Med Surg Gastrointestinal NCLEX
Questions and Answers | Latest Version
| 2025/2026 | Correct & Verified
A nurse is caring for a client with liver cirrhosis. Which assessment finding requires immediate
intervention?
A. Spider angiomas on the chest
B. Yellowing of the sclera
✔✔ C. Confusion and disorientation
D. Dry, itchy skin
A client reports burning epigastric pain that improves with eating. Which condition is most
likely?
A. Gastric ulcer
✔✔ B. Duodenal ulcer
C. GERD
D. Gallstones
Which instruction should the nurse give to a client preparing for a colonoscopy?
1
,A. Avoid liquids for 12 hours
✔✔ B. Take only clear liquids the day before the procedure
C. Take an antacid before bedtime
D. Avoid dairy products for 1 week
A nurse is teaching a client with a new ileostomy. Which statement indicates understanding?
A. “I will expect my stool to be solid.”
✔✔ B. “I will need to empty the pouch several times a day.”
C. “I will change the pouch once a month.”
D. “I don’t need to worry about skin care.”
A client with hepatitis C asks how it is transmitted. What is the correct response?
A. Through contaminated food or water
✔✔ B. Through blood or body fluids
C. Through droplets from a cough
D. Through insect bites
Which lab value should the nurse monitor in a client with pancreatitis?
2
,A. Bilirubin
✔✔ B. Amylase
C. Hemoglobin
D. Sodium
A client reports nausea, bloating, and belching after eating fried foods. Which condition is most
likely?
✔✔ A. Cholelithiasis
B. Peptic ulcer disease
C. Irritable bowel syndrome
D. Pancreatic cancer
Which dietary instruction is appropriate for a client with diverticulosis?
✔✔ A. Increase dietary fiber
B. Follow a low-residue diet
C. Avoid all carbohydrates
D. Drink only clear liquids
3
, What is the priority nursing action after a liver biopsy?
A. Encourage ambulation
✔✔ B. Position the client on the right side
C. Provide a full meal
D. Apply heat to the biopsy site
A client is experiencing frequent heartburn and regurgitation. Which condition is most likely?
✔✔ A. GERD
B. Appendicitis
C. Cholecystitis
D. Gastric ulcer
A nurse is caring for a client with an NG tube for decompression. What is the priority nursing
action?
A. Monitor intake and output
✔✔ B. Verify tube placement regularly
C. Flush the tube every 8 hours with air
D. Clamp the tube between feedings
4
Questions and Answers | Latest Version
| 2025/2026 | Correct & Verified
A nurse is caring for a client with liver cirrhosis. Which assessment finding requires immediate
intervention?
A. Spider angiomas on the chest
B. Yellowing of the sclera
✔✔ C. Confusion and disorientation
D. Dry, itchy skin
A client reports burning epigastric pain that improves with eating. Which condition is most
likely?
A. Gastric ulcer
✔✔ B. Duodenal ulcer
C. GERD
D. Gallstones
Which instruction should the nurse give to a client preparing for a colonoscopy?
1
,A. Avoid liquids for 12 hours
✔✔ B. Take only clear liquids the day before the procedure
C. Take an antacid before bedtime
D. Avoid dairy products for 1 week
A nurse is teaching a client with a new ileostomy. Which statement indicates understanding?
A. “I will expect my stool to be solid.”
✔✔ B. “I will need to empty the pouch several times a day.”
C. “I will change the pouch once a month.”
D. “I don’t need to worry about skin care.”
A client with hepatitis C asks how it is transmitted. What is the correct response?
A. Through contaminated food or water
✔✔ B. Through blood or body fluids
C. Through droplets from a cough
D. Through insect bites
Which lab value should the nurse monitor in a client with pancreatitis?
2
,A. Bilirubin
✔✔ B. Amylase
C. Hemoglobin
D. Sodium
A client reports nausea, bloating, and belching after eating fried foods. Which condition is most
likely?
✔✔ A. Cholelithiasis
B. Peptic ulcer disease
C. Irritable bowel syndrome
D. Pancreatic cancer
Which dietary instruction is appropriate for a client with diverticulosis?
✔✔ A. Increase dietary fiber
B. Follow a low-residue diet
C. Avoid all carbohydrates
D. Drink only clear liquids
3
, What is the priority nursing action after a liver biopsy?
A. Encourage ambulation
✔✔ B. Position the client on the right side
C. Provide a full meal
D. Apply heat to the biopsy site
A client is experiencing frequent heartburn and regurgitation. Which condition is most likely?
✔✔ A. GERD
B. Appendicitis
C. Cholecystitis
D. Gastric ulcer
A nurse is caring for a client with an NG tube for decompression. What is the priority nursing
action?
A. Monitor intake and output
✔✔ B. Verify tube placement regularly
C. Flush the tube every 8 hours with air
D. Clamp the tube between feedings
4
