MED-SURG 2 UPPER GI NCLEX QUESTIONS AND
ANSWERS LATEST VERSION VERIFIED RATIONALE
GRADED A+
The client diagnosed with a hiatal hernia is scheduled for a Nissen fundoplication. Which statement
indicates the nurse's teaching is effective?
A. "I will have 4 to 5 small incisions."
B. I will be in the hospital for at least one week
C. I will not have any pain because this is a laparoscopic surgery
D. I will be returning to work the day after my surgery - ansA
In a laparoscopic Nissen fundoplication, there are 4 to 5 incisions approximately 1 inch apart allowing for
the passage of equipment to visualize the abdominal organs and perform the operation
The client is admitted to the ED complaining of acute epigastric pain and reports vomiting a large
amount of bright red blood at home. Which interventions should the nurse implement? List in order of
priority.
A. Assess the client's vital signs
B. Insert an NG tube
C. Begin iced saline lavage
D. Start an IV with an 18-gauge needle
E. Type and crossmatch for a blood transfusion - ansA, D, E, B, C
The client is being prepared for discharge after a laparoscopic cholecystectomy. Which intervention
should the nurse implement?
A. Discuss the need to change the abdominal dressing daily
B. Tell the client to check the T-tube output every 8 hours
C. Include the client's significant other in discharge teaching
D. Instruct client to stay off clear liquids for 2 days - ansC
A lap chole is outpatient surgery. The nurse must make sure the significant other taking care of the
patient is knowledgeable about post-op care.
The client is complaining of painful swallowing, secondary to mouth ulcers. Which statement indicates
the nurse's teaching has been effective?
, MED-SURG 2 UPPER GI NCLEX QUESTIONS AND
ANSWERS LATEST VERSION VERIFIED RATIONALE
GRADED A+
A. "I will brush my teeth with a soft-bristled toothbrush."
B. "I will rinse my mouth with Listerine mouthwash."
C. "I will swish with an antifungal solution, then swallow."
D. "I will avoid spicy foods, tobacco, and alcohol." - ansD
Irritating substances should be avoided during outbreaks of ulcers in the mouth. Spicy foods, alcohol,
and tobacco are common irritants the client should avoid
The nurse identifies the problem of "fluid volume deficit" for a client diagnosed with gastritis. Which
intervention should be included in the plan of care?
A. Obtain permission for a blood transfusion
B. Prepare the client for total parenteral nutrition
C. Monitor the client's lung sounds every shift
D. Assess the client's intravenous site - ansD
Fluid administration is the medical treatment for dehydration so the nurse must monitor and ensure the
IV site is patent
The nurse is administering a PPI to a client diagnosed with peptic ulcer disease. Which statement
supports the rationale for administering this medication?
A. It prevents the final transport of hydrogen ions into the gastric lumen
B. It blocks receptors controlling hydrochloric acid secretions by parietal cells
C. It protects the ulcer from the destructive action of the digestive enzyme pepsin
D. It neutralizes the hydrochloric acid secreted by the stomach - ansA.
This statement is the rationale for proton pump inhibitors
The nurse is assessing a client in end-stage liver failure who is diagnosed with portal hypertension.
Which intervention should the nurse include in the plan of care?
A. Assess the abdomen for a tympanic wave
B. Monitor the client's blood pressure
ANSWERS LATEST VERSION VERIFIED RATIONALE
GRADED A+
The client diagnosed with a hiatal hernia is scheduled for a Nissen fundoplication. Which statement
indicates the nurse's teaching is effective?
A. "I will have 4 to 5 small incisions."
B. I will be in the hospital for at least one week
C. I will not have any pain because this is a laparoscopic surgery
D. I will be returning to work the day after my surgery - ansA
In a laparoscopic Nissen fundoplication, there are 4 to 5 incisions approximately 1 inch apart allowing for
the passage of equipment to visualize the abdominal organs and perform the operation
The client is admitted to the ED complaining of acute epigastric pain and reports vomiting a large
amount of bright red blood at home. Which interventions should the nurse implement? List in order of
priority.
A. Assess the client's vital signs
B. Insert an NG tube
C. Begin iced saline lavage
D. Start an IV with an 18-gauge needle
E. Type and crossmatch for a blood transfusion - ansA, D, E, B, C
The client is being prepared for discharge after a laparoscopic cholecystectomy. Which intervention
should the nurse implement?
A. Discuss the need to change the abdominal dressing daily
B. Tell the client to check the T-tube output every 8 hours
C. Include the client's significant other in discharge teaching
D. Instruct client to stay off clear liquids for 2 days - ansC
A lap chole is outpatient surgery. The nurse must make sure the significant other taking care of the
patient is knowledgeable about post-op care.
The client is complaining of painful swallowing, secondary to mouth ulcers. Which statement indicates
the nurse's teaching has been effective?
, MED-SURG 2 UPPER GI NCLEX QUESTIONS AND
ANSWERS LATEST VERSION VERIFIED RATIONALE
GRADED A+
A. "I will brush my teeth with a soft-bristled toothbrush."
B. "I will rinse my mouth with Listerine mouthwash."
C. "I will swish with an antifungal solution, then swallow."
D. "I will avoid spicy foods, tobacco, and alcohol." - ansD
Irritating substances should be avoided during outbreaks of ulcers in the mouth. Spicy foods, alcohol,
and tobacco are common irritants the client should avoid
The nurse identifies the problem of "fluid volume deficit" for a client diagnosed with gastritis. Which
intervention should be included in the plan of care?
A. Obtain permission for a blood transfusion
B. Prepare the client for total parenteral nutrition
C. Monitor the client's lung sounds every shift
D. Assess the client's intravenous site - ansD
Fluid administration is the medical treatment for dehydration so the nurse must monitor and ensure the
IV site is patent
The nurse is administering a PPI to a client diagnosed with peptic ulcer disease. Which statement
supports the rationale for administering this medication?
A. It prevents the final transport of hydrogen ions into the gastric lumen
B. It blocks receptors controlling hydrochloric acid secretions by parietal cells
C. It protects the ulcer from the destructive action of the digestive enzyme pepsin
D. It neutralizes the hydrochloric acid secreted by the stomach - ansA.
This statement is the rationale for proton pump inhibitors
The nurse is assessing a client in end-stage liver failure who is diagnosed with portal hypertension.
Which intervention should the nurse include in the plan of care?
A. Assess the abdomen for a tympanic wave
B. Monitor the client's blood pressure
