NCLEX PRACTICE QUESTIONS SAUNDERS - GI
SYSTEM AND ANSWERS LATEST 2024 VERSION
VERIFIED RATIONALE GRADED A+
would most likely indicate perforation of the ulcer?
with the head elevated 45 degrees decreases tension on the abdomen and may help ease the pain. The
client is susceptible to
what type of hepatitis?
wear an absorbent dressing to absorb mucous drainage from the stoma. Ileostomy drainage is liquid. The
client would be able to pass
tube after gastric surgery, unless specifically prescribed by the health care provider. In this situation, the
nurse should clarify the
T-tube has drained 750 mL of green-brown drainage since the surgery. Which nursing
tolerate a diet orally. Intestinal obstruction is a less frequent complication. Fat malabsorption and folate
deficiency are complications
to the back. The other options are incorrect.
to avoid. Which items should the nurse include on this list? Select all that apply.
the output.
The nurse is reviewing the record of a client with Crohn's disease. Which stool characteristic
The nurse is reviewing the record of a client with a diagnosis of cirrhosis and notes that there
The nurse is reviewing the prescription for a client admitted to the hospital with a diagnosis of
The nurse is reviewing the laboratory results for a client with cirrhosis and notes that the
The nurse is providing discharge instructions to a client following gastrectomy and should
The nurse is planning to teach a client with gastroesophageal reflux disease about substances
The nurse is monitoring a client with a diagnosis of peptic ulcer. Which assessment finding
The nurse is monitoring a client for the early signs and symptoms of dumping syndrome. Which
The nurse is monitoring a client admitted to the hospital with a diagnosis of appendicitis who
The nurse is doing preoperative teaching with a client who is about to undergo creation of a
The nurse is doing an admission assessment on a client with a history of duodenal ulcer. To
The nurse is caring for a client with a diagnosis of chronic gastritis. The nurse monitors the
The nurse is caring for a client following a Billroth II procedure. Which postoperative
,NCLEX PRACTICE QUESTIONS SAUNDERS - GI
SYSTEM AND ANSWERS LATEST 2024 VERSION
VERIFIED RATIONALE GRADED A+
The nurse is assessing for stoma prolapse in a client with a colostomy. What should the nurse
The nurse is assessing a client who is experiencing an acute episode of cholecystitis. Where
The nurse is assessing a client 24 hours following a cholecystectomy. The nurse notes that the
The nurse has taught the client about an upcoming endoscopic retrograde
The nurse also monitors the client's vital signs and for a sudden increase in temperature, which could
indicate perforation of the
the mid-epigastric area and spreading over the abdomen, which becomes rigid and boardlike. Nausea
and vomiting may occur.
The health care provider has determined that a client with hepatitis has contracted the infection
that could occur later in the postoperative period.
Test-Taking Strategy: Focus on the subject, care for the client with
Tachycardia may occur as hypovolemic shock develops. Numbness in the legs is not an associated
finding.
syncope, sweating, pallor, palpitations, and the desire to lie down.
syncope, sweating, pallor, palpitations, and the desire to lie down. The nurse should instruct the client to
decrease the amount of fluid taken at meals and to avoid high-carbohydrate foods, including fluids such
as fruit nectars; to assume a low Fowler's position during meals; to lie down for 30 minutes after eating
to delay gastric emptying; and to take antispasmodics as prescribed.
symptom(s) of duodenal ulcer?
suspected appendicitis because of the risk of rupture. Scheduling surgical time is not within the scope of
nursing practice, although the
surgery if the client makes which statement?
stool from the rectum only if an ileal-anal pouch or anastomosis were created. This type of operation is a
two-stage procedure.
sounds are diminished. Which is the most appropriate nursing intervention?
should the nurse expect to note documented in the client's record?
should the nurse anticipate the location of the pain?
should plan to teach the client to avoid which action because it is contraindicated with a hiatal
, NCLEX PRACTICE QUESTIONS SAUNDERS - GI
SYSTEM AND ANSWERS LATEST 2024 VERSION
VERIFIED RATIONALE GRADED A+
secretions. Because abdominal pain is a prominent symptom of pancreatitis, pain medication such as
meperidine is prescribed. Some
rupture. Stool softeners and a high-fiber diet will help the client avoid straining, thereby reducing the
chances of rupturing the incision.
right scapula and shoulder. This is determined by the pattern of dermatomes in the body. The other
options are incorrect.
returning bowel function and is an expected event. Within 72 hours of surgery, the client should begin
passing stool via the colostomy.
respiratory infections because the retroperitoneal fluid raises the diaphragm, which causes the client to
take shallow, guarded
Rationale: The pain associated with acute pancreatitis is often severe and unrelenting, is located in the
epigastric region, and radiates
Rationale: The nurse places highest priority on assessing for return of the gag reflex. This assessment
addresses the client's airway.
Rationale: The client with acute pancreatitis normally is placed on NPO status to rest the pancreas and
suppress gastrointestinal
Rationale: The client does have to lie still for endoscopic retrograde cholangiopancreatography (ERCP),
which takes about 1 hour to
Rationale: Perforation of an ulcer is a surgical emergency and is characterized by sudden, sharp,
intolerable severe pain beginning in
Rationale: On the basis of the signs and symptoms presented in the question, the nurse should suspect
peritonitis and notify the HCP.
Rationale: Nursing interventions after a hemorrhoidectomy are aimed at management of pain and
avoidance of bleeding and incision
Rationale: In a Billroth II procedure, the proximal remnant of the stomach is anastomosed to the
proximal jejunum. Patency of the
Rationale: Hiatal hernia is caused by a protrusion of a portion of the stomach above the diaphragm
where the esophagus usually is
Rationale: Hepatitis causes gastrointestinal symptoms such as anorexia, nausea, right upper quadrant
discomfort, and weight loss.
SYSTEM AND ANSWERS LATEST 2024 VERSION
VERIFIED RATIONALE GRADED A+
would most likely indicate perforation of the ulcer?
with the head elevated 45 degrees decreases tension on the abdomen and may help ease the pain. The
client is susceptible to
what type of hepatitis?
wear an absorbent dressing to absorb mucous drainage from the stoma. Ileostomy drainage is liquid. The
client would be able to pass
tube after gastric surgery, unless specifically prescribed by the health care provider. In this situation, the
nurse should clarify the
T-tube has drained 750 mL of green-brown drainage since the surgery. Which nursing
tolerate a diet orally. Intestinal obstruction is a less frequent complication. Fat malabsorption and folate
deficiency are complications
to the back. The other options are incorrect.
to avoid. Which items should the nurse include on this list? Select all that apply.
the output.
The nurse is reviewing the record of a client with Crohn's disease. Which stool characteristic
The nurse is reviewing the record of a client with a diagnosis of cirrhosis and notes that there
The nurse is reviewing the prescription for a client admitted to the hospital with a diagnosis of
The nurse is reviewing the laboratory results for a client with cirrhosis and notes that the
The nurse is providing discharge instructions to a client following gastrectomy and should
The nurse is planning to teach a client with gastroesophageal reflux disease about substances
The nurse is monitoring a client with a diagnosis of peptic ulcer. Which assessment finding
The nurse is monitoring a client for the early signs and symptoms of dumping syndrome. Which
The nurse is monitoring a client admitted to the hospital with a diagnosis of appendicitis who
The nurse is doing preoperative teaching with a client who is about to undergo creation of a
The nurse is doing an admission assessment on a client with a history of duodenal ulcer. To
The nurse is caring for a client with a diagnosis of chronic gastritis. The nurse monitors the
The nurse is caring for a client following a Billroth II procedure. Which postoperative
,NCLEX PRACTICE QUESTIONS SAUNDERS - GI
SYSTEM AND ANSWERS LATEST 2024 VERSION
VERIFIED RATIONALE GRADED A+
The nurse is assessing for stoma prolapse in a client with a colostomy. What should the nurse
The nurse is assessing a client who is experiencing an acute episode of cholecystitis. Where
The nurse is assessing a client 24 hours following a cholecystectomy. The nurse notes that the
The nurse has taught the client about an upcoming endoscopic retrograde
The nurse also monitors the client's vital signs and for a sudden increase in temperature, which could
indicate perforation of the
the mid-epigastric area and spreading over the abdomen, which becomes rigid and boardlike. Nausea
and vomiting may occur.
The health care provider has determined that a client with hepatitis has contracted the infection
that could occur later in the postoperative period.
Test-Taking Strategy: Focus on the subject, care for the client with
Tachycardia may occur as hypovolemic shock develops. Numbness in the legs is not an associated
finding.
syncope, sweating, pallor, palpitations, and the desire to lie down.
syncope, sweating, pallor, palpitations, and the desire to lie down. The nurse should instruct the client to
decrease the amount of fluid taken at meals and to avoid high-carbohydrate foods, including fluids such
as fruit nectars; to assume a low Fowler's position during meals; to lie down for 30 minutes after eating
to delay gastric emptying; and to take antispasmodics as prescribed.
symptom(s) of duodenal ulcer?
suspected appendicitis because of the risk of rupture. Scheduling surgical time is not within the scope of
nursing practice, although the
surgery if the client makes which statement?
stool from the rectum only if an ileal-anal pouch or anastomosis were created. This type of operation is a
two-stage procedure.
sounds are diminished. Which is the most appropriate nursing intervention?
should the nurse expect to note documented in the client's record?
should the nurse anticipate the location of the pain?
should plan to teach the client to avoid which action because it is contraindicated with a hiatal
, NCLEX PRACTICE QUESTIONS SAUNDERS - GI
SYSTEM AND ANSWERS LATEST 2024 VERSION
VERIFIED RATIONALE GRADED A+
secretions. Because abdominal pain is a prominent symptom of pancreatitis, pain medication such as
meperidine is prescribed. Some
rupture. Stool softeners and a high-fiber diet will help the client avoid straining, thereby reducing the
chances of rupturing the incision.
right scapula and shoulder. This is determined by the pattern of dermatomes in the body. The other
options are incorrect.
returning bowel function and is an expected event. Within 72 hours of surgery, the client should begin
passing stool via the colostomy.
respiratory infections because the retroperitoneal fluid raises the diaphragm, which causes the client to
take shallow, guarded
Rationale: The pain associated with acute pancreatitis is often severe and unrelenting, is located in the
epigastric region, and radiates
Rationale: The nurse places highest priority on assessing for return of the gag reflex. This assessment
addresses the client's airway.
Rationale: The client with acute pancreatitis normally is placed on NPO status to rest the pancreas and
suppress gastrointestinal
Rationale: The client does have to lie still for endoscopic retrograde cholangiopancreatography (ERCP),
which takes about 1 hour to
Rationale: Perforation of an ulcer is a surgical emergency and is characterized by sudden, sharp,
intolerable severe pain beginning in
Rationale: On the basis of the signs and symptoms presented in the question, the nurse should suspect
peritonitis and notify the HCP.
Rationale: Nursing interventions after a hemorrhoidectomy are aimed at management of pain and
avoidance of bleeding and incision
Rationale: In a Billroth II procedure, the proximal remnant of the stomach is anastomosed to the
proximal jejunum. Patency of the
Rationale: Hiatal hernia is caused by a protrusion of a portion of the stomach above the diaphragm
where the esophagus usually is
Rationale: Hepatitis causes gastrointestinal symptoms such as anorexia, nausea, right upper quadrant
discomfort, and weight loss.
