MED SURGE GI ACTUAL EXAM WITH QUESTIONS
AND WELL DETAILED ANSWERS WITH RATIONALES
(100% CORRECT ANSWERS) || LATEST UPDATE
2025/26
A nurse educator of a college health course is discussing tattoos with the class. Which
type of hepatitis associated with tattoos should the nurse include in the teaching plan? -
CORRECTANSWER Hepatitis-C
A nurse is planning care for a client admitted to the hospital with abdominal spasms and
pain associated with severe diarrhea. What primary serum blood level should the nurse
monitor? -CORRECTANSWER Potassium
A client is admitted to the hospital with ascites. The client reports drinking a quart of
vodka mixed in orange juice every day for the past three months. To assess the
potential for withdrawal symptoms, which question would be appropriate for the nurse to
ask the client? -CORRECTANSWER "When was your last drink of vodka?
A client has a body mass index (BMI) of 35 and verbalizes the need to lose weight. The
nurse encourages the client to lose weight safely by changing which dietary habits? -
CORRECTANSWER Decrease portion size and fat intake
,A self-help group of clients with irritable bowel syndrome have invited a nurse to present
a program on nutrition. Which substance should the nurse teach the clients to minimize
in the diet to decrease gastrointestinal (GI) irritability? -CORRECTANSWER Cola drinks
The postoperative prescriptions for a client who had repair of an inguinal hernia include
docusate sodium (Colace) daily. Before discharge, the nurse teaches the client that an
intermittent side effect of this medication may be: -CORRECTANSWER Mild abdominal
cramping
A nurse is caring for a client who is recovering from an acute episode of alcoholism.
Which component of a therapeutic diet should the nurse encourage the client to
consume? -CORRECTANSWER High protein
A client is scheduled to begin chemotherapy two weeks after the client had surgery for
colon cancer. The nurse explains to the client that the delay in instituting drug therapy is
planned because the chemotherapy: -CORRECTANSWER Interferes with cell growth
and delays wound healing
A nurse is caring for a client with a diagnosis of cholecystitis. For which clinical
manifestation of obstructive jaundice should the nurse assess the client? -
CORRECTANSWER Clay-colored stools
, A health care provider prescribes a sigmoidoscopy for one client and a barium enema
for another client. What is a nursing responsibility common to preparing both of these
clients for these procedures? -CORRECTANSWER Ensuring an understanding of the
procedure
A client has a paracentesis during which 1500 mL of fluid is removed. The nurse should
monitor the client carefully for -CORRECTANSWER Hypovolemic shock
A client who had abdominal surgery asks the nurse about when the client can return to
work after discharge. The most appropriate response by the nurse is: -
CORRECTANSWER "What type of work did you have in mind?"
A client with gastric ulcer disease asks the nurse why the health care provider has
prescribed metronidazole (Flagyl). The nurse explains, "Antibiotics are prescribed to: -
CORRECTANSWER Treat Helicobacter pylori infection."
After a bilateral inguinal hernia repair (herniorrhaphy) the nurse should assess the client
for the development of: -CORRECTANSWER Urinary retention
A client is admitted with a diagnosis of cancer of the colon. What information about
malignant tumors of the colon should the nurse consider when caring for this client? -
CORRECTANSWER Intestinal obstructions usually are malignant
AND WELL DETAILED ANSWERS WITH RATIONALES
(100% CORRECT ANSWERS) || LATEST UPDATE
2025/26
A nurse educator of a college health course is discussing tattoos with the class. Which
type of hepatitis associated with tattoos should the nurse include in the teaching plan? -
CORRECTANSWER Hepatitis-C
A nurse is planning care for a client admitted to the hospital with abdominal spasms and
pain associated with severe diarrhea. What primary serum blood level should the nurse
monitor? -CORRECTANSWER Potassium
A client is admitted to the hospital with ascites. The client reports drinking a quart of
vodka mixed in orange juice every day for the past three months. To assess the
potential for withdrawal symptoms, which question would be appropriate for the nurse to
ask the client? -CORRECTANSWER "When was your last drink of vodka?
A client has a body mass index (BMI) of 35 and verbalizes the need to lose weight. The
nurse encourages the client to lose weight safely by changing which dietary habits? -
CORRECTANSWER Decrease portion size and fat intake
,A self-help group of clients with irritable bowel syndrome have invited a nurse to present
a program on nutrition. Which substance should the nurse teach the clients to minimize
in the diet to decrease gastrointestinal (GI) irritability? -CORRECTANSWER Cola drinks
The postoperative prescriptions for a client who had repair of an inguinal hernia include
docusate sodium (Colace) daily. Before discharge, the nurse teaches the client that an
intermittent side effect of this medication may be: -CORRECTANSWER Mild abdominal
cramping
A nurse is caring for a client who is recovering from an acute episode of alcoholism.
Which component of a therapeutic diet should the nurse encourage the client to
consume? -CORRECTANSWER High protein
A client is scheduled to begin chemotherapy two weeks after the client had surgery for
colon cancer. The nurse explains to the client that the delay in instituting drug therapy is
planned because the chemotherapy: -CORRECTANSWER Interferes with cell growth
and delays wound healing
A nurse is caring for a client with a diagnosis of cholecystitis. For which clinical
manifestation of obstructive jaundice should the nurse assess the client? -
CORRECTANSWER Clay-colored stools
, A health care provider prescribes a sigmoidoscopy for one client and a barium enema
for another client. What is a nursing responsibility common to preparing both of these
clients for these procedures? -CORRECTANSWER Ensuring an understanding of the
procedure
A client has a paracentesis during which 1500 mL of fluid is removed. The nurse should
monitor the client carefully for -CORRECTANSWER Hypovolemic shock
A client who had abdominal surgery asks the nurse about when the client can return to
work after discharge. The most appropriate response by the nurse is: -
CORRECTANSWER "What type of work did you have in mind?"
A client with gastric ulcer disease asks the nurse why the health care provider has
prescribed metronidazole (Flagyl). The nurse explains, "Antibiotics are prescribed to: -
CORRECTANSWER Treat Helicobacter pylori infection."
After a bilateral inguinal hernia repair (herniorrhaphy) the nurse should assess the client
for the development of: -CORRECTANSWER Urinary retention
A client is admitted with a diagnosis of cancer of the colon. What information about
malignant tumors of the colon should the nurse consider when caring for this client? -
CORRECTANSWER Intestinal obstructions usually are malignant
