Med Surg Gastrointestinal NCLEX Questions and Answers Updated 2026

B Med Surg Gastrointestinal NCLEX Questions

Med Surg Gastrointestinal NCLEX Questions and Answers Updated 2026

TheBnurseBisBmonitoringBaBclientBadmittedBtoBtheBhospitalBwithBaBdiagnosisBofBappe
ndicitisBwhoBisBscheduledBforBsurgeryBinB2Bhours.BTheBclientBbeginsBtoBcomplainBofBi
ncreasedBabdominalBpainBandBbeginsBtoBvomit.BOnBassessment,BtheBnurseBnotesBthat
BtheBabdomenBisBdistendedBandBbowelBsoundsBareBdiminished.BWhichBisBtheBmostBa
ppropriateBnursingBintervention?



A.BNotifyBtheBhealthBcareBproviderB(HCP).

B.BAdministerBtheBprescribedBpainBmedication.

C.BCallBandBaskBtheBoperatingBroomBteamBtoBperformBsurgeryBasBsoonBasBpossible.

D.BRepositionBtheBclientBandBapplyBaBheatingBpadBonBtheBwarmBsettingBtoBtheBclient
'sBabdomen.B-BAnswerBA.BNotifyBtheBhealthBcareBproviderB(HCP).



Rationale:

OnBtheBbasisBofBtheBsignsBandBsymptomsBpresentedBinBtheBquestion,BtheBnurseBsho
uldBsuspectBperitonitisBandBnotifyBtheBHCP.BAdministeringBpainBmedicationBisBnotBan
BappropriateBintervention.BHeatBshouldBneverBbeBappliedBtoBtheBabdomenBofBaBclien
tBwithBsuspectedBappendicitisBbecauseBofBtheBriskBofBrupture.BSchedulingBsurgicalBti

,meBisBnotBwithinBtheBscopeBofBnursingBpractice,BalthoughBtheBHCPBprobablyBwouldB
performBtheBsurgeryBearlierBthanBtheBprescheduledBtime.



ABclientBhasBjustBhadBaBhemorrhoidectomy.BWhichBnursingBinterventionsBareBappropri
ateBforBthisBclient?BSelectBallBthatBapply.



A.BAdministerBstoolBsoftenersBasBprescribed.

B.BInstructBtheBclientBtoBlimitBfluidBintakeBtoBavoidBurinaryBretention.

C.BEncourageBaBhigh-fiberBdietBtoBpromoteBbowelBmovementsBwithoutBstraining.

D.BApplyBcoldBpacksBtoBtheBanal-
rectalBareaBoverBtheBdressingBuntilBtheBpackingBisBremoved.

E.BHelpBtheBclientBtoBaBFowler'sBpositionBtoBplaceBpressureBonBtheBrectalBareaBandB
decreaseBbleeding.B-BAnswerBA.BAdministerBstoolBsoftenersBasBprescribed.

C.BEncourageBaBhigh-fiberBdietBtoBpromoteBbowelBmovementsBwithoutBstraining.

D.BApplyBcoldBpacksBtoBtheBanal-
rectalBareaBoverBtheBdressingBuntilBtheBpackingBisBremoved.



Rationale:

NursingBinterventionsBafterBaBhemorrhoidectomyBareBaimedBatBmanagementBofBpainB
andBavoidanceBofBbleedingBandBincisionBrupture.BStoolBsoftenersBandBaBhigh-
fiberBdietBwillBhelpBtheBclientBtoBavoidBstraining,BtherebyBreducingBtheBchancesBofBr
upturingBtheBincision.BAnBiceBpackBwillBincreaseBcomfortBandBdecreaseBbleeding.BOpti
onsB2BandB5BareBincorrectBinterventions.



TheBnurseBisBplanningBtoBteachBaBclientBwithBgastroesophagealBrefluxBdiseaseB(GERD)
BaboutBsubstancesBtoBavoid.BWhichBitemsBshouldBtheBnurseBincludeBonBthisBlist?BSel
ectBallBthatBapply.



A.BCoffee

B.BChocolate

C.BPeppermint

,D.BNonfatBmilk

E.BFriedBchicken

F.BScrambledBeggsB-BAnswerBA.BCoffee

B.BChocolate

C.BPeppermint

E.BFriedBchicken



Rationale:

FoodsBthatBdecreaseBlowerBesophagealBsphincterB(LES)BpressureBandBirritateBtheBesop
hagusBwillBincreaseBrefluxBandBexacerbateBtheBsymptomsBofBGERDBandBthereforeBsho
uldBbeBavoided.BAggravatingBsubstancesBincludeBcoffee,Bchocolate,Bpeppermint,BfriedB
orBfattyBfoods,BcarbonatedBbeverages,BandBalcohol.BOptionsB4BandB6BdoBnotBpromot
eBthisBeffect.



ABclientBhasBundergoneBesophagogastroduodenoscopy.BTheBnurseBshouldBplaceBhighes
tBpriorityBonBwhichBitemBasBpartBofBtheBclient'sBcareBplan?



1.BMonitoringBtheBtemperature

2.BMonitoringBcomplaintsBofBheartburn

3.BGivingBwarmBgarglesBforBaBsoreBthroat

4.BAssessingBforBtheBreturnBofBtheBgagBreflexB-
BAnswerB4.BAssessingBforBtheBreturnBofBtheBgagBreflex



Rationale:

TheBnurseBplacesBhighestBpriorityBonBassessingBforBreturnBofBtheBgagBreflex.BThisBass
essmentBaddressesBtheBclient'sBairway.BTheBnurseBalsoBmonitorsBtheBclient'sBvitalBsign
sBandBforBaBsuddenBincreaseBinBtemperature,BwhichBcouldBindicateBperforationBofBth
eBgastrointestinalBtract.BThisBcomplicationBwouldBbeBaccompaniedBbyBotherBsignsBasB
well,BsuchBasBpain.BMonitoringBforBsoreBthroatBandBheartburnBareBalsoBimportant;Bh
owever,BtheBclient'sBairwayBisBtheBpriority.

, TheBnurseBisBprovidingBdietaryBteachingBforBaBclientBwithBaBdiagnosisBofBchronicBgast
ritis.BTheBnurseBinstructsBtheBclientBtoBincludeBwhichBfoodsBrichBinBvitaminBB12BinBt
heBdiet?BSelectBallBthatBapply.



A.BNuts

B.BCorn

C.BLiver

D.BApples

E.BLentils

F.BBananasB-BAnswerBA.BNuts

C.BLiver

E.BLentils



Rationale:

ChronicBgastritisBcausesBdeteriorationBandBatrophyBofBtheBliningBofBtheBstomach,Blead
ingBtoBtheBlossBofBfunctionBofBtheBparietalBcells.BTheBsourceBofBintrinsicBfactorBisBlos
t,BwhichBresultsBinBanBinabilityBtoBabsorbBvitaminBB12,BleadingBtoBdevelopmentBofBp
erniciousBanemia.BClientsBmustBincreaseBtheirBintakeBofBvitaminBB12BbyBincreasingBco
nsumptionBofBfoodsBrichBinBthisBvitamin,BsuchBasBnuts,BorganBmeats,BdriedBbeans,Bci
trusBfruits,BgreenBleafyBvegetables,BandByeast.



TheBnurseBisBmonitoringBaBclientBwithBaBdiagnosisBofBpepticBulcer.BWhichBassessment
BfindingBwouldBmostBlikelyBindicateBperforationBofBtheBulcer?



A.BBradycardia

B.BNumbnessBinBtheBlegs

C.BNauseaBandBvomiting

D.BABrigid,BboardlikeBabdomenB-BAnswerBD.BABrigid,BboardlikeBabdomen



Rationale: