NCLEX PN SUANDERS GI DISORDERS QUESTIONS
WITH COMPLETE SOLUTIONS
A client arrives at the emergency department and complains of
severe abdominal pain. The initial diagnosis is acute abdomen,
and an x-ray and an abdominal ultrasonogram are prescribed to
be obtained immediately. The nurse prepares the client for these
diagnostic tests and reviews the health care provider's
prescriptions. Which of the following prescriptions would the
nurse question if written on the health care provider's
prescription form? Correct Answers 1.
Administration of an analgesic
A client complains of stomach pain 30 minutes to 1 hour after
eating. The pain is not relieved by further intake of food,
although it is relieved by vomiting, and a gastric ulcer is
suspected. The nurse should gather which of the following
additional supportive data for this diagnosis from the client?
Correct Answers 3.
History of alcohol use, smoking, and weight loss
A client complains of stomach pain 30 minutes to 1 hour after
eating. The pain is not relieved by further intake of food,
although it is relieved by vomiting. A gastric ulcer is suspected.
Which of the following data would further support this
diagnosis? Correct Answers 1.
History of alcohol use, smoking, and weight loss
A client had a Miller-Abbott tube inserted 24 hours ago. The
nurse is asked to check the client to determine whether the tube
is in the appropriate location at this time. Which of the following
,findings would indicate adequate location of the tube? Correct
Answers 1.
The aspirate from the tube has a pH of 7.45.
A client has asymptomatic diverticular disease. What type of
diet should the nurse anticipate to be prescribed? Correct
Answers 2.
High-fiber diet
A client has been diagnosed with acute gastroenteritis. Which of
the following diets should the nurse anticipate would be
prescribed for the client? Correct Answers 2.
Low fiber
A client has been diagnosed with chronic gastritis and has been
told that there is too little intrinsic factor being produced. The
nurse tells the client that which of the following will be
prescribed to treat the problem? Correct Answers 4.
Vitamin B12 injections
A client has just returned from the radiology department
following an upper gastrointestinal (GI) series. The nurse
reviews the health care provider's prescriptions, expecting to
note which of the following needed for routine post-procedure
care? Correct Answers 1.
A laxative
A client has just undergone a gastroscopy. Which action should
be taken by the nurse as the essential post-procedure nursing
intervention? Correct Answers .
, 4. Monitoring for the gag reflex
A client has just undergone gastroscopy. Which of the following
is the essential post-procedure nursing intervention? Correct
Answers 4.
Check the gag reflex before giving oral foods or fluids.
A client has undergone esophagogastroduodenoscopy (EGD).
The nurse places highest priority on which of the following
items as part of the client's care plan? Correct Answers 2.
Checking for return of a gag reflex
A client has undergone subtotal gastrectomy and the nurse is
preparing the client for discharge. Which item should be
included when teaching the client about ongoing self-
management? Correct Answers 1.
Smaller, more frequent meals should be eaten
A client is admitted to an acute care facility with complications
of celiac disease. Which question would be helpful initially in
obtaining information for the nursing care plan? Correct
Answers 3.
"What is your understanding of celiac disease?"
A client is admitted to the hospital with a bowel obstruction
secondary to a recurrent malignancy, and the health care
provider plans to insert a Miller-Abbott tube. When the nurse
tries to explain the procedure, the client interrupts the nurse and
states, "I don't want to hear about that. Just let the doctor do it."
Based on the client's statement, the nurse determines that the
best action is to: Correct Answers 4.
WITH COMPLETE SOLUTIONS
A client arrives at the emergency department and complains of
severe abdominal pain. The initial diagnosis is acute abdomen,
and an x-ray and an abdominal ultrasonogram are prescribed to
be obtained immediately. The nurse prepares the client for these
diagnostic tests and reviews the health care provider's
prescriptions. Which of the following prescriptions would the
nurse question if written on the health care provider's
prescription form? Correct Answers 1.
Administration of an analgesic
A client complains of stomach pain 30 minutes to 1 hour after
eating. The pain is not relieved by further intake of food,
although it is relieved by vomiting, and a gastric ulcer is
suspected. The nurse should gather which of the following
additional supportive data for this diagnosis from the client?
Correct Answers 3.
History of alcohol use, smoking, and weight loss
A client complains of stomach pain 30 minutes to 1 hour after
eating. The pain is not relieved by further intake of food,
although it is relieved by vomiting. A gastric ulcer is suspected.
Which of the following data would further support this
diagnosis? Correct Answers 1.
History of alcohol use, smoking, and weight loss
A client had a Miller-Abbott tube inserted 24 hours ago. The
nurse is asked to check the client to determine whether the tube
is in the appropriate location at this time. Which of the following
,findings would indicate adequate location of the tube? Correct
Answers 1.
The aspirate from the tube has a pH of 7.45.
A client has asymptomatic diverticular disease. What type of
diet should the nurse anticipate to be prescribed? Correct
Answers 2.
High-fiber diet
A client has been diagnosed with acute gastroenteritis. Which of
the following diets should the nurse anticipate would be
prescribed for the client? Correct Answers 2.
Low fiber
A client has been diagnosed with chronic gastritis and has been
told that there is too little intrinsic factor being produced. The
nurse tells the client that which of the following will be
prescribed to treat the problem? Correct Answers 4.
Vitamin B12 injections
A client has just returned from the radiology department
following an upper gastrointestinal (GI) series. The nurse
reviews the health care provider's prescriptions, expecting to
note which of the following needed for routine post-procedure
care? Correct Answers 1.
A laxative
A client has just undergone a gastroscopy. Which action should
be taken by the nurse as the essential post-procedure nursing
intervention? Correct Answers .
, 4. Monitoring for the gag reflex
A client has just undergone gastroscopy. Which of the following
is the essential post-procedure nursing intervention? Correct
Answers 4.
Check the gag reflex before giving oral foods or fluids.
A client has undergone esophagogastroduodenoscopy (EGD).
The nurse places highest priority on which of the following
items as part of the client's care plan? Correct Answers 2.
Checking for return of a gag reflex
A client has undergone subtotal gastrectomy and the nurse is
preparing the client for discharge. Which item should be
included when teaching the client about ongoing self-
management? Correct Answers 1.
Smaller, more frequent meals should be eaten
A client is admitted to an acute care facility with complications
of celiac disease. Which question would be helpful initially in
obtaining information for the nursing care plan? Correct
Answers 3.
"What is your understanding of celiac disease?"
A client is admitted to the hospital with a bowel obstruction
secondary to a recurrent malignancy, and the health care
provider plans to insert a Miller-Abbott tube. When the nurse
tries to explain the procedure, the client interrupts the nurse and
states, "I don't want to hear about that. Just let the doctor do it."
Based on the client's statement, the nurse determines that the
best action is to: Correct Answers 4.
