NCLEX PRACTICE QUESTIONS SAUNDERS - GI
SYSTEM AND ANSWERS LATEST 2024 VERSION
VERIFIED RATIONALE GRADED A+
A client had a new colostomy created 2 days earlier and is beginning to pass malodorous
flatus from the stoma. What is the correct interpreta�on by the nurse?
1. This is a normal, expected event.
2. The client is experiencing early signs of ischemic bowel.
3. The client should not have the nasogastric tube removed.
4. This indicates inadequate preopera�ve bowel prepara�on. - ans1. This is a normal, expected event.
Ra�onale: As peristalsis returns following crea�on of a colostomy, the client begins to pass malodorous
flatus. This indicates
returning bowel func�on and is an expected event. Within 72 hours of surgery, the client should begin
passing stool via the colostomy.
Op�ons 2, 3, and 4 are incorrect.
A client has been admited to the hospital with a diagnosis of acute pancrea��s and the nurse
is assessing the client's pain. What type of pain is consistent with this diagnosis?
1. Burning and aching, located in the le� lower quadrant and radia�ng to the hip
2. Severe and unrelen�ng, located in the epigastric area and radia�ng to the back
3. Burning and aching, located in the epigastric area and radia�ng to the umbilicus
4. Severe and unrelen�ng, located in the le� lower quadrant and radia�ng to the groin - ans2. Severe
and unrelen�ng, located in the epigastric area and radia�ng to the back
Ra�onale: The pain associated with acute pancrea��s is o�en severe and unrelen�ng, is located in the
epigastric region, and radiates
to the back. The other op�ons are incorrect.
,NCLEX PRACTICE QUESTIONS SAUNDERS - GI
SYSTEM AND ANSWERS LATEST 2024 VERSION
VERIFIED RATIONALE GRADED A+
A client has developed hepa��s A a�er ea�ng contaminated oysters. The nurse assesses the
client for which expected assessment finding?
1. Malaise
2. Dark stools
3. Weight gain
4. Le� upper quadrant discomfort - ans1. Malaise
Ra�onale: Hepa��s causes gastrointes�nal symptoms such as anorexia, nausea, right upper quadrant
discomfort, and weight loss.
Fa�gue and malaise are common. Stools will be light- or clay-colored if conjugated bilirubin is unable to
flow out of the liver because
of inflamma�on or obstruc�on of the bile ducts.
A client has just had a hemorrhoidectomy. Which nursing interven�ons are appropriate for this
client? Select all that apply.
1. Administer stool so�eners as prescribed.
2. Instruct the client to limit fluid intake to avoid urinary reten�on.
3. Instruct the client to avoid ac�vi�es that will ini�ate vasovagal responses.
4. Encourage a high-fiber diet to promote bowel movements without straining.
5. Apply cold packs to the anal-rectal area over the dressing un�l the packing is removed.
6. Help the client to a Fowler's posi�on to place pressure on the rectal area and decrease
bleeding. - ans1. Administer stool so�eners as prescribed.
4. Encourage a high-fiber diet to promote bowel movements without straining.
5. Apply cold packs to the anal-rectal area over the dressing un�l the packing is removed.
, NCLEX PRACTICE QUESTIONS SAUNDERS - GI
SYSTEM AND ANSWERS LATEST 2024 VERSION
VERIFIED RATIONALE GRADED A+
Ra�onale: Nursing interven�ons a�er a hemorrhoidectomy are aimed at management of pain and
avoidance of bleeding and incision
rupture. Stool so�eners and a high-fiber diet will help the client avoid straining, thereby reducing the
chances of rupturing the incision.
An ice pack will increase comfort and decrease bleeding. Op�ons 2, 3, and 6 are incorrect interven�ons.
A client has just had surgery to create an ileostomy. The nurse assesses the client in the
immediate postopera�ve period for which most frequent complica�on of this type of surgery?
1. Folate deficiency
2. Malabsorp�on of fat
3. Intes�nal obstruc�on
4. Fluid and electrolyte imbalance - ans4. Fluid and electrolyte imbalance
Ra�onale: A frequent complica�on that occurs following ileostomy is fluid and electrolyte imbalance.
The client requires constant
monitoring of intake and output to prevent this from occurring. Losses require replacement by
intravenous infusion un�l the client can
tolerate a diet orally. Intes�nal obstruc�on is a less frequent complica�on. Fat malabsorp�on and folate
deficiency are complica�ons
that could occur later in the postopera�ve period.
A client has undergone esophagogastroduodenoscopy. The nurse should place highest priority
on which item as part of the client's care plan?
1. Monitoring the temperature
2. Monitoring complaints of heartburn
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