NCLEX Passpoint-gastrointestinal QUESTIONS AND ANSWERS GRADED A

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A nurse is caring for a client with gastroenteritis. The nurse administers an as­needed dose of kaolin and pectin mixture as ordered. The nurse should complete which assessment 30 minutes after... administering the medication? You Selected: • Perform a pain assessment. Correct response: • Determine if the client has had any more loose stools. Explanation: Question 2 See full question A client has had a nasogastric tube connected to low intermittent suction. The client is at risk for: You Selected: • muscle cramping. Correct response: • muscle cramping. Explanation: Remediation: Question 3 See full question The nurse is developing a plan of care for a client with Crohn’s disease who is receiving total parenteral nutrition (TPN). Which interventions should the nurse include? Select all that apply. You Selected: • Monitor vital signs once a shift. • Weigh the client daily. • Monitor the IV infusion rate hourly. Correct response: • Weigh the client daily. • Monitor the IV infusion rate hourly. • Tape all IV tubing connections securely. Explanation: Remediation: Question 4 See full question A client with peptic ulcer disease is taking ranitidine. What is the expected outcome of this drug? You Selected: • Reduce acid concentration. Correct response: • Limit gastric acid secretion. Explanation: Remediation: Question 5 See full question The nurse develops a plan of care for a client with a t­tube. Which nursing intervention should be included? You Selected: • Inspect skin around the t­tube daily for irritation. Correct response: • Inspect skin around the t­tube daily for irritation. Explanation: Remediation: Question 6 See full question Which expected outcome about nutrition would be appropriate for a client who has had a total gastrectomy for gastric cancer? The client will: You Selected: • learn to self­administer enteral feedings every 4 hours. Correct response: • maintain adequate nutrition through oral or parenteral feedings. Explanation: Remediation: Question 7 See full question A client with a history of alcohol abuse comes to the emergency department and complains of abdominal pain. Laboratory studies help confirm a diagnosis of acute pancreatitis. The client's vital signs are stable, but the client's pain is worsening and radiating to his back. Which intervention takes priority for this client? You Selected: • Administering morphine I.V. as ordered Correct response: • Administering morphine I.V. as ordered Explanation: Remediation: Question 8 See full question The client has been taking magnesium hydroxide to control hiatal hernia symptoms. The nurse should assess the client for which condition most commonly associated with the ongoing use of magnesium­based antacids? You Selected: • constipation Correct response: • diarrhea Explanation: Remediation: Question 9 See full question A nurse is assessing the abdomen of a client who was admitted to the emergency department with suspected appendicitis. Identify the area of the abdomen that the nurse would palpate last. You Selected: • Your selection and the correct area, market by the green box. Explanation: Remediation: Question 10 See full question A client recently diagnosed with hepatitis C states: “Now that you know what is wrong with me, you can just get me those new drugs to take care of it, right?” The nurse should tell the client: You Selected: • “The treatment is complex. There are new antiviral drugs available that may make treatment more effective and help you tolerate it better.” Correct response: “The treatment is complex. There are new antiviral drugs available that may make treatment more effective and help you tolerate it better.” Question 1 See full question A nurse is caring for a client who just had an appendectomy. The client is receiving opioid analgesics routinely for pain. The nurse should focus her follow-up assessment on which complication? You Selected:  Diarrhea Correct response:  Constipation Explanation: Remediation: Question 2 See full question A physician orders morphine for a client who complains of postoperative abdominal pain. For maximum pain relief, when should the nurse anticipate administering morphine? You Selected:  Before the pain becomes severe Correct response:  Before the pain becomes severe Explanation: Remediation: Question 3 See full question The nurse is checking the client's chart for possible contraindications, before administering meperidine, 50 mg I.M., to a client with pain after an appendectomy. The nurse should hold the meperidine when she sees an order for what type of drug? [Show More]

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