WorksheetsNCLEX - GI Day2 (Part 2)
Total questions: 10
Worksheet time: 10mins
Name
Class
Date
1.
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)
-
2.
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)
-
3.
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.
4.
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)
-
5.
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)
-
6.
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)
-
7.
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)
-
8.
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)
-
9.
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)
-
10.
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
100 %
