NCLEX-RN Med-Surg: Gastrointestinal |
Actual Exam Questions & 100% Correct
Answers | Latest Update 2026 | NCLEX
Exam Prep
1. In a scenario where a patient with an NG tube develops increased discomfort,
what action should the nurse prioritize to ensure patient comfort while
delegating tasks appropriately?
Instruct UAP to reposition the NG tube immediately.
Delegate frequent oral care to UAP while assessing the patient's
overall condition.
Perform NG tube lavage with cold water to alleviate discomfort.
Obtain vital signs before addressing the patient's comfort needs.
2. Describe why starting an IV and administering normal saline is crucial for a
patient with worsening pain from peptic ulcer disease and dehydration.
It allows for the administration of medications to treat the ulcer.
It provides immediate pain relief for the ulcer.
It ensures the patient remains inactive to avoid further complications.
Starting an IV and administering normal saline helps to restore fluid
balance and prevent complications from dehydration.
3. In a scenario where a patient expresses anxiety about undergoing a
gastrostomy, what should the nurse prioritize after the teaching session?
Schedule a follow-up appointment for nutritional counseling.
Assess the patient's psychosocial status to address anxiety.
, Provide the patient with pamphlets about gastrostomy care.
Document the teaching session and move on to the next patient.
4. A pt has a NG tube as a result of an upper GI hemmorhage. what comfort
measure would the nurse remind CNA to provide?
re-positioning the tube q4hrs
performing frequent oral care
lavaging the tube with ice water
taking and recording vital signs
5. What is the initial nursing priority when caring for a patient with esophageal
chemical burns?
Assessing airway patency
Elevating the head of the bed
Administering antacids
Encouraging oral intake
6. What lab value indicates a significantly increased risk of bleeding that should
be reported before surgery?
Albumin 2.3 g/dL
Hematocrit 31%
Hemoglobin 9.2 mg/dL
International normalized ratio (INR) 4.3
7. If a patient expresses concerns about managing multiple medications for
their Helicobacter pylori treatment, what should the nurse do next?
Refer the patient to a specialist immediately.
, Provide education on medication management strategies.
Change the treatment plan without consulting the physician.
Suggest the patient skip doses if they feel overwhelmed.
8. A 60-year-old male patient with chronic gastric ulcers is prescribed
esomeprazole. He expresses concern about his bone health. What should the
nurse recommend based on the medication's effects?
Suggest he stop taking esomeprazole immediately.
Recommend he take a calcium supplement without dietary changes.
Inform him that esomeprazole will improve his bone density.
Advise him to increase his intake of calcium and vitamin D to
support bone health.
9. If a patient scheduled for a total gastrectomy has an INR of 4.3, what
immediate action should the nurse take to ensure patient safety?
Reassess the patient's hydration status.
Delay the surgery until the INR normalizes.
Administer vitamin K to the patient.
Notify the surgeon about the elevated INR.
10. A client has a nasogastric (NG) tube. What action by the nursing student
requires the registered nurse to intervene?
Monitoring and documenting drainage from the NG tube
Providing oral care every 4 to 8 hours
Pinning the tube to the gown so the client cannot turn the head
Checking tube placement every 4 to 8 hours
11. In a scenario where a patient with a history of peptic ulcer disease suddenly
Actual Exam Questions & 100% Correct
Answers | Latest Update 2026 | NCLEX
Exam Prep
1. In a scenario where a patient with an NG tube develops increased discomfort,
what action should the nurse prioritize to ensure patient comfort while
delegating tasks appropriately?
Instruct UAP to reposition the NG tube immediately.
Delegate frequent oral care to UAP while assessing the patient's
overall condition.
Perform NG tube lavage with cold water to alleviate discomfort.
Obtain vital signs before addressing the patient's comfort needs.
2. Describe why starting an IV and administering normal saline is crucial for a
patient with worsening pain from peptic ulcer disease and dehydration.
It allows for the administration of medications to treat the ulcer.
It provides immediate pain relief for the ulcer.
It ensures the patient remains inactive to avoid further complications.
Starting an IV and administering normal saline helps to restore fluid
balance and prevent complications from dehydration.
3. In a scenario where a patient expresses anxiety about undergoing a
gastrostomy, what should the nurse prioritize after the teaching session?
Schedule a follow-up appointment for nutritional counseling.
Assess the patient's psychosocial status to address anxiety.
, Provide the patient with pamphlets about gastrostomy care.
Document the teaching session and move on to the next patient.
4. A pt has a NG tube as a result of an upper GI hemmorhage. what comfort
measure would the nurse remind CNA to provide?
re-positioning the tube q4hrs
performing frequent oral care
lavaging the tube with ice water
taking and recording vital signs
5. What is the initial nursing priority when caring for a patient with esophageal
chemical burns?
Assessing airway patency
Elevating the head of the bed
Administering antacids
Encouraging oral intake
6. What lab value indicates a significantly increased risk of bleeding that should
be reported before surgery?
Albumin 2.3 g/dL
Hematocrit 31%
Hemoglobin 9.2 mg/dL
International normalized ratio (INR) 4.3
7. If a patient expresses concerns about managing multiple medications for
their Helicobacter pylori treatment, what should the nurse do next?
Refer the patient to a specialist immediately.
, Provide education on medication management strategies.
Change the treatment plan without consulting the physician.
Suggest the patient skip doses if they feel overwhelmed.
8. A 60-year-old male patient with chronic gastric ulcers is prescribed
esomeprazole. He expresses concern about his bone health. What should the
nurse recommend based on the medication's effects?
Suggest he stop taking esomeprazole immediately.
Recommend he take a calcium supplement without dietary changes.
Inform him that esomeprazole will improve his bone density.
Advise him to increase his intake of calcium and vitamin D to
support bone health.
9. If a patient scheduled for a total gastrectomy has an INR of 4.3, what
immediate action should the nurse take to ensure patient safety?
Reassess the patient's hydration status.
Delay the surgery until the INR normalizes.
Administer vitamin K to the patient.
Notify the surgeon about the elevated INR.
10. A client has a nasogastric (NG) tube. What action by the nursing student
requires the registered nurse to intervene?
Monitoring and documenting drainage from the NG tube
Providing oral care every 4 to 8 hours
Pinning the tube to the gown so the client cannot turn the head
Checking tube placement every 4 to 8 hours
11. In a scenario where a patient with a history of peptic ulcer disease suddenly
