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NCLEX RN· RN Gastrointestinal · Gastrointestinal NCLEX RN Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is performing teaching for a client scheduled for gastric bypass surgery. Which client statement requires follow-up by the nurse?

A. Once I am home, I can advance my diet as tolerated.
B. I will have to take a multivitamin after this surgery.
C. I will be encouraged to perform leg exercises while I am in bed.
D. My weight may increase if I do not change my eating habits.

Expert Explanatory Rationale

Correct Answer: Once I am home, I can advance my diet as tolerated.

Question 2 of 5

The nurse is caring for a client who has ascites and hepatic encephalopathy. Which of the following prescriptions should the nurse clarify with the primary healthcare provider (PHCP)?

A. Alprazolam
B. Rifaximin
C. Lactulose
D. Spironolactone

Expert Explanatory Rationale

Correct Answer: Alprazolam

Question 3 of 5

The nurse is preparing a client for a scheduled colonoscopy. Which prescription should the nurse anticipate from the primary healthcare provider (PHCP) while the client is preparing for this procedure?

A. Docusate
B. Loperamide
C. Polyethylene glycol 3350
D. Famotidine

Expert Explanatory Rationale

Correct Answer: Polyethylene glycol 3350

Question 4 of 5

The nurse is performing an assessment on a client being admitted for acute pancreatitis. Which assessment finding would support a diagnosis of acute pancreatitis?

A. Homan's sign
B. Cullen's sign
C. Hyperactive bowel sounds
D. Kernig's sign

Expert Explanatory Rationale

Correct Answer: Cullen's sign

Question 5 of 5

The nurse is caring for a 26-year-old patient who cannot meet their nutritional needs by mouth. The interdisciplinary team decided inserting an NG tube for enteral feedings would be best. After inserting the tube, the nurse knows which of the following is the most accurate way to verify the placement of the tube?

A. Aspiration of stomach contents
B. pH verification of the aspirate
C. Injecting air into the tube and then auscultating the left upper quadrant (LUQ)
D. Visualization on an X-ray

Expert Explanatory Rationale

Correct Answer: Visualization on an X-ray

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