GI NCLEX Test Questions with 100% Verified Answers Graded A+
1. Which of the following condi- D
tions can cause a hiatal hernia? A hiatal hernia is caused by weak-
ness of the diaphragmic muscle and
A. Increased intrathoracic pres- increased intra-abdominal—not intratho-
sure racic—pressure. This weakness allows
B. Weakness of the esophageal the stomach to slide into the esoph-
muscle agus. The esophageal supports weak-
C. Increased esophageal mus- en, but esophageal muscle weakness or
cle pressure increased esophageal muscle pressure
D. Weakness of the diaphrag- isn't a factor in hiatal hernia.
mic muscle
2. Risk factors for the devel- A
opment of hiatal hernias are Obesity may cause increased abdominal
those that lead to increased pressure that pushes the lower portion of
abdominal pressure. Which of the stomach into the thorax.
the following complications
can cause increased abdominal
pressure?
A. Obesity
B. Volvulus
C. Constipation
D. Intestinal obstruction
3. Which of the following symp- C
toms is common with a hiatal Esophageal reflux is a common symptom
hernia? of hiatal hernia. This seems to be asso-
ciated with chronic exposure of the lower
A. Left arm pain esophageal sphincter to the lower pres-
B. Lower back pain sure of the thorax, making it less effective.
C. Esophageal reflux
D. Abdominal cramping
4. Which of the following tests can C
be performed to diagnose a hi- A barium swallow with fluoroscopy shows
atal hernia? the position of the stomach in relation to
the diaphragm. A colonoscopy and a low-
A. Colonoscopy
,GI NCLEX Test Questions with 100% Verified Answers Graded A+
B. Lower GI series er GI series show disorders of the intes-
C. Barium swallow tine.
D. Abdominal x-rays
5. Which of the following mea- A
sures should the nurse fo- Recognizing the rupture of esophageal
cus on for the client with varices, or hemorrhage, is the focus of
esophageal varices? nursing care because the client could suc-
cumb to this quickly. Controlling blood
A. Recognizing hemorrhage pressure is also important because it
B. Controlling blood pressure helps reduce the risk of variceal rupture. It
C. Encouraging nutritional in- is also important to teach the client what
take varices are and what foods he should
D. Teaching the client about avoid such as spicy foods.
varices
6. Which of the following tests can D
be used to diagnose ulcers? The EGD can visualize the entire upper
GI tract as well as allow for tissue spec-
A. Abdominal x-ray imens and electrocautery if needed. The
B. Barium swallow barium swallow could locate a gastric ul-
C. Computed tomography (CT) cer. A CT scan and an abdominal x-ray
scan aren't useful in the diagnosis of an ulcer.
D. Esophagogastroduo-
denoscopy (EGD)
7. Which of the following best de- B
scribes the method of action of Ranitidine is a histamine-2 receptor an-
medications, such as ranitidine tagonist that reduces acid secretion by
(Zantac), which are used in the inhibiting gastrin secretion.
treatment of peptic ulcer dis-
ease?
A. Neutralize acid
B. Reduce acid secretions
C. Stimulate gastrin release
D. Protect the mucosal barrier
8. The hospitalized client with C
GERD is complaining of chest
,GI NCLEX Test Questions with 100% Verified Answers Graded A+
discomfort that feels like heart- The discomfort of reflux is aggravated by
burn following a meal. After ad- positions that compress the abdomen and
ministering an ordered antacid, the stomach. These include lying flat on
the nurse encourages the client the back or on the stomach after a meal of
to lie in which of the following lying on the right side. The left side-lying
positions? position with the head of the bed elevated
is most likely to give relief to the client.
A. Supine with the head of the
bed flat
B. On the stomach with the
head flat
C. On the left side with the head
of the bed elevated 30 degrees
D. On the right side with the
head of the bed elevated 30 de-
grees
9. The nurse is providing dis- B
charge instructions to a client The nurse should instruct the client to
following gastrectomy. Which decrease the amount of fluid taken at
measure will the nurse instruct meals and to avoid high carbohydrate
the client to follow to assist foods including fluids such as fruit nectars;
in preventing dumping syn- to assume a low-Fowler's position during
drome? meals; to lie down for 30 minutes after
eating to delay gastric emptying; and to
A. Eat high-carbohydrate foods take antispasmodics as prescribed.
B. Limit the fluids taken with
meals
C. Ambulate following a meal
D. Sit in a high-Fowlers position
during meals
10. The nurse instructs the nurs- B
ing assistant on how to pro- A soft toothbrush should be used to brush
vide oral hygiene for a client the client's teeth after each meal and
who cannot perform this task more often as needed. Mechanical clean-
for himself. Which of the fol- ing is necessary to maintain oral health,
lowing techniques should the simulate gingiva, and remove plaque. As-
nurse tell the assistant to in- sessing the oral cavity and recording
, GI NCLEX Test Questions with 100% Verified Answers Graded A+
corporate into the client's daily observations is the responsibility of the
care? nurse, not the nursing assistant. Swab-
bing with a safe foam applicator does
A. Assess the oral cavity each not provide enough friction to clean the
time mouth care is given and mouth. Mouthwash can be a drying irritant
record observations and is not recommended for frequent use.
B. Use a soft toothbrush to
brush the client's teeth after
each meal
C. Swab the client's tongue,
gums, and lips with a soft foam
applicator every 2 hours
D. Rinse the client's mouth with
mouthwash several times a day
11. A client with suspected gas- C
tric cancer undergoes an en- The most likely complication of an endo-
doscopy of the stomach. Which scopic procedure is perforation. A sudden
of the following assessments temperature spike with 1 to 2 hours after
made after the procedure would the procedure is indicative of a perforation
indicate the development of a and should be reported immediately to
potential complication? the physician. A sore throat is to be an-
ticipated after an endoscopy. Clients are
A. The client complains of a given sedatives during the procedure, so
sore throat it is expected that they will display signs
B. The client displays signs of of sedation after the procedure is com-
sedation pleted. A lack of appetite could be the re-
C. The client experiences a sud- sult of many factors, including the disease
den increase in temperature process.
D. The client demonstrates a
lack of appetite
12. After a subtotal gastrectomy, A
the nurse should anticipate that About 12 to 24 hours after a subto-
nasogastric tube drainage will tal gastrectomy, gastric drainage is nor-
be what color for about 12 to 24 mally brown, which indicates digested
hours after surgery? blood. Bile green or cloudy white drainage
is not expected during the first 12 to
A. Dark brown 24 hours after a subtotal gastrectomy.
1. Which of the following condi- D
tions can cause a hiatal hernia? A hiatal hernia is caused by weak-
ness of the diaphragmic muscle and
A. Increased intrathoracic pres- increased intra-abdominal—not intratho-
sure racic—pressure. This weakness allows
B. Weakness of the esophageal the stomach to slide into the esoph-
muscle agus. The esophageal supports weak-
C. Increased esophageal mus- en, but esophageal muscle weakness or
cle pressure increased esophageal muscle pressure
D. Weakness of the diaphrag- isn't a factor in hiatal hernia.
mic muscle
2. Risk factors for the devel- A
opment of hiatal hernias are Obesity may cause increased abdominal
those that lead to increased pressure that pushes the lower portion of
abdominal pressure. Which of the stomach into the thorax.
the following complications
can cause increased abdominal
pressure?
A. Obesity
B. Volvulus
C. Constipation
D. Intestinal obstruction
3. Which of the following symp- C
toms is common with a hiatal Esophageal reflux is a common symptom
hernia? of hiatal hernia. This seems to be asso-
ciated with chronic exposure of the lower
A. Left arm pain esophageal sphincter to the lower pres-
B. Lower back pain sure of the thorax, making it less effective.
C. Esophageal reflux
D. Abdominal cramping
4. Which of the following tests can C
be performed to diagnose a hi- A barium swallow with fluoroscopy shows
atal hernia? the position of the stomach in relation to
the diaphragm. A colonoscopy and a low-
A. Colonoscopy
,GI NCLEX Test Questions with 100% Verified Answers Graded A+
B. Lower GI series er GI series show disorders of the intes-
C. Barium swallow tine.
D. Abdominal x-rays
5. Which of the following mea- A
sures should the nurse fo- Recognizing the rupture of esophageal
cus on for the client with varices, or hemorrhage, is the focus of
esophageal varices? nursing care because the client could suc-
cumb to this quickly. Controlling blood
A. Recognizing hemorrhage pressure is also important because it
B. Controlling blood pressure helps reduce the risk of variceal rupture. It
C. Encouraging nutritional in- is also important to teach the client what
take varices are and what foods he should
D. Teaching the client about avoid such as spicy foods.
varices
6. Which of the following tests can D
be used to diagnose ulcers? The EGD can visualize the entire upper
GI tract as well as allow for tissue spec-
A. Abdominal x-ray imens and electrocautery if needed. The
B. Barium swallow barium swallow could locate a gastric ul-
C. Computed tomography (CT) cer. A CT scan and an abdominal x-ray
scan aren't useful in the diagnosis of an ulcer.
D. Esophagogastroduo-
denoscopy (EGD)
7. Which of the following best de- B
scribes the method of action of Ranitidine is a histamine-2 receptor an-
medications, such as ranitidine tagonist that reduces acid secretion by
(Zantac), which are used in the inhibiting gastrin secretion.
treatment of peptic ulcer dis-
ease?
A. Neutralize acid
B. Reduce acid secretions
C. Stimulate gastrin release
D. Protect the mucosal barrier
8. The hospitalized client with C
GERD is complaining of chest
,GI NCLEX Test Questions with 100% Verified Answers Graded A+
discomfort that feels like heart- The discomfort of reflux is aggravated by
burn following a meal. After ad- positions that compress the abdomen and
ministering an ordered antacid, the stomach. These include lying flat on
the nurse encourages the client the back or on the stomach after a meal of
to lie in which of the following lying on the right side. The left side-lying
positions? position with the head of the bed elevated
is most likely to give relief to the client.
A. Supine with the head of the
bed flat
B. On the stomach with the
head flat
C. On the left side with the head
of the bed elevated 30 degrees
D. On the right side with the
head of the bed elevated 30 de-
grees
9. The nurse is providing dis- B
charge instructions to a client The nurse should instruct the client to
following gastrectomy. Which decrease the amount of fluid taken at
measure will the nurse instruct meals and to avoid high carbohydrate
the client to follow to assist foods including fluids such as fruit nectars;
in preventing dumping syn- to assume a low-Fowler's position during
drome? meals; to lie down for 30 minutes after
eating to delay gastric emptying; and to
A. Eat high-carbohydrate foods take antispasmodics as prescribed.
B. Limit the fluids taken with
meals
C. Ambulate following a meal
D. Sit in a high-Fowlers position
during meals
10. The nurse instructs the nurs- B
ing assistant on how to pro- A soft toothbrush should be used to brush
vide oral hygiene for a client the client's teeth after each meal and
who cannot perform this task more often as needed. Mechanical clean-
for himself. Which of the fol- ing is necessary to maintain oral health,
lowing techniques should the simulate gingiva, and remove plaque. As-
nurse tell the assistant to in- sessing the oral cavity and recording
, GI NCLEX Test Questions with 100% Verified Answers Graded A+
corporate into the client's daily observations is the responsibility of the
care? nurse, not the nursing assistant. Swab-
bing with a safe foam applicator does
A. Assess the oral cavity each not provide enough friction to clean the
time mouth care is given and mouth. Mouthwash can be a drying irritant
record observations and is not recommended for frequent use.
B. Use a soft toothbrush to
brush the client's teeth after
each meal
C. Swab the client's tongue,
gums, and lips with a soft foam
applicator every 2 hours
D. Rinse the client's mouth with
mouthwash several times a day
11. A client with suspected gas- C
tric cancer undergoes an en- The most likely complication of an endo-
doscopy of the stomach. Which scopic procedure is perforation. A sudden
of the following assessments temperature spike with 1 to 2 hours after
made after the procedure would the procedure is indicative of a perforation
indicate the development of a and should be reported immediately to
potential complication? the physician. A sore throat is to be an-
ticipated after an endoscopy. Clients are
A. The client complains of a given sedatives during the procedure, so
sore throat it is expected that they will display signs
B. The client displays signs of of sedation after the procedure is com-
sedation pleted. A lack of appetite could be the re-
C. The client experiences a sud- sult of many factors, including the disease
den increase in temperature process.
D. The client demonstrates a
lack of appetite
12. After a subtotal gastrectomy, A
the nurse should anticipate that About 12 to 24 hours after a subto-
nasogastric tube drainage will tal gastrectomy, gastric drainage is nor-
be what color for about 12 to 24 mally brown, which indicates digested
hours after surgery? blood. Bile green or cloudy white drainage
is not expected during the first 12 to
A. Dark brown 24 hours after a subtotal gastrectomy.
