NCLEX Med Surg Gastrointestinal Exam Prep
NCLEX MED SURG GASTROINTESTINAL EXAM PREP NEWEST
2026/2027 ACTUAL EXAM COMPLETE 100 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)WITH DETAILED RATIONALES
|ALREADY GRADED A+||BRAND NEW VERSION!!
The nurse is providing instructions to a client with a colostomy about measures to
reduce the odor from the colostomy. Which client statement indicates that the
educational session was effective?
A. "I should be sure to eat at least 1 cucumber every day."
B. "Beet greens, parsley, or yogurt will help to control the colostomy odor."
C. "I will need to increase my egg intake and try to eat ½ to 1 egg per day."
D. "Green vegetables such as spinach and broccoli will prevent odor, and I should
eat these foods every day." - Correct Answer-B. "Beet greens, parsley, or yogurt
will help to control the colostomy odor."
Rationale:
The client should be taught to include deodorizing foods in the diet, such as beet
greens, parsley, buttermilk, and yogurt. Spinach also may reduce odor, but it is a
gas-forming food and should be avoided. Cucumbers, eggs, and broccoli also are
gas-forming foods and should be avoided or limited by the client.
The nurse has provided dietary instructions to a client with a diagnosis of peptic
ulcer disease. Which client statement indicates that education was effective?
1|Page
, NCLEX Med Surg Gastrointestinal Exam Prep
A. "Baked foods such as chicken or fish are all right to eat."
B. "Citrus fruits and raw vegetables need to be included in my daily diet."
C. "I can drink beer as long as I consume only a moderate amount each day."
D. "I can drink coffee or tea as long as I limit the amount to 2 cups daily." - Correct
Answer-A. "Baked foods such as chicken or fish are all right to eat."
Rationale:
Dietary modifications for the client with peptic ulcer disease include eliminating
foods that can cause irritation to the gastrointestinal (GI) tract. Items that should
be eliminated or avoided include highly spiced foods, alcohol, caffeine, chocolate,
and citrus fruits. Other foods may be taken according to the client's level of
tolerance for that food.
The nurse has provided home care instructions to a client who had a subtotal
gastrectomy. The nurse instructs the client on the signs and symptoms associated
with dumping syndrome. Which client statement indicates that teaching was
effective?
A. "It will cause diaphoresis and diarrhea."
B. "I have to monitor for hiccups and diarrhea."
C. "It will be associated with constipation and fever."
D. "I have to monitor for fatigue and abdominal pain." - Correct Answer-A. "It will
cause diaphoresis and diarrhea."
Rationale:
2|Page
, NCLEX Med Surg Gastrointestinal Exam Prep
Dumping syndrome occurs after gastric surgery because food is not held for as
long in the stomach and is dumped into the intestine as a hypertonic mass. This
causes fluid to shift into the intestine, causing cardiovascular and gastrointestinal
symptoms. Symptoms can typically include weakness, dizziness, diaphoresis,
flushing, hypotension, abdominal pain and distention, hyperactive bowel sounds,
and diarrhea. The remaining options are not signs of dumping syndrome.
The nurse is providing instructions to a client regarding measures to minimize the
risk of dumping syndrome. The nurse should make which suggestion to the client?
A. Maintain a high-carbohydrate diet.
B. Increase fluid intake, particularly at mealtime.
C. Maintain a low Fowler's position while eating.
D. Ambulate for at least 30 minutes following each meal. - Correct Answer-C.
Maintain a low Fowler's position while eating.
Rationale:
The client at risk for dumping syndrome should be instructed to maintain a low
Fowler's position while eating and lie down for at least 30 minutes after eating.
The client also should be told that small, frequent meals are best and to avoid
liquids with meals. Avoiding high-carbohydrate food sources also will assist in
minimizing dumping syndrome.
A client with peptic ulcer disease states that stress frequently causes exacerbation
of the disease. The nurse determines that which item mentioned by the client is
most likely to be responsible for the exacerbation?
3|Page
, NCLEX Med Surg Gastrointestinal Exam Prep
A. Sleeping 8 to 10 hours a night
B. Ability to work at home periodically
C. Eating 5 or 6 small meals per day
D. Frequent need to work overtime on short notice - Correct Answer-D. Frequent
need to work overtime on short notice
Rationale:
Psychological or emotional stressors that exacerbate peptic ulcer disease may be
found either at home or in the workplace. Of the items listed, the frequent need to
work overtime on short notice is potentially the most stressful because it is the
item over which the client has the least control. An ability to work at home
periodically is not necessarily stressful because it allows increased client control
over timing and location of work. Adequate rest and proper dietary pattern
(options 1 and 3) should alleviate symptoms, not worsen them.
The nurse is giving dietary instructions to a client who has a new colostomy. The
nurse should encourage the client to eat foods representing which diet for the
first 4 to 6 weeks postoperatively?
A. Low fiber
B. Low calorie
C. High protein
D. High carbohydrate - Correct Answer-A. Low fiber
Rationale:
4|Page
NCLEX MED SURG GASTROINTESTINAL EXAM PREP NEWEST
2026/2027 ACTUAL EXAM COMPLETE 100 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)WITH DETAILED RATIONALES
|ALREADY GRADED A+||BRAND NEW VERSION!!
The nurse is providing instructions to a client with a colostomy about measures to
reduce the odor from the colostomy. Which client statement indicates that the
educational session was effective?
A. "I should be sure to eat at least 1 cucumber every day."
B. "Beet greens, parsley, or yogurt will help to control the colostomy odor."
C. "I will need to increase my egg intake and try to eat ½ to 1 egg per day."
D. "Green vegetables such as spinach and broccoli will prevent odor, and I should
eat these foods every day." - Correct Answer-B. "Beet greens, parsley, or yogurt
will help to control the colostomy odor."
Rationale:
The client should be taught to include deodorizing foods in the diet, such as beet
greens, parsley, buttermilk, and yogurt. Spinach also may reduce odor, but it is a
gas-forming food and should be avoided. Cucumbers, eggs, and broccoli also are
gas-forming foods and should be avoided or limited by the client.
The nurse has provided dietary instructions to a client with a diagnosis of peptic
ulcer disease. Which client statement indicates that education was effective?
1|Page
, NCLEX Med Surg Gastrointestinal Exam Prep
A. "Baked foods such as chicken or fish are all right to eat."
B. "Citrus fruits and raw vegetables need to be included in my daily diet."
C. "I can drink beer as long as I consume only a moderate amount each day."
D. "I can drink coffee or tea as long as I limit the amount to 2 cups daily." - Correct
Answer-A. "Baked foods such as chicken or fish are all right to eat."
Rationale:
Dietary modifications for the client with peptic ulcer disease include eliminating
foods that can cause irritation to the gastrointestinal (GI) tract. Items that should
be eliminated or avoided include highly spiced foods, alcohol, caffeine, chocolate,
and citrus fruits. Other foods may be taken according to the client's level of
tolerance for that food.
The nurse has provided home care instructions to a client who had a subtotal
gastrectomy. The nurse instructs the client on the signs and symptoms associated
with dumping syndrome. Which client statement indicates that teaching was
effective?
A. "It will cause diaphoresis and diarrhea."
B. "I have to monitor for hiccups and diarrhea."
C. "It will be associated with constipation and fever."
D. "I have to monitor for fatigue and abdominal pain." - Correct Answer-A. "It will
cause diaphoresis and diarrhea."
Rationale:
2|Page
, NCLEX Med Surg Gastrointestinal Exam Prep
Dumping syndrome occurs after gastric surgery because food is not held for as
long in the stomach and is dumped into the intestine as a hypertonic mass. This
causes fluid to shift into the intestine, causing cardiovascular and gastrointestinal
symptoms. Symptoms can typically include weakness, dizziness, diaphoresis,
flushing, hypotension, abdominal pain and distention, hyperactive bowel sounds,
and diarrhea. The remaining options are not signs of dumping syndrome.
The nurse is providing instructions to a client regarding measures to minimize the
risk of dumping syndrome. The nurse should make which suggestion to the client?
A. Maintain a high-carbohydrate diet.
B. Increase fluid intake, particularly at mealtime.
C. Maintain a low Fowler's position while eating.
D. Ambulate for at least 30 minutes following each meal. - Correct Answer-C.
Maintain a low Fowler's position while eating.
Rationale:
The client at risk for dumping syndrome should be instructed to maintain a low
Fowler's position while eating and lie down for at least 30 minutes after eating.
The client also should be told that small, frequent meals are best and to avoid
liquids with meals. Avoiding high-carbohydrate food sources also will assist in
minimizing dumping syndrome.
A client with peptic ulcer disease states that stress frequently causes exacerbation
of the disease. The nurse determines that which item mentioned by the client is
most likely to be responsible for the exacerbation?
3|Page
, NCLEX Med Surg Gastrointestinal Exam Prep
A. Sleeping 8 to 10 hours a night
B. Ability to work at home periodically
C. Eating 5 or 6 small meals per day
D. Frequent need to work overtime on short notice - Correct Answer-D. Frequent
need to work overtime on short notice
Rationale:
Psychological or emotional stressors that exacerbate peptic ulcer disease may be
found either at home or in the workplace. Of the items listed, the frequent need to
work overtime on short notice is potentially the most stressful because it is the
item over which the client has the least control. An ability to work at home
periodically is not necessarily stressful because it allows increased client control
over timing and location of work. Adequate rest and proper dietary pattern
(options 1 and 3) should alleviate symptoms, not worsen them.
The nurse is giving dietary instructions to a client who has a new colostomy. The
nurse should encourage the client to eat foods representing which diet for the
first 4 to 6 weeks postoperatively?
A. Low fiber
B. Low calorie
C. High protein
D. High carbohydrate - Correct Answer-A. Low fiber
Rationale:
4|Page
