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WorksheetsNCLEX - GI Day1
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
The nurse is caring for a client who had an endoscopic procedure yesterday to stop upper gastrointestinal bleeding and who started a clear liquid diet today. Which of the following foods would be appropriate to offer to this client? Select all that apply.
a)
Apple juice
b)
Chicken broth
c)
Cranberry juice
d)
Cream of chicken soup
e)
Unsweetened tea
2.
Which group of food selections would be appropriate for a client on a full liquid diet 3 days after bariatric surgery?
a)
Apple juice, mashed potatoes, and chocolate pudding
b)
Chicken broth, low-fat cheese omelet, and strawberry ice cream
c)
Creamy wheat cereal, blended cream of chicken soup, and a protein shake
d)
Low-fat vanilla yogurt, smooth peanut butter, and vegetable juice
e)
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3.
The nurse is talking with a client who is scheduled for a screening colonoscopy. The client asks, "What should I know about this procedure?" Which of the following information should the nurse include? Select all that apply.
a)
The procedure is not painful, and you will be sedated.
b)
Your abdomen should feel firm and distended after the procedure.
c)
You will need to avoid consuming red liquids prior to the procedure.
d)
Colonoscopies are performed to screen for colon cancer and colon polyps.
e)
You will be given laxatives before the procedure to completely empty your colon.
4.
The nurse is caring for a client with celiac disease who started a gluten-free diet 4 weeks ago. The client reports continuation of symptoms. Which of the following responses would be most appropriate for the nurse to make?
a)
I can request a referral to the dietitian.
b)
Tell me what you had to eat yesterday.
c)
You may not be following your diet correctly.
d)
You will need to read food labels more carefully.
e)
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5.
The nurse is caring for a client who has undergone a colonoscopy. Which client assessment finding should most concern the nurse?
a)
Abdominal cramping
b)
Frequent, watery stools
c)
Positive rebound tenderness
d)
Recurring flatus
e)
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6.
The nurse is caring for a debilitated client with a percutaneous endoscopic gastrostomy (PEG) tube that was inserted 3 days ago for the long-term administration of enteral feedings and medications. While the nurse is preparing to administer the feeding, the tube becomes dislodged. What is the most appropriate intervention?
a)
Insert a Foley catheter into the existing tract and inflate the balloon
b)
Insert a small-bore nasointestinal tube to administer feedings and medications
c)
Notify the health care provider who inserted the PEG tube
d)
Reinsert the PEG tube into the existing tract immediately
e)
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7.
The nurse teaching a group of clients about celiac disease will include which meal in the teaching plan?
a)
Baked salmon with rice, steamed vegetables, and dinner roll
b)
Breaded pork chops, corn on the cob, and steamed snow peas
c)
Grilled chicken, green beans, and mashed potatoes
d)
Spaghetti with Italian tomato sauce and meatballs
e)
-
8.
The nurse assesses for cancer risk factors during a screening event at a gastroenterology clinic. Which of the following client statements include risk factors for esophageal cancer? Select all that apply.
a)
A few years ago, I switched from smoking cigarettes to smoking cigars 1 or 2 times a week.
b)
I am proud that I was able to lose 10 lb, but I'm still considered obese for my height.
c)
I drink 3 or 4 beers nightly to relax, but I did switch to light beer recently.
d)
I have struggled with daily episodes of acid reflux for years, especially at nighttime.
e)
I snack on a lot of salted foods like popcorn and peanuts.
9.
The nurse cares for a client with intractable nausea and vomiting after a total colectomy who has a new prescription for total parenteral nutrition (TPN). Which of the following nursing interventions are appropriate? Select all that apply.
a)
Administer TPN through a central venous access device
b)
Ensure that dextrose 10% in water IV solution is available
c)
Obtain a prescription for blood glucose checks every 4-6 hours
d)
Provide a loading dose so the client receives the necessary nutrients
e)
Weigh daily with strict documentation of intake and output
10.
The nurse assessing a client's pain would expect the client to make which statement when describing the abdominal pain associated with appendicitis?
a)
My pain is a burning sensation in my upper abdomen.
b)
My pain is an 8 out of 10 and on my left side below my belly button.
c)
My pain is excruciating in my lower abdomen above my right hip.
d)
My pain is intermittent in my abdomen and right shoulder.
e)
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11.
The post-anesthesia care unit nurse receives report on a client after abdominal surgery. What sounds would the nurse expect to hear when auscultating the bowel?
a)
Absent bowel sounds
b)
Borborygmi sounds
c)
High-pitched and gurgling sounds
d)
Swishing or buzzing sounds
e)
-
12.
The nurse is caring for a client who had an open appendectomy 24 hours ago. Based on the client's clinical data, which of the health care provider's new prescriptions should the nurse clarify?
a)
Advance client to regular diet
b)
Ambulate 3 times daily postoperative day 1
c)
Increase IV normal saline rate from 20 mL/hr to 100 mL/hr
d)
Remove indwelling urinary catheter
e)
-
13.
Which statements made by the client demonstrate a correct understanding of the home care of an ascending colostomy? Select all that apply.
a)
I will clarify with my health care provider before taking enteric-coated medications.
b)
I will irrigate the colostomy to promote regular bowel movements.
c)
I will limit eating foods such as broccoli and cauliflower to reduce odor.
d)
I will restrict my fluid intake to 2,000 milliliters of fluid a day.
e)
I will wait for the pouch to become completely full before emptying the contents.
14.
The registered nurse is developing a nursing care plan for a client who has just undergone surgery for treatment of ulcerative colitis with the creation of a permanent ileostomy. What is the priority outcome for this client?
a)
The client will contact the United Ostomy Association of America
b)
The client will look at and touch the stoma
c)
The client will read the materials provided on ostomy care
d)
The client will verbalize methods to control gas and odor
e)
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15.
The nurse is caring for a client with acute diverticulitis. Which of the following findings would be essential to follow up?
a)
abdominal pain has progressed to the left upper quadrant
b)
hemoglobin of 11.2 g/dL
c)
lying on side with knees drawn up to abdomen and trunk flexed
d)
WBC count of 12,000/mm3
e)
-
16.
The nurse is caring for a client recently diagnosed with a hiatal hernia. Which of the following actions should the nurse take? Select all that apply.
a)
Elevate the head of the bed at least 30 degrees
b)
Encourage use of compression garments around the abdomen
c)
Instruct the client to avoid caffeinated beverages
d)
Offer small, frequent, low-fat meals
e)
Tell the client to avoid lifting and straining
17.
The nurse is caring for a client who is receiving enteral feedings after sustaining severe burns to the face. Which of the following statements by the nurse would indicate a correct understanding of why the client is receiving enteral feedings instead of parenteral nutrition?
a)
Enteral feedings help maintain gut integrity and prevent stress ulcers.
b)
Hyperglycemia occurs with parenteral nutrition but not with enteral feedings.
c)
Enteral feedings can be used for extended durations, and parenteral nutrition cannot.
d)
There is higher calorie and nutrient content in enteral feedings than in parenteral nutrition.
e)
-
18.
The nurse is planning care for a client who had a hemorrhoidectomy. Which of the following interventions should the nurse include in the client's plan of care?
a)
Administer stool softeners and pain medications to the client.
b)
Remind the client to avoid straining during defecation.
c)
Encourage the client to increase the daily fluid intake.
d)
Teach the client how to self-administer a sitz bath.
e)
Provide the client with a list of low-fiber foods.
19.
The nurse is preparing a client who had a Roux-en-Y gastric bypass (RYGB) for discharge from the hospital. What information should the nurse plan to include related to the prevention of dumping syndrome?
a)
Meals should be small and low in carbohydrate content
b)
Fluids should be encouraged with each meal
c)
Take a multivitamin with iron and calcium supplements daily
d)
You will need to take your cobalamin injection monthly
e)
-
20.
The nurse is caring for a client who had a gastrojejunostomy and is reporting episodes of nausea, dizziness, and sweating that occur shortly after eating. Which of the following actions should the nurse take?
a)
Encourage the client to increase the consumption of carbohydrates
b)
Check the client's blood pressure while lying down and standing
c)
Recommend that the client consume extra fluids with meals
d)
Instruct the client to recline for a short time after meals
e)
-
21.
A client calls the primary care clinic reporting diarrhea for 4 days and a low grade fever. What instruction is most important for the nurse to give to the client?
a)
Encourage client to eat bulk-forming foods such as whole grain bread
b)
Encourage rest, fluids, and acetaminophen for the fever
c)
Make an appointment for the client with the health care provider today
d)
Take 2 tablets of loperamide followed by 1 tablet after each loose stool
e)
-
22.
A nurse is preparing a presentation about behavioral modifications to support weight loss for clients at an obesity clinic. Which of the following points should the nurse include in the teaching plan? Select all that apply.
a)
Avoid social gatherings that occur in restaurants or around meals
b)
Create multiple small goals with rewards for achievement
c)
Identify a list of desired outcomes not directly related to weight loss
d)
Perform anxiety-reducing activities rather than using food to cope with stress
e)
Utilize visual cues such as motivational quotes to encourage positive behavior
23.
The nurse is talking with a client with peptic ulcer disease. Which of the following statements by the client would require immediate follow-up?
a)
I was nauseous and vomited a small amount after lunch today.
b)
After eating, I have pain in the middle of my upper abdomen.
c)
For the past few days, I have felt dizzy when I stand up.
d)
I feel very full and belch often after eating meals.
e)
-
24.
The nurse is caring for a client with acute pancreatitis who has severe nausea, frequent vomiting, epigastric pain, and tachycardia. Which of the following interventions should the nurse anticipate for this client? Select all that apply.
a)
Administer IV fluids
b)
Administer IV hydromorphone for pain
c)
Insert a nasogastric tube for nasogastric suction
d)
Maintain the client in a supine position with the head of bed flat
e)
Provide small, frequent, high-carbohydrate, high-calorie meals
25.
The nurse is talking with clients at a community health fair about the importance of dietary fiber. Which of the following should the nurse include as a benefit of a high-fiber diet? Select all that apply.
a)
regulates bowel movements
b)
improves serum glucose control
c)
decreases the risk for colorectal cancer
d)
increases the feeling of fullness when eating
e)
prevents exacerbations of systemic lupus erythematosus
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