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RN Targeted Medical-Surgical Gastrointestinal 2025/2026 – 100+ High-Yield Questions on Ulcers, Hepatitis, Pancreatitis, Ostomies, Colonoscopy Prep & GI Disorders

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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

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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




COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED


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