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RN TARGETED MEDICAL SURGICAL GASTROINTESTINAL EXAM
NEWEST 2026/2027 ACTUAL EXAM COMPLETE 60 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||JUST OUT!!!
a nurse is caring for a client who has GERD and a new
prescription for metoclopramide. the nurse should plan to
monitor for which of the following adverse effects?
Thrombocytopenia
Hearing loss
Hypersalivation
Ataxia - ANSWER-ataxia
the nurse should plan to monitor the client for extrapyramdial
symtoms, such as ataxia, and should report any positive
findings to the provider.
a nurse is reviewing the laboratory results of a client who has
hepatic cirrhosis. which of the following laboratory findings
should the nurse report to the provider?
Albumin 4.0 g/dL
INR 1.0
Direct bilirubin 0.5 mg/dL
Ammonia 180 mcg/dL - ANSWER-ammonia 180 mcg/dl
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the nurse should report an increased serum ammonia level
because it can indicate portal-systemic encephalopathy
a nurse is assessing a client who has peritonitis. which of the
following findings should the nurse expect?
Bloody diarrhea
Board like abdomen
Periumbilical cyanosis
Increased bowel sounds - ANSWER-board-like abdomen
a board-like, distended abdomen is an expected finding in this
client
a nurse is reviewing the prescriptions for a client who has
Campylobacter enteritis. which of the following prescriptions
should the nurse clarify with the provider?
0.45% sodium chloride IV
Magnesium hydroxide
Ciprofloxacin
Potassium - ANSWER-Milk of magnesia
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the nurse should clarify a prescription for milk of magnesia with
the provider. this medication increases gastrointestinal motility,
which can increase the client's risk for an electrolyte imbalance.
a nurse is reviewing the laboratory values of a client who has
colorectal cancer. which of the following findings should the
nurse expect?
Negative fecal occult blood test
Decreased serum carcinoembryonic antigen (CEA) level
Hct 43%
Hgb 9.1 g/dL - ANSWER-hemoglobin 9.1 g/dl
decreased hemoglobin is an expected finding in a client who
has colorectal cancer because of occult intestinal bleeding.
a nurse is assessing a client who has cirrhosis. which of the
following findings is the priority for the nurse to report to the
provider?
Spider Angiomas
Peripheral edema
Bloody stools
Jaundice - ANSWER-bloody stools
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the greatest risk to the client is hemorrhaging. bloody stools are
indication of bleeding in the gastrointestinal tract. this finding is
the priority to the report to the provider.
a nurse is reviewing the laboratory results of a client who has
acute pancreatitis. which of the following findings should the
nurse expect?
Blood glucose 110 mg/dL
Increased amylase
WBC count 9000
Decreased bilirubin - ANSWER-increased serum amylase
serum amylase levels are increased in a client who has acute
pancreatitis because of the pancreatic cell injury.
a nurse is caring for a client who has ulcerative colitis. the client
has had several exacerbations over the past 3 years. which of
the following instructions should the nurse include in the plan
of care to minimize the risk of further exacerbations? SATA
-use progressive relaxation techniques
-increase dietary fiber intake
RN TARGETED MEDICAL SURGICAL GASTROINTESTINAL EXAM
NEWEST 2026/2027 ACTUAL EXAM COMPLETE 60 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||JUST OUT!!!
a nurse is caring for a client who has GERD and a new
prescription for metoclopramide. the nurse should plan to
monitor for which of the following adverse effects?
Thrombocytopenia
Hearing loss
Hypersalivation
Ataxia - ANSWER-ataxia
the nurse should plan to monitor the client for extrapyramdial
symtoms, such as ataxia, and should report any positive
findings to the provider.
a nurse is reviewing the laboratory results of a client who has
hepatic cirrhosis. which of the following laboratory findings
should the nurse report to the provider?
Albumin 4.0 g/dL
INR 1.0
Direct bilirubin 0.5 mg/dL
Ammonia 180 mcg/dL - ANSWER-ammonia 180 mcg/dl
,2|Page
the nurse should report an increased serum ammonia level
because it can indicate portal-systemic encephalopathy
a nurse is assessing a client who has peritonitis. which of the
following findings should the nurse expect?
Bloody diarrhea
Board like abdomen
Periumbilical cyanosis
Increased bowel sounds - ANSWER-board-like abdomen
a board-like, distended abdomen is an expected finding in this
client
a nurse is reviewing the prescriptions for a client who has
Campylobacter enteritis. which of the following prescriptions
should the nurse clarify with the provider?
0.45% sodium chloride IV
Magnesium hydroxide
Ciprofloxacin
Potassium - ANSWER-Milk of magnesia
,3|Page
the nurse should clarify a prescription for milk of magnesia with
the provider. this medication increases gastrointestinal motility,
which can increase the client's risk for an electrolyte imbalance.
a nurse is reviewing the laboratory values of a client who has
colorectal cancer. which of the following findings should the
nurse expect?
Negative fecal occult blood test
Decreased serum carcinoembryonic antigen (CEA) level
Hct 43%
Hgb 9.1 g/dL - ANSWER-hemoglobin 9.1 g/dl
decreased hemoglobin is an expected finding in a client who
has colorectal cancer because of occult intestinal bleeding.
a nurse is assessing a client who has cirrhosis. which of the
following findings is the priority for the nurse to report to the
provider?
Spider Angiomas
Peripheral edema
Bloody stools
Jaundice - ANSWER-bloody stools
, 4|Page
the greatest risk to the client is hemorrhaging. bloody stools are
indication of bleeding in the gastrointestinal tract. this finding is
the priority to the report to the provider.
a nurse is reviewing the laboratory results of a client who has
acute pancreatitis. which of the following findings should the
nurse expect?
Blood glucose 110 mg/dL
Increased amylase
WBC count 9000
Decreased bilirubin - ANSWER-increased serum amylase
serum amylase levels are increased in a client who has acute
pancreatitis because of the pancreatic cell injury.
a nurse is caring for a client who has ulcerative colitis. the client
has had several exacerbations over the past 3 years. which of
the following instructions should the nurse include in the plan
of care to minimize the risk of further exacerbations? SATA
-use progressive relaxation techniques
-increase dietary fiber intake
