©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM
Lewis Med Surg - Upper and Lower GI
NCLEX Practice Questions 100% Solved
Following administration of a dose of metoclopramide (Reglan) to the patient, the nurse
determines that the medication has been effective when what is noted?
A. Decreased blood pressure
B. Absence of muscle tremors
C. Relief of nausea and vomiting
D. No further episodes of diarrhea - answer✔C. Relief of nausea and vomiting
Metoclopramide is classified as a prokinetic and antiemetic medication. If it is effective, the
patient's nausea and vomiting should resolve. Metoclopramide does not affect blood pressure,
muscle tremors, or diarrhea.
, ©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM
The patient receiving chemotherapy rings the call bell and reports the onset of nausea. The nurse
should prepare an as-needed dose of which medication?
A. Morphine sulfate
B. Zolpidem (Ambien)
C. Ondansetron (Zofran)
D. Dexamethasone (Decadron) - answer✔Ondansetron is a 5-HT3 receptor antagonist antiemetic
that is especially effective in reducing cancer chemotherapy-induced nausea and vomiting.
Morphine sulfate may cause nausea and vomiting. Zolpidem does not relieve nausea and
vomiting. Dexamethasone is usually used in combination with ondansetron for acute and
chemotherapy-induced emesis.
The patient who is admitted with a diagnosis of diverticulitis and a history of irritable bowel
disease and gastroesophageal reflux disease (GERD) has received a dose of Mylanta 30 mL PO.
The nurse should evaluate its effectiveness by questioning the patient as to whether which
symptom has been resolved?
A. Diarrhea
B. Heartburn
, ©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM
C. Constipation
D. Lower abdominal pain - answer✔B. Heartburn
Mylanta is an antacid that contains both aluminum and magnesium. It is indicated for the relief
of GI discomfort, such as heartburn associated with GERD. Mylanta can cause both diarrhea and
constipation as a side effect. Mylanta does not affect lower abdominal pain.
A patient complains of nausea. When administering a dose of metoclopramide (Reglan), the
nurse should teach the patient to report which potential adverse effect?
A. Tremors
B. Constipation
C. Double vision
D. Numbness in fingers and toes - answer✔A. Tremors
Extrapyramidal side effects, including tremors and tardive dyskinesias, may occur as a result of
metoclopramide (Reglan) administration. Constipation, double vision, and numbness in fingers
and toes are not adverse effects of metoclopramide.
10/11/2024 1:41 PM
Lewis Med Surg - Upper and Lower GI
NCLEX Practice Questions 100% Solved
Following administration of a dose of metoclopramide (Reglan) to the patient, the nurse
determines that the medication has been effective when what is noted?
A. Decreased blood pressure
B. Absence of muscle tremors
C. Relief of nausea and vomiting
D. No further episodes of diarrhea - answer✔C. Relief of nausea and vomiting
Metoclopramide is classified as a prokinetic and antiemetic medication. If it is effective, the
patient's nausea and vomiting should resolve. Metoclopramide does not affect blood pressure,
muscle tremors, or diarrhea.
, ©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM
The patient receiving chemotherapy rings the call bell and reports the onset of nausea. The nurse
should prepare an as-needed dose of which medication?
A. Morphine sulfate
B. Zolpidem (Ambien)
C. Ondansetron (Zofran)
D. Dexamethasone (Decadron) - answer✔Ondansetron is a 5-HT3 receptor antagonist antiemetic
that is especially effective in reducing cancer chemotherapy-induced nausea and vomiting.
Morphine sulfate may cause nausea and vomiting. Zolpidem does not relieve nausea and
vomiting. Dexamethasone is usually used in combination with ondansetron for acute and
chemotherapy-induced emesis.
The patient who is admitted with a diagnosis of diverticulitis and a history of irritable bowel
disease and gastroesophageal reflux disease (GERD) has received a dose of Mylanta 30 mL PO.
The nurse should evaluate its effectiveness by questioning the patient as to whether which
symptom has been resolved?
A. Diarrhea
B. Heartburn
, ©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM
C. Constipation
D. Lower abdominal pain - answer✔B. Heartburn
Mylanta is an antacid that contains both aluminum and magnesium. It is indicated for the relief
of GI discomfort, such as heartburn associated with GERD. Mylanta can cause both diarrhea and
constipation as a side effect. Mylanta does not affect lower abdominal pain.
A patient complains of nausea. When administering a dose of metoclopramide (Reglan), the
nurse should teach the patient to report which potential adverse effect?
A. Tremors
B. Constipation
C. Double vision
D. Numbness in fingers and toes - answer✔A. Tremors
Extrapyramidal side effects, including tremors and tardive dyskinesias, may occur as a result of
metoclopramide (Reglan) administration. Constipation, double vision, and numbness in fingers
and toes are not adverse effects of metoclopramide.
