GI NCLEX Questions (71-75)

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71. A client receiving parenteral nutrition (PN) complains of nausea, excessive thirst, and increased frequency of voiding. The nurse initially assesses which of the following client data?

a) rectal temperature
b) last serum potasium
c) capillary blood glucose
d) serum blood urea nitrogen and creatinine

72. The nurse provides dietary measures to a client with diverticulosis. The nurse encourages the client to eat foods that are:

a)  high in fat
b) low in fiber
c) high in fiber
d) low roughage

73. A client who undergoes a gastric resection is at risk for developing dumping syndrome. The nurse monitors the client for:

a)  dizziness
b) bradycardia
c) constipation
d) extreme thirst

74. The nurse is caring for a client who is scheduled to have a liver biopsy. Before the procedure, it is most important for the nurse to assess the client's:

a)  tolerance to pain
b) allergy to iodine or shellfish
c) history of nausea and vomiting
d) ability to lie still and hold the breath

75.  A client who has had an abdominal aortic aneurysm repair is 1 day postoperative. The nurse performs an abdominal assessment and notes the absence of bowel sounds. The nurse should:

a) feed the client
b) call the physician immediately
c) remove the nasogastric (NG) tube
d) document the finding and continue to assess  for bowel sounds

GI NCLEX Questions 
Answers and Rationale

71) C
- The symptoms exhibited by the client are consistent with hyperglycemia. The nurse would need to assess the client's blood glucose level to verify these data. Clients receiving PN are at risk for hyperglycemia related to the increased glucose load of the solution. The other options would not provide any information that would correlate with the client's symptoms.

72) C
- Diverticulosis is managed by consumption of a high-fiber diet and prevention of constipation with bran and bulk laxatives. A diet high in fat should be avoided because high-fat foods tend to be low in fiber. A low-roughage diet is similar to a low-fiber diet.

73) A
- Early manifestations of dumping syndrome occur 5 to 30 minutes after eating. Symptoms include vasomotor disturbances such as dizziness, tachycardia, syncope, sweating, pallor, palpitations, and the desire to lie down.

74) D
- It is most important for the nurse to assess the client's ability to lie still and hold the breath for the procedure. This helps the physician avoid complications, such as puncturing the lung or other organs. Assessment of allergy to iodine or shellfish is unnecessary for this procedure, because no contrast dye is used. Knowledge of the history related to nausea and vomiting is generally a part of assessment of the gastrointestinal system but has no relationship to the procedure. The client's tolerance for pain is a useful item to know. However, the area will receive a local anesthetic.

75) D
- Bowel sounds may be absent for 3 to 4 days postoperative due to bowel manipulation during surgery. The nurse should document the finding and continue to monitor the client. The NG tube should stay in place if present, and the client is kept NPO until after the onset of bowel sounds. There is no need to call the physician immediately at this time.

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GI NCLEX Questions (1-5)