognizes that this
symptom can most likely be attributed to a common adverse effect of which medication that the patient
is taking?
