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WorksheetsNCLEX - GI Day1 (Part 1)
Total questions: 15
Worksheet time: 15mins
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
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.
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
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
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
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.
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
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
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
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
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