NCLEX-RN: GI EXAM 2024/2025 WITH
100% ACCURATE SOLUTIONS
The nurse is monitoring a client admitted to the hospital with a diagnosis
of appendicitis who 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 bowel
sounds are diminished. Which is the most appropriate nursing
intervention?
a. Notify the health care provider (HCP)
b. Administer the prescribed pain medication
c. Call and ask the the operating room team to perform surgery as soon
as possible.
d. Reposition the client and apply a heating pad on the warm setting tot
he client's abdomen. - Precise Answer ✔✔a. Notify the health care
provider (HCP)
Rationale: On the basis of the signs and symptoms presented in the
question, the nurse should suspect peritonitis and notify the HCP.
Administering pain medication is not an appropriate intervention. Heat
should never be applied to the abdomen of a client with suspected
appendicitis because of the risk of rupture. Scheduling surgical time is
not within the scope of nursing practice, although the HCP probably
would perform the surgery earlier than the prescheduled time.
,During preparation for bowel surgery, a male client receives an
antibiotic to reduce intestinal bacteria. Antibiotic therapy may interfere
with synthesis of which vitamin and may lead to hypoprothrombinemia?
A. vitamin A
B. vitamin D
C. vitamin E
D. vitamin K - Precise Answer ✔✔D. vitamin K
Rationale: Vitamin K is synthesized by bacterial flora, deficiency in this
vitamin can lead to bleeding tendencies
When evaluating a male client for complications of acute pancreatitis,
the nurse would observe for:
A. increased intracranial pressure.
B. decreased urine output.
C. bradycardia.
D. hypertension. - Precise Answer ✔✔B. decreased urine output.
Rationale: Pancreatitis can lead to fatal hemorrhaging, decreased urine
output may indicate internal bleeding.
, A male client with a recent history of rectal bleeding is being prepared
for a colonoscopy. How should the nurse position the client for this test
initially?
A. Lying on the right side with legs straight
B. Lying on the left side with knees bent
C. Prone with the torso elevated
D. Bent over with hands touching the floor - Precise Answer ✔✔B.
Lying on the left side with knees bent
Rationale: this is the ideal/recommended position for the procedure.
A male client with extreme weakness, pallor, weak peripheral pulses,
and disorientation is admitted to the emergency department. His wife
reports that he has been "spitting up blood." A Mallory-Weiss tear is
suspected, and the nurse begins taking a client history from the client's
wife. The question by the nurse that demonstrates her understanding of
Mallory-Weiss tearing is:
A. "Tell me about your husband's alcohol usage."
B. "Is your husband being treated for tuberculosis?"
C. "Has your husband recently fallen or injured his chest?"
D. "Describe spices and condiments your husband uses on food." -
Precise Answer ✔✔C. "Has your husband recently fallen or injured his
chest?"
100% ACCURATE SOLUTIONS
The nurse is monitoring a client admitted to the hospital with a diagnosis
of appendicitis who 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 bowel
sounds are diminished. Which is the most appropriate nursing
intervention?
a. Notify the health care provider (HCP)
b. Administer the prescribed pain medication
c. Call and ask the the operating room team to perform surgery as soon
as possible.
d. Reposition the client and apply a heating pad on the warm setting tot
he client's abdomen. - Precise Answer ✔✔a. Notify the health care
provider (HCP)
Rationale: On the basis of the signs and symptoms presented in the
question, the nurse should suspect peritonitis and notify the HCP.
Administering pain medication is not an appropriate intervention. Heat
should never be applied to the abdomen of a client with suspected
appendicitis because of the risk of rupture. Scheduling surgical time is
not within the scope of nursing practice, although the HCP probably
would perform the surgery earlier than the prescheduled time.
,During preparation for bowel surgery, a male client receives an
antibiotic to reduce intestinal bacteria. Antibiotic therapy may interfere
with synthesis of which vitamin and may lead to hypoprothrombinemia?
A. vitamin A
B. vitamin D
C. vitamin E
D. vitamin K - Precise Answer ✔✔D. vitamin K
Rationale: Vitamin K is synthesized by bacterial flora, deficiency in this
vitamin can lead to bleeding tendencies
When evaluating a male client for complications of acute pancreatitis,
the nurse would observe for:
A. increased intracranial pressure.
B. decreased urine output.
C. bradycardia.
D. hypertension. - Precise Answer ✔✔B. decreased urine output.
Rationale: Pancreatitis can lead to fatal hemorrhaging, decreased urine
output may indicate internal bleeding.
, A male client with a recent history of rectal bleeding is being prepared
for a colonoscopy. How should the nurse position the client for this test
initially?
A. Lying on the right side with legs straight
B. Lying on the left side with knees bent
C. Prone with the torso elevated
D. Bent over with hands touching the floor - Precise Answer ✔✔B.
Lying on the left side with knees bent
Rationale: this is the ideal/recommended position for the procedure.
A male client with extreme weakness, pallor, weak peripheral pulses,
and disorientation is admitted to the emergency department. His wife
reports that he has been "spitting up blood." A Mallory-Weiss tear is
suspected, and the nurse begins taking a client history from the client's
wife. The question by the nurse that demonstrates her understanding of
Mallory-Weiss tearing is:
A. "Tell me about your husband's alcohol usage."
B. "Is your husband being treated for tuberculosis?"
C. "Has your husband recently fallen or injured his chest?"
D. "Describe spices and condiments your husband uses on food." -
Precise Answer ✔✔C. "Has your husband recently fallen or injured his
chest?"
