RN TARGETED MEDICAL SURGICAL
GASTROINTESTINAL EXAM 2024-2025
WITH ACTUAL CORRECT QUESTIONS
AND VERIFIED DETAILED ANSWERS
|FREQUENTLY TESTED QUESTIONS
AND SOLUTIONS |ALREADY GRADED
A+|BRAND NEW!! |GUARANTEED
PASS|LATEST UPDATE
A nurse is caring for a client who has colorectal cancer and is having chemotherapy. The client ask the
nurse why blood is being drawn for a carcinoembryonic antigen (CEA) level. Which of the following
responses should the nurse make
"The CEA determines the efficacy of your chemotherapy"
A provider uses the CEA level to determine the efficacy of the chemotherapy. The client's CEA levels
will decrease if the chemotherapy is effective.
A nurse is assessing a client who has acute hepatitis B. Which of the following findings should the nurse
expect?
Joint pain
Joint pain is an expected finding in a client who has acute hepatitis B.
A nurse is providing discharge teaching for a client who has GERD. Which of the following statements by
the client indicates an understanding of the teaching?
"I will decrease the amount of carbonated beverages I drink"
1|Page
,The nurse should instruct the client to limit or eliminate fatty foods, coffee, tea, carbonated
beverages, and chocolate from the diet because they irritate the lining of the stomach.
A nurse is providing discharge teaching for a client who has chronic hepatitis C. Which of the following
statements by the client indicates understanding of the teaching?
"I will avoid medications that contain acetaminophen"
A client who has hepatitis C should avoid medications that contain acetaminophen, which can cause
additional liver damage.
A nurse is assessing a client who has upper gastrointestinal bleeding. Which of the following findings
should the nurse expect?
Hypotension
A client who has upper gastrointestinal bleeding is at risk for hemorrhagic shock. Hypotension is a
manifestation of hemorrhagic shock.
A nurse is reviewing the laboratory values of a client who has colorectal cancer. Which of the following
findings should the nurse expect?
Hemoglobin 9.1 g.dL
A hemoglobin level of 9.1 g/dL is below the expected reference range. Decreased hemoglobin is an
expected finding in a client who has colorectal cancer due to occult intestinal bleeding.
A nurse is providing discharge teaching for a client who has an new colostomy and is concerned about
flatus and odor. Which of the following foods should the nurse recommend to the client?
Yogurt
The nurse should recommend yogurt, crackers, and toast, which can prevent flatus and stool odor.
A nurse is caring for a client who has ulcerative colitis. the client has has 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?
Use progressive relaxation techniques
Progressive relaxation techniques, a form of biofeedback, are recommended to help the client
minimize stress, which can precipitate an exacerbation.
Arrange activities to allow for daily rest periods
Daily rest periods decrease stress and reduce intestinal motility.
Restrict intake of carbonated beverages
The client should avoid gastrointestinal stimulants, such as carbonated beverages, nuts, peppers, and
smoking
2|Page
, A nurse is admitting a client who has acute pancreatitis. Which of the following actions should the nurse
take first?
Identify the clients current level of pain
The first action the nurse should take when using the nursing process is to assess the client. Clients
who have acute pancreatitis often have severe abdominal pain. By assessing the client's level of pain,
the nurse can identify the need for and implement interventions to alleviate the client's pain.
A nurse is providing dietary teaching for a client who is postoperative following a gastrectomy. Which of
the following foods should the nurse encourage the client tp include in their diet to reduce the risk for
dumping syndrome
Eggs
The nurse should instruct the client to increase dietary intake of protein-containing foods, such as
eggs, to decrease the risk for manifestations of dumping syndrome. The client should eat some form
of protein at each meal.
A nurse is providing discharge teaching for a client who has a prescription for medications to treat peptic
ulcer disease. The nurse should inform the client that which of the following medications inhibits gastric
acid secretions?
Famotidine
The nurse should inform the client that famotidine is an H2-receptor antagonist that is prescribed for
the treatment of peptic ulcer disease to inhibit the secretion of gastric acid.
A nurse is assessing a client who has cirrhosis. Which of the following findings is a priority for the nurse
to report to the provider?
Bloody stools
The greatest risk to the client who has cirrhosis of the liver is hemorrhagic shock due to bleeding in
the esophageal varices. Therefore, bloody stools is the priority finding to report to the provider.
A nurse is providing dietary teaching for a client who has chronic pancreatitis. Which of the following
food selections by the client indicates an understanding of the teaching
1 cup (0.24 L) sliced banana
Foods that are high in fat can cause diarrhea for clients who have pancreatitis. One cup of sliced
banana, which contains 0.49 g of fat, is a low-fat food option. Clients who have pancreatitis should
consume a high-protein and low-fat diet with an adequate amount of carbohydrates and calories.
A nurse is providing discharge teaching for a client who has peptic ulcer disease and a new prescription
for famotidine. Which of the following statements by the client indicates an understanding of the
teaching
3|Page
GASTROINTESTINAL EXAM 2024-2025
WITH ACTUAL CORRECT QUESTIONS
AND VERIFIED DETAILED ANSWERS
|FREQUENTLY TESTED QUESTIONS
AND SOLUTIONS |ALREADY GRADED
A+|BRAND NEW!! |GUARANTEED
PASS|LATEST UPDATE
A nurse is caring for a client who has colorectal cancer and is having chemotherapy. The client ask the
nurse why blood is being drawn for a carcinoembryonic antigen (CEA) level. Which of the following
responses should the nurse make
"The CEA determines the efficacy of your chemotherapy"
A provider uses the CEA level to determine the efficacy of the chemotherapy. The client's CEA levels
will decrease if the chemotherapy is effective.
A nurse is assessing a client who has acute hepatitis B. Which of the following findings should the nurse
expect?
Joint pain
Joint pain is an expected finding in a client who has acute hepatitis B.
A nurse is providing discharge teaching for a client who has GERD. Which of the following statements by
the client indicates an understanding of the teaching?
"I will decrease the amount of carbonated beverages I drink"
1|Page
,The nurse should instruct the client to limit or eliminate fatty foods, coffee, tea, carbonated
beverages, and chocolate from the diet because they irritate the lining of the stomach.
A nurse is providing discharge teaching for a client who has chronic hepatitis C. Which of the following
statements by the client indicates understanding of the teaching?
"I will avoid medications that contain acetaminophen"
A client who has hepatitis C should avoid medications that contain acetaminophen, which can cause
additional liver damage.
A nurse is assessing a client who has upper gastrointestinal bleeding. Which of the following findings
should the nurse expect?
Hypotension
A client who has upper gastrointestinal bleeding is at risk for hemorrhagic shock. Hypotension is a
manifestation of hemorrhagic shock.
A nurse is reviewing the laboratory values of a client who has colorectal cancer. Which of the following
findings should the nurse expect?
Hemoglobin 9.1 g.dL
A hemoglobin level of 9.1 g/dL is below the expected reference range. Decreased hemoglobin is an
expected finding in a client who has colorectal cancer due to occult intestinal bleeding.
A nurse is providing discharge teaching for a client who has an new colostomy and is concerned about
flatus and odor. Which of the following foods should the nurse recommend to the client?
Yogurt
The nurse should recommend yogurt, crackers, and toast, which can prevent flatus and stool odor.
A nurse is caring for a client who has ulcerative colitis. the client has has 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?
Use progressive relaxation techniques
Progressive relaxation techniques, a form of biofeedback, are recommended to help the client
minimize stress, which can precipitate an exacerbation.
Arrange activities to allow for daily rest periods
Daily rest periods decrease stress and reduce intestinal motility.
Restrict intake of carbonated beverages
The client should avoid gastrointestinal stimulants, such as carbonated beverages, nuts, peppers, and
smoking
2|Page
, A nurse is admitting a client who has acute pancreatitis. Which of the following actions should the nurse
take first?
Identify the clients current level of pain
The first action the nurse should take when using the nursing process is to assess the client. Clients
who have acute pancreatitis often have severe abdominal pain. By assessing the client's level of pain,
the nurse can identify the need for and implement interventions to alleviate the client's pain.
A nurse is providing dietary teaching for a client who is postoperative following a gastrectomy. Which of
the following foods should the nurse encourage the client tp include in their diet to reduce the risk for
dumping syndrome
Eggs
The nurse should instruct the client to increase dietary intake of protein-containing foods, such as
eggs, to decrease the risk for manifestations of dumping syndrome. The client should eat some form
of protein at each meal.
A nurse is providing discharge teaching for a client who has a prescription for medications to treat peptic
ulcer disease. The nurse should inform the client that which of the following medications inhibits gastric
acid secretions?
Famotidine
The nurse should inform the client that famotidine is an H2-receptor antagonist that is prescribed for
the treatment of peptic ulcer disease to inhibit the secretion of gastric acid.
A nurse is assessing a client who has cirrhosis. Which of the following findings is a priority for the nurse
to report to the provider?
Bloody stools
The greatest risk to the client who has cirrhosis of the liver is hemorrhagic shock due to bleeding in
the esophageal varices. Therefore, bloody stools is the priority finding to report to the provider.
A nurse is providing dietary teaching for a client who has chronic pancreatitis. Which of the following
food selections by the client indicates an understanding of the teaching
1 cup (0.24 L) sliced banana
Foods that are high in fat can cause diarrhea for clients who have pancreatitis. One cup of sliced
banana, which contains 0.49 g of fat, is a low-fat food option. Clients who have pancreatitis should
consume a high-protein and low-fat diet with an adequate amount of carbohydrates and calories.
A nurse is providing discharge teaching for a client who has peptic ulcer disease and a new prescription
for famotidine. Which of the following statements by the client indicates an understanding of the
teaching
3|Page
