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Nclex GI
| Question | Answer |
|---|---|
| A nurse is administering a cleansing enema to a client with fecal impaction period before administering the enema, the nurse assist the client to which of the following positions? | Left Sims position |
| A nurse is assessing the insertion of a nasogastric tube into a client. The nurse places the client in which position for insertion? | High Fowler's position |
| A nurse is checking a client for the correct placement of an NG Tube. The nurse aspirates the clients stomach contents and checks their pH level. Which of the following pH values indicates the correct placement of the tube | 4.0 |
| A licensed practical nurse LPN is preparing to assist a registered nurse RN with removing a nasogastric NG tube from the client. The LPN would instruct the client to do which of the following? | Take and hold a deep breath |
| A nurse is preparing to administer an intermittent tube feeding to a client with an NG Tube. The nurse checks the residual and obtains an amount of 200 mL. the nurse would: | Hold the feeding |
| A nurse is teaching the client about an upcoming colonoscopy procedure. The nurse would include in the instructions that the client will be placed in which of the following positions for the procedure? | Left Sims position |
| A nurse provides instructions to a client after a liver biopsy. The nurse tells the client to: | Light on the right side for 2 hours |
| A nurse is caring for a client with a diagnosis of chronic gastritis. The nurse anticipate that this client is at risk for which vitamin deficiency? | Vitamin B12 |
| A nurse is caring for a client after billroth II procedure. On review the post-operative prescriptions, which of the following, if prescribed, would the nurse question and verify? | Irrigating the nasal gastric (NG) Tube. |
| The nurse is providing discharge instructions to a client after gastrectomy. Which measure will the nurse instruct the client to follow to help prevent dumping syndrome? | Limit the fluids taken with meals? |
| A nurse is monitoring a client for the early signs and symptoms of dumping syndrome. Which of the following symptoms indicate this occurrence? | Sweating and pallor |
| A nurse is reviewing the record of a client with crohn's disease. Which of the following stool characteristics would the nurse expect to see documented in the record? | Diarrhea |
| A client with ascites is scheduled for paracentesis. The nurse is assisting the healthcare provider in performing the procedure. Which of the following positions will the nurse assist the client to assume for this procedure? | Upright |
| What is cemetidine (tagamet), ranitidine (zantc)famotidine (pepcid)or nizatidine (axid) used for? | Antacid, H2 receptor antagonist |
| 3 days post abdominal surgery, client reports vomiting, abdominal pain, and constipation. The diagnosis of intestinal obstruction is made. Based on the client's situation, the LPN LVN recognizes which as the most likely cause of intestinal obstruction? | Adhesion Adhesion occurs as a result of abdominal surgery, signs and symptoms appear 3 to 4 days post-operatively, they occur when Loops of intestine adhere to areas that heal slowly or tend to scar following surgery. |
| After undergoing an abdominal surgery procedure, the client has a NG tube in place that is connected to a wall suction on the "continuous" setting the lpn recalls which type of tube can be used as a NG tube and can be kept on "continuous" suction? | Salem sump tube Salem sump tube is a double-lumen tube, II luminex as air filter, does not attach itself to the wall of the stomach as Levin tube does, because of air vent, can run on the "continuous" setting. |
| The client reports back pain comma nausea and abdominal discomfort in the right upper quadrant. It is most important for the LPN to ask which question? | How long have you had these symptoms? Have you ever had symptoms like this before? To determine if this is an acute or chronic situation. Possibly tie present problem with a previous diagnosis. |
| The client asks, "What are some of the possible causes of pancreatic cancer?" Which response made by the LPN is appropriate? | "There are a number of causes or risk factors that have been identified they include chronic pancreatitis, smoking, a high-fat diet, and exposure to certain toxic chemicals." |
| The client asks the LPN "why am I taking antibiotics? I have an ulcer. Shouldn't I be eating a special diet?" Which is the best reply by the LPN? | Peptic ulcers are caused by a bacteria helicobacter pylori and therefore should be treated with antibiotics Research has shown that, for a cure, the bacteria, helical bacter pylori, must be treated. |
| The LPN cares for the client receiving Omeprazole for gastroesophageal reflux disease. The LPN recognizes this medication is in which pharmacological classification? | |
| The LPN reinforces the education for the client diagnosed with a hiatal hernia. Which beverage should the LPN recommend? | apple juice Apple juice is not irritating to the gastric mucosa |
| The client asks why did I get this pernicious anemia? When is it going to go away? Which response by the LPN would be the most appropriate? | There is a degeneration of gastric mucosa c age which results in loss of parietal cells and leads to decreased production of intrinsic factor and vitamin B12. This is a chronic disease without a cure treatment is intramuscular injection of vitamin B12. |
| Calculate calories for breakfast pt had on a 12000 calorie diet. Foods consumed were 1/2 milk, 6g carbohydrate, 4g protein, 5g fat, 1/2 cup Corn Flakes cereal 10g carbohydrate 1 1/2 protein and orange 10g carbohydrate. How many calories have been eaten? | 6 + 10 + 10 equals 26 grams times 4 equals 104 calories FATZ 5 times 4 equals 45 calories protein for plus one and a half = 5 & a half grams times 4 = 22 104 + 45 + 22 = 171 |
| The client diagnosed with cirrhosis asks LPN why do my gums bleed when I brush my teeth? The LPN recognizes the client has a deficiency in which vitamin? | Vitamin K |
| LPN reinforces the teaching for the client diagnosed with acute pancreatitis. Which statement indicates to the LPN that further teaching is necessary? | Pancreatitis is not caused by ingestion of foods containing nitrates. Increased enzyme amylase is common for this disease. Other lab values include decreased calcium, increased serum triglycerides. |
| The client asks the LPN why am I taking antibiotics question I have an ulcer. Shouldn't I be eating a special diet? Which is the best reply by the LPN? | Peptic ulcers are caused by a bacteria helicobacter pylori and therefore should be treated with antibiotics. |
| The client reports belching, nausea and abdominal discomfort in the right upper quadrant. It is most important for the LPN to ask which question? | How long have you had these symptoms? Have you ever had symptoms like this before? |
| A patient admitted to the hospital with high roses of the liver suddenly starts vomiting blood. What is the priority action that the nurse should take in this situation? | Stabilize the patient and manage Airway |
| Client has a deficiency of vitamin A,D,E and K | |
| A nurse is called to the room of a patient with cirrhosis and esophageal varices. The patient has vomiting and the nurse notes in hematemesis. What should the nurse do first? | Place the patient in a side-lying position |
| The nurse suspect that a patient, who has complained of diarrhea, has an intestinal infection. Which diagnostic test does the nurse expect the primary health care provider to prescribe? | Stool culture test The patient's stool is examined for blood, mucus, and white blood cells (WBC) to detect intestinal infection. |
| What is celiac disease? | An immune reaction to eating gluten, a protein found in wheat, barley, and Rye |
| A nurse is providing education to a patient newly diagnosed with celiac disease. Which meal, if chosen by the patient, indicates a need for further instruction regarding the necessary diet for a patient with celiac disease? | Spaghetti with meat sauce and whole-wheat noodles |
| A patient complains of white patches on the tongue and inner cheeks. The patient has a history of diabetes mellitus and chlamydia infection, for which the patient is taking tetracycline. The nurse anticipates the provider will prescribe which medication? | Nystatin (Nystop) |
Created by:
bella14