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NCLEX RN· RN Gastrointestinal · Gastrointestinal Disorders NCLEX RN

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is caring for a client with diverticulosis who reports difficulty getting enough dietary fiber. The nurse should anticipate the primary healthcare provider (PHCP) will prescribe

A. Psyllium
B. Oil-retention enema
C. Codeine
D. Bisacodyl

Expert Explanatory Rationale

Correct Answer: Psyllium

Question 2 of 5

While caring for a patient who is suspected of having appendicitis, the nurse overhears his conversation with a loved one. Which of the following statements would prompt immediate intervention?

A. The pain doesn't feel as bad now. I think it was just a stomach ache.
B. Would you mind getting me an ice pack?
C. I know I'm not supposed to eat anything right now, but I'm hungry.
D. I wonder if I can play in the basketball game on Monday.

Expert Explanatory Rationale

Correct Answer: The pain doesn't feel as bad now. I think it was just a stomach ache.

Question 3 of 5

The nurse is caring for a client diagnosed with peptic ulcer disease. The nurse anticipates a prescription for which medication?

A. Ondansetron
B. Diphenoxylate with atropine
C. Famotidine
D. Psyllium

Expert Explanatory Rationale

Correct Answer: Famotidine

Question 4 of 5

The nurse is caring for a client following a large volume paracentesis. To prevent hypovolemic shock, the nurse anticipates the primary healthcare provider (PHCP) to prescribe an infusion of

A. 0.9% saline
B. Albumin
C. Mannitol
D. 0.45% saline

Expert Explanatory Rationale

Correct Answer: Albumin

Question 5 of 5

The nurse in the intensive care unit is caring for a client being treated for necrotizing pancreatitis. Which of the following findings would indicate the client is experiencing a complication?

A. Periumbilical bruising
B. Abdominal pain rated 5/10 on the numerical rating scale
C. White blood cell count 13,500 mm3 [5,000-10,000 mm3]
D. Decreased lung sounds in the left lower lung fields

Expert Explanatory Rationale

Correct Answer: Decreased lung sounds in the left lower lung fields

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