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NCLEX PN· Gastrointestinal · Gastrointestinal NCLEX

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is administering morning medications at 0730. Which medication should have priority?

A. A proton pump inhibitor.
B. A nonnarcotic analgesic.
C. A histamine receptor antagonist.
D. A mucosal barrier agent.

Expert Explanatory Rationale

Correct Answer: A proton pump inhibitor.

Question 2 of 5

Which disease is the client diagnosed with GERD at greater risk for developing?

A. Hiatal hernia.
B. Gastroenteritis.
C. Esophageal cancer.
D. Gastric cancer.

Expert Explanatory Rationale

Correct Answer: Esophageal cancer.

Question 3 of 5

An adult has a nasogastric tube in place. Which nursing action will relieve discomfort in the nostril with the NG tube?

A. Remove any tape and loosely pin the NG tube to his gown.
B. Lubricate the NG tube with viscous lidocaine.
C. Loop the NG tube to avoid pressure on the nares.
D. Replace the NG tube with a smaller diameter tube.

Expert Explanatory Rationale

Correct Answer: Loop the NG tube to avoid pressure on the nares.

Question 4 of 5

The client with cirrhosis is scheduled for a transjugular intrahepatic portosystemic shunt (TIPS) placement. The nurse realizes the client does not understand the procedure when the client makes which statement?

A. “I hope the abdominal incision heals fast after this procedure so I can return home.”
B. “My risk of bleeding from my esophagus again should be decreased after this procedure.”
C. “The shunt they are placing could become occluded in the future; I hope it doesn't happen.”
D. “This procedure should keep me from getting so much fluid buildup in my abdomen.”

Expert Explanatory Rationale

Correct Answer: “I hope the abdominal incision heals fast after this procedure so I can return home.”

Question 5 of 5

The nurse is preparing a client with Crohn's disease for discharge. Which of the following statements indicates that he needs further teaching?

A. Stress can make it worse.'
B. Since I have Crohn's disease, I don't have to worry about colon cancer.'
C. I realize I shall always have to monitor my diet.'
D. I understand there is a high incidence of familial occurrence with this disease.'

Expert Explanatory Rationale

Correct Answer: Since I have Crohn's disease, I don't have to worry about colon cancer.'

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