EXAM
Exam Solution ms
Med Surg Gastrointestinal NCLEX Questions 2026 A+ G
ms ms ms ms ms ms ms
RADE ASSURED COMPLETE SOLUTIONS AND VERIFIED
ms ms ms ms ms ms
ANSWERS (23F6F) ms
QUESTION 1 ms
The nurse is planning to teach a client with gastroesophageal reflux disease (GERD) a
ms ms ms ms ms ms ms ms ms ms ms ms ms
bout substances to avoid. Which items should the nurse include on this list? Select all
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
that apply. ms
A. Coffee ms
B. Chocolate
ms
C. Peppermint
ms
D. Nonfat milk
ms ms
E. Fried chicken F. Scrambled eggs
ms ms ms ms ms
ANSWER
A. Coffee ms
B. Chocolate
ms
C. Peppermint
ms
E. Fried chicken Rationale: Foods that decrease lower esophageal sphincter (LES) pressure and irrita
ms ms ms ms ms ms ms ms ms ms ms ms ms
te the esophagus will increase reflux and exacerbate the symptoms of GERD and therefore should be
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
avoided. Aggravating substances include coffee, chocolate, peppermint, fried or fatty foods, carbonat
ms ms ms ms ms ms ms ms ms ms ms ms
ed beverages, and alcohol. Options 4 and 6 do not promote this effect.
ms ms ms ms ms ms ms ms ms ms ms ms
QUESTION 2 ms
A client has undergone esophagogastroduodenoscopy. The nurse should place highest
ms ms ms ms ms ms ms ms ms ms
priority on which item as part of the client's care plan? 1. Monitoring the temperature
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
2. Monitoring complaints of heartburn 3. Giving warm gargles for a sore throat 4. Ass
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
essing for the return of the gag reflex
ms ms ms ms ms ms ms
ANSWER
4. Assessing for the return of the gag reflex Rationale: The nurse places highest priority on assessin
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
g for return of the gag reflex. This assessment addresses the client's airway. The nurse also monitor
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
s the client's vital signs and for a sudden increase in temperature, which could indicate perforation
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
of the gastrointestinal tract. This complication would be accompanied by other signs as well, such as
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
, pain. Monitoring for sore throat and heartburn are also important; however, the client's airway is t
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
he priority.
ms
QUESTION 3 ms
The nurse is providing dietary teaching for a client with a diagnosis of chronic gastriti
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
s. The nurse instructs the client to include which foods rich in vitamin B12 in the diet
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
? Select all that apply.
ms ms ms ms
A. Nuts ms
B. Corn ms
C. Liver
ms
D. Apples ms
E. Lentils F. Bananas
ms ms ms
ANSWER
A. Nuts
ms
C. Liver
ms
E. Lentils Rationale: Chronic gastritis causes deterioration and atrophy of the lining of the stomach, l
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
eading to the loss of function of the parietal cells. The source of intrinsic factor is lost, which results
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
in an inability to absorb vitamin B12, leading to development of pernicious anemia. Clients must in
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
crease their intake of vitamin B12 by increasing consumption of foods rich in this vitamin, such as n
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
uts, organ meats, dried beans, citrus fruits, green leafy vegetables, and yeast.
ms ms ms ms ms ms ms ms ms ms ms
QUESTION 4 ms
The nurse is monitoring a client with a diagnosis of peptic ulcer. Which assessment fi
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
nding would most likely indicate perforation of the ulcer?
ms ms ms ms ms ms ms ms
A. Bradycardia
ms
B. Numbness in the legs
ms ms ms ms
C. Nausea and vomiting
ms ms ms
D. A rigid, boardlike abdomen
ms ms ms ms
ANSWER
D. A rigid, boardlike abdomen Rationale: Perforation of an ulcer is a surgical emergency and is chara
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
cterized by sudden, sharp, intolerable severe pain beginning in the mid-
ms ms ms ms ms ms ms ms ms ms
epigastric area and spreading over the abdomen, which becomes rigid and boardlike. Nausea and vo
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
miting may occur. Tachycardia may occur as hypovolemic shock develops. Numbness in the legs is n
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ot an associated finding.
ms ms ms
QUESTION 5 ms
The nurse is caring for a client following a gastrojejunostomy (Billroth II procedure).
ms ms ms ms ms ms ms ms ms ms ms ms ms
Which postoperative prescription should the nurse question and verify?
ms ms ms ms ms ms ms ms
A. Leg exercises
ms ms
B. Early ambulation
ms ms
, C. Irrigating the nasogastric tube
ms ms ms ms
D. Coughing and deep-breathing exercises
ms ms ms ms
ANSWER
C. Irrigating the nasogastric tube Rationale: In a gastrojejunostomy (Billroth II procedure), the proxi
ms ms ms ms ms ms ms ms ms ms ms ms ms
mal remnant of the stomach is anastomosed to the proximal jejunum. Patency of the nasogastric tub
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
e is critical for preventing the retention of gastric secretions. The nurse should never irrigate or rep
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
osition the gastric tube after gastric surgery, unless specifically prescribed by the health care provid
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
er. In this situation, the nurse should clarify the prescription. Options 1, 2, and 4 are appropriate po
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
stoperative interventions. ms
QUESTION 6 ms
The nurse is providing discharge instructions to a client following gastrectomy and sh
ms ms ms ms ms ms ms ms ms ms ms ms
ould instruct the client to take which measure to assist in preventing dumping syndro
ms ms ms ms ms ms ms ms ms ms ms ms ms
me?
A. Ambulate following a meal.
ms ms ms ms
B. Eat high-carbohydrate foods.
ms ms ms
C. Limit the fluids taken with meals.
ms ms ms ms ms ms
D. Sit in a high Fowler's position during meals.
ms ms ms ms ms ms ms ms
ANSWER
C. Limit the fluids taken with meals. Rationale: Dumping syndrome is a term that refers to a constell
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ation of vasomotor symptoms that occurs after eating, especially following a gastrojejunostomy (Billr
ms ms ms ms ms ms ms ms ms ms ms ms
oth II procedure). Early manifestations usually occur within 30 minutes of eating and include vertigo
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
, tachycardia, syncope, sweating, pallor, palpitations, and the desire to lie down. The nurse should in
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
struct the client to decrease the amount of fluid taken at meals and to avoid high-
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
carbohydrate foods, including fluids such as fruit nectars; to assume a low Fowler's position during
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
meals; to lie down for 30 minutes after eating to delay gastric emptying; and to take antispasmodics
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
as prescribed.
ms ms
QUESTION 7 ms
The nurse is doing an admission assessment on a client with a history of duodenal ulc
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
er. To determine whether the problem is currently active, the nurse should assess the
ms ms ms ms ms ms ms ms ms ms ms ms ms m
client for which sign(s)/symptom(s) of duodenal ulcer?
s ms ms ms ms ms ms
A. Weight loss
ms ms
B. Nausea and vomiting
ms ms ms
C. Pain relieved by food intake
ms ms ms ms ms
D. Pain radiating down the right arm
ms ms ms ms ms ms
ANSWER
C. Pain relieved by food intake Rationale: A frequent symptom of duodenal ulcer is pain that is relie
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ved by food intake. These clients generally describe the pain as a burning, heavy, sharp, or "hungry"
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
pain that often localizes in the mid-
ms ms ms ms ms ms ms
epigastric area. The client with duodenal ulcer usually does not experience weight loss or nausea an
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
d vomiting. These symptoms are more typical in the client with a gastric ulcer.
ms ms ms ms ms ms ms ms ms ms ms ms ms
Exam Solution ms
Med Surg Gastrointestinal NCLEX Questions 2026 A+ G
ms ms ms ms ms ms ms
RADE ASSURED COMPLETE SOLUTIONS AND VERIFIED
ms ms ms ms ms ms
ANSWERS (23F6F) ms
QUESTION 1 ms
The nurse is planning to teach a client with gastroesophageal reflux disease (GERD) a
ms ms ms ms ms ms ms ms ms ms ms ms ms
bout substances to avoid. Which items should the nurse include on this list? Select all
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
that apply. ms
A. Coffee ms
B. Chocolate
ms
C. Peppermint
ms
D. Nonfat milk
ms ms
E. Fried chicken F. Scrambled eggs
ms ms ms ms ms
ANSWER
A. Coffee ms
B. Chocolate
ms
C. Peppermint
ms
E. Fried chicken Rationale: Foods that decrease lower esophageal sphincter (LES) pressure and irrita
ms ms ms ms ms ms ms ms ms ms ms ms ms
te the esophagus will increase reflux and exacerbate the symptoms of GERD and therefore should be
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
avoided. Aggravating substances include coffee, chocolate, peppermint, fried or fatty foods, carbonat
ms ms ms ms ms ms ms ms ms ms ms ms
ed beverages, and alcohol. Options 4 and 6 do not promote this effect.
ms ms ms ms ms ms ms ms ms ms ms ms
QUESTION 2 ms
A client has undergone esophagogastroduodenoscopy. The nurse should place highest
ms ms ms ms ms ms ms ms ms ms
priority on which item as part of the client's care plan? 1. Monitoring the temperature
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
2. Monitoring complaints of heartburn 3. Giving warm gargles for a sore throat 4. Ass
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
essing for the return of the gag reflex
ms ms ms ms ms ms ms
ANSWER
4. Assessing for the return of the gag reflex Rationale: The nurse places highest priority on assessin
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
g for return of the gag reflex. This assessment addresses the client's airway. The nurse also monitor
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
s the client's vital signs and for a sudden increase in temperature, which could indicate perforation
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
of the gastrointestinal tract. This complication would be accompanied by other signs as well, such as
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
, pain. Monitoring for sore throat and heartburn are also important; however, the client's airway is t
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
he priority.
ms
QUESTION 3 ms
The nurse is providing dietary teaching for a client with a diagnosis of chronic gastriti
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
s. The nurse instructs the client to include which foods rich in vitamin B12 in the diet
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
? Select all that apply.
ms ms ms ms
A. Nuts ms
B. Corn ms
C. Liver
ms
D. Apples ms
E. Lentils F. Bananas
ms ms ms
ANSWER
A. Nuts
ms
C. Liver
ms
E. Lentils Rationale: Chronic gastritis causes deterioration and atrophy of the lining of the stomach, l
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
eading to the loss of function of the parietal cells. The source of intrinsic factor is lost, which results
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
in an inability to absorb vitamin B12, leading to development of pernicious anemia. Clients must in
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
crease their intake of vitamin B12 by increasing consumption of foods rich in this vitamin, such as n
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
uts, organ meats, dried beans, citrus fruits, green leafy vegetables, and yeast.
ms ms ms ms ms ms ms ms ms ms ms
QUESTION 4 ms
The nurse is monitoring a client with a diagnosis of peptic ulcer. Which assessment fi
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
nding would most likely indicate perforation of the ulcer?
ms ms ms ms ms ms ms ms
A. Bradycardia
ms
B. Numbness in the legs
ms ms ms ms
C. Nausea and vomiting
ms ms ms
D. A rigid, boardlike abdomen
ms ms ms ms
ANSWER
D. A rigid, boardlike abdomen Rationale: Perforation of an ulcer is a surgical emergency and is chara
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
cterized by sudden, sharp, intolerable severe pain beginning in the mid-
ms ms ms ms ms ms ms ms ms ms
epigastric area and spreading over the abdomen, which becomes rigid and boardlike. Nausea and vo
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
miting may occur. Tachycardia may occur as hypovolemic shock develops. Numbness in the legs is n
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ot an associated finding.
ms ms ms
QUESTION 5 ms
The nurse is caring for a client following a gastrojejunostomy (Billroth II procedure).
ms ms ms ms ms ms ms ms ms ms ms ms ms
Which postoperative prescription should the nurse question and verify?
ms ms ms ms ms ms ms ms
A. Leg exercises
ms ms
B. Early ambulation
ms ms
, C. Irrigating the nasogastric tube
ms ms ms ms
D. Coughing and deep-breathing exercises
ms ms ms ms
ANSWER
C. Irrigating the nasogastric tube Rationale: In a gastrojejunostomy (Billroth II procedure), the proxi
ms ms ms ms ms ms ms ms ms ms ms ms ms
mal remnant of the stomach is anastomosed to the proximal jejunum. Patency of the nasogastric tub
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
e is critical for preventing the retention of gastric secretions. The nurse should never irrigate or rep
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
osition the gastric tube after gastric surgery, unless specifically prescribed by the health care provid
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
er. In this situation, the nurse should clarify the prescription. Options 1, 2, and 4 are appropriate po
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
stoperative interventions. ms
QUESTION 6 ms
The nurse is providing discharge instructions to a client following gastrectomy and sh
ms ms ms ms ms ms ms ms ms ms ms ms
ould instruct the client to take which measure to assist in preventing dumping syndro
ms ms ms ms ms ms ms ms ms ms ms ms ms
me?
A. Ambulate following a meal.
ms ms ms ms
B. Eat high-carbohydrate foods.
ms ms ms
C. Limit the fluids taken with meals.
ms ms ms ms ms ms
D. Sit in a high Fowler's position during meals.
ms ms ms ms ms ms ms ms
ANSWER
C. Limit the fluids taken with meals. Rationale: Dumping syndrome is a term that refers to a constell
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ation of vasomotor symptoms that occurs after eating, especially following a gastrojejunostomy (Billr
ms ms ms ms ms ms ms ms ms ms ms ms
oth II procedure). Early manifestations usually occur within 30 minutes of eating and include vertigo
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
, tachycardia, syncope, sweating, pallor, palpitations, and the desire to lie down. The nurse should in
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
struct the client to decrease the amount of fluid taken at meals and to avoid high-
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
carbohydrate foods, including fluids such as fruit nectars; to assume a low Fowler's position during
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
meals; to lie down for 30 minutes after eating to delay gastric emptying; and to take antispasmodics
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
as prescribed.
ms ms
QUESTION 7 ms
The nurse is doing an admission assessment on a client with a history of duodenal ulc
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
er. To determine whether the problem is currently active, the nurse should assess the
ms ms ms ms ms ms ms ms ms ms ms ms ms m
client for which sign(s)/symptom(s) of duodenal ulcer?
s ms ms ms ms ms ms
A. Weight loss
ms ms
B. Nausea and vomiting
ms ms ms
C. Pain relieved by food intake
ms ms ms ms ms
D. Pain radiating down the right arm
ms ms ms ms ms ms
ANSWER
C. Pain relieved by food intake Rationale: A frequent symptom of duodenal ulcer is pain that is relie
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ved by food intake. These clients generally describe the pain as a burning, heavy, sharp, or "hungry"
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
pain that often localizes in the mid-
ms ms ms ms ms ms ms
epigastric area. The client with duodenal ulcer usually does not experience weight loss or nausea an
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
d vomiting. These symptoms are more typical in the client with a gastric ulcer.
ms ms ms ms ms ms ms ms ms ms ms ms ms
