Med Surg Gastrointestinal NCLEX || Most Recent Exam 2026
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A client in a long-term care facility is being prepared to be
discharged to home in 2 days. The client has been eating a
regular diet for a week; however, he is still receiving
intermittent enteral tube feedings and will need to receive these
feedings at home. The client states concern that he will not be
able to continue the tube feedings at home. Which nursing
response is most appropriate at this time?
A. "Do you want to stay here in this facility for a few more
days?"
B. "Have you discussed your feelings with your health care
provider?"
C. "You need to talk to your health care provider about these
concerns." D. "Tell me more about your concerns with your
diet after going home."ANSWER - D. "Tell me more about
your concerns with your diet after going home."
Rationale:
A client often has fears about leaving the secure, cared-for
environment of the health care facility. This client has a fear
about not being able to care for himself at home and of not
,being able to handle the tube feedings at home. A therapeutic
communication statement such as "Tell me more about . . ."
often leads to valuable information about the client and his
concerns. The statements in the remaining options are
nontherapeutic.
A client presents to the emergency department with upper
gastrointestinal (GI)
bleeding and is in moderate distress. In planning care, which
nursing action
should be the priority for
this client?
A. Assessment of vital signs
B. Complete abdominal examination
C. Thorough investigation of precipitating events
D. Insertion of a nasogastric tube and Hematest of emesis-
ANSWER - A. Assessment of vital signs
Rationale:
The priority nursing action is to assess the vital signs. This
would indicate the amount of blood loss that has occurred and
also provides a baseline by which to monitor the progress of
treatment. The client may not be able to provide subjective data
until the immediate physical needs are met. Although an
abdominal examination and an assessment of the precipitating
events may be necessary, these actions are not the priority.
,The nurse has given postprocedure instructions to a client who
has undergone
a colonoscopy. Which statement by the client indicates the
need for further
teaching?
A. "It is normal to feel gassy or bloated after the procedure."
B. "The abdominal muscles may be tender from the procedure."
C. "It is all right to drive once I've been home for an hour or so."
D. "Intake should be light at first and then progress to regular
intake." ANSWER- C. "It is all right to drive once I've been
home for an hour or so."
Rationale:
The client should not drive for several hours after discharge
because of the sedative medications used during the
procedure. Important decisions also should be delayed for at
least 12 to 24 hours for the same reason. The client may
experience gas, bloating, or abdominal tenderness for a short
while after the procedure, and this is normal. The client should
resume intake slowly and progress as tolerated.
The nurse is reviewing the medication record of a client with
acute gastritis.
Which medication, if noted on the client's record, should the
nurse question?
A. Digoxin
B. Furosemide
, C. Indomethacin
D. Propranolol hydrochloride – ANSWER-C. Indomethacin
Rationale:
Indomethacin is a nonsteroidal antiinflammatory drug and can
cause ulceration of the esophagus, stomach, or small intestine.
Indomethacin is contraindicated in a client with gastrointestinal
disorders. Digoxin is a cardiac medication. Furosemide is a
loop diuretic. Propranolol hydrochloride is a beta-adrenergic
blocking agent. Digoxin, furosemide, and propranolol are not
contraindicated in clients with gastric disorders.
The nurse is caring for a client postoperatively after creation
of a colostomy.
What is an appropriate potential client
problem?
A. Fear
B. Sexual dysfunction
C. Disturbed body image
D. Imbalanced nutrition: more than body requirements -
ANSWER- C. Disturbed body image
Rationale:
Disturbed body image for a client who is postoperative after
creation of a colostomy relates to loss of bowel control, the
presence of a stoma, the release of fecal material onto the
abdomen, the passage of flatus, odor, and the need for an
appliance (external pouch). There are no data in the question to
-2027 Actual Complete Real Exam Questions And Correct
Answers (Verified Answers) Already Graded A+ |
Guaranteed Success!! Newest Exam || Just
Released!!
A client in a long-term care facility is being prepared to be
discharged to home in 2 days. The client has been eating a
regular diet for a week; however, he is still receiving
intermittent enteral tube feedings and will need to receive these
feedings at home. The client states concern that he will not be
able to continue the tube feedings at home. Which nursing
response is most appropriate at this time?
A. "Do you want to stay here in this facility for a few more
days?"
B. "Have you discussed your feelings with your health care
provider?"
C. "You need to talk to your health care provider about these
concerns." D. "Tell me more about your concerns with your
diet after going home."ANSWER - D. "Tell me more about
your concerns with your diet after going home."
Rationale:
A client often has fears about leaving the secure, cared-for
environment of the health care facility. This client has a fear
about not being able to care for himself at home and of not
,being able to handle the tube feedings at home. A therapeutic
communication statement such as "Tell me more about . . ."
often leads to valuable information about the client and his
concerns. The statements in the remaining options are
nontherapeutic.
A client presents to the emergency department with upper
gastrointestinal (GI)
bleeding and is in moderate distress. In planning care, which
nursing action
should be the priority for
this client?
A. Assessment of vital signs
B. Complete abdominal examination
C. Thorough investigation of precipitating events
D. Insertion of a nasogastric tube and Hematest of emesis-
ANSWER - A. Assessment of vital signs
Rationale:
The priority nursing action is to assess the vital signs. This
would indicate the amount of blood loss that has occurred and
also provides a baseline by which to monitor the progress of
treatment. The client may not be able to provide subjective data
until the immediate physical needs are met. Although an
abdominal examination and an assessment of the precipitating
events may be necessary, these actions are not the priority.
,The nurse has given postprocedure instructions to a client who
has undergone
a colonoscopy. Which statement by the client indicates the
need for further
teaching?
A. "It is normal to feel gassy or bloated after the procedure."
B. "The abdominal muscles may be tender from the procedure."
C. "It is all right to drive once I've been home for an hour or so."
D. "Intake should be light at first and then progress to regular
intake." ANSWER- C. "It is all right to drive once I've been
home for an hour or so."
Rationale:
The client should not drive for several hours after discharge
because of the sedative medications used during the
procedure. Important decisions also should be delayed for at
least 12 to 24 hours for the same reason. The client may
experience gas, bloating, or abdominal tenderness for a short
while after the procedure, and this is normal. The client should
resume intake slowly and progress as tolerated.
The nurse is reviewing the medication record of a client with
acute gastritis.
Which medication, if noted on the client's record, should the
nurse question?
A. Digoxin
B. Furosemide
, C. Indomethacin
D. Propranolol hydrochloride – ANSWER-C. Indomethacin
Rationale:
Indomethacin is a nonsteroidal antiinflammatory drug and can
cause ulceration of the esophagus, stomach, or small intestine.
Indomethacin is contraindicated in a client with gastrointestinal
disorders. Digoxin is a cardiac medication. Furosemide is a
loop diuretic. Propranolol hydrochloride is a beta-adrenergic
blocking agent. Digoxin, furosemide, and propranolol are not
contraindicated in clients with gastric disorders.
The nurse is caring for a client postoperatively after creation
of a colostomy.
What is an appropriate potential client
problem?
A. Fear
B. Sexual dysfunction
C. Disturbed body image
D. Imbalanced nutrition: more than body requirements -
ANSWER- C. Disturbed body image
Rationale:
Disturbed body image for a client who is postoperative after
creation of a colostomy relates to loss of bowel control, the
presence of a stoma, the release of fecal material onto the
abdomen, the passage of flatus, odor, and the need for an
appliance (external pouch). There are no data in the question to
