GI NCLEX ACTUAL 2025/2026 QUESTIONS AND 100% CORRECT ANSWERS

GI NCLEX ACTUAL 2025/2026 QUESTIONS AND 100% CORRECT ANSWERS Which of the following conditions can cause a hiatal hernia? A. Increased intrathoracic pressure B. Weakness of the esophageal muscle C. Increased esophageal muscle pressure D. Weakness of the diaphragmic muscle - Answer -D A hiatal hernia is caused by weakness of the diaphragmic muscle and increased intra-abdominal—not intrathoracic—pressure. This weakness allows the stomach to slide into the esophagus. The esophageal supports weaken, but esophageal muscle weakness or increased esophageal muscle pressure isn't a factor in hiatal hernia. Risk factors for the development of hiatal hernias are those that lead to increased abdominal pressure. Which of the following complications can cause increased abdominal pressure? A. ObesityB. Volvulus C. Constipation D. Intestinal obstruction - Answer -A Obesity may cause increased abdominal pressure that pushes the lower portion of the stomach into the thorax. Which of the following symptoms is common with a hiatal hernia? A. Left arm pain B. Lower back pain C. Esophageal reflux D. Abdominal cramping - Answer -C Esophageal reflux is a common symptom of hiatal hernia. This seems to be associated with chronic exposure of the lower esophageal sphincter to the lower pressure of the thorax, making it less effective. Which of the following tests can be performed to diagnose a hiatal hernia? A. Colonoscopy B. Lower GI series C. Barium swallow D. Abdominal x-rays - Answer -CA barium swallow with fluoroscopy shows the position of the stomach in relation to the diaphragm. A colonoscopy and a lower GI series show disorders of the intestine. Which of the following measures should the nurse focus on for the client with esophageal varices? A. Recognizing hemorrhage B. Controlling blood pressure C. Encouraging nutritional intake D. Teaching the client about varices - Answer -A Recognizing the rupture of esophageal varices, or hemorrhage, is the focus of nursing care because the client could succumb to this quickly. Controlling blood pressure is also important because it helps reduce the risk of variceal rupture. It is also important to teach the client what varices are and what foods he should avoid such as spicy foods. Which of the following tests can be used to diagnose ulcers? A. Abdominal x-ray B. Barium swallow C. Computed tomography (CT) scan D. Esophagogastroduodenoscopy (EGD) - Answer -D