Font size
S
M
L
XL
WorksheetsNCLEX - GI Day2
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
The nurse understands that which of these body substances are modes of transmission for hepatitis B? Select all that apply.
a)
Blood
b)
Feces
c)
Semen
d)
Urine
e)
Vaginal secretions
2.
The nurse is caring for a client with liver cirrhosis. Which of the following assessment findings would warrant immediate follow up?
a)
Black, tarry stool
b)
Bright red-streaked stool
c)
Light gray clay-colored stool
d)
Small, dry, rocky stool
e)
-
3.
The nurse is caring for a client with acute pancreatitis. While obtaining the client's blood pressure, the nurse notes a carpal spasm. The nurse should obtain a blood specimen to check the client's serum
a)
Calcium level
b)
Albumin level
c)
Troponin T level
d)
Potassium level
e)
-
4.
The nurse admits a client with cirrhosis who has an upper gastrointestinal bleed from suspected gastroesophageal varices. Which new prescription should the nurse question?
a)
Administer pantoprazole IV piggyback every 12 hours
b)
Initiate continuous octreotide IV infusion
c)
Insert and maintain a nasogastric tube
d)
Maintain NPO status except for PO medications
e)
-
5.
A client diagnosed with cirrhosis is experiencing pruritus. Which strategies are appropriate for the nurse to teach the client to promote comfort and skin integrity? Select all that apply.
a)
Maintain short fingernails to minimize excoriating the skin
b)
Take a bath or shower in hot water to alleviate itching sensations
c)
Take prescribed cholestyramine 1 hour after other medications
d)
Use a moisturizing cream on unbroken skin daily
e)
Wear wool gloves and tight stockings to avoid scratching
6.
The nurse is talking with a client who had an inguinal hernia repair 2 hours ago. Which of the following statements by the client would require follow-up?
a)
I will elevate my scrotum and apply an ice bag to reduce swelling.
b)
I should practice coughing to clear any secretions I may have.
c)
I will call for assistance if using the urinal in bed is difficult.
d)
I should turn in bed and perform deep breathing every hour.
e)
-
7.
The nurse is screening clients for those at risk for developing acute pancreatitis. Which of the following factors would increase a client's risk for developing acute pancreatitis?
a)
abdominal trauma
b)
alcohol use disorder
c)
excess calcium intake
d)
untreated cholelithiasis
e)
elevated serum uric acid level
8.
The nurse is caring for a client with hepatic encephalopathy who is receiving newly prescribed lactulose. Follow-up would be required if the nurse
a)
administers the medication to the client on an empty stomach for rapid effect
b)
assesses the client's mental status and orientation before administering the medication
c)
holds the medication if the client has three soft stools a day
d)
mixes the medication with fruit juice to improve the flavor
e)
-
9.
The nurse is caring for a client with cirrhosis who has ascites, peripheral edema, shortness of breath, fatigue, and generalized discomfort. Which of the following actions should the nurse take? Select all that apply.
a)
Assist the client to ambulate in the hallway every shift
b)
Encourage the client to increase sodium intake
c)
Maintain the client in semi-Fowler position
d)
Provide an alternating air pressure mattress for the client
e)
Use music to provide a distraction for the client
10.
The nurse provides discharge instructions to a client one day after laparoscopic cholecystectomy. Which statement by the client indicates that further teaching is required?
a)
I can return to work within a week of surgery.
b)
I can take a bath as long as I do not scrub the surgical glue off of the incision.
c)
I will avoid fatty foods for several weeks after surgery.
d)
I will report to the health care provider if my temperature is higher than 101 F (38.3 C).
e)
-
11.
The nurse is reviewing new orders for a client with chronic kidney disease. The nurse should clarify the order for
a)
dietary sodium restriction
b)
magnesium hydroxide
c)
fluid restriction
d)
furosemide
e)
-
12.
Which nursing interventions would the nurse implement when caring for a client newly diagnosed with acute, viral hepatitis B? Select all that apply.
a)
Offer small, frequent meals to prevent nausea
b)
Promote rest periods between periods of activity
c)
Provide a diet high in fat and low in carbohydrates
d)
Teach the client not to share razors or toothbrushes with others
e)
Teach the client to abstain from drinking alcohol
13.
The nurse is providing postoperative care to a client who had a laparoscopic cholecystectomy 4 hours ago. Which intervention is the priority?
a)
Apply antiembolism stockings
b)
Assist with early ambulation
c)
Encourage a low-fat diet
d)
Offer stool softeners
e)
-
14.
The nurse is caring for a client with suspected colorectal cancer. Which of the following findings would support a diagnosis of colorectal cancer? Select all that apply.
a)
fatigue
b)
blood in the stool
c)
change in bowel habits
d)
unintentional weight loss
e)
elevated hemoglobin level
15.
The nurse is caring for a client with liver cirrhosis who was admitted for cellulitis of the leg. Which assessments would the nurse perform to determine if the client's condition has progressed to hepatic encephalopathy? Select all that apply.
a)
Ask if the client knows what day it is
b)
Ask the client to extend the arms
c)
Assess for telangiectasia (spider nevi)
d)
Determine if the conjunctiva is jaundiced
e)
Note amylase and lipase serum levels
16.
The nurse is caring for a client with end-stage liver disease who is being considered for a liver transplant. The client's spouse states that the client continues to drink alcohol and may be unable to stop. Which of the following actions would be most appropriate for the nurse to take?
a)
Request a referral for palliative care for the client.
b)
Assess the client's motivation to implement lifestyle changes.
c)
Notify the nurse manager that the client may not be an eligible candidate for transplant.
d)
Encourage the client's family members to assist the client in abstaining from alcohol before the transplant.
e)
-
17.
The nurse is reinforcing teaching to a client with a hiatal hernia. Which statement by the client indicates that further teaching is needed?
a)
I need to raise the head of my bed on blocks by at least 6 inches.
b)
I will remain sitting up for several hours after I eat any food.
c)
If my reflux and abdominal pain don't improve, I might need surgery.
d)
Losing weight may reduce my reflux, so I plan to take a weight-lifting class.
e)
-
18.
A nurse is evaluating the teaching of weight reduction strategies to a client with obesity. Which of the following statements indicate that the client understands the teaching? Select all that apply.
a)
Fruit juice is a good substitute for soda.
b)
I will aim to lose 1-2 lb (0.45-0.91 kg) per week.
c)
I will keep healthy snacks on hand in case I get hungry.
d)
I will skip breakfast to save calories for later in the day.
e)
I will take the stairs instead of the elevator.
19.
The nurse prepares to assess a newly admitted client with alcohol use disorder whose laboratory report shows a decreased magnesium level. Which assessment finding does the nurse anticipate?
a)
constipation and polyuria
b)
increased thirst and dry mucous membranes
c)
leg weakness and soft, flaccid muscles
d)
tremors and brisk deep-tendon reflexes
e)
-
20.
The nurse is assessing a client with suspected acute pancreatitis. Which of the following findings would support the diagnosis of acute pancreatitis?
a)
chest pain radiating to the right shoulder
b)
left flank pain radiating to the groin area
c)
left upper quadrant pain radiating to the back
d)
periumbilical pain radiating to the right lower quadrant
e)
-
21.
The nurse is teaching a client with cirrhosis who has portal hypertension and esophageal varices. Which of the following statements by the client would indicate a correct understanding of the teaching?
a)
I may have one alcoholic drink a day.
b)
I may take aspirin instead of acetaminophen for fever or pain.
c)
I should follow a low-protein diet.
d)
I should avoid straining while having a bowel movement.
e)
-
22.
During the immediate postoperative period after a colostomy, which stoma assessment requires the nurse to contact the health care provider immediately?
a)
Brick red with slight moisture
b)
Dusky with moderate edema
c)
Pink with slight oozing of blood
d)
Red with no stool produced
e)
-
23.
The nurse enters the room of a client who had major abdominal surgery 1 week ago and notes dehiscence and evisceration of the surgical incision. The nurse should immediately place the client in the
a)
low Fowler position with the knees bent
b)
prone position
c)
supine position with the head of the bed flat
d)
side-lying position
e)
-
24.
The nurse is caring for a client who reports experiencing a burning sensation in the upper abdomen after eating for the past 3 months. The nurse should expect that the client will be prescribed
a)
rabeprazole
b)
ondansetron
c)
ademetionine
d)
promethazine
e)
-
25.
During assessment of a client with cholelithiasis and acute cholecystitis, which of the following findings should the nurse expect during the health history and physical examination? Select all that apply.
a)
Flank pain radiating to the groin
b)
High-protein food ingestion before the onset of pain
c)
Low-grade fever with chills
d)
Pain at the umbilicus
e)
Right upper quadrant pain radiating to the right shoulder
Reset
