This focused and clinically relevant resource features 100+ carefully crafted exam-style questions and detailed answers for the RN Targeted Medical-Surgical: Gastrointestinal (GI) 2025/2026 exam, tailored to prepare nursing students and NCLEX-RN candidates. It covers foundational and advanced GI system concepts often tested on ATI-style exams and real-world nursing assessments.
Key topics covered include:
Gastrointestinal Diagnostics & Preparation: Colonoscopy prep protocols, medication restrictions, NPO timelines, post-procedure risks, and interpreting lab values (e.g., CEA, ammonia, H&H)
GI Disorders & Interventions: Duodenal and peptic ulcers, GERD, diverticulitis, ulcerative colitis, Crohn’s disease, colorectal cancer, appendicitis, and celiac disease
Liver & Pancreas Care: Hepatitis B and C symptom management, cirrhosis complications (e.g., ascites, encephalopathy), lactulose teaching, pancreatitis management (e.g., NPO, NG decompression)
Ostomy & Stoma Management: Ileostomy vs colostomy care, dietary adjustments, flatus and odor control, skin care routines, and recognizing ischemia
Nutrition & Medication Education: Low-fat and high-protein diets, dumping syndrome prevention, fiber guidance in IBD and celiac disease, and GI pharmacology (famotidine, metoclopramide, sucralfate, lactulose, antacids)
GI Emergency Manifestations: Hemorrhagic shock, GI bleeding signs (e.g., hypotension, bloody stools), bowel obstruction, peritonitis, and signs of perforation
Legal & Ethical Implications: Appropriate nursing responses to abnormal findings, prioritization of interventions, and therapeutic communication in discharge education
This resource is ideal for:
RN and LPN students preparing for ATI Medical-Surgical GI modules
NCLEX-RN candidates reviewing system-specific content
Nursing instructors providing review materials for GI topics
Clinical nurses cross-training in med-surg or gastroenterology specialties
All questions are formatted in ATI/NCLEX-style, followed by correct and well-explained answers, making this an efficient tool for mastering complex GI concepts in a high-stakes exam setting.
Keywords:
RN GI exam questions, medical surgical GI nursing, colonoscopy prep, peptic ulcer care, cirrhosis teaching, pancreatitis NCLEX, lactulose teaching, famotidine effects, diverticulitis nursing, ileostomy care, GERD discharge teaching, ATI gastrointestinal, CEA colorectal cancer, Crohn’s disease stool, peritonitis signs, appendicitis symptoms, dumping syndrome diet, hepatic encephalopathy, NCLEX GI, abdominal assessment, ostomy teaching
Content preview
RN Targeted Medical Surgical
Gastrointestinal 2025/2026 Exam
Questions and Answers | 100% Pass
A nurse is teaching a client to prepare for a colonoscopy. Which of the
following instructions should the nurse include in the teaching - 🧠 ANSWER
✔✔"Drink clear liquids for 24 hr prior to the procedure, then take nothing by
mouth for 6 hr before the procedure
The nurse should instruct the client to drink clear liquids for 24 hr prior to
the colonoscopy to promote adequate bowel cleansing.
A nurse is providing discharge teaching for a client who has mild
diverticulitis. Which of the following statements made by the client indicates
,an understanding of the teaching - 🧠 ANSWER ✔✔"I should eat foods that
are low in fiber
The nurse should instruct a client who has diverticulitis to follow a low-fiber
diet. When the inflammation subsides, the client should consume foods that
are high in fiber.
A nurse is providing discharge teaching for a client following an ileostomy.
The nurse should instruct the client to report which of the following to the
provider? - 🧠 ANSWER ✔✔Dark purple stoma
The nurse should instruct the client to contact the provider if the stoma is a
dark purple color, which is an indication of bowel ischemia.
A nurse is assessing a client who has a duodenal ulcer. Which of the
following findings should the nurse expect? - 🧠 ANSWER ✔✔The client
reports that the pain occurs during the night
, Pain associated with a duodenal ulcer occurs when the stomach is empty,
which is typically 1.5 to 3 hr after meals and during the night.
A nurse is reviewing the laboratory results of a client whose has acute
pancreatitis. Which of the following findings should the nurse expect? - 🧠
ANSWER ✔✔Increased amylase
Serum amylase levels are increased in a client who has acute pancreatitis
due to pancreatic cell injury.
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? - 🧠 ANSWER ✔✔Ataxia
The nurse should plan to monitor the client for extrapyramidal symptoms,
such as ataxia, and should report any of these findings to the provider.
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
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