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WorksheetsNCLEX - GI Day2 (Part 1)
Total questions: 15
Worksheet time: 15mins
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
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
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
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.
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
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).
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
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
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
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