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NCLEX PN· Gastrointestinal · Gastrointestinal NCLEX Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is facilitating a support group for clients diagnosed with Crohn's disease. Which information is most important for the nurse to discuss with the clients?

A. Discuss coping skills to assist with adaptation to lifestyle modifications.

B. Teach about drug administration, dosages, and scheduled times.

C. Teach dietary changes necessary to control symptoms.

D. Explain the care of the ileostomy and necessary equipment.

Expert Explanatory Rationale

Correct Answer: Discuss coping skills to assist with adaptation to lifestyle modifications.

Question 2 of 5

The nurse is assigned to care for four clients. The nurse should plan to assess which client first?

A. The client with ascites who is having mild dyspnea with activity

B. The client with a peptic ulcer who now has severe vomiting

C. The client who had a colonoscopy and is having diarrheal stools

D. The client with Crohn's disease who received an initial dose of certolizumab (Cimzia) and is having generalized rashes

Expert Explanatory Rationale

Correct Answer: The client with Crohn's disease who received an initial dose of certolizumab (Cimzia) and is having generalized rashes

Question 3 of 5

The emergency department nurse is working in a community hospital. During the past two (2) hours, 15 clients have been admitted with Salmonella food poisoning. Which information should the nurse discuss with the clients?

A. Explain the incubation period is 48 to 72 hours.

B. Explain the source of this poisoning is contaminated water.

C. Explain the sources of contamination are eggs and chicken.

D. Explain the bacterial contaminant came from canned foods.

Expert Explanatory Rationale

Correct Answer: Explain the sources of contamination are eggs and chicken.

Question 4 of 5

The male client tells the nurse he has been experiencing 'heartburn' at night that awakens him. Which assessment question should the nurse ask?

A. How much weight have you gained recently?

B. What have you done to alleviate the heartburn?

C. Do you consume many milk and dairy products?

D. Have you been around anyone with a stomach virus?

Expert Explanatory Rationale

Correct Answer: What have you done to alleviate the heartburn?

Question 5 of 5

The nurse is caring for the surgical client during the first 24 hours after an abdominal-perineal resection. Which action should be priority?

A. Provide a diet that is low in residue

B. Check the colostomy bag for stool amount

C. Assess the perineal dressing for drainage

D. Encourage the client to see the colostomy site

Expert Explanatory Rationale

Correct Answer: Assess the perineal dressing for drainage

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