MED-SURG 2 UPPER GI NCLEX QUESTIONS AND
ANSWERS LATEST VERSION VERIFIED RATIONALE
GRADED A+
The client diagnosed with a hiatal hernia is scheduled for a Nissen fundoplica�on. Which statement
indicates the nurse's teaching is effec�ve?
A. "I will have 4 to 5 small incisions."
B. I will be in the hospital for at least one week
C. I will not have any pain because this is a laparoscopic surgery
D. I will be returning to work the day a�er my surgery - ansA
In a laparoscopic Nissen fundoplica�on, there are 4 to 5 incisions approximately 1 inch apart allowing for
the passage of equipment to visualize the abdominal organs and perform the opera�on
The client is admited to the ED complaining of acute epigastric pain and reports vomi�ng a large
amount of bright red blood at home. Which interven�ons should the nurse implement? List in order of
priority.
A. Assess the client's vital signs
B. Insert an NG tube
C. Begin iced saline lavage
D. Start an IV with an 18-gauge needle
E. Type and crossmatch for a blood transfusion - ansA, D, E, B, C
The client is being prepared for discharge a�er a laparoscopic cholecystectomy. Which interven�on
should the nurse implement?
A. Discuss the need to change the abdominal dressing daily
B. Tell the client to check the T-tube output every 8 hours
C. Include the client's significant other in discharge teaching
D. Instruct client to stay off clear liquids for 2 days - ansC
A lap chole is outpa�ent surgery. The nurse must make sure the significant other taking care of the
pa�ent is knowledgeable about post-op care.
The client is complaining of painful swallowing, secondary to mouth ulcers. Which statement indicates
the nurse's teaching has been effec�ve?
, MED-SURG 2 UPPER GI NCLEX QUESTIONS AND
ANSWERS LATEST VERSION VERIFIED RATIONALE
GRADED A+
A. "I will brush my teeth with a so�-bristled toothbrush."
B. "I will rinse my mouth with Listerine mouthwash."
C. "I will swish with an an�fungal solu�on, then swallow."
D. "I will avoid spicy foods, tobacco, and alcohol." - ansD
Irrita�ng substances should be avoided during outbreaks of ulcers in the mouth. Spicy foods, alcohol,
and tobacco are common irritants the client should avoid
The nurse iden�fies the problem of "fluid volume deficit" for a client diagnosed with gastri�s. Which
interven�on should be included in the plan of care?
A. Obtain permission for a blood transfusion
B. Prepare the client for total parenteral nutri�on
C. Monitor the client's lung sounds every shi�
D. Assess the client's intravenous site - ansD
Fluid administra�on is the medical treatment for dehydra�on so the nurse must monitor and ensure the
IV site is patent
The nurse is administering a PPI to a client diagnosed with pep�c ulcer disease. Which statement
supports the ra�onale for administering this medica�on?
A. It prevents the final transport of hydrogen ions into the gastric lumen
B. It blocks receptors controlling hydrochloric acid secre�ons by parietal cells
C. It protects the ulcer from the destruc�ve ac�on of the diges�ve enzyme pepsin
D. It neutralizes the hydrochloric acid secreted by the stomach - ansA.
This statement is the ra�onale for proton pump inhibitors
The nurse is assessing a client in end-stage liver failure who is diagnosed with portal hypertension.
Which interven�on should the nurse include in the plan of care?
A. Assess the abdomen for a tympanic wave
B. Monitor the client's blood pressure
ANSWERS LATEST VERSION VERIFIED RATIONALE
GRADED A+
The client diagnosed with a hiatal hernia is scheduled for a Nissen fundoplica�on. Which statement
indicates the nurse's teaching is effec�ve?
A. "I will have 4 to 5 small incisions."
B. I will be in the hospital for at least one week
C. I will not have any pain because this is a laparoscopic surgery
D. I will be returning to work the day a�er my surgery - ansA
In a laparoscopic Nissen fundoplica�on, there are 4 to 5 incisions approximately 1 inch apart allowing for
the passage of equipment to visualize the abdominal organs and perform the opera�on
The client is admited to the ED complaining of acute epigastric pain and reports vomi�ng a large
amount of bright red blood at home. Which interven�ons should the nurse implement? List in order of
priority.
A. Assess the client's vital signs
B. Insert an NG tube
C. Begin iced saline lavage
D. Start an IV with an 18-gauge needle
E. Type and crossmatch for a blood transfusion - ansA, D, E, B, C
The client is being prepared for discharge a�er a laparoscopic cholecystectomy. Which interven�on
should the nurse implement?
A. Discuss the need to change the abdominal dressing daily
B. Tell the client to check the T-tube output every 8 hours
C. Include the client's significant other in discharge teaching
D. Instruct client to stay off clear liquids for 2 days - ansC
A lap chole is outpa�ent surgery. The nurse must make sure the significant other taking care of the
pa�ent is knowledgeable about post-op care.
The client is complaining of painful swallowing, secondary to mouth ulcers. Which statement indicates
the nurse's teaching has been effec�ve?
, MED-SURG 2 UPPER GI NCLEX QUESTIONS AND
ANSWERS LATEST VERSION VERIFIED RATIONALE
GRADED A+
A. "I will brush my teeth with a so�-bristled toothbrush."
B. "I will rinse my mouth with Listerine mouthwash."
C. "I will swish with an an�fungal solu�on, then swallow."
D. "I will avoid spicy foods, tobacco, and alcohol." - ansD
Irrita�ng substances should be avoided during outbreaks of ulcers in the mouth. Spicy foods, alcohol,
and tobacco are common irritants the client should avoid
The nurse iden�fies the problem of "fluid volume deficit" for a client diagnosed with gastri�s. Which
interven�on should be included in the plan of care?
A. Obtain permission for a blood transfusion
B. Prepare the client for total parenteral nutri�on
C. Monitor the client's lung sounds every shi�
D. Assess the client's intravenous site - ansD
Fluid administra�on is the medical treatment for dehydra�on so the nurse must monitor and ensure the
IV site is patent
The nurse is administering a PPI to a client diagnosed with pep�c ulcer disease. Which statement
supports the ra�onale for administering this medica�on?
A. It prevents the final transport of hydrogen ions into the gastric lumen
B. It blocks receptors controlling hydrochloric acid secre�ons by parietal cells
C. It protects the ulcer from the destruc�ve ac�on of the diges�ve enzyme pepsin
D. It neutralizes the hydrochloric acid secreted by the stomach - ansA.
This statement is the ra�onale for proton pump inhibitors
The nurse is assessing a client in end-stage liver failure who is diagnosed with portal hypertension.
Which interven�on should the nurse include in the plan of care?
A. Assess the abdomen for a tympanic wave
B. Monitor the client's blood pressure
