WorksheetsNCLEX - GI Day1 (Part 2)
Total questions: 10
Worksheet time: 10mins
Name
Class
Date
1.
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
2.
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)
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3.
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.
4.
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)
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5.
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)
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6.
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)
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7.
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
8.
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)
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9.
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
10.
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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