NCLEX - Gastrointestinal
1. After a client undergoes a liver limit bleeding from the biopsy site
biopsy, the nurse places the client
in the prescribed right-side lying Rationale:After a liver biopsy, the client is assisted with
position. The nurse understands assuming a right side-lying position with a small pillow
that the purpose of this interven- or folded towel under the puncture site for at least 3
tion is to accomplish which? hours to apply pressure and limit bleeding from the
biopsy site. The liver produces bile that flows through the
common bile duct; client discomfort may be decreased;
and the liver does store glucose as glycogen, but this is
not the purpose of the right side-lying position.
2. The nurse is assisting with the in- high fowler's position
sertion of a nasogastric tube into a
client. The nurse should place the Rationale:Before insertion of a nasogastric tube the
client in which position for inser- nurse places the client in a sitting or high-Fowler's po-
tion? sition to reduce the risk of pulmonary aspiration if the
client should vomit. A pillow may be placed behind the
head and shoulders to promote the client's ability to
swallow during procedure. Options 1, 2, and 4 do not
facilitate the insertion of the tube or prevent aspiration.
3. The nurse has inserted a naso- placement verified on x-ray
gastric (NG) tube in a client and
is checking for the correct place-
ment of an NG tube. Which is the
most reliable data to ensure that
the end of the tube is in the stom-
ach?
4. A licensed practical nurse (LPN) explain procedure to client
is preparing to assist a registered ask patient to take deep breath and hold
nurse (RN) with removing a naso- pull tube out
gastric (NG) tube from the client. remove device
, NCLEX - Gastrointestinal
Which interventions should be in-
cluded in the procedure? Select all
that apply.
5. The nurse is caring for a client vitamin B12
with a diagnosis of chronic gastri-
tis. The nurse anticipates that the Rationale:Deterioration and atrophy of the lining of the
client is at risk for which vitamin stomach lead to the loss of function of the parietal cells.
deficiency? When the acid secretion decreases, the source of the
intrinsic factor is lost, which results in the inability to
absorb vitamin B12. This leads to the development of
pernicious anemia. Options 1, 2, and 3 are incorrect.
6. The nurse is caring for a client af- irrigating the NG tube
ter a Billroth II (gastrojejunosto-
my) procedure. During review of Rationale:In a Billroth II resection, the proximal remnant
the postoperative prescriptions, of the stomach is anastomosed to the proximal jejunum.
which should the nurse clarify? Patency of the NG tube is critical for preventing the re-
tention of gastric secretions. The nurse, however, should
never irrigate or reposition the NG tube after gastric
surgery unless specifically prescribed by the PHCP. In
this situation, the nurse should clarify the prescription.
Options 1, 2, and 4 are appropriate postoperative inter-
ventions.
7. The nurse is reinforcing discharge limit the fluids taken with meals
instructions to a client after a gas-
trectomy. Which measure should
the nurse include during client
teaching to help prevent dumping
syndrome?
8. sweating and pallor
, NCLEX - Gastrointestinal
The nurse is monitoring a client
for the early signs and symptoms
of dumping syndrome. Which in-
dicates this occurrence?
9. The nurse is reviewing the record diarrhea
of a client with Crohn's disease.
Which stool characteristic should
the nurse expect to see docu-
mented in the record?
10. The nurse is reviewing the pre- 1,2,3
scriptions of a client admitted to
the hospital with a diagnosis of
acute pancreatitis. Which inter-
ventions should the nurse expect
to be prescribed? Select all that
apply.
11. It has been determined that a A
client with hepatitis has contract-
ed the infection from contaminat-
ed food. Which type of hepatitis
is this client most likely experienc-
ing?
12. The nurse is reviewing the prima- 3
ry health care provider's (PHCP'S)
prescriptions written for a client
admitted with acute pancreatitis.
Which PHCP prescription should
the nurse verify if noted in the
client's chart?
, NCLEX - Gastrointestinal
13. A client with hiatal hernia chroni- 1
cally experiences heartburn after
meals. Which should the nurse
teach the client to avoid?
14. The nurse is monitoring for stoma 4
prolapse in a client with a colosto-
my. Which stoma observation
should indicate that a prolapse
has occurred?
15. A client with Crohn's disease is 2
scheduled to receive an infusion
of infliximab. The nurse assisting
with caring for the client should
take which action to monitor the
effectiveness of treatment?
16. Before administering an intermit- 3
tent tube feeding through a na-
sogastric tube, the nurse checks
for gastric residual volume. Which
is the best rationale for checking
gastric residual volume before ad-
ministering the tube feeding?
17. The nurse observes that a client 4
with a nasogastric tube connect-
ed to continuous gastric suction
is mouth breathing, has dry mu-
cous membranes, and has a foul
breath odor. When planning care,
1. After a client undergoes a liver limit bleeding from the biopsy site
biopsy, the nurse places the client
in the prescribed right-side lying Rationale:After a liver biopsy, the client is assisted with
position. The nurse understands assuming a right side-lying position with a small pillow
that the purpose of this interven- or folded towel under the puncture site for at least 3
tion is to accomplish which? hours to apply pressure and limit bleeding from the
biopsy site. The liver produces bile that flows through the
common bile duct; client discomfort may be decreased;
and the liver does store glucose as glycogen, but this is
not the purpose of the right side-lying position.
2. The nurse is assisting with the in- high fowler's position
sertion of a nasogastric tube into a
client. The nurse should place the Rationale:Before insertion of a nasogastric tube the
client in which position for inser- nurse places the client in a sitting or high-Fowler's po-
tion? sition to reduce the risk of pulmonary aspiration if the
client should vomit. A pillow may be placed behind the
head and shoulders to promote the client's ability to
swallow during procedure. Options 1, 2, and 4 do not
facilitate the insertion of the tube or prevent aspiration.
3. The nurse has inserted a naso- placement verified on x-ray
gastric (NG) tube in a client and
is checking for the correct place-
ment of an NG tube. Which is the
most reliable data to ensure that
the end of the tube is in the stom-
ach?
4. A licensed practical nurse (LPN) explain procedure to client
is preparing to assist a registered ask patient to take deep breath and hold
nurse (RN) with removing a naso- pull tube out
gastric (NG) tube from the client. remove device
, NCLEX - Gastrointestinal
Which interventions should be in-
cluded in the procedure? Select all
that apply.
5. The nurse is caring for a client vitamin B12
with a diagnosis of chronic gastri-
tis. The nurse anticipates that the Rationale:Deterioration and atrophy of the lining of the
client is at risk for which vitamin stomach lead to the loss of function of the parietal cells.
deficiency? When the acid secretion decreases, the source of the
intrinsic factor is lost, which results in the inability to
absorb vitamin B12. This leads to the development of
pernicious anemia. Options 1, 2, and 3 are incorrect.
6. The nurse is caring for a client af- irrigating the NG tube
ter a Billroth II (gastrojejunosto-
my) procedure. During review of Rationale:In a Billroth II resection, the proximal remnant
the postoperative prescriptions, of the stomach is anastomosed to the proximal jejunum.
which should the nurse clarify? Patency of the NG tube is critical for preventing the re-
tention of gastric secretions. The nurse, however, should
never irrigate or reposition the NG tube after gastric
surgery unless specifically prescribed by the PHCP. In
this situation, the nurse should clarify the prescription.
Options 1, 2, and 4 are appropriate postoperative inter-
ventions.
7. The nurse is reinforcing discharge limit the fluids taken with meals
instructions to a client after a gas-
trectomy. Which measure should
the nurse include during client
teaching to help prevent dumping
syndrome?
8. sweating and pallor
, NCLEX - Gastrointestinal
The nurse is monitoring a client
for the early signs and symptoms
of dumping syndrome. Which in-
dicates this occurrence?
9. The nurse is reviewing the record diarrhea
of a client with Crohn's disease.
Which stool characteristic should
the nurse expect to see docu-
mented in the record?
10. The nurse is reviewing the pre- 1,2,3
scriptions of a client admitted to
the hospital with a diagnosis of
acute pancreatitis. Which inter-
ventions should the nurse expect
to be prescribed? Select all that
apply.
11. It has been determined that a A
client with hepatitis has contract-
ed the infection from contaminat-
ed food. Which type of hepatitis
is this client most likely experienc-
ing?
12. The nurse is reviewing the prima- 3
ry health care provider's (PHCP'S)
prescriptions written for a client
admitted with acute pancreatitis.
Which PHCP prescription should
the nurse verify if noted in the
client's chart?
, NCLEX - Gastrointestinal
13. A client with hiatal hernia chroni- 1
cally experiences heartburn after
meals. Which should the nurse
teach the client to avoid?
14. The nurse is monitoring for stoma 4
prolapse in a client with a colosto-
my. Which stoma observation
should indicate that a prolapse
has occurred?
15. A client with Crohn's disease is 2
scheduled to receive an infusion
of infliximab. The nurse assisting
with caring for the client should
take which action to monitor the
effectiveness of treatment?
16. Before administering an intermit- 3
tent tube feeding through a na-
sogastric tube, the nurse checks
for gastric residual volume. Which
is the best rationale for checking
gastric residual volume before ad-
ministering the tube feeding?
17. The nurse observes that a client 4
with a nasogastric tube connect-
ed to continuous gastric suction
is mouth breathing, has dry mu-
cous membranes, and has a foul
breath odor. When planning care,
