Custom: GI NCLEX 6/15/20 ATI Practice
Assessment
A charge nurse is reinforcing teaching with a newly licensed nurse about the
common link between ulcerative colitis and Crohn's disease. Which of the
✅✅
following statements by the newly licensed nurse indicates an understanding
of the teaching? - --"Both illnesses are inflammatory in nature."
The nurse should reinforce that there are many linking components between
ulcerative colitis and Crohn's disease, one of them being the inflammatory
nature of the illnesses. Other similarities include a genetic component, the
chronicity of the illnesses, and the predominant manifestation of both diseases
is diarrhea.
A client who is scheduled for a barium swallow asks a nurse why a laxative is
✅✅
necessary following the procedure. Which of the following responses should
the nurse make? - --"It helps eliminate the barium."
The nurse's statement that the laxative will help eliminate the barium is a
therapeutic response because it provides the client with the reason for
prescribing the laxative.
A nurse collecting data from a client who has manifestations of appendicitis.
✅✅
Where should the nurse palpate to monitor for pain at McBurney's point? -
--McBurney's point is found between the navel and the anterior iliac
crest.
A nurse in a clinic is caring for a client who has alcohol use disorder. The
✅✅
client reports frequent bruising and nosebleeds. Which of the following
conditions should the nurse suspect? - --Cirrhosis
Excessive alcohol use can cause liver cirrhosis leading to impaired bleeding
time. The nurse should check the client for other findings such as clay-colored
stools, anorexia, and weight loss.
A nurse in a provider's office is reinforcing teaching with a client who has
✅✅
anemia and has been taking ferrous gluconate for several weeks. Which of
the following instructions should the nurse include? - --Take this
medication between meals
,Although taking iron supplements with food can decrease adverse effects, it
also drastically reduces the absorption of iron. Therefore, the nurse should
instruct the client that taking iron is most effective when supplements are
taken in between meals.
A nurse in a provider's office is reviewing the health histories of four clients.
✅✅
For which of the following clients should the nurse anticipate scheduling a
colonoscopy? - --32-year-old who has a sister who died of colon cancer
A family history of colon cancer indicates a client may be at high risk for colon
cancer. For clients who have this risk, colonoscopies are recommended to
begin before the age of 50, and are performed more frequently than every 10
years.
✅✅
A nurse is assessing a client who has advanced cirrhosis. Which of the
following manifestation should the nurse expect to find? - --Spider
angioma
The nurse should expect to find spider angioma, which indicates portal
hypertension, on the client who has advanced cirrhosis.
A nurse is assisting in the plan of care for a client who had surgery for a bowel
obstruction. The client has a nasogastric tube in place. Which of the following
✅✅
actions should the nurse include in the client's plan of care? (Select all that
apply.) - --Perform leg exercises every 2 hr is correct.
Postoperative clients should frequently perform leg exercises, independently
or with assistance, to prevent skin breakdown.
-Encourage hourly use of an incentive spirometer while awake is correct.
Postoperative clients should be encouraged to use the incentive spirometer
ten times each hour while awake to prevent atelectasis.
-Document the color, consistency, and amount of nasogastric drainage is
correct.
Documenting the color, consistency, and amount of nasogastric drainage is
appropriate to include in the client's plan of care.
, A nurse is assisting with discharge teaching for a client who is postoperative
✅✅
following a laryngectomy. Which of the following instructions should the nurse
include in the teaching? (Select all that apply.) - --To aid in swallowing
food, tip the chin before swallowing
This action decreases the risk of aspiration.
-Swallow twice after each bite
Swallowing once when initially propelling food down the esophagus and a
second time (dry swallowing) to fully clear the esophagus of food will decrease
the risk of aspirating food left in the esophagus.
A nurse is assisting with menu selections for a client who has recovered from
✅✅
the acute phase of diverticulitis. Which of the following foods should the nurse
recommend? - --Bean soup with steamed broccoli
A client who has diverticulitis should follow a high-fiber, high-residue diet and
should avoid foods that have small seeds or husks. Chicken and broccoli are
good sources of fiber.
A nurse is assisting with the care of a client who has cirrhosis of the liver with
✅✅
ascites. Which of the following actions should the nurse take? -
--Measure the client's abdominal girth every 8 hr.
The nurse should measure the client's abdominal girth every 8 hr to determine
whether the ascites is resolving or worsening.
A nurse is assisting with the plan of care for a client who had an upper
✅✅
endoscopy 1 hr ago. The nurse should place the priority on monitoring which
of the following? - --Gag reflex
The greatest risk to this client is aspiration immediately after an upper
endoscopy; therefore, monitoring gag reflex is the priority action.
A nurse is assisting with the plan of care for a client who has viral hepatitis.
✅✅
Which of the following actions should the nurse include in the plan? -
--Provide periods of rest.
Assessment
A charge nurse is reinforcing teaching with a newly licensed nurse about the
common link between ulcerative colitis and Crohn's disease. Which of the
✅✅
following statements by the newly licensed nurse indicates an understanding
of the teaching? - --"Both illnesses are inflammatory in nature."
The nurse should reinforce that there are many linking components between
ulcerative colitis and Crohn's disease, one of them being the inflammatory
nature of the illnesses. Other similarities include a genetic component, the
chronicity of the illnesses, and the predominant manifestation of both diseases
is diarrhea.
A client who is scheduled for a barium swallow asks a nurse why a laxative is
✅✅
necessary following the procedure. Which of the following responses should
the nurse make? - --"It helps eliminate the barium."
The nurse's statement that the laxative will help eliminate the barium is a
therapeutic response because it provides the client with the reason for
prescribing the laxative.
A nurse collecting data from a client who has manifestations of appendicitis.
✅✅
Where should the nurse palpate to monitor for pain at McBurney's point? -
--McBurney's point is found between the navel and the anterior iliac
crest.
A nurse in a clinic is caring for a client who has alcohol use disorder. The
✅✅
client reports frequent bruising and nosebleeds. Which of the following
conditions should the nurse suspect? - --Cirrhosis
Excessive alcohol use can cause liver cirrhosis leading to impaired bleeding
time. The nurse should check the client for other findings such as clay-colored
stools, anorexia, and weight loss.
A nurse in a provider's office is reinforcing teaching with a client who has
✅✅
anemia and has been taking ferrous gluconate for several weeks. Which of
the following instructions should the nurse include? - --Take this
medication between meals
,Although taking iron supplements with food can decrease adverse effects, it
also drastically reduces the absorption of iron. Therefore, the nurse should
instruct the client that taking iron is most effective when supplements are
taken in between meals.
A nurse in a provider's office is reviewing the health histories of four clients.
✅✅
For which of the following clients should the nurse anticipate scheduling a
colonoscopy? - --32-year-old who has a sister who died of colon cancer
A family history of colon cancer indicates a client may be at high risk for colon
cancer. For clients who have this risk, colonoscopies are recommended to
begin before the age of 50, and are performed more frequently than every 10
years.
✅✅
A nurse is assessing a client who has advanced cirrhosis. Which of the
following manifestation should the nurse expect to find? - --Spider
angioma
The nurse should expect to find spider angioma, which indicates portal
hypertension, on the client who has advanced cirrhosis.
A nurse is assisting in the plan of care for a client who had surgery for a bowel
obstruction. The client has a nasogastric tube in place. Which of the following
✅✅
actions should the nurse include in the client's plan of care? (Select all that
apply.) - --Perform leg exercises every 2 hr is correct.
Postoperative clients should frequently perform leg exercises, independently
or with assistance, to prevent skin breakdown.
-Encourage hourly use of an incentive spirometer while awake is correct.
Postoperative clients should be encouraged to use the incentive spirometer
ten times each hour while awake to prevent atelectasis.
-Document the color, consistency, and amount of nasogastric drainage is
correct.
Documenting the color, consistency, and amount of nasogastric drainage is
appropriate to include in the client's plan of care.
, A nurse is assisting with discharge teaching for a client who is postoperative
✅✅
following a laryngectomy. Which of the following instructions should the nurse
include in the teaching? (Select all that apply.) - --To aid in swallowing
food, tip the chin before swallowing
This action decreases the risk of aspiration.
-Swallow twice after each bite
Swallowing once when initially propelling food down the esophagus and a
second time (dry swallowing) to fully clear the esophagus of food will decrease
the risk of aspirating food left in the esophagus.
A nurse is assisting with menu selections for a client who has recovered from
✅✅
the acute phase of diverticulitis. Which of the following foods should the nurse
recommend? - --Bean soup with steamed broccoli
A client who has diverticulitis should follow a high-fiber, high-residue diet and
should avoid foods that have small seeds or husks. Chicken and broccoli are
good sources of fiber.
A nurse is assisting with the care of a client who has cirrhosis of the liver with
✅✅
ascites. Which of the following actions should the nurse take? -
--Measure the client's abdominal girth every 8 hr.
The nurse should measure the client's abdominal girth every 8 hr to determine
whether the ascites is resolving or worsening.
A nurse is assisting with the plan of care for a client who had an upper
✅✅
endoscopy 1 hr ago. The nurse should place the priority on monitoring which
of the following? - --Gag reflex
The greatest risk to this client is aspiration immediately after an upper
endoscopy; therefore, monitoring gag reflex is the priority action.
A nurse is assisting with the plan of care for a client who has viral hepatitis.
✅✅
Which of the following actions should the nurse include in the plan? -
--Provide periods of rest.
