Gastrointestinal Disorders NCLEX Practice Quiz (300+ Questions)

In a client with diarrhea, which outcome indicates that fluid resuscitation is successful?

When teaching a community group about measures to prevent colon cancer, which instruction should the nurse include?

A 30-year old client experiences weight loss, abdominal distention, crampy abdominal pain, and intermittent diarrhea after the birth of her 2nd child. Diagnostic tests reveal gluten-induced enteropathy. Which foods must she eliminate from her diet permanently?

After a right hemicolectomy for treatment of colon cancer, a 57-year old client is reluctant to turn while on bed rest. Which action by the nurse would be appropriate?

A client has a percutaneous endoscopic gastrostomy tube inserted for tube feedings. Before starting a continuous feeding, the nurse should place the client in which position?

An enema is prescribed for a client with suspected appendicitis. Which of the following actions should the nurse take?

The client being seen in a physician’s office has just been scheduled for a barium swallow the next day. The nurse writes down which of the following instructions for the client to follow before the test?

The nurse is monitoring a client for the early signs of dumping syndrome. Which symptom indicates this occurrence?

The nurse is preparing a discharge teaching plan for the client who had an umbilical hernia repair. Which of the following would the nurse include in the plan?

The nurse is caring for a hospitalized client with a diagnosis of ulcerative colitis. Which finding, if noted on assessment of the client, would the nurse report to the physician?A. Bloody diarrhea

The nurse is reviewing the record of a client with Crohn’s disease. Which of the following stool characteristics would the nurse expect to note documented on the client’s record?

The nurse is performing colostomy irrigation on a client. During the irrigation, a client begins to complain of abdominal cramps. Which of the following is the most appropriate nursing action?

The nurse is teaching the client how to perform a colostomy irrigation. To enhance the effectiveness of the irrigation and fecal returns, what measure should the nurse instruct the client to do?

The nurse is reviewing the physician’s orders written for a client admitted with acute pancreatitis. Which physician order would the nurse question if noted on the client’s chart?

The nurse is doing an admission assessment on a client with a history of duodenal ulcer. To determine whether the problem is currently active, the nurse would assess the client for which of the following most frequent symptom(s) of duodenal ulcer?

The nurse instructs the ileostomy client to do which of the following as a part of essential care of the stoma?

The client who has undergone the creation of a colostomy has a nursing diagnosis of Disturbed body image. The nurse would evaluate that the client is making the most significant progress toward identified goals if the client:

The nurse is assessing for stoma prolapse in a client with a colostomy. The nurse would observe which of the following if stoma prolapse occurred?

The client with a new colostomy is concerned about the odor from the stool in the ostomy drainage bag. The nurse teaches the client to include which of the following foods in the diet to reduce odor?

The nurse has given instructions to the client with an ileostomy about foods to eat to thicken the stool. The nurse determines that the client needs further instructions if the client starts to eat which of the following foods to make the stools less watery?

The client has just had surgery to create an ileostomy. The nurse assesses the client in the immediate post-op period for which of the following most frequent complications of this type of surgery?

The nurse is doing pre-op teaching with the client who is about to undergo the creation of a Kock pouch. The nurse interprets that the client has the best understanding of the nature of the surgery if the client makes which of the following statements?

The client with a colostomy has an order for irrigation of the colostomy. The nurse used which solution for irrigation?A. Distilled water

A nurse is monitoring a client admitted to the hospital with a diagnosis of appendicitis. The client is scheduled for surgery in 2 hours. The client begins to complain of increased abdominal pain and begins to vomit. On assessment, the nurse notes that the abdomen is distended and the bowel sounds are diminished. Which of the following is the most appropriate nursing intervention?

The client has been admitted with a diagnosis of acute pancreatitis. The nurse would assess this client for pain that is:

The client with Crohn’s disease has a nursing diagnosis of acute pain. The nurse would teach the client to avoid which of the following in managing this problem?

A client with ulcerative colitis has an order to begin salicylate medication to reduce inflammation. The nurse instructs the client to take the medication:

During the assessment of a client’s mouth, the nurse notes the absence of saliva. The client is also complaining of pain near the area of the ear. The client has been NPO for several days because of the insertion of a NG tube. Based on these findings, the nurse suspects that the client is developing which of the following mouth conditions?

The nurse evaluates the client’s stoma during the initial post-op period. Which of the following observations should be reported immediately to the physician?

When planning care for a client with ulcerative colitis who is experiencing symptoms, which client care activities can the nurse appropriately delegate to an unlicensed assistant? Select all that apply.

Which goal of the client’s care should take priority during the first days of hospitalization for an exacerbation of ulcerative colitis?

A client’s ulcerative colitis symptoms have been present for longer than 1 week. The nurse recognizes that the client should be assessed carefully for signs of which of the following complications?

A client who has ulcerative colitis has persistent diarrhea. He is thin and has lost 12 pounds since the exacerbation of his ulcerative colitis. The nurse should anticipate that the physician will order which of the following treatment approaches to help the client meet his nutritional needs?

Digoxin preparations and absorbents should not be given simultaneously. As a nurse, you are aware that if these agents are given simultaneously, which of the following will occur?

When used with hyperacidic disorders of the stomach, antacids are given to elevate the gastric pH to:

One of your patients is receiving digitalis orally and is also to receive an antacid at the same time. Your most appropriate action, based on the pharmacokinetics of antacids, is to:

The nurse would teach patients that antacids are effective in the treatment of hyperacidity because they:

The nurse would monitor for which of the following adverse reactions to aluminum-containing antacids such as aluminum hydroxide (Amphojel)?

The nurse would question an order for which type of antacid in patients with chronic renal failure?

The nurse would monitor a patient using sodium bicarbonate to treat gastric hyperacidity for signs and symptoms of:A. Metabolic alkalosis

Which of the following nursing diagnoses is appropriate for a patient receiving famotidine (Pepcid)?

Histamine2-receptor antagonists:

Proton pump inhibitors cause:

A patient unable to tolerate oral medications may be prescribed which of the following proton pump inhibitors to be administered intravenously?

When administering sucralfate (Carafate) to a patient with a nasogastric tube, it is important to:

Sucralfate (Carafate) achieves a therapeutic effect by:

To avoid fecal impaction, psyllium (Metamucil) should be administered with at least how many ounces of fluid?

Bismuth subsalicylate (Pepto-Bismol), as an absorbent, has which of the following mechanisms of action?

Side effects of loperamide (Imodium) include all of the following except?

The mechanism of action of diphenoxylate (Lotomil) is: