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NCLEX PN· Gastrointestinal · NCLEX Gastrointestinal

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is caring for the client diagnosed with cirrhosis. After completing discharge education, the nurse recognizes the need for further teaching when the client makes which statement?

A. “My cirrhosis was caused from too much alcohol; I plan to stop drinking.”
B. “I need to rest more; I plan on only going to work on a part-time basis.”
C. “Propranolol has been ordered to decrease my blood pressure.”
D. “Furosemide will help to reduce the amount of abdominal fluid.”

Expert Explanatory Rationale

Correct Answer: “Propranolol has been ordered to decrease my blood pressure.”

Question 2 of 5

The client diagnosed with ulcerative colitis is prescribed a low-residue diet. Which meal selection indicates the client understands the diet teaching?

A. Grilled hamburger on a wheat bun and fried potatoes.
B. A chicken salad sandwich and lettuce and tomato salad.
C. Roast pork, white rice, and plain custard.
D. Fried fish, whole grain pasta, and fruit salad.

Expert Explanatory Rationale

Correct Answer: Roast pork, white rice, and plain custard.

Question 3 of 5

The client is diagnosed with irritable bowel syndrome (IBS). Which intervention should the nurse teach the client to reduce symptoms?

A. Instruct the client to avoid drinking fluids with meals.
B. Explain the need to decrease intake of flatus-forming foods.
C. Teach the client how to perform gentle perianal care.
D. Encourage the client to attend a support group meeting.

Expert Explanatory Rationale

Correct Answer: Explain the need to decrease intake of flatus-forming foods.

Question 4 of 5

The nurse is caring for a client who uses cathartics frequently. Which statement made by the client indicates an understanding of the discharge teaching?

A. In the future I will eat a banana every time I take the medication.
B. I don't have to have a bowel movement every day.
C. I should limit the fluids I drink with my meals.
D. If I feel sluggish, I will eat a lot of cheese and dairy products.

Expert Explanatory Rationale

Correct Answer: I don't have to have a bowel movement every day.

Question 5 of 5

The experienced nurse is instructing the new nurse. The experienced nurse explains that the definitive diagnosis of PUD involves which test?

A. A urea breath test
B. Upper GI endoscopy with biopsy
C. Barium contrast studies
D. The string test

Expert Explanatory Rationale

Correct Answer: Upper GI endoscopy with biopsy

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