Uploaded by jessica zheng

nclex gi

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Caffeinated beverages and smoking are risk factors to assess for in the development of what condition?
A. Duodenal ulcers B. Peptic ulcers C. Helicobacter pylori D. Esophageal reflux
The nurse is planning to teach a client with GERD about substances that will increase the LES
pressure.Which item shoud the nurse include on this list.1. Coffee 2. Chocolate 3. Fatty Foods 4. Nonfat
Milk
"The nurse is teaching the patient a client with a
peptic ulcer discharge instructions. The client
asks the nurse which type of analgesic he may
take. Which of the following responses by the
nurse would be most accurate?
"1. Aspirin
2. Acetaminophen
3. Naproxen
4. Ibuprofen
Which assessment data support to the the nurse the client's diagnosis of gastric ulcer? A. Presence of
blood in the client's stool for the past month? B. Reports of a burning sensation moving like a wave. C.
Sharp pain in the upper abdomen after eating a heavy meal. D. Complaints of epigastric pain 30-60
minutes after ingesting food
The client is diagnosed with an acute exacerbation of ulcerative colitis. Which inter- vention should the
nurse implement? 1. Provide a low-residue diet. 2.Monitor intravenous fluids. 3.Assess vital signs
daily.4.Administer antacids orally
"Which statement made by the client indicates to the nurse the client may be experiencing GERD? 1. "My
chest hurts when I walk up the stairs in my home." 2. "I take antacid tablets with me wherever I go." 3. My
spouse tells me I snore very loudly at night." 4. I drink six (6) to seven (7) soft drinks every day
The nurse is caring for a female client with active upper GI bleeding. What is the appropriate diet for this client
during the first 24 hours after admission? a. regular diet b. skim milk c. nothing by mouth d. clear liquids
"The nurse has instructed the client who is experiencing diarrhea associated with irritable bowel
syndrome on dietary changes to prevent diarrhea. The nurse knows the client understands the dietary
changes if the client selects which of the following menu choices? a) Yogurt, crackers and sweet tea
b) Salad with chicken, whole wheat crackers
c) Bacon, tomato, lettuce with mayonnaise and a soft drink
d) Tuna on white bread and coconut cake
A client with inflammatory bowel disease undergoes an ileostomy. On the first day after surgery, the
nurse notes that the client's stoma appears dusky. How should the nurse interpret this finding?"a) The
ostomy bag should be adjusted.
b) Blood supply to the stoma has been interrupted.
c) An intestinal obstruction has occurred.
d) This is a normal finding 1 day after surgery
"The nurse is reviewing the record of a client
with Crohn's disease. Which stool characteristic
should the nurse expect to note documented
in the client's record? "a. Diarrhea( nonbloody)
b. Chronic constipation
c. Constipation alternating with diarrhea
d. Stool constantly oozing from the rectum
A patient being admitted with an acute exacerbation of ulcerative colitis reports crampy abdominal pain
and passing 15 or more bloody stools a day. The nurse will plan to
a. administer IV metoclopramide (Reglan).
b. discontinue the patient's oral food intake.
c. administer cobalamin (vitamin B12) injections.
d. teach the patient about total colectomy surgery.
Which diet choice by the patient with an acute exacerbation of inflammatory bowel disease (IBD)
indicates a need for more teaching?
a. Scrambled eggs
b. White toast and jam
c. Oatmeal with cream
d. Pancakes with syrup
A 51-year-old male patient has a new diagnosis of Crohn's disease after having frequent diarrhea and a
weight loss of 10 pounds (4.5 kg) over 2 months. The nurse will plan to teach about
a. medication use.
b. fluid restriction.
c. enteral nutrition.
d. activity restrictions.
A 73-year-old patient with diverticulosis has a large bowel obstruction. The nurse will monitor for
a. referred back pain.
b. metabolic alkalosis.
c. projectile vomiting.
d. abdominal distention.
The nurse admitting a patient with acute diverticulitis explains that the initial plan of care is to
a. administer IV fluids.
b. give stool softeners and enemas.
c. order a diet high in fiber and fluids.
d. prepare the patient for colonoscopy.
Which breakfast choice indicates a patient's good understanding of information about a diet for celiac disease?
a. Oatmeal with nonfat milk
b. Whole wheat toast with butter
c. Bagel with low-fat cream cheese
d. Corn tortilla with scrambled eggs
Which question from the nurse would help determine if a patient's abdominal pain might indicate irritable
bowel syndrome?
a. "Have you been passing a lot of gas?"
b. "What foods affect your bowel patterns?"
c. "Do you have any abdominal distention?"
d. "How long have you had abdominal pain?"
A patient in the emergency department has just been diagnosed with peritonitis caused by a ruptured
diverticulum. Which prescribed intervention will the nurse implement first?
a. Insert a urinary catheter to drainage.
b. Infuse metronidazole (Flagyl) 500 mg IV.
c. Send the patient for a computerized tomography scan.
d. Place a nasogastric (NG) tube to intermittent low suction.
Four hours after a bowel resection, a 74-year-old male patient with a nasogastric tube to suction
complains of nausea and abdominal distention. The first action by the nurse should be to
a. auscultate for hypotonic bowel sounds.
b. notify the patient's health care provider.
c. reposition the tube and check for placement.
d. remove the tube and replace it with a new one.
A 51-year-old woman with Crohn's disease who is taking infliximab (Remicade) calls the nurse in the
outpatient clinic about new symptoms. Which symptom is most important to communicate to the health
care provider?
a. Fever
b. Nausea
c. Joint pain
d. Headache
Which menu choice by the patient with diverticulosis is best for preventing diverticulitis?
a. Navy bean soup and vegetable salad
b. Whole grain pasta with tomato sauce
c. Baked potato with low-fat sour cream
d. Roast beef sandwich on whole wheat bread
Which information will the nurse teach a 23-year-old patient with lactose intolerance?
a. Ice cream is relatively low in lactose.
b. Live-culture yogurt is usually tolerated.
c. Heating milk will break down the lactose.
d. Nonfat milk is a better choice than whole milk.
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