GI Hesi [ACTUAL EXAM] LATEST
VERSION [QUESTIONS AND
ANSWERS] WITH PRACTICE EXAM
DETAILED AND VERIFIED FOR
GUARANTEED PASS- LATEST
UPDATE 2025 GRADED A (BRAND
NEW!!)
A nurse evaluates that a client understands appropriately how to take the antacids
prescribed by the primary health care provider when the client states, "I will take my
antacids: - CORRECT ✔✔✔✔✔ 30 mins after meals. Antacids are most effective when
taken after digestion has started but before the stomach begins to empty. Antacids
should be taken before the onset of pain; pain indicates that gastric irritation has begun,
and the aim of treatment is to protect the gastrointestinal mucosa.
A client with a diagnosis of gastric cancer has a gastric resection with a vagotomy.
Which clinical response should alert the nurse that the client is experiencing dumping
syndrome? - CORRECT ✔✔✔✔✔ Reactive hypoglycemia. Rapid gastric emptying that
occurs after a gastric resection causes rapid elevation of blood glucose followed by
increased insulin secretion, resulting in reactive hypoglycemia.
, A client has an excision of a thrombosed external hemorrhoid. What should the nurse
teach the client to use when cleaning the anus after a bowel movement? - CORRECT
✔✔✔✔✔ Witch hazel-moistened pads (Tucks) are not irritating and are soothing to the
anal mucosa.
After a gastrojejunostomy (Billroth II) for cancer of the stomach, a client progresses to a
regular diet. After eating lunch, the client becomes diaphoretic and has palpitations.
What does the nurse conclude is the probable cause of these clinical manifestations? -
CORRECT ✔✔✔✔✔ Extracellular fluid shift into the bowel. Hypertonic food increases
osmotic pressure and pulls fluid from the intravascular compartment into the intestine
(dumping syndrome).
A client with the diagnosis of ulcerative colitis has surgery for the creation of an
ileostomy. Postoperatively, for which potential life-threatening complication should the
nurse assess the client? - CORRECT ✔✔✔✔✔ E-lyte imbalances. An ileostomy
directs liquid feces out of the body, bypassing the large intestine where fluid and
electrolytes normally are reabsorbed. The continuous excretion of liquid feces may
deplete the body of fluid and electrolytes, resulting in a life-threatening fluid deficit and
electrolyte imbalance.
A client with an acute episode of ulcerative colitis is admitted to the hospital. Blood
studies reveal that the chloride level is low. The nurse expects that the electrolyte
deficiency will be corrected by: - CORRECT ✔✔✔✔✔ Intravenous therapy ensures a
well-controlled technique for electrolyte (chloride) replacement.
A nurse is caring for a postoperative client who had a gastrectomy. What early client
response indicates that peristalsis has returned? - CORRECT ✔✔✔✔✔ The presence
of borborygmi indicates the return of peristalsis.
An emergency department nurse assesses an older client who reports cramping pain in
the left lower quadrant, weakness, bloating, and malaise. The client also has a low-
VERSION [QUESTIONS AND
ANSWERS] WITH PRACTICE EXAM
DETAILED AND VERIFIED FOR
GUARANTEED PASS- LATEST
UPDATE 2025 GRADED A (BRAND
NEW!!)
A nurse evaluates that a client understands appropriately how to take the antacids
prescribed by the primary health care provider when the client states, "I will take my
antacids: - CORRECT ✔✔✔✔✔ 30 mins after meals. Antacids are most effective when
taken after digestion has started but before the stomach begins to empty. Antacids
should be taken before the onset of pain; pain indicates that gastric irritation has begun,
and the aim of treatment is to protect the gastrointestinal mucosa.
A client with a diagnosis of gastric cancer has a gastric resection with a vagotomy.
Which clinical response should alert the nurse that the client is experiencing dumping
syndrome? - CORRECT ✔✔✔✔✔ Reactive hypoglycemia. Rapid gastric emptying that
occurs after a gastric resection causes rapid elevation of blood glucose followed by
increased insulin secretion, resulting in reactive hypoglycemia.
, A client has an excision of a thrombosed external hemorrhoid. What should the nurse
teach the client to use when cleaning the anus after a bowel movement? - CORRECT
✔✔✔✔✔ Witch hazel-moistened pads (Tucks) are not irritating and are soothing to the
anal mucosa.
After a gastrojejunostomy (Billroth II) for cancer of the stomach, a client progresses to a
regular diet. After eating lunch, the client becomes diaphoretic and has palpitations.
What does the nurse conclude is the probable cause of these clinical manifestations? -
CORRECT ✔✔✔✔✔ Extracellular fluid shift into the bowel. Hypertonic food increases
osmotic pressure and pulls fluid from the intravascular compartment into the intestine
(dumping syndrome).
A client with the diagnosis of ulcerative colitis has surgery for the creation of an
ileostomy. Postoperatively, for which potential life-threatening complication should the
nurse assess the client? - CORRECT ✔✔✔✔✔ E-lyte imbalances. An ileostomy
directs liquid feces out of the body, bypassing the large intestine where fluid and
electrolytes normally are reabsorbed. The continuous excretion of liquid feces may
deplete the body of fluid and electrolytes, resulting in a life-threatening fluid deficit and
electrolyte imbalance.
A client with an acute episode of ulcerative colitis is admitted to the hospital. Blood
studies reveal that the chloride level is low. The nurse expects that the electrolyte
deficiency will be corrected by: - CORRECT ✔✔✔✔✔ Intravenous therapy ensures a
well-controlled technique for electrolyte (chloride) replacement.
A nurse is caring for a postoperative client who had a gastrectomy. What early client
response indicates that peristalsis has returned? - CORRECT ✔✔✔✔✔ The presence
of borborygmi indicates the return of peristalsis.
An emergency department nurse assesses an older client who reports cramping pain in
the left lower quadrant, weakness, bloating, and malaise. The client also has a low-
