UPPER GI NCLEX QUESTIONS AND ANSWERS 100% PASS
GUARANTEED!!!
1. Which information about an 80-year-old man at the ANS: B
senior center is of most concern to the nurse? Unintentional weight
loss is not a normal
a. Decreased appetite finding and may indi-
b. Unintended weight loss cate a problem such
c. Difficulty chewing food as cancer or depres-
d. Complaints of indigestion sion. Poor appetite,
difficulty in chewing,
and complaints of in-
digestion are com-
mon in older patients.
These will need to
be addressed but are
not of as much con-
cern as the weight
loss
2. A 62- year-old man reports chronic constipation. To ANS: B
promote bowel evacuation, the nurse will suggest The gastrocolic re-
that the patient attempt defecation flex is most active
after the first daily
a. in the mid-afternoon. meal. Arising in the
b. after eating breakfast. morning, the antici-
c. right after getting up in the morning. pation of eating, and
d. immediately before the first daily meal. physical exercise do
not stimulate these
reflexes.
3. When caring for a patient with a history of a total ANS: D
gastrectomy, the nurse will monitor for The patient with a to-
tal gastrectomy does
a. constipation. not secrete intrin-
b. dehydration. sic factor, which is
c. elevated total serum cholesterol. needed for cobal-
d. cobalamin (vitamin B12) deficiency. amin (vitamin B12)
absorption. Because
the stomach absorbs
only small amounts
of water and nutri-
, UPPER GI NCLEX QUESTIONS AND ANSWERS 100% PASS
GUARANTEED!!!
ents, the patient is
not at higher risk
for dehydration, ele-
vated cholesterol, or
constipation.
4. The nurse will plan to monitor a patient with an ANS: B
obstructed common bile duct for A common bile duct
obstruction will re-
a. melena. duce the absorption
b. steatorrhea. of fat in the small
c. decreased serum cholesterol levels. intestine, leading to
d. increased serum indirect bilirubin levels. fatty stools. Gastroin-
testinal (GI) bleed-
ing is not caused
by common bile duct
obstruction. Serum
cholesterol levels are
increased with bil-
iary obstruction. Di-
rect bilirubin level is
increased with biliary
obstruction
5. The nurse receives the following information about ANS: D
a 51-year-old woman who is scheduled for a If the patient has
colonoscopy. Which information should be commu- had inadequate bow-
nicated to the health care provider before sending el preparation, the
the patient for the procedure? colon cannot be vi-
sualized and the
a. The patient has a permanent pacemaker to pre- procedure should
vent bradycardia. be rescheduled. Be-
b. The patient is worried about discomfort during cause contrast so-
the examination. lution is not used
c. The patient has had an allergic reaction to shell- during colonoscopy,
fish and iodine in the past. the iodine aller-
d. The patient refused to drink the ordered polyeth- gy is not perti-
ylene glycol (GoLYTELY). nent. A pacemak-
er is a contraindi-
, UPPER GI NCLEX QUESTIONS AND ANSWERS 100% PASS
GUARANTEED!!!
cation to magnet-
ic resonance imag-
ing (MRI), but not
to colonoscopy. The
nurse should instruct
the patient about the
sedation used dur-
ing the examination
to decrease the pa-
tient's anxiety about
discomfort
6. Which statement to the nurse from a patient with ANS: C
jaundice indicates a need for teaching? Chronic use of high
doses of aceta-
a. "I used cough syrup several times a day last minophen can be he-
week." patotoxic and may
b. "I take a baby aspirin every day to prevent have caused the pa-
strokes." tient's jaundice. The
c. "I use acetaminophen (Tylenol) every 4 hours for other patient state-
back pain." ments require further
d. "I need to take an antacid for indigestion several assessment by the
times a week" nurse, but do not in-
dicate a need for pa-
tient education
7. To palpate the liver during a head-to-toe physical ANS: A
assessment, the nurse The liver is normal-
ly not palpable be-
a. places one hand on the patient's back and press- low the costal mar-
es upward and inward with the other hand below the gin. The nurse needs
patient's right costal margin. to push inward below
b. places one hand on top of the other and uses the right costal mar-
the upper fingers to apply pressure and the bottom gin while lifting the
fingers to feel for the liver edge. patient's back slight-
c. presses slowly and firmly over the right costal ly with the left hand.
margin with one hand and withdraws the fingers The other methods
quickly after the liver edge is felt. will not allow palpa-
d. places one hand under the patient's lower ribs tion of the liver
, UPPER GI NCLEX QUESTIONS AND ANSWERS 100% PASS
GUARANTEED!!!
and presses the left lower rib cage forward, palpat-
ing below the costal margin with the other hand.
8. Which finding by the nurse during abdominal aus- ANS: C
cultation indicates a need for a focused abdominal Absent bowel
assessment? sounds are abnor-
mal and require fur-
a. Loud gurgles ther assessment by
b. High-pitched gurgles the nurse. The oth-
c. Absent bowel sounds er sounds may be
d. Frequent clicking sounds heard normally
9. After assisting with a needle biopsy of the liver at a ANS: C
patient's bedside, the nurse should After a biopsy, the
patient lies on the
a. put pressure on the biopsy site using a sandbag. right side with the
b. elevate the head of the bed to facilitate breathing. bed flat to splint the
c. place the patient on the right side with the bed biopsy site. Coag-
flat. ulation studies are
d. check the patient's postbiopsy coagulation stud- checked before the
ies. biopsy. A sandbag
does not exert ad-
equate pressure to
splint the site
10. A 42-year-old woman is admitted to the outpatient ANS: D
testing area for an ultrasound of the gallbladder. Food intake can
Which information obtained by the nurse indicates cause the gallblad-
that the ultrasound may need to be rescheduled? der to contract and
result in a subopti-
a. The patient took a laxative the previous evening. mal study. The pa-
b. The patient had a high-fat meal the previous tient should be NPO
evening. for 8 to 12 hours
c. The patient has a permanent gastrostomy tube in before the test. A
place. high-fat meal the pre-
d. The patient ate a low-fat bagel 4 hours ago for vious evening, laxa-
breakfast. tive use, or a gastros-
tomy tube will not af-
GUARANTEED!!!
1. Which information about an 80-year-old man at the ANS: B
senior center is of most concern to the nurse? Unintentional weight
loss is not a normal
a. Decreased appetite finding and may indi-
b. Unintended weight loss cate a problem such
c. Difficulty chewing food as cancer or depres-
d. Complaints of indigestion sion. Poor appetite,
difficulty in chewing,
and complaints of in-
digestion are com-
mon in older patients.
These will need to
be addressed but are
not of as much con-
cern as the weight
loss
2. A 62- year-old man reports chronic constipation. To ANS: B
promote bowel evacuation, the nurse will suggest The gastrocolic re-
that the patient attempt defecation flex is most active
after the first daily
a. in the mid-afternoon. meal. Arising in the
b. after eating breakfast. morning, the antici-
c. right after getting up in the morning. pation of eating, and
d. immediately before the first daily meal. physical exercise do
not stimulate these
reflexes.
3. When caring for a patient with a history of a total ANS: D
gastrectomy, the nurse will monitor for The patient with a to-
tal gastrectomy does
a. constipation. not secrete intrin-
b. dehydration. sic factor, which is
c. elevated total serum cholesterol. needed for cobal-
d. cobalamin (vitamin B12) deficiency. amin (vitamin B12)
absorption. Because
the stomach absorbs
only small amounts
of water and nutri-
, UPPER GI NCLEX QUESTIONS AND ANSWERS 100% PASS
GUARANTEED!!!
ents, the patient is
not at higher risk
for dehydration, ele-
vated cholesterol, or
constipation.
4. The nurse will plan to monitor a patient with an ANS: B
obstructed common bile duct for A common bile duct
obstruction will re-
a. melena. duce the absorption
b. steatorrhea. of fat in the small
c. decreased serum cholesterol levels. intestine, leading to
d. increased serum indirect bilirubin levels. fatty stools. Gastroin-
testinal (GI) bleed-
ing is not caused
by common bile duct
obstruction. Serum
cholesterol levels are
increased with bil-
iary obstruction. Di-
rect bilirubin level is
increased with biliary
obstruction
5. The nurse receives the following information about ANS: D
a 51-year-old woman who is scheduled for a If the patient has
colonoscopy. Which information should be commu- had inadequate bow-
nicated to the health care provider before sending el preparation, the
the patient for the procedure? colon cannot be vi-
sualized and the
a. The patient has a permanent pacemaker to pre- procedure should
vent bradycardia. be rescheduled. Be-
b. The patient is worried about discomfort during cause contrast so-
the examination. lution is not used
c. The patient has had an allergic reaction to shell- during colonoscopy,
fish and iodine in the past. the iodine aller-
d. The patient refused to drink the ordered polyeth- gy is not perti-
ylene glycol (GoLYTELY). nent. A pacemak-
er is a contraindi-
, UPPER GI NCLEX QUESTIONS AND ANSWERS 100% PASS
GUARANTEED!!!
cation to magnet-
ic resonance imag-
ing (MRI), but not
to colonoscopy. The
nurse should instruct
the patient about the
sedation used dur-
ing the examination
to decrease the pa-
tient's anxiety about
discomfort
6. Which statement to the nurse from a patient with ANS: C
jaundice indicates a need for teaching? Chronic use of high
doses of aceta-
a. "I used cough syrup several times a day last minophen can be he-
week." patotoxic and may
b. "I take a baby aspirin every day to prevent have caused the pa-
strokes." tient's jaundice. The
c. "I use acetaminophen (Tylenol) every 4 hours for other patient state-
back pain." ments require further
d. "I need to take an antacid for indigestion several assessment by the
times a week" nurse, but do not in-
dicate a need for pa-
tient education
7. To palpate the liver during a head-to-toe physical ANS: A
assessment, the nurse The liver is normal-
ly not palpable be-
a. places one hand on the patient's back and press- low the costal mar-
es upward and inward with the other hand below the gin. The nurse needs
patient's right costal margin. to push inward below
b. places one hand on top of the other and uses the right costal mar-
the upper fingers to apply pressure and the bottom gin while lifting the
fingers to feel for the liver edge. patient's back slight-
c. presses slowly and firmly over the right costal ly with the left hand.
margin with one hand and withdraws the fingers The other methods
quickly after the liver edge is felt. will not allow palpa-
d. places one hand under the patient's lower ribs tion of the liver
, UPPER GI NCLEX QUESTIONS AND ANSWERS 100% PASS
GUARANTEED!!!
and presses the left lower rib cage forward, palpat-
ing below the costal margin with the other hand.
8. Which finding by the nurse during abdominal aus- ANS: C
cultation indicates a need for a focused abdominal Absent bowel
assessment? sounds are abnor-
mal and require fur-
a. Loud gurgles ther assessment by
b. High-pitched gurgles the nurse. The oth-
c. Absent bowel sounds er sounds may be
d. Frequent clicking sounds heard normally
9. After assisting with a needle biopsy of the liver at a ANS: C
patient's bedside, the nurse should After a biopsy, the
patient lies on the
a. put pressure on the biopsy site using a sandbag. right side with the
b. elevate the head of the bed to facilitate breathing. bed flat to splint the
c. place the patient on the right side with the bed biopsy site. Coag-
flat. ulation studies are
d. check the patient's postbiopsy coagulation stud- checked before the
ies. biopsy. A sandbag
does not exert ad-
equate pressure to
splint the site
10. A 42-year-old woman is admitted to the outpatient ANS: D
testing area for an ultrasound of the gallbladder. Food intake can
Which information obtained by the nurse indicates cause the gallblad-
that the ultrasound may need to be rescheduled? der to contract and
result in a subopti-
a. The patient took a laxative the previous evening. mal study. The pa-
b. The patient had a high-fat meal the previous tient should be NPO
evening. for 8 to 12 hours
c. The patient has a permanent gastrostomy tube in before the test. A
place. high-fat meal the pre-
d. The patient ate a low-fat bagel 4 hours ago for vious evening, laxa-
breakfast. tive use, or a gastros-
tomy tube will not af-
