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RN Nursing School · Med-Surg · 584 questions

Gastrointestinal Disorders practice questions

Every question below is free to read with its full rationale. For timed sets, the rest of the bank and progress tracking on Gastrointestinal Disorders, practise in the app.

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  1. 1When is the best time to administer sucralfate for optimal effectiveness?Answer →
  2. 2A nurse is administering ranitidine 150 mg PO to a patient with GERD. The patient asks several questions. Which of the following nursing responses is NOT appropriate?Answer →
  3. 3A nurse is reviewing the laboratory results of a female client who has cirrhosis. Which of the following findings should the nurse identify as a complication?Answer →
  4. 4A nurse is interviewing a client who has acute pancreatitis. Which of the following conditions would the nurse identify as a risk factor for the development of pancreatitis?Answer →
  5. 5A nurse is caring for a client who has acute pancreatitis. After treating the client's pain, which of the following should the nurse address as the priority intervention?Answer →
  6. 6A registered nurse (RN) is managing care for four patients on a post-surgical unit. Three patients have undergone gastric surgery and are experiencing early dumping syndrome. Which of the following tasks is NOT appropriate for the RN to delegate to a CNA?Answer →
  7. 7A nurse is assessing a client admitted with a suspected exacerbation of Ulcerative Colitis. Drag and drop the findings that are consistent with Ulcerative Colitis.Answer →
  8. 8The nurse is caring for a client that has gastroenteritis. Which complication should the nurse monitor for?Answer →
  9. 9Which of the following statements regarding the Guaiac test are accurate? (Select all that apply.)Answer →
  10. 10A nurse is developing a care plan for a client diagnosed with gastroesophageal reflux disease (GERD) who reports frequent regurgitation and nighttime heartburn disrupting sleep. Which intervention should the nurse prioritize to effectively reduce intra-abdominal pressure and prevent symptom exacerbation?Answer →
  11. 11The nurse is caring for a client newly diagnosed with cirrhosis. What finding requires immediate follow-up by the nurse?Answer →
  12. 12The nurse is caring for a client with cholelithiasis. Which assessment finding is indicative of an obstructed common bile duct?Answer →
  13. 13A nurse has just inserted a nasogastric tube. Which method is most reliable for verifying placement?Answer →
  14. 14A nurse is reviewing the dietary teaching plan for a patient with post-gastrectomy dumping syndrome. Which of the following dietary instructions are NOT appropriate and should be removed from the teaching plan? Select all that applyAnswer →
  15. 15The nurse is caring for a client with a long history of osteoarthritis. Which risk factor will the nurse teach that may contribute to development of gastroesophageal reflux disease (GERD)?Answer →
  16. 16A nurse is reinforcing teaching with a client who is being prepped for emergency surgery related to a small bowel obstruction. The client is anxious and doesn't understand what the surgeon means by "adhesions" causing the blockage. Which of the following statements is the best response from the nurse?Answer →
  17. 17A patient is admitted to the hospital with dehydration from a suspected viral infectious enterocolitis. Which of the following interventions would the nurse anticipate be put in place for the patient?Answer →
  18. 18A nurse in a PACU is assessing a client who has a newly created colostomy. Which of the following findings should the nurse report to the provider?Answer →
  19. 19A client with hiatal hernia asks how to prevent reflux. Best response?Answer →
  20. 20The nurse plans discharge education for a client with acute hepatitis A. What statement should the nurse plan to include in the discharge instructions?Answer →
  21. 21When educating a client with celiac disease, which food should the nurse instruct the client to avoid?Answer →
  22. 22A nurse is educating a client about the risk factors for GERD. Which of the following statements should the nurse include?Answer →
  23. 23A nurse is caring for a patient who is receiving total parenteral nutrition (TPN). Which nursing intervention does the nurse plan to do to prevent infection?Answer →
  24. 24A nurse is caring for a client who has suspected appendicitis. Which of the following provider prescriptions should the nurse clarify?Answer →
  25. 25Which medication orders are NOT appropriate for a patient with active peptic ulcer disease? (Select all that apply)Answer →
  26. 26A nurse is collecting data from a client's laboratory results. Which of the following lab values is usually tested with a diagnosis of liver disease?Answer →
  27. 27A patient is receiving a continuous IV infusion of medication at a rate of 50 ml/hour. The infusion started at 10:00 AM, and the medication bag contains 500 ml. At what time will the bag be empty?Answer →
  28. 28What is the primary mechanism of action of PPIs in treating acid-related disorders?Answer →
  29. 29A client has been diagnosed with peptic ulcer disease and the provider has prescribed omeprazole. While educating the client, the nurse explains that omeprazole is a ___1___ which works by reducing the production of ___2___Answer →
  30. 30A client with nausea, vomiting, and abdominal cramps and distention is admitted to the health care facility. Which test result is most significant?Answer →
  31. 31During a home health visit, you are helping a patient develop a list of foods they should avoid due to GERD. Which items in the patient's pantry should be avoided? (Select all that apply)Answer →
  32. 32A 70-year-old woman who delivered 4 children during her reproductive years has weakened pelvic floor muscles. Her rectum has prolapsed into her vagina. This condition is known as which of the following?Answer →
  33. 33A client comes in with irritable bowel syndrome-diarrhea predominant. What laboratory test would the health care provider order?Answer →
  34. 34The nurse is providing discharge instructions to a client who underwent a laparoscopic cholecystectomy. Which instruction should the nurse include in the teaching?Answer →
  35. 35A nurse is planning care for a client who has end-stage cirrhosis of the liver with encephalopathy. Which of the following interventions should the nurse plan to implement to decrease the client's ammonia level?Answer →
  36. 36A nurse is planning care for a client who has a peptic ulcer and a new prescription for sucralfate 2 gm administered twice daily. Which of the following times should the nurse plan to administer the medication?Answer →
  37. 37A nurse is providing medication teaching to a client recently diagnosed with a hiatal hernia who reports frequent heartburn and regurgitation. Which of the following statements by the client indicates an understanding of the prescribed medication regimen?Answer →
  38. 38A nurse is caring for a child who has acute gastroenteritis and risk for dehydration. The nurse should anticipate providing which of the following types of fluid?Answer →
  39. 39A nurse is assessing a client with advanced liver cirrhosis who presents with ascites, jaundice, and progressive confusion. Which of the following complications should the nurse identify as the most likely cause of the client's altered mental status?Answer →
  40. 40The client is experiencing decreased bowel sounds, rigid, board-like abdomen, and temperature of 102.9 degrees Fahrenheit. What diagnosis would the nurse anticipate?Answer →
  41. 41A 66-year-old client with a history of arthritis and hypertension is admitted with epigastric cramping, dyspepsia, nausea, and dark, sticky stools for 3 days. Which order will the nurse discuss with the health care provider?Answer →
  42. 42A patient with a history of peptic ulcer disease is prescribed sucralfate. To ensure the medication is most effective, how should the patient be instructed to take it?Answer →
  43. 43A client's health history is suggestive of inflammatory bowel disease. Which of the following would suggest Crohn disease, rather than ulcerative colitis, as the cause of the client's signs and symptoms?Answer →
  44. 44The patient has a nasogastric (NG) tube connected to intermittent wall suction. The student nurse asks why the patient's respiratory rate and depth have decreased. What is the nurse's best response?Answer →
  45. 45A nurse is assessing a client admitted with an exacerbation of Crohn disease. Which assessment finding requires immediate nursing intervention?Answer →
  46. 46A patient is admitted to the hospital with yellow sclera and skin, abdominal ascites, dark urine, and light-colored stool and is diagnosed with Hepatitis C. Discharge instructions include taking a protease inhibitor for 12 weeks, the nurse knows that the patient understands the discharge instructions when they verbalize that they will:Answer →
  47. 47A client is ready for discharge after being diagnosed with peptic ulcer disease related to an H. pylori Infection. Which of the following statements reflects the client understands the discharge instructions?Answer →
  48. 48A nurse is caring for a client who has a prescription for a stool test for guaiac. The nurse understands the purpose of the test is to check the stool for which of the following substances?Answer →
  49. 49A nurse is caring for a client who has a new diagnosis of hepatitis C. Which of the following responses from the nurse best explains how a person can become infected with the virus?Answer →
  50. 50A nurse is preparing a client with cirrhosis for a paracentesis to relieve ascites. The client's abdominal girth has increased significantly since the last measurement, and the client reports difficulty breathing. Which nursing action should be prioritized to ensure client safety and procedure effectiveness?Answer →
  51. 51A patient with untreated Celiac disease is most likely to experience which symptom(s)?Answer →
  52. 52A client arrives at the emergency department reporting burning epigastric pain that worsens when the stomach is empty. The client states the pain improves briefly after eating but returns a few hours later. The nurse suspects a peptic ulcer. Complete the diagram by choosing the most likely condition [blank1], two parameters [blank2] and [blank3] the nurse should monitor, and two appropriate nursing interventions [blank4] and [blank5].Answer →
  53. 53A nurse is developing a teaching plan for a client who has an ileostomy and will require stoma care. Which of the following client statements would require further education?Answer →
  54. 54A nurse is caring for a client who has disease. When palpating the client's abdomen, in which of the following locations should the nurse expect the client to report abdominal pain?Answer →
  55. 55A nurse is contributing to the plan of care for a client who has a gastrostomy tube through which he is receiving continuous enteral feedings. Which of the following interventions should the nurse include in the plan?Answer →
  56. 56A nurse is caring for a client diagnosed with GERD who reports heartburn after meals. Which lifestyle change should the nurse recommend to help alleviate symptoms?Answer →
  57. 57A nurse is assessing a client who has peptic ulcer disease. Which of the following findings should the nurse identify as the priority?Answer →
  58. 58The client tells the nurse that once he is discharged to home, he has no intention to stop drinking alcohol. What is the appropriate nursing response?Answer →
  59. 59A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following nursing actions are appropriate? (Select all that apply.)Answer →
  60. 60A client with a history of liver cirrhosis is admitted to the hospital with suspected esophageal varices. What is the nurse's priority action?Answer →
  61. 61A nurse is caring for a client who has advanced liver disease. Which of the following laboratory results should the nurse monitor when assessing this client?Answer →
  62. 62Which protective mechanism of the gastrointestinal tract is blunted by the use of ibuprofen (Motrin)?Answer →
  63. 63What dietary teaching will the nurse offer the client at discharge following a Roux-en-Y gastric bypass procedure?Answer →
  64. 64The nurse is caring for a client who is postoperative after completion of a Roux-en-Y gastric bypass procedure and is monitoring for the early manifestations of dumping syndrome. Which of the following symptoms indicates this occurrence?Answer →
  65. 65A nurse is caring for an older adult client who has just been admitted to the intensive care unit with a diagnosis of confusion/delirium. The client has an end-stage liver failure diagnosis with increasing ascites. Their spouse questions the nurse about the client's mental status because they state that the client is usually lucid. Which of the following indications is likely the contributing factor for the admitting diagnosis?Answer →
  66. 66A nurse is planning care for a client who has end-stage cirrhosis of the liver with encephalopathy. Which of the following interventions should the nurse plan to implement to decrease the client's serum ammonia level?Answer →
  67. 67Which accessory organ produces bile?Answer →
  68. 68A nurse is caring for a client admitted with an exacerbation of ulcerative colitis. Which nursing intervention is most appropriate to help reduce bowel inflammation and promote healing?Answer →
  69. 69What is the priority nursing intervention for Mr. Morris?Answer →
  70. 70A nurse is completing dietary teaching on consuming a low fiber diet with a client who has flare-ups of ulcerative colitis. Which of the following foods should be eliminated in the client's diet?Answer →
  71. 71A nurse is talking with a client who has cholelithiasis and is about to undergo an oral cholangiogram. Which of the following client statements Indicates to the nurse understanding of the procedure?Answer →
  72. 72A nurse is reinforcing teaching to a client about the risk factors for GERD (gastroesophageal reflux disease). Which of the following statements should the nurse include?Answer →
  73. 73A client diagnosed with portal hypertension is experiencing a rupture of esophageal varices. Which intervention should the nurse prioritize to manage this medical emergency?Answer →
  74. 74A client is s/p total gastrectomy. The nurse is providing education regarding follow-up care specific to the medication regimen. The nurse includes in the instruction the importance of taking which of the following medications to prevent pernicious anemia?Answer →
  75. 75A nurse is preparing to install 840 mL of enteral nutrition via a client's gastrostomy tube over 24 hr using an infusion pump. The nurse should set the infusion pump to deliver how much tube feed per hour?Answer →
  76. 76A patient arrives at the clinic reporting frequent, watery stools for the past 2 days. They appear fatigued and state, "I feel lightheaded when I stand up." Which action should the nurse take first?Answer →
  77. 77A nurse is caring for four clients. Which client should the nurse assess first?Answer →
  78. 78Which of the following types of hepatitis are transmitted primarily by the fecal-oral route? Select all that apply.Answer →
  79. 79Nurse is educating a patient beginning misoprostol therapy for gastric ulcer prophylaxis secondary to chronic NSAID use. Which statement by the patient indicates a need for FURTHER teaching?Answer →
  80. 80A nurse is caring for a client who has a new diagnosis of hepatitis C. Which of the following responses from the nurse best explains how a person can become infected with the virus?Answer →
  81. 81When conducting diet teaching for a client with hypokalemia, which breakfast items should the nurse encourage the client to eat? (Select all that apply.)Answer →
  82. 82A nurse is assisting a group of clients in an outpatient clinic. For which of the following clients should the nurse anticipate scheduling a colonoscopy?Answer →
  83. 83An adult patient with a history of dyspepsia (indigestion) has been diagnosed with chronic gastritis. The nurse's health education should include what guidelines?Answer →
  84. 84The nurse recognizes that which ethnic group has a higher incidence of colorectal cancer?Answer →
  85. 85A patient with a PEG tube is to receive ferrous sulfate, 65 mg per the tube, daily. The medication is available as an elixir, 220 mg/5 ml. How many milliliters will the patient receive per dose? Record your answer using one decimal place.Answer →
  86. 86A patient is receiving continuous tube feedings via a nasogastric tube. What nursing intervention should the nurse perform initially to best evaluate whether or not the feeding is being absorbed?Answer →
  87. 87A nurse is teaching a patient about sucralfate. Which of the following statements indicates a need for further teaching?Answer →
  88. 88Two complications of gastroesophageal reflux disease that occur in older adults are [blank1] and [blank2].Answer →
  89. 89A nurse is assessing a patient with right lower quadrant abdominal pain and suspects appendicitis. The nurse asks the patient to flex the right hip against resistance while supine. This maneuver causes pain in the lower abdomen. Which assessment sign is the nurse demonstrating?Answer →
  90. 90Which of the following tasks related to GI medications can the RN safely delegate to a CNA?Answer →
  91. 91After abdominal surgery, which nursing assessment question is the priority?Answer →
  92. 92A registered nurse is delegating care tasks for a patient with post-gastrectomy dumping syndrome. Which of the following tasks are NOT appropriate to delegate to the CNA? (Select all that apply.)Answer →
  93. 93Which of the following statements is appropriate for the nurse to include in the client education? (Select All that Apply.)Answer →
  94. 94A 90-year-old patient is complaining of abdominal pain. The nurse assesses the patient and determines that the patient has impacted stool. Which medication should the nurse use to facilitate the passage of stool, minimize patient discomfort, and maintain patient safety?Answer →
  95. 95A nurse is teaching a group of clients in the community about cholelithiasis. Which statement should the nurse make regarding risk factors of this disease?Answer →
  96. 96A nurse is caring for a client admitted with acute pancreatitis who reports severe epigastric pain radiating to the back. Which of the following nursing interventions should the nurse prioritize during the acute phase of this condition?Answer →
  97. 97A nurse is discussing good food choices with a client who is recovering from an exacerbation of inflammatory bowel disease and is to start a low-lactose diet. Which of the following foods is the best choice for the client?Answer →
  98. 98A nurse is evaluating a client's understanding of colostomy care teaching. Which client statement indicates the nurse should intervene and provide further instruction about colostomy characteristics to report?Answer →
  99. 99The nurse is developing a plan of care for a client with type 2 diabetes and bladder cancer. The client is recovering from surgery for urostomy placement. Which outcome statement can be used in the planning stage of the nursing process?Answer →
  100. 100A 73-year-old client is experiencing recurrent constipation. The client reports to the nurse that they experience constipation despite the fact that they take docusate on a daily basis and perform cleansing enemas several times weekly. How should the nurse best respond to this client's statements?Answer →
  101. 101A patient with limited mobility is at risk for constipation. Which nursing intervention is most effective in preventing this complication?Answer →
  102. 102A client with a peptic ulcer is diagnosed with Helicobacter pylori infection. The nurse is teaching the client about the medications omeprazole, and clarithromycin. Which statement by the client indicates the best prescribed, including metronidazole, understanding of the medication regimen?Answer →
  103. 103Biliary obstruction from cholelithiasis: supporting findings?Answer →
  104. 104A patient with suspected acute cholecystitis reports right upper quadrant pain, nausea, and vomiting after eating a high fat meal. Temperature is 101.2°F (38.4°C) and the abdomen is tender in the right upper quadrant. Which interventions should the nurse anticipate? Select all that applyAnswer →
  105. 105What is the primary goal of administering lactulose to a client with hepatic encephalopathy?Answer →
  106. 106A nurse is providing medication teaching to a client recently diagnosed with a hiatal hernia who reports frequent heartburn and regurgitation. Which statement indicates understanding?Answer →
  107. 107A charge RN is making assignments for a team that includes one RN, one LPN, and one CNA. Four patients are on the unit. Which patient assignment is NOT appropriate and should be restructured by the charge nurse?Answer →
  108. 108Which statement is INCORRECT about Histamine-receptor blockers?Answer →
  109. 109A nurse is collecting data from a client who has obstruction and inflammation of the common bile duct due to cholelithiasis. Which of the following findings is expected for this condition?Answer →
  110. 110A nurse is teaching a patient about sucralfate. Which of the following statements indicates a need for further teaching?Answer →
  111. 111A client presents reporting nausea, vomiting, and severe abdominal pain. The nurse notes bruising to the client's flanks bilaterally and a bluish-gray periumbilical discoloration. The client has a history of alcohol misuse and the client's wife states that he was on a drinking binge for the past 2 days. The nurse should anticipate receiving healthcare provider orders to treat which of the following health problems?Answer →
  112. 112The nurse is caring for a client who has abdominal pain. Which of the following actions should the nurse take? Select all that apply.Answer →
  113. 113NOT appropriate to delegate to the CNA? Select all that apply.Answer →
  114. 114When is the best time to administer sucralfate for optimal effectiveness?Answer →
  115. 115The nurse provides care for a patent with hepatic encephalopathy. Which clinical manifestation should the nurse expect to find in a patient with early hepatic encephalopathy?Answer →
  116. 116A nurse assesses a client's transhepatic biliary catheter (T-tube) following a cholecystectomy. Which finding should concern the nurse?Answer →
  117. 117A nurse is educating a client diagnosed with gastroesophageal reflux disease (GERD) about pharmacological management for health promotion. Which of the following instructions should the nurse include? (Select all that apply)Answer →
  118. 118Which of the following complications can arise after a transjugular intrahepatic portosystemic shunt (TIPS) procedure?Answer →
  119. 119The nurse demonstrates knowledge of enteral tube feedings and medication administration via a feeding tube by performing which of the following tasks? Select all that apply.Answer →
  120. 120The nurse provides prescribed treatments to a client experiencing hepatic encephalopathy related to cirrhosis. What finding indicates to the nurse that the client's condition is improving?Answer →
  121. 121A nurse is caring for a client with acute cholecystitis related to gallstones. Which finding(s) should be reported to the healthcare provider immediately?Answer →
  122. 122A nurse is caring for a client who has a prescription for a stool test for guaiac. The nurse understands the purpose of the test is to check the stool for which of the following substances?Answer →
  123. 123A Medical Surgical RN is prioritizing her assignment for the day. Which of the following patients should the nurse prioritize for immediate assessment?Answer →
  124. 124A nurse is assessing a client who has acute pancreatitis. Which of the following findings is the priority for the nurse to report?Answer →
  125. 125A nurse is preparing dietary instructions for a client who has episodes of biliary colic from cholecystitis. Which of the following instructions should the nurse Include in the teaching plan?Answer →
  126. 126After a change-of-shift report, which patient would the nurse assess first?Answer →
  127. 127A 52-year-old presents with chronic heartburn and regurgitation and the RN is explaining the pathophysiology of GERD to the patient and family members. Which of the following is NOT a primary mechanism responsible for the development of GERD?Answer →
  128. 128A nurse is caring for a client in the primary care office who states, "I think I have been experiencing symptoms of reflux." Which of the following manifestations should the nurse anticipate for a client who has GERD?Answer →
  129. 129The nurse is caring for a client with peptic ulcer disease (PUD). Which client statement requires further nursing teaching?Answer →
  130. 130A nurse is reviewing the dietary teaching plan for a patient with post-gastrectomy dumping syndrome. Which of the following dietary instructions are NOT appropriate and should be removed from the teaching plan? Select all that applyAnswer →
  131. 131A nurse is caring for a 64-year-old client who has a small bowel obstruction. For each potential prescription from the provider, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the client.Answer →
  132. 132The client's assessment reveals yellowish coloration of skin and sclerae. Which laboratory values does the nurse anticipate?Answer →
  133. 133The client with an ulcer is found lying in the fetal position. They report, "All of a sudden, I felt sharp pain in my stomach." Which action will the nurse implement?Answer →
  134. 134A nurse is contributing to the plan of care for a client who has a gastrostomy tube through which he is receiving continuous enteral feedings. Which of the following interventions should the nurse include in the plan?Answer →
  135. 135Which task is appropriate for the nurse to delegate to a licensed practical nurse (LPN) caring for a patient with peptic ulcer disease?Answer →
  136. 136A nurse is caring for four patients with peptic ulcer disease (PUD). Which patient should the nurse NOT assess first?Answer →
  137. 137A nurse is assessing a client admitted with a diagnosis of small bowel obstruction. Which of the following assessment findings requires immediate follow-up by the nurse?Answer →
  138. 138The nurse is assessing an older female adult's nutritional status. Which finding indicates that the client has a nutritional deficiency? Reference Range: Hemoglobin [12 to 16 g/dL (120 to 160 g/L)] Hematocrit [37% to 47% (0.37 to 0.47 volume fraction)] Albumin [3.5 to 5 g/dL (35 to 50 g/L)] Serum transferrin [250 to 380 mg/dl (2.5 to 3.8 g/L)]Answer →
  139. 139Which client statement regarding intake will the nurse assess as the priority?Answer →
  140. 140A nurse is assessing a client who is on long term omeprazole therapy. Which of the following findings should indicate to the nurse the medication is effective?Answer →
  141. 141A client received one positive fecal occult blood test. Which response is most appropriate?Answer →
  142. 142A client comes in with obstipation, abdominal pain, nausea and vomiting. Which of the following does the nurse anticipate the client will need?Answer →
  143. 143A client has been scheduled for a urea breath test in one month's time. What condition does the nurse suspect most likely prompted this diagnostic test?Answer →
  144. 144The nurse is assessing the nutritional status of several clients. Which client has the greatest risk for health problems related to nutritional deficits?Answer →
  145. 145A patient has peptic ulcer disease associated with Helicobacter pylori. Which medications will the nurse plan to teach the patient?Answer →
  146. 146A nurse is assessing a client who has an obstruction of the common bile duct resulting from chronic cholecystitis. Which finding should the nurse expect?Answer →
  147. 147A nurse is developing a health promotion plan for a client recently diagnosed with chronic hepatitis C who is concerned about disease transmission and liver health. Which intervention should the nurse prioritize to effectively reduce the risk of disease progression and transmission?Answer →
  148. 148The nurse is educating a client who is newly diagnosed with diverticulosis. Which statement indicates effective teaching?Answer →
  149. 149A client with hemorrhoids tells the nurse they understand the need to avoid eating nuts and seeds to prevent inflammation. How should the nurse respond?Answer →
  150. 150The nurse is educating a patient on lifestyle modifications for GERD. Which of the following instructions is NOT recommended as a first-line lifestyle modification?Answer →
  151. 151The nurse is caring for a client who has portal hypertension secondary to hepatic cirrhosis. What assessment data should the nurse immediately report to the healthcare provider?Answer →
  152. 152Which nursing actions are NOT appropriate when managing a patient experiencing active gastrointestinal bleeding from a peptic ulcer? (Select all that apply)Answer →
  153. 153Which of the following tasks can the RN delegate to a licensed practical nurse (LPN) regarding GI medications?Answer →
  154. 154Which hepatitis type is exclusively spread through contact with infected blood?Answer →
  155. 155A nurse is assessing a client reporting right upper quadrant (RUQ) abdominal pain. What technique would the nurse use to assess this client's abdomen?Answer →
  156. 156The client is at risk for developing [blank1]Answer →
  157. 157A client has been diagnosed with a small bowel obstruction and has been admitted to the medical unit. The nurse's care should prioritize which of the following outcomes?Answer →
  158. 158While assessing a client who is experiencing diarrhea caused by Clostridium difficile, the nurse should anticipate hearing:Answer →
  159. 159A client presents to the Emergency Department complaining of abdominal pain and diarrhea. Which statement made by the client would lead the nurse to suspect an acute Crohn's disease flare?Answer →
  160. 160What is the primary mechanism of action of PPIs in treating acid-related disorders?Answer →
  161. 161A nurse is caring for a client who is receiving total parenteral nutrition (TPN). The nurse notices that the solution bag is almost empty and there is not another bag of TPN to administer. Which of the following IV solutions should the nurse administer until the next bag of TPN solution is available?Answer →
  162. 162Which instruction would the nurse give a client newly diagnosed with ulcerative colitis (UC) about diet and lifestyle choices?Answer →
  163. 163A nurse is providing teaching to a client who has constipation. Which of the following information should the nurse include? (Select all that apply.)Answer →
  164. 164The nurse is planning care for a client with late-stage liver failure who has portal hypertension, severe ascites, and hepatic encephalopathy. For each potential action, click to specify whether the action is indicated or not indicated in the care of this client.Answer →
  165. 165A patient has been taking esomeprazole (Nexium) for 10 years. What would the nurse expect to monitor in this patient?Answer →
  166. 166The nurse is teaching a client who has been treated for acute gastritis. What statement by the client indicates a need for further teaching?Answer →
  167. 167A nurse is caring for a client receiving total parenteral nutrition who weighs 160 lb. If the RDA of protein is 0.8 g/kg of body weight. how many grams of protein should the client receive daily? (Round the answer to the nearest whole number. use a leading zero if it applies. DO not use a trailing zero.)Answer →
  168. 168A nurse is assessing a client suspected of having a peptic ulcer. Which combination of symptoms should the nurse recognize as characteristic of a duodenal ulcer?Answer →
  169. 169The nurse has taught the client about their ostomy and the care required. Which statement made by the client demonstrates correct understanding of care for a new colostomy?Answer →
  170. 170A nurse is caring for a client diagnosed with GERD who reports heartburn after meals. Which lifestyle change should the nurse recommend to help alleviate symptoms?Answer →
  171. 171A nurse is caring for a client who is 4 hours post procedure following an endoscopic retrograde cholangiopancreatography (ERCP) to remove gallstones causing pancreatitis. Which of the following findings requires immediate nursing intervention?Answer →
  172. 172A nurse is reinforcing teaching with a client who is postoperative after having an ileostomy established. Which of the following instructions should the nurse include in the teaching?Answer →
  173. 173When explaining acute pancreatitis to a newly diagnosed client, the nurse will emphasize the pathogenesis begins with an inflammatory process whereby:Answer →
  174. 174A nurse is providing teaching to a client who has a history of pancreatitis. Which food choice should the nurse instruct the client to avoid?Answer →
  175. 175During an upper GI endoscopy, which nursing action is most appropriate to ensure patient safety?Answer →
  176. 176For each statement below, select whether it describes enteral or parenteral nutrition.Answer →
  177. 177A nurse is discharging a 28-year-old female patient prescribed misoprostol for NSAID-related gastric ulcers. Which critical discharge instruction is INAPPROPRIATE for the nurse to omit?Answer →
  178. 178A nurse is caring for four patients with peptic ulcer disease (PUD). Which patient should the nurse NOT assess first?Answer →
  179. 179A nurse in the Emergency Department (ED) is caring for a 35-year-old Hispanic female client. Choose the most likely options for the information missing from the statement by selecting from the lists of options provided. The client is most at risk for experiencing: ______________________Answer →
  180. 180A nurse is caring for a client who has acute pancreatitis. After treating the client's pain, which of the following should the nurse address as the priority intervention?Answer →
  181. 181The nurse is caring for a client who has abdominal pain. Which of the following actions should the nurse take? Select all that apply.Answer →
  182. 182The client has diarrhea-predominant irritable bowel syndrome (IBS). Which drug might be prescribed?Answer →
  183. 183A nurse is assessing a client's bowel sounds. At which of the following points in the assessment should the nurse auscultate the client's abdomen?Answer →
  184. 184For the patient hospitalized with inflammatory bowel disease (IBD), which treatments would be used to rest the bowel (select four that apply)Answer →
  185. 185A nurse is assessing a client with a diagnosis of Crohn's disease who reports chronic abdominal pain, fatigue, and unintentional weight loss. Which of the following pathophysiological processes should the nurse identify as the most likely cause of these findings?Answer →
  186. 186The nurse is caring for a client hospitalized with Bulimia Nervosa who has been binging and purging at each meal for the past week. Which nursing intervention will be given the highest priority?Answer →
  187. 187A nurse is reinforcing teaching with a client who has Crohn's disease about foods to include in her diet. Which of the following foods should the nurse include in the teaching?Answer →
  188. 188A nurse is caring for a client with Crohn's disease who is experiencing an acute exacerbation and has a new prescription for corticosteroids. Which nursing action best prioritizes the client's basic care and comfort needs?Answer →
  189. 189What symptom does the nurse expect the client with intussusception to exhibit?Answer →
  190. 190A nurse is assessing a client suspected of having cholecystitis. Which clinical finding does the nurse expect to assess?Answer →
  191. 191A client with cirrhosis presents with a serum sodium level of 127 mEq/L. Which of the following interventions should the nurse prioritize in the client's care plan after discussion with the provider?Answer →
  192. 192A nurse is assessing a client who has been diagnosed with cholecystitis, and is experiencing localized abdominal pain. When assessing the characteristics of the client's pain, the nurse should anticipate that it may radiate to what region?Answer →
  193. 193The medical-surgical nurse plans discharge instructions for a client who had a laparoscopic cholecystectomy. For each instruction, click to specify whether the instruction is appropriate or inappropriate for the nurse to include as part of the discharge instructions.Answer →
  194. 194Review of history and physical, nurse's notes, flow sheet, and laboratory results. Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.Answer →
  195. 195The nurse notes tooth decay, an inflamed throat, gastroesophageal reflux disorder, and dehydration. The nurse knows these findings are consistent with which disorder?Answer →
  196. 196The nurse cares for a client with ulcerative colitis. What complication(s) is the client at risk for developing? Select all that apply.Answer →
  197. 197The nurse is performing a routine assessment on a client with a newly created colostomy. Which finding should the nurse report to the healthcare provider immediately as a sign of stoma ischemia?Answer →
  198. 198A patient with GERD is prescribed omeprazole. When should the nurse instruct the patient to take this medication?Answer →
  199. 199Based on the clinical and imaging findings, which condition should the nurse suspect?Answer →
  200. 200A nurse is evaluating a client's understanding of colostomy care teaching. Which client statement indicates the nurse should intervene and provide further instruction about colostomy characteristics to report?Answer →
  201. 201A client wants to increase intake of vitamin E. Which snack should the nurse encourage?Answer →
  202. 202A client has recently been placed on corticosteroids to treat ulcerative colitis. The nurse will monitor the client's laboratory results for evidence of which condition?Answer →
  203. 203A nurse is caring for four patients on the medical unit. All are receiving PPI therapy. Which patient requires the nurse's PRIORITY assessment FIRST - EXCEPT the patient who is being managed appropriately and requires no immediate intervention?Answer →
  204. 204The nurse is caring for a client who is postoperative after completion of a Roux-en-Y gastric bypass procedure and is monitoring for the early manifestations of dumping syndrome. Which of the following symptoms indicates this occurrence?Answer →
  205. 205The nurse is caring for a client with Sialadenitis. They are prioritizing nursing diagnoses. Which nursing diagnosis should be prioritized first?Answer →
  206. 206Which statement is INCORRECT about Histamine-receptor blockers?Answer →
  207. 207The nurse reviews medications the client has been taking recently. Which medication will the nurse question?Answer →
  208. 208A patient comes to the clinic reporting pain in the epigastric region. What statement by the patient suggests the presence of a duodenal ulcer?Answer →
  209. 209The nurse reviews discharge instructions with a client who has gastroesophageal reflux disease (GERD). Which instruction is most important for the nurse to emphasize?Answer →
  210. 210The nurse evaluates the plan of care for a client with acute pancreatitis. What finding indicates to the nurse that the client's condition is worsening?Answer →
  211. 211A client with Crohn's disease is experiencing severe abdominal pain and malnutrition. As a nurse, what is the priority intervention you should consider?Answer →
  212. 212A nurse is educating a patient beginning misoprostol therapy for gastric ulcer prophylaxis secondary to chronic NSAID use. Which statement by the patient indicates a need for FURTHER teaching?Answer →
  213. 213A client with portal hypertension develops bleeding esophageal varices. Which intervention should the nurse prioritize to prevent further complications?Answer →
  214. 214A nurse is reinforcing teaching with a client who has cirrhosis of the liver. Which of the following statements should be included in the education materials?Answer →
  215. 215The nurse is caring for a client who has abdominal pain. Which of the following actions should the nurse take? Select all that apply.Answer →
  216. 216To prevent gastroesophageal reflux in a client with hiatal hernia, the nurse should provide which discharge instruction?Answer →
  217. 217Review H and P and nurse's notes. Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.Answer →
  218. 218Which of the following tasks can the RN delegate to a licensed practical nurse (LPN) regarding GI medications?Answer →
  219. 219Acute gastritis refers to a transient inflammation of the gastric mucosa that is most commonly associated with:Answer →
  220. 220A Medical Surgical RN is prioritizing her assignment for the day. Which of the following patients should the nurse prioritize for immediate assessment?Answer →
  221. 221A patient is status post partial gastrectomy. In preparation for discharge, the nurse is reviewing important information about the risk of dumping syndrome. The nurse advises the patient to __(1)__ and to __(2)__.Answer →
  222. 222Which findings are NOT consistent with successful treatment of a patient with H. pylori-associated peptic ulcer disease? (Select all that apply.)Answer →
  223. 223A nurse is caring for a client who has nausea and a prescription for metoclopramide intermittent IV bolus every 4 hr as needed. The client asks the nurse how metoclopramide will relieve her nausea. Which of the following explanations should the nurse provide?Answer →
  224. 224A patient reports frequent heartburn twice a week for the past 4 months. What other symptoms reported by the patient may indicate the patient has GERD? Select all that apply.Answer →
  225. 225A nurse is assessing a client reporting right upper quadrant (RUQ) abdominal pain. What technique would the nurse use to assess this client's abdomen?Answer →
  226. 226A nurse is preparing to administer liquid famotidine 20 mg PO every 6 hr for a client who has GERD. Available is famotidine 40 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  227. 227A nurse is caring for a client who has suspected appendicitis. Which of the following provider prescriptions should the nurse clarify?Answer →
  228. 228Which hepatitis type is correctly matched with prevention or treatment?Answer →
  229. 229Which disorder, common in some older adults, impairs the ability to swallow and can lead to difficulty getting adequate nutrition?Answer →
  230. 230Which finding requires immediate notification to the provider before a colonoscopy?Answer →
  231. 231A nurse notes the client's condition and initiates the following action. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.Answer →
  232. 232A nurse is teaching a client who has cholecystitis about dietary modifications. The nurse should include which of the following foods as appropriate for the client's diet?Answer →
  233. 233A nurse is caring for a client who has peptic ulcer disease. The nurse should monitor the client for which initial finding as an indication of gastrointestinal perforation?Answer →
  234. 234A male patient is in respiratory failure after extensive surgery after a motor vehicle accident. Which action should the nurse implement as the most effective method of preventing gastric irritation or erosion in this patient?Answer →
  235. 235A nurse is caring for a client who continues to have issues with GERD (gastroesophageal reflux disease). Which of the following statements provides the best preventative health care education for this client?Answer →
  236. 236A nurse is assisting with the care of a client who is on bedrest and is experiencing constipation. Which of the following interventions should the nurse implement?Answer →
  237. 237You are caring for a patient who had bariatric surgery one year ago. Which of the following statements by the patient indicates a need for further teaching?Answer →
  238. 238A malnourished patient is receiving total parenteral nutrition (TPN) infusion containing amino acids and dextrose from a bag that was hung with a new tubing and filter 24 hours ago. The nurse observes that about 50 mL remain in the TPN container. Which action would the nurse take?Answer →
  239. 239A nurse is administering ranitidine 150 mg PO to a patient with GERD. The patient asks several questions. Which of the following nursing responses is NOT appropriate?Answer →
  240. 240A nurse is caring for a client who has cirrhosis and a prolonged prothrombin time of 30 seconds. Which of the following medications should the nurse plan to administer?Answer →
  241. 241A nurse is caring for a client who has suspected metabolic alkalosis from continuous nasogastric suction for 24 hr. Which of the following arterial blood gas (ABG) results should the nurse expect?Answer →
  242. 242A nurse is reinforcing teaching with a client who has recently been diagnosed with a hiatal hernia. Which of the following new information will be beneficial for the nurse to relay to the client?Answer →
  243. 243A client with ulcerative colitis is admitted to the medical unit during an acute exacerbation. The nurse should instruct the unlicensed assistive personnel (UAP) to report which finding related to the client's bowel movements?Answer →
  244. 244An adult client has been diagnosed with diverticular disease after ongoing challenges with constipation. The client will be treated on an Outpatient basis. What components of treatment should the nurse anticipate?Answer →
  245. 245A nurse is preparing to administer ondansetron 4 mg IM stat. The amount available is ondansetron for injection 2 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  246. 246A nurse is assessing a client who has peritonitis. Which of the following are signs and symptoms of peritonitis?Answer →
  247. 247The nurse cares for a client receiving total parenteral nutrition (TPN). Which items should be included in the plan of care? Select all that apply.Answer →
  248. 248A nurse is discharging a 28-year-old female patient prescribed misoprostol for NSAID-related gastric ulcers. Which critical discharge instruction is INAPPROPRIATE for the nurse to omit?Answer →
  249. 249The nurse suspects a teenager is having clinical manifestations of irritable bowel syndrome. Which of the following complaints would support this diagnosis?Answer →
  250. 250A client's recent diagnosis of colorectal cancer has required a hemicolectomy and colostomy. What color indicates a healthy stoma?Answer →
  251. 251The nurse is reviewing the medication administration schedule for four patients. Which situation requires immediate intervention to prevent a medication interaction or error?Answer →
  252. 252A nurse is teaching a patient about medications used to treat peptic ulcer disease (PUD) and gastroesophageal reflux disease (GERD), including H2 receptor blockers, proton pump inhibitors (PPIs), antacids, and bismuth salicylates. Which of the following statements by the patient indicate a correct understanding of these medications? (Select All that Apply.)Answer →
  253. 253Which endogenous protective factor of the gastric mucosa alters the pH balance of the stomach?Answer →
  254. 254A nurse is caring for an older adult client who has had surgery for an intestinal obstruction and has an NG tube to low suction. Which of the following actions should the nurse include in the client's postoperative plan of care? (Select all that apply.)Answer →
  255. 255Which of the following characteristics differentiate inflammatory from non-inflammatory diarrhea?Answer →
  256. 256A client was treated in the emergency department and critical care unit after ingesting bleach. What possible complication of the resulting gastritis should the nurse recognize?Answer →
  257. 257Which of the following are important nursing considerations during a paracentesis procedure? Select all that apply.Answer →
  258. 258Which nursing actions are NOT appropriate when managing a patient experiencing active gastrointestinal bleeding from a peptic ulcer? (Select all that apply)Answer →
  259. 259A nurse is reinforcing teaching with a client who continues to have issues with GERD (gastroesophageal reflux disease). Which of the following statements provides the best preventative health care education for this client?Answer →
  260. 260A nurse is developing a plan of care for a client with decompensated cirrhosis with ascites. Which of the following interventions should the nurse prioritize to help manage the client's condition and prevent complications?Answer →
  261. 261When comparing the symptomology of Crohn's disease with that of ulcerative colitis, which symptoms are generally characteristic of only Crohn's disease? Select all that apply.Answer →
  262. 262A client presents with severe abdominal pain radiating to the back, tachycardia, and fever. Which lab test should the nurse prioritize to confirm the suspicion of acute pancreatitis?Answer →
  263. 263The nurse works in a long-term care facility and cares for a client with Alzheimer's disease and gastroesophageal reflux (GER). Which information documented in the client's activity log does the nurse identify that may have led to a flare-up of GER symptoms? Select all that apply.Answer →
  264. 264A client with pancreatitis is receiving 0.9% normal saline, and the prescribed IV infusion rate was increased from 100 mL/hour to 150 mL/hour. Which assessment finding indicates to the nurse that the prescription has a therapeutic outcome?Answer →
  265. 265A nurse is caring for a client admitted with an exacerbation of ulcerative colitis. Which nursing action should be included in the plan of care?Answer →
  266. 266A nurse is caring for a client who has gastrointestinal bleeding. Which of the following actions should the nurse take first?Answer →
  267. 267A nurse is caring for a client who has nausea and a prescription for metoclopramide intermittent IV bolus every 4 hr as needed. The client asks the nurse how metoclopramide will relieve her nausea. Which of the following explanations should the nurse provide?Answer →
  268. 268Which meal selection by a client who is lacto-ovo-vegetarian indicates to the nurse that the client understands the use of complete proteins in the diet?Answer →
  269. 269A nurse is reinforcing teaching with a newly licensed nurse about physiological changes in the digestive system that occur with aging. The nurse should include older adults might experience which of the following physiological changes?Answer →
  270. 270Drag 1 condition and 1 client finding to fill in each blank in the following sentence. The client is exhibiting manifestations of [blank1] due to the client's [blank2].Answer →
  271. 271A nurse is teaching a client who has a colectomy secondary to bowel obstruction. The client asks why a large-bore NG tube is needed. Which response should the nurse make?Answer →
  272. 272A patient with a transverse loop colostomy due to a bowel obstruction is experiencing increased abdominal distension and no stool output from the proximal stoma for the past 6 hours. The patient reports mild nausea but no pain. What is the priority nursing action?Answer →
  273. 273A nurse is reinforcing discharge instructions to a client who has a peptic ulcer. Which of the following information should the nurse reinforce to the client prior to discharge?Answer →
  274. 274A nurse is caring for a client admitted with acute pancreatitis who reports severe epigastric pain radiating to the back. Which of the following nursing interventions should the nurse prioritize during the acute phase of this condition?Answer →
  275. 275During change-of-shift report, the nurse learns about the following four patients. Which patient requires assessment first?Answer →
  276. 276A nurse is creating a care plan for a client receiving nasogastric tube feedings. Which intervention should the nurse include?Answer →
  277. 277The nurse assesses clients with peptic ulcer disease (PUD). For each client statement, click to specify if the statement is most likely related to a gastric ulcer or a duodenal ulcer?Answer →
  278. 278The nurse is teaching a patient with a new colostomy how to change their ostomy pouch and what signs to monitor. Which of the following statements should be included in the teaching? (Select all that apply.)Answer →
  279. 279A nurse is caring for a client who has liver cirrhosis with ascites, bleeding esophageal varices, and portal hypertension. The nurse recognizes which of the following laboratory findings as indicating the client's gastrointestinal (GI) tract is digesting and absorbing blood?Answer →
  280. 280A nurse is caring for a client in the primary care office who states, "I think I have been experiencing symptoms of reflux." Which of the following manifestations should the nurse anticipate for a client who has GERD?Answer →
  281. 281A client without a family history of colorectal cancer is asking about recommended screening for colorectal cancer. At what age should this client begin their colorectal cancer screening according to guidelines?Answer →
  282. 282Which of the following is a potential long-term complication of diverticulitis?Answer →
  283. 283A nurse is teaching a client who has gastroesophageal reflux disease about managing his illness. Which of the following recommendations should the nurse include in the teaching?Answer →
  284. 284The nurse is assessing a client receiving continuous enteral feedings via gastrostomy tube (G-tube). Which finding is most concerning to the nurse?Answer →
  285. 285A nurse is planning care for a client who has a peptic ulcer and a new prescription for sucralfate 2 gm administered twice daily. Which of the following times should the nurse plan to administer the medication?Answer →
  286. 286Which of the following patients in the Medical Surgical unit would the nurse determine is least in need of immediate clinical reassessment and intervention?Answer →
  287. 287A patient is status post partial gastrectomy. In preparation for discharge, the nurse is reviewing important information about the risk of dumping syndrome. The nurse advises the patient to:Answer →
  288. 288Which interventions can effectively help a client manage symptoms of dumping syndrome? (Select all that apply.)Answer →
  289. 289A nurse is caring for a client who continues to have issues with GERD. Which of the following statements provides the best preventative health care education for this client?Answer →
  290. 290During an upper GI endoscopy, which nursing action is most appropriate to ensure patient safety?Answer →
  291. 291The nurse evaluates the care plan for irritable bowel syndrome foods that are included in the diet. Which dietary choices indicate the need for further teaching? Select two optionsAnswer →
  292. 292A nurse is caring for a client who has a prescription for a stool test for guaiac. The nurse understands the purpose of the test is to check the stool for which of the following substances?Answer →
  293. 293The order is to give 150 mg of cough syrup to a patient. The cough syrup comes in 100 mg/5 ml. How many mL will you give to the patient?Answer →
  294. 294You're educating a group of patients at an outpatient clinic about peptic ulcer formation. Which statement is correct about how peptic ulcers form?Answer →
  295. 295A patient with colon cancer is 2 days post operation with a descending colostomy. What color does the nurse anticipate a healthy stoma to look like?Answer →
  296. 296A nurse is admitting a client with suspected appendicitis. Identify where the nurse will palpate for the Rovsing sign. Place your marker on the image indicating your answer. Select your answer by clicking the desired location on the image below. To move a pin, click another location on the image. To remove a pin, click it once.Answer →
  297. 297Which of the following are NOT appropriate dietary recommendations for a patient with peptic ulcer disease? (Select all that apply)Answer →
  298. 298A nurse is preparing a client with cirrhosis and ascites to undergo a paracentesis. The nurse should assist the client into which position for this procedure?Answer →
  299. 299What is the most common bacteria that causes Gastritis?Answer →
  300. 300A nurse is reinforcing teaching with a client who has Crohn's disease about foods to include in her diet. Which of the following foods should the nurse include in the teaching?Answer →
  301. 301A nurse is reviewing the lab results of a patient taking a PPI for chronic GERD. Which lab finding could be an adverse effect of long-term PPI use?Answer →
  302. 302The nurse is assessing a patient with a history of abdominal surgery who reports a new abdominal bulge. Which findings are most consistent with an incisional hernia? Select all that apply.Answer →
  303. 303A nurse is teaching self-management to a client who has hepatitis B. Which of the following instructions should the nurse include in the teaching?Answer →
  304. 304Which interventions can effectively help a client manage symptoms of dumping syndrome? (Select all that apply)Answer →
  305. 305A nurse is caring for a client who is on bedrest and is experiencing constipation. Which of the following interventions should the nurse implement?Answer →
  306. 306A nurse is providing discharge teaching for a client who has acute pancreatitis and has a prescription for fat-soluble vitamin supplements. The nurse should instruct the client to take a supplement for which of the following?Answer →
  307. 307A nurse is caring for a client who has liver cirrhosis with ascites, bleeding esophageal varices, and portal hypertension. The nurse recognizes which of the following laboratory findings as indicating the client's gastrointestinal (GI) tract is digesting and absorbing blood?Answer →
  308. 308A nurse is caring for a client who has recently been diagnosed with an acute flare-up of diverticulitis. When palpating the client's abdomen, in which of the following locations would the nurse expect the client to report abdominal pain?Answer →
  309. 309A nurse is performing an assessment for constipation in an older adult client. Which of the following findings would be indicative of constipation?Answer →
  310. 310You're educating a group of patients at an outpatient clinic about peptic ulcer formation. Which statement is correct about how peptic ulcers form?Answer →
  311. 311A nurse is caring for a team of clients on a medical-surgical unit. For which client should the nurse question an order from the provider for enteral feedings?Answer →
  312. 312A client, who had a ruptured appendix, is transferred to the floor from recovery room. What complication should the nurse monitor for?Answer →
  313. 313The nurse is providing discharge teaching to a patient newly diagnosed with gastroesophageal reflux disease (GERD). When evaluating the patient's understanding, which statement would indicate the need for further teaching?Answer →
  314. 314The nurse has a direct admit from a health care provider's (HCP) office. The client, with a known history of a gastric ulcer who reports increasing nausea and fatigue over the past several days. During assessment, the client suddenly vomits a moderate amount of dark, coffee-ground appearing emesis. Vital signs are: BP 102/63 mmHg, HR 118 beats per minute, RR 20 breaths per minute, SpO2 96% on room air. Which action should the nurse take first?Answer →
  315. 315A nurse is caring for a client who has ulcerative colitis and was admitted to the medical-surgical unit for management of diarrhea. Which of the following food items should the nurse select for the client's breakfast tray?Answer →
  316. 316A nurse is assessing a client. Complete the following sentence by selecting from the lists of options. The nurse should first address the client's [blank1], followed by the client's [blank2].Answer →
  317. 317A patient has peptic ulcer disease associated with Helicobacter pylori. Which medications will the nurse plan to teach the patients?Answer →
  318. 318A patient with a small bowel obstruction is receiving nasogastric (NG) tube suction. Which nursing intervention is the most important to include in the patient's care plan?Answer →
  319. 319After providing education to a patient with GERD. You ask the patient to list 4 things they can do to prevent or alleviate signs and symptoms of GERD. Which statement is INCORRECT?Answer →
  320. 320A nurse is caring for a client who is being admitted for an acute exacerbation of ulcerative colitis. Which of the following actions should the nurse take first?Answer →
  321. 321Which of the following are NOT appropriate dietary recommendations for a patient with peptic ulcer disease? (Select all that apply.)Answer →
  322. 322A nurse is contributing to the plan of care for a client who has acute pancreatitis. Which of the following interventions should the nurse include?Answer →
  323. 323The nurse cares for a client with gastroesophageal reflux disease (GERD) in the recovery room after having an esophagogastroduodenoscopy (EGD). What action should the nurse take at this time?Answer →
  324. 324A nurse is caring for an older adult client who has just been admitted to the intensive care unit with a diagnosis of confusion/delirium. The client has an end-stage liver failure diagnosis with increasing ascites. Their spouse questions the nurse about the client's mental status because they state that the client is usually lucid. Which of the following indications is likely the contributing factor for the admitting diagnosis?Answer →
  325. 325A nurse is reviewing the medical record of a client who has a peptic ulcer. Which of the following findings should the nurse recognize as a risk factor for this condition?Answer →
  326. 326A nurse in the Emergency Department (ED) is caring for a 35-year-old Hispanic female client. Which of the following is not appropriate to include in the client's plan of care?Answer →
  327. 327A client with a history of peptic ulcer disease has presented to the emergency department (ED) in distress. What assessment finding would lead the ED nurse to suspect that the client has a perforated ulcer?Answer →
  328. 328A client without a family history of colorectal cancer is asking about recommended screening for colorectal cancer. At what age should this client begin their colorectal cancer screening according to guidelines?Answer →
  329. 329A nurse is reviewing the medication list of a client who has diverticulitis. Which of the following medications should the nurse anticipate being prescribed during an acute episode?Answer →
  330. 330The nurse is teaching a client with cirrhosis about how to prevent hepatic encephalopathy. What client statement indicates a need for additional education?Answer →
  331. 331A nurse is caring for a client who has end-stage liver disease and is being placed on a transplant list. Which of the following statements by the client is the priority for the nurse to report to the provider?Answer →
  332. 332A client with hiatal hernia chronically experiences heartburn after meals. Which of the following should the nurse teach the client to avoid?Answer →
  333. 333A client with gastroesophageal reflux disorder (GERD), who has been self-medicating with famotidine for the past week, is admitted to the acute care center because the symptoms have worsened. The nurse should anticipate which treatment?Answer →
  334. 334A nurse is caring for a client following an esophagogastroduodenoscopy (EGD) procedure. Which of the following assessments is the nurse's priority?Answer →
  335. 335A nurse is caring for a client with ulcerative colitis who is admitted with severe bloody diarrhea, abdominal pain, and weight loss. Based on these findings, which of the following nursing diagnoses should the nurse prioritize?Answer →
  336. 336The nurse is caring for a client with suspected appendicitis. The client reports that their abdominal pain has suddenly decreased. Which action should the nurse take next?Answer →
  337. 337A client with a peptic ulcer is diagnosed with Helicobacter pylori infection. The nurse is teaching the client about the medications prescribed, including metronidazole, omeprazole, and clarithromycin. Which statement by the client indicates the best understanding of the medication regimen?Answer →
  338. 338A nurse is providing teaching for a client who has an ileal conduit following bladder cancer. Which of the following statements by the client indicates a need for the nurse to provide additional teaching?Answer →
  339. 339What food is good for a person with gastroesophageal reflux disease (GERD) to eat?Answer →
  340. 340A nurse is caring for a client who has liver cirrhosis with ascites, bleeding esophageal varices, and portal hypertension. The nurse recognizes which of the following laboratory findings as indicating the client's gastrointestinal (GI) tract is digesting and absorbing blood?Answer →
  341. 341Which meal selection indicates the patient understands a gluten-free diet?Answer →
  342. 342Which hepatitis type is exclusively spread through contact with infected blood?Answer →
  343. 343A nurse is caring for a client with Crohn's disease who is experiencing an acute exacerbation and has a new prescription for corticosteroids. Which nursing action best prioritizes the client's basic care and comfort needs?Answer →
  344. 344An adult male client is admitted to the emergency department (ED) while vomiting dark brown, foul smelling emesis. He reports having a surgical repair of a recurrent inguinal hernia a week ago and is troubled by intense abdominal pain. After finding that his bowel sounds are hyperactive, which prescription should the nurse implement first?Answer →
  345. 345Drag words from the choices below to fill in the blanks. (Incomplete stem — source text cut off)Answer →
  346. 346A nurse is caring for four patients on the medical unit. All are receiving PPI therapy. Which patient requires the nurse's PRIORITY assessment FIRST - EXCEPT the patient who is being managed appropriately and requires no immediate intervention?Answer →
  347. 347In planning care for a client with chronic ulcerative colitis, which long-term goal is most important for the nurse to include?Answer →
  348. 348A nurse is reviewing the laboratory results of a female client who has cirrhosis. Which of the following findings should the nurse identify as a complication?Answer →
  349. 349A client with gastroesophageal reflux disease (GERD) has a diagnosis of Barrett esophagus with minor cell changes. What principle should be integrated into the client's subsequent care?Answer →
  350. 350Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing. 2 actions the nurse should take to address that condition. and 2 parameters the nurse should monitor to assess the client's progress.Answer →
  351. 351A nurse is reinforcing teaching with a client who is being discharged after treatment for acute pancreatitis. Which of the following statements is important to include in the information?Answer →
  352. 352A nurse is assessing a client with ulcerative colitis exacerbation. Stool characteristics expected?Answer →
  353. 353Which of the following tasks related to a patient with GERD can be appropriately delegated to an LPN?Answer →
  354. 354A nurse is reinforcing teaching with a client who needs to have a cholecystectomy due to gallstones. Which of the following is the best response from the nurse to explain what caused this problem?Answer →
  355. 355Diet modifications for client diagnosed with irritable bowel syndrome include which of the following?Answer →
  356. 356A nurse is caring for a client who is being admitted for an acute exacerbation of ulcerative colitis. Which of the following actions should the nurse take first?Answer →
  357. 357A client with a descending colostomy is experiencing loose stool. Which of the following food should the nurse recommend to thicken the stool?Answer →
  358. 358A nurse is preparing a client with cirrhosis for a paracentesis to relieve ascites. The client's abdominal girth has increased significantly since the last measurement, and the client reports difficulty breathing. Which nursing action should be prioritized to ensure client safety and procedure effectiveness?Answer →
  359. 359During a home health visit, you are helping a patient develop a list of foods they should avoid due to GERD. Which items in the patient's pantry should be avoided? Select all that apply.Answer →
  360. 360A nurse is providing pre-procedure education to a patient scheduled for an upper endoscopy. Which statement by the patient indicates an accurate understanding of the instructions?Answer →
  361. 361What manifestation should the nurse expect when a client has liver failure?Answer →
  362. 362A nurse is assessing a client who is 3 days postoperative following abdominal surgery and notes the absence of bowel sounds, abdominal distention, and the client passing no flatus. Which of the following conditions should the nurse suspect?Answer →
  363. 363The nurse is caring for a client admitted for suspected peptic ulcer disease (PUD) within the duodenal tissue. For which diagnostic test should the nurse prepare the client?Answer →
  364. 364An older adult client diagnosed with bacterial gastroenteritis reports abdominal cramping, diarrhea, nausea and vomiting, and fatigue for the past 24 hours. The nurse will monitor the client for what condition?Answer →
  365. 365A nurse is providing teaching for a client who has a new diagnosis of gastroesophageal reflux disease (GERD). The nurse knows the client understands about the foods he should avoid eating when he reports he does not eat which food?Answer →
  366. 366A nurse is providing teaching for a client who has gastroesophageal reflux disease (GERD) about ways to manage his condition. Which of the following instructions should the nurse include?Answer →
  367. 367A client has been diagnosed with peptic ulcer disease and the provider has prescribed omeprazole. While educating the client, the nurse explains that omeprazole is a ___ which works by reducing the production of ___.Answer →
  368. 368While taking care of a client diagnosed with a Hiatal Hernia, what assessment finding does the nurse need to take immediate action?Answer →
  369. 369A nurse is caring for a client with ulcerative colitis who is admitted with severe bloody diarrhea, abdominal pain, and weight loss. Based on these findings, which of the following nursing diagnoses should the nurse prioritize?Answer →
  370. 370A nurse is assisting a group of clients in an outpatient clinic. For which of the following clients should the nurse anticipate scheduling a colonoscopy?Answer →
  371. 371A nurse is teaching a newly licensed nurse about adverse effects of medications. The nurse should include that which of the following medications can cause constipation? (select all that apply)Answer →
  372. 372A nurse is caring for four clients who have drainage tubes. Which of the following clients should the nurse recognize as being at risk for hypokalemia?Answer →
  373. 373A nurse instructor is evaluating nursing students on the assessment of the abdomen. Complete the following sentence: The nursing student should start assessing the abdomen with [blank1], followed by [blank2], then [blank3], and finish the assessment with the [blank4].Answer →
  374. 374A nurse is caring for a client with cirrhosis. Which of the following findings should the nurse identify as significant indicators of worsening liver function? Select all that apply.Answer →
  375. 375A patient with GERD is prescribed omeprazole. When should the nurse instruct the patient to take this medication?Answer →
  376. 376Which of the following factors increases the risk of UGIB in a patient taking an NSAID?Answer →
  377. 377A nurse is providing discharge teaching for a client who has chronic pancreatitis. Which of the following statements should the nurse make?Answer →
  378. 378A client who has a body mass index (BMI) of 30 kg/m² is requesting information on the initial approach to a weight loss plan. Which action should the nurse recommend? Reference Range: Body mass index (BMI) [18.0 to 24.9 kg/m2]Answer →
  379. 379A nurse is caring for a patient recently diagnosed with hepatitis. Which statement by the patient requires immediate nursing intervention?Answer →
  380. 380A nurse prepares to administer an enteral feeding through a nasogastric tube. Which finding should prompt the nurse to withhold the feeding and notify the provider?Answer →
  381. 381A client arrives at the emergency department reporting severe abdominal pain and a firm bulge in the right groin that developed after lifting a heavy box. The nurse notes the area is tender and cannot be reduced when gentle pressure is applied. Which findings indicate the hernia may have progressed to a strangulated hernia requiring immediate intervention? (Select All That Apply)Answer →
  382. 382The nurse is reinforcing discharge education for a client diagnosed with fluid volume excess (FVE) due to liver failure. Which of the following meal options should the nurse recommend for the client?Answer →
  383. 383A nurse is collecting data from a client who is 12 hr postoperative following a colectomy with colostomy placement. Which of the following findings should the nurse report to the provider?Answer →
  384. 384A nurse is reviewing the lab results of a patient taking a PPI for chronic GERD. Which lab finding could be an adverse effect of long-term PPI use?Answer →
  385. 385A nurse is teaching a client who has hepatitis A. Which of the following information should the nurse include?Answer →
  386. 386A client who had a biliopancreatic diversion procedure (BDP) 3 months ago is admitted with severe dehydration. Which assessment finding warrants immediate intervention by the nurse?Answer →
  387. 387The nurse is assisting with preoperative stoma site marking for a patient scheduled to undergo a sigmoidectomy with colostomy formation. Which abdominal location is most appropriate for stoma placement?Answer →
  388. 388A patient reports frequent heartburn twice a week for the past 4 months. What other symptoms reported by the patient may indicate the patient has GERD? (Select all that apply.)Answer →
  389. 389A nurse is assessing a client who has a new diagnosis of colon cancer. Which of the following findings should the nurse expect?Answer →
  390. 390A client is admitted to the medical-surgical unit with a bowel obstruction. A nasogastric tube was inserted to continuous suction to remove gastric contents. The nurse taking care of the client notices the potassium level is 3.0 mEq/L. What acid-base imbalance may the client be at risk for?Answer →
  391. 391Which assessment should the nurse prioritize when monitoring a patient post cholecystectomy?Answer →
  392. 392A nurse is assessing a client with ulcerative colitis who presents with severe bloody diarrhea. The nurse taking care of this client is developing the nursing care plan. Which of the following findings support the priority nursing diagnosis of deficient fluid volume? (Select all that apply.)Answer →
  393. 393A nurse is monitoring a client who recently had an esophagogastroduodenoscopy procedure. Which of the following findings should the nurse identify as an indication that the client is recovering after the procedure as expected?Answer →
  394. 394A nurse is instructing a client who has GERD about positions that can help minimize the effects of reflux during sleep. Which of the following statements indicates to the nurse that the client understands the instructions?Answer →
  395. 395Which finding requires immediate notification to the provider before a colonoscopy?Answer →
  396. 396A patient who is admitted to the hospital with a sudden onset of severe right upper-quadrant pain that radiates to the right shoulder is diagnosed with cholecystitis. Which assessment information will be most important for the nurse to report to the health care provider?Answer →
  397. 397A nurse is preparing to administer an enteral feeding through a nasogastric (NG) tube. Which action should the nurse take first?Answer →
  398. 398Which patient education point is essential for a nurse to emphasize when a patient is prescribed a PPI?Answer →
  399. 399A nurse is reinforcing teaching with a client who has a new diagnosis of Crohn's disease. Which of the following statements by the nurse provides the most simplistic and non-medical description of the disorder?Answer →
  400. 400A nurse is providing discharge instructions to a client who has a peptic ulcer. Which of the following information should the nurse include in the teaching?Answer →
  401. 401The nurse is assessing a client with hepatic encephalopathy. The nurse notes that the client has a flapping tremor of the hands. How should the nurse document this finding?Answer →
  402. 402A client is brought to the ED by ambulance after swallowing a highly acidic toilet bowl cleaner 2 hours earlier. The client is alert and oriented. What is the care team's most appropriate treatment?Answer →
  403. 403A nurse is caring for a client who has a prescription for a stool guaiac test. The client asks the nurse about the purpose of the test. The nurse should respond by stating that the stool guaiac is testing for which of the following findings in the client's feces?Answer →
  404. 404A nurse is caring for an older adult client who has significant issues with ascites related to end-stage liver disease. Which of the following precautions is important for the nurse to reinforce when teaching the client?Answer →
  405. 405Which of the following clinical findings should the nurse identify as a "red flag" warranting immediate further investigation for colorectal cancer?Answer →
  406. 406A client has been diagnosed with an active upper GI bleed. What is the nurse's priority action?Answer →
  407. 407A nurse is reinforcing teaching a client who is scheduled for a barium swallow to evaluate dysphagia. Which of the following statements should indicate to the nurse that the client understands the instructions?Answer →
  408. 408A nurse is reviewing the laboratory data of a client who has acute pancreatitis. The nurse should expect to find an elevation of which of the following values?Answer →
  409. 409Which patient education point is essential for a nurse to emphasize when a patient is prescribed a PPI?Answer →
  410. 410A nurse is assessing clients in a health clinic for risk factors for contracting hepatitis. Which of the following clients is at highest risk for developing hepatitis C?Answer →
  411. 411A 20-year-old patient is admitted to the emergency department with complaints of acute onset abdominal pain with no history of gastrointestinal problems. The nurse suspects that the patient has appendicitis. Which of the following statement(s) is/are accurate about appendicitis? Choose 3.Answer →
  412. 412A nurse is developing a health promotion plan for a client recently diagnosed with chronic hepatitis C who is concerned about disease transmission and liver health. Which intervention should the nurse prioritize to effectively reduce the risk of disease progression and transmission?Answer →
  413. 413Which teaching is included for the postoperative care of a client scheduled for a hemorrhoidectomy?Answer →
  414. 414A client is suspected of having the onset of alcoholic liver disease. The nurse should be assessing for which of the following manifestations related to the necrosis of liver cells?Answer →
  415. 415The nurse is admitting an older adult client with possible malnutrition. Which parameters are most indicative of the client's nutritional status?Answer →
  416. 416The healthcare provider (HCP) writes the following order: Start Glucerna at 20 mL/hr via G-tube. Increase by 10 mL/hr every 6 hours until goal rate of 50 mL/hr is reached. The nurse comes into the room to implement the order. The client asks the nurse, "How long will it take before I reach the goal feeding rate?"Answer →
  417. 417A nurse is providing discharge teaching for a client who has chronic pancreatitis. Which of the following statements should the nurse make?Answer →
  418. 418The nurse notes that the client has white, lumpy patches on their tongue. What would the nurse anticipate that the health care provider would order?Answer →
  419. 419A client with celiac disease selects a slice of rye bread toast with fresh fruit and skim milk, grapefruit juice, and coffee from the breakfast menu. Which action is most important for the nurse to implement?Answer →
  420. 420Which of the following is a significant risk factor for the development of liver cirrhosis?Answer →
  421. 421When administering a new GI medication to an older client, what outcome does the nurse anticipate?Answer →
  422. 422A client with Crohn's disease is experiencing severe abdominal pain and malnutrition. As a nurse, what is the priority intervention you should consider?Answer →
  423. 423A nurse is reviewing the medication list of a client who has diverticulitis. Which of the following medications should the nurse anticipate being prescribed during an acute episode?Answer →
  424. 424Which of the following tasks related to a patient with GERD can be appropriately delegated to an LPN?Answer →
  425. 425A client with hiatal hernia chronically experiences heartburn after meals. Which of the following should the nurse teach the client to avoid?Answer →
  426. 426A patient with GERD has undergone diagnostic testing and it has been determined that increasing the pace of gastric emptying may help alleviate symptoms. The nurse should anticipate the patient will be prescribed which medication?Answer →
  427. 427A patient who takes several antidepressants and cetirizine (Zyrtek) complains to the nurse about experiencing hemorrhoids as a result of chronic constipation. Which instruction should the nurse include in patient teaching for initial therapy?Answer →
  428. 428A nurse is collecting data from a client who is 12 hr postoperative following a colectomy with colostomy placement. Which of the following findings should the nurse report to the provider?Answer →
  429. 429A client is admitted to the medical unit with a diagnosis of intestinal obstruction. When planning this client's care, which of the following potential complication should the nurse prioritize?Answer →
  430. 430A client has been on a therapeutic regimen for an H. Pylori infection. Which of the following represents the usual medication protocol for H. pylori?Answer →
  431. 431Complete the sentence by selecting the most appropriate options from the dropdown menus. "During discharge teaching, the nurse reinforces that a high-output ileostomy may result in (1) and that the client should notify the provider if output becomes (2)."Answer →
  432. 432A 63-year-old client with cirrhosis underwent paracentesis today. Which assessment finding alerts the nurse that the procedure was successful?Answer →
  433. 433The nurse is preparing education to present to a community group on gastroesophageal reflux disease (GERD). Which of the following interventions should the nurse include for patients to help alleviate their discomfort? Select all that apply.Answer →
  434. 434A client with severe cirrhosis presents with elevated ammonia levels. Which of the following dietary modifications should the nurse prioritize for the client to help manage ammonia levels?Answer →
  435. 435A nurse is assessing a client with a diagnosis of Crohn's disease who reports chronic abdominal pain, fatigue, and unintentional weight loss. Which of the following pathophysiological processes should the nurse identify as the most likely cause of these findings?Answer →
  436. 436A nurse is collecting data from a client who has been taking omeprazole for the past 4 weeks. The nurse determines that the medication is effective when the client reports relief from which of the following symptoms?Answer →
  437. 437A nurse is assessing a client who has a colostomy. Which of the following findings should the nurse report to the provider?Answer →
  438. 438What is the primary mechanism of action of sucralfate (Carafate)?Answer →
  439. 439A nurse is caring for a client who has esophageal varices and is hypotensive after a 300 mL hematemesis. Which action is the nurse's priority?Answer →
  440. 440A client has had surgery for a colostomy after a traumatic accident. The client avoids looking at the colostomy and refuses visitors, including their significant other. Identify the most appropriate nursing intervention.Answer →
  441. 441A nurse is assessing an older adult client who has just been admitted to the medical-surgical unit and presents with a large amount of abdominal ascites. Client is alert and oriented ×3, states that they walk independently at home, and normally use a cane but forgot to bring it to the hospital. Which of the following measures are important for the nurse to initiate first?Answer →
  442. 442A nurse is reviewing the electronic health record (EHR) of two clients: one with ulcerative colitis (UC) and one with Crohn's disease. Which findings are most consistent with Ulcerative Colitis? (Select all that apply.)Answer →
  443. 443A nurse is caring for a client who is receiving total parenteral nutrition (TPN) via an infusion pump. When collecting data about the client receiving this therapy, which of the following factors should the nurse monitor?Answer →
  444. 444A patient is admitted to the emergency department for evaluation of right lower-quadrant abdominal pain with nausea and vomiting. The patient has a white blood cell count (WBC) of 14,000/µl with a shift to the left. Which of these actions is appropriate for the nurse to perform?Answer →
  445. 445The nurse is caring for a client with acute pancreatitis who has a nasogastric (NG) tube to low intermittent suction. Which action should the nurse incorporate into the client's care plan?Answer →
  446. 446A nurse is reviewing the laboratory data of a client who has acute pancreatitis. The nurse should expect to find an elevation of which of following values?Answer →
  447. 447A charge nurse observes a nurse administer intermittent tube feedings via an NG tube to a client. Which of the following actions should prompt the charge nurse to intervene?Answer →
  448. 448The process of absorption mainly occurs in the ______.Answer →
  449. 449A 35-year-old client presents at the emergency department with vomiting of intestinal contents, oliguria, dry mucous membranes and hyperactive bowel sounds. The abdominal x-ray shows gas and fluid in the intestines. In collaboration with the primary care provider, what intervention should the nurse prioritize?Answer →
  450. 450A nurse is caring for a client who states their parent died from complications of a GI bleed. Which of the following reinforcements by the nurse will help the client decrease their risk of developing a peptic ulcer?Answer →
  451. 451Which task is appropriate for the RN to delegate to an experienced LPN caring for a patient with GERD?Answer →
  452. 452An older adult client with poor oral hygiene and undernourishment is admitted with a hip fracture after a fall. What is the priority nursing intervention?Answer →
  453. 453A nurse is teaching a patient about medications used to treat peptic ulcer disease (PUD) and gastroesophageal reflux disease (GERD), including H2 receptor blockers, proton pump inhibitors (PPIs), antacids, and bismuth salicylates. Which of the following statements by the patient indicate a correct understanding of these medications? Select all that apply.Answer →
  454. 454A nurse is collecting data from a client who has a new diagnosis of liver disease. Which of the following manifestations should the nurse expect?Answer →
  455. 455Match the medication to its mechanism of action.Answer →
  456. 456A patient with chronic pancreatitis is prescribed pancreatic enzyme replacement therapy (PERT). Which instruction is correct?Answer →
  457. 457The client is preparing for discharge. She asks what is the best way to take care of her skin. Which teaching will the nurse provide?Answer →
  458. 458The nurse is reviewing the medication administration schedule for four patients. Which situation requires immediate intervention to prevent a medication interaction or error?Answer →
  459. 459A nurse is providing teaching for a client who has a new diagnosis of gastroesophageal reflux disease (GERD). The client asks about foods he should avoid eating. Which of the following foods should the nurse instruct the client to avoid?Answer →
  460. 460A nurse is collecting data from a client who has obstruction and inflammation of the common bile duct due to cholelithiasis. Which of the following findings is expected for this condition?Answer →
  461. 461A nurse is caring for a client diagnosed with acute hepatitis B. What action should the nurse include in the care plan for this client with acute hepatitis B?Answer →
  462. 462Which of the following interventions are appropriate for clients with gastritis? Select all that apply.Answer →
  463. 463A client is 24 hours postoperative, and the nurse determines that the client is experiencing paralytic ileus. How does the nurse explain this to the client?Answer →
  464. 464A client presents with severe abdominal pain radiating to the back, tachycardia, and fever. Which lab test should the nurse prioritize to confirm the suspicion of acute pancreatitis?Answer →
  465. 465The nurse is helping develop a meal plan based on nutritional guidelines for an older adult client being discharged to home with the client's spouse. Which statement by the client and spouse best indicates an understanding of the nutritional guidelines when planning meals?Answer →
  466. 466A nurse is caring for a client who has just been diagnosed with cancer of the colon. The client asks the nurse several questions about what the provider might be planning to do. Which of the following nursing responses should the nurse make?Answer →
  467. 467A nurse is preparing to assist with a paracentesis for a client with end-stage liver disease. Which action should the nurse plan to take before the procedure?Answer →
  468. 468A client who is scheduled for a barium swallow asks a nurse why a laxative is necessary following the procedure. Which of the following responses should the nurse make?Answer →
  469. 469A patient newly diagnosed with Crohn's disease asks the nurse what to expect in the future. The best response by the nurse is,Answer →
  470. 470A patient with GERD has undergone diagnostic testing and it has been determined that increasing the pace of gastric emptying may help alleviate symptoms. The nurse should anticipate the patient will be prescribed which medication?Answer →
  471. 471A nurse is caring for a child who has appendicitis. Which of the following actions should the nurse take to manage the child's pain?Answer →
  472. 472A client is receiving care following the insertion of a Sengstaken-Blakemore tube for esophageal variceal hemorrhage. Which of the following nursing actions is most critical to monitor for potential complications during this intervention?Answer →
  473. 473A client admitted to a surgical unit is being evaluated for an intestinal obstruction. The healthcare provider (HCP) prescribes a nasogastric tube (NGT) to be inserted and placed to intermittent low wall suction. Which intervention should the nurse implement to facilitate proper tube placement?Answer →
  474. 474A client arrives to the unit after undergoing an open cholecystectomy with T-tube placement. The nurse enters the client's room and recognizes which of the following as a concern that needs to be addressed immediately?Answer →
  475. 475Which of the following signs/symptoms would lead the nurse to suspect the post-op client has developed a small bowel obstruction? Select all that apply.Answer →
  476. 476A patient with a diagnosis of peptic ulcer disease has just been prescribed omeprazole. How will the nurse best describe this medication's therapeutic action?Answer →
  477. 477Based on the client presentation, evaluate the actions listed below and categorize them under planned actions for managing diverticulitis and ulcerative colitis.Answer →
  478. 478A young woman reports to the clinic with complaints of yellow discoloration of her skin, loss of appetite, and a feeling of upper gastric discomfort. She denies use of IV drugs and cannot recall eating any uncooked shellfish or drinking water that may have been contaminated. She has a daughter who attends daycare. Which of the following disease processes does the nurse suspect the patient is presenting with?Answer →
  479. 479An adult client who had bariatric surgery two months ago has developed a postoperative stricture. For the past week, the client has experienced nausea, vomiting, and anorexia, and is admitted to the hospital for fluid resuscitation. At this time the client denies feeling any pain. Which intervention should the nurse implement?Answer →
  480. 480Which of the following statements regarding the Guaiac test are accurate? (Select All that Apply.)Answer →
  481. 481The nurse educator validates a nurse's physical assessment skills at a unit skills validation session to ensure they can perform safe client care. What finding causes the educator to believe that the nurse needs further practice on abdominal assessment?Answer →
  482. 482Which of the following modes of transmission is most associated with hepatitis B for a client who has been diagnosed with the virus?Answer →
  483. 483A client has been on a therapeutic regimen for an H. Pylori infection. Which of the following represents the usual medication protocol for H. pylori?Answer →
  484. 484A patient is receiving a continuous IV infusion of medication at a rate of 50 mL/hour. The infusion started at 10:00 AM, and the medication bag contains 500 mL. At what time will the bag be empty?Answer →
  485. 485Which signs and symptoms should the nurse expect to find in a patient admitted with a duodenal ulcer?Answer →
  486. 486The nurse is educating a patient on lifestyle modifications for GERD. Which of the following instructions is NOT recommended as a first-line lifestyle modification?Answer →
  487. 487Review the electronic health record. Complete the diagram by selecting from the choices below to specify what condition the client is most likely experiencing, 2 priority actions the nurse should take to address that condition, and 2 priority parameters the nurse should monitor to assess the client's progress.Answer →
  488. 488A nurse is teaching a client who has hepatitis B. Which instruction should be included?Answer →
  489. 489A nurse is providing pre-procedure education to a patient scheduled for an upper endoscopy. Which statement by the patient indicates an accurate understanding of the instructions?Answer →
  490. 490The client with ulcerative colitis should be assessed by the health care provider for which clinical manifestation associated with this disease?Answer →
  491. 491A 94-year-old client is to begin taking psyllium hydrophilic mucilloid daily. What instructions should the nurse include in the discharge teaching?Answer →
  492. 492A nurse is developing a care plan for a client newly diagnosed with chronic hepatitis C. The client reports fatigue, poor appetite, and occasional alcohol use. Which of the following interventions is most important to include in the plan of care to support long-term liver health?Answer →
  493. 493Which statement made by the patient indicates understanding of hiatal hernia management?Answer →
  494. 494Which findings are NOT consistent with successful treatment of a patient with H. pylori-associated peptic ulcer disease? (Select All that Apply.)Answer →
  495. 495A nurse is reinforcing teaching to a client who has long-term symptoms of GERD. Which of the following statements should the nurse include in the education?Answer →
  496. 496A nurse is assessing a client suspected of having a peptic ulcer. Which combination of symptoms should the nurse recognize as characteristic of a duodenal ulcer?Answer →
  497. 497Which task is appropriate for the RN to delegate to an experienced LPN caring for a patient with GERD?Answer →
  498. 498A client presents with complaints of burning epigastric pain. The pain is described as worse with eating. Based on this presentation, which type of ulcer is most likely?Answer →
  499. 499Which of the following are potential side effects of cimetidine that a nurse should educate the patient about? Select all that apply.Answer →
  500. 500A malnourished child is receiving several nutritional supplements. Which statement by the child indicates that an adequate amount of vitamin A is being provided?Answer →
  501. 501A patient with liver failure comes for a follow-up after being on lactulose for a week. The patient states, "I do not want to take this medication because it gave me diarrhea." Which of these is the most appropriate response by the nurse?Answer →
  502. 502The nurse is replacing a client's ileostomy appliance and has identified that the diameter of the stoma is 3.5 cm. The nurse has trimmed the flange (wafer) of the new appliance to a diameter of 7 cm and placed on the client. What will be the most likely outcome of the nurse's action?Answer →
  503. 503A nurse is caring for a client who has acute pancreatitis. After treating the client's pain, which of the following interventions should the nurse address as the priority intervention?Answer →
  504. 504A nurse is reviewing the electronic health record (EHR) of two clients: one with ulcerative colitis (UC) and one with Crohn's disease. Which findings are most consistent with ulcerative colitis? (Select all that apply.)Answer →
  505. 505A 23-year old client admitted and just diagnosed with ulcerative colitis (UC) reports approximately 5 bloody stools daily. Vital signs show a pulse of 80 bpm, respiration rate of 18 breaths per minute, blood pressure of 124/88, and temperature of 97.6°F. Mild abdominal tenderness on palpation is noted. The ESR is mildly elevated. How is the severity of the client's ulcerative colitis documented?Answer →
  506. 506A nurse is assessing a client who has been prescribed lactulose for the management of hepatic encephalopathy. Which of the following statements by the client about the effects of lactulose indicates that the nurse must provide further education?Answer →
  507. 507The client states, "I am afraid I'll never get to go out with my friends again because I can't be away from the toilet." Which nursing response is appropriate?Answer →
  508. 508A charge RN is making assignments for a team that includes one RN, one LPN, and one CNA. Four patients are on the unit. Which patient assignment is NOT appropriate and should be restructured by the charge nurse?Answer →
  509. 509Which of the following tasks related to GI medications can the RN safely delegate to a CNA?Answer →
  510. 510What is the primary mechanism of action of sucralfate (Carafate)?Answer →
  511. 511The nurse is reviewing the medical records of four clients diagnosed with Irritable Bowel Syndrome (IBS). Which client finding requires the nurse's immediate follow-up with the healthcare provider?Answer →
  512. 512A nurse is teaching a class about preventive care to clients who are at risk for acquiring viral hepatitis. Which of the following information should the nurse include in the presentation?Answer →
  513. 513A nurse is caring for a 64-year-old client who has a small bowel obstruction. For each potential prescription from the healthcare provider, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the client.Answer →
  514. 514An adult client is diagnosed with gastroesophageal reflux disease (GERD). Click to identify a possible cause for the GERD. Select one option. Quit smoking 2 years ago Health History Sleeps with the head of bed elevated Reported hiatal hernia Gastrointestinal surgery as a teenager Nursing Notes 0700 Assisted client with getting dressed, provided morning cup of herbal tea. Client stated they did not sleep well and feel tired this morning. Standby assist when walking to the dining hall. 0730 Client ate 75% of breakfast: scrambled eggs, wheat toast, 2 slices bacon, glass of whole milk.Answer →
  515. 515A 16-year-old girl has been admitted to the emergency department after ingesting 20 g of acetaminophen (Tylenol) in a suicide attempt. The care team would recognize that this client faces a severe risk of liver failure, with elevated ammonia levels that can result in: Choose 3.Answer →
  516. 516The nurse cares for a client with alcohol use disorder who is newly diagnosed with hepatitis C. What action(s) should the nurse plan to include in the client's care plan? Select all that apply.Answer →
  517. 517A Medical Surgical RN is prioritizing her assignment for the day. Which of the following patients should the nurse not prioritize for immediate assessment?Answer →
  518. 518A client with cholelithiasis is admitted with a gallstone lodged in the common bile duct. The client is unable to eat or drink without nausea and vomiting. Which finding should the nurse report to the healthcare provider (HCP)?Answer →
  519. 519What non-intestinal manifestations are seen in both ulcerative colitis and Crohn's disease?Answer →
  520. 520A nurse caring for a client with a newly created ileostomy assesses the client and notes that the client has not had ostomy output for the past 12 hours. The client also reports worsening nausea. What is the nurse's priority action?Answer →
  521. 521Which changes in the gastrointestinal tract would the nurse anticipate for an elderly client? Select all that apply.Answer →
  522. 522Complete the following sentences by choosing from the lists of options. A client with gastroesophageal reflux disease (GERD) is prescribed omeprazole, and the nurse provides medication education. The nurse instructs the client to take their omeprazole ___ 1 ___ and informs the client they will need to have their ___ 2 ___ tested periodically.Answer →
  523. 523The nurse is reviewing a list of current medications with a client who has developed gastrointestinal (GI) bleeding. Which prescription would the nurse discuss with the primary healthcare provider related to the GI bleeding?Answer →
  524. 524A registered nurse (RN) is managing care for four patients on a post-surgical unit. Three patients have undergone gastric surgery and are experiencing early dumping syndrome. Which of the following tasks is NOT appropriate for the RN to delegate to a CNA?Answer →
  525. 525An adult client newly diagnosed with Crohn's disease asks the nurse about eating dairy products. How should the nurse respond?Answer →
  526. 526A nurse is assessing a client with advanced liver cirrhosis who presents with ascites, jaundice, and progressive confusion. Which of the following complications should the nurse identify as the most likely cause of the client's altered mental status?Answer →
  527. 527A nurse is admitting a client experiencing vomiting. For each potential healthcare provider's prescriptions, click to specify if the prescription is anticipated or contraindicated.Answer →
  528. 528After providing education to a patient with GERD. You ask the patient to list 4 things they can do to prevent or alleviate signs and symptoms of GERD. Which statement is INCORRECT?Answer →
  529. 529The nurse is evaluating lab results for a client with acute pancreatitis who had their diet advanced from NPO to a regular diet. Which finding indicates the client is not tolerating the change in diet?Answer →
  530. 530Which client is more likely to develop gallstones?Answer →
  531. 531A client presents with complaints of burning epigastric pain. The pain is described as worse with eating. Based on this presentation, which type of ulcer is most likely?Answer →
  532. 532Which of the following responsibilities should the RN delegate to the LPN caring for a patient hospitalized with bleeding PUD?Answer →
  533. 533One day following the delivery of her first child, an Asian American client refuses to eat the food on her dinner tray, reporting that the foods provided are "cold foods." Which intervention should the nurse implement first?Answer →
  534. 534A nurse is assessing a client with ulcerative colitis who presents with severe bloody diarrhea. The nurse taking care of this client is developing the nursing care plan. Which of the following findings support the priority nursing diagnosis of deficient fluid volume? (Select all that apply.)Answer →
  535. 535The nurse is preparing to administer medications to a client with a percutaneous endoscopic gastrostomy (PEG) tube. What action(s) should the nurse plan to take? Select all that apply.Answer →
  536. 536The client, who presents with bloody diarrhea with mucous, anemia, unpleasant and urgent sensation to defecate, and weight loss, comes into the hospital. The nurse is prioritizing their care. Which nursing diagnosis should the nurse include in the plan of care first?Answer →
  537. 537A patient with a diagnosis of peptic ulcer disease has just been prescribed omeprazole. How will the nurse best describe this medication's therapeutic action?Answer →
  538. 538A nurse on a busy medical floor must prioritize care for four patients with PUD or GERD on acid-suppression therapy. Which patient should the nurse assess LAST—meaning this patient does NOT require priority intervention?Answer →
  539. 539A nurse is educating a client diagnosed with gastroesophageal reflux disease (GERD) about pharmacological management for health promotion. Which of the following instructions should the nurse include? (Select all that apply)Answer →
  540. 540A nurse is providing medication teaching to a client who has been prescribed famotidine for the treatment of gastroesophageal reflux disease (GERD). Which statement by the client indicates a need for further teaching?Answer →
  541. 541A nurse in a provider's office is caring for a client. Select the 3 findings from the client's medical record that increase their risk for peptic ulcer disease (PUD).Answer →
  542. 542A nurse is talking with a client who has cholelithiasis and is about to undergo an oral cholangiogram. Which of the following client statements indicates to the nurse understanding of the procedure?Answer →
  543. 543A Medical Surgical RN is prioritizing her assignment for the day. Which of the following patients should the nurse not prioritize for immediate assessment?Answer →
  544. 544A nurse is providing care for a client who had a laparoscopic cholecystectomy. Which of the following is an appropriate nursing action?Answer →
  545. 545A patient has a gastric ulcer, and a culture of the secretions reveals Helicobacter pylori. Which medication should the nurse administer along with omeprazole (Prilosec)?Answer →
  546. 546An adult client newly diagnosed with Crohn's disease asks the nurse about eating dairy products. How should the nurse respond?Answer →
  547. 547A nurse is caring for a client who has liver cirrhosis with ascites, bleeding esophageal varices, and portal hypertension. The nurse recognizes which of the following laboratory findings as indicating the client's gastrointestinal (GI) tract is digesting and absorbing blood?Answer →
  548. 548A nurse is providing teaching about ileostomy care to a client. Which of the following statements by the client indicates a need for further teaching?Answer →
  549. 549A nurse is contributing to the plan of care for a client who has acute pancreatitis. Which of the following interventions should the nurse include?Answer →
  550. 550A nurse is caring for a child who is on a clear liquid diet. At lunch, the child consumed ½ cup of juice, 3 oz gelatin, 1 oz of an ice pop, and 20 mL ginger ale. How many mL should the nurse record as the child's fluid intake?Answer →
  551. 551A charge nurse is assigning care tasks for a patient with active peptic ulcer disease who is receiving triple therapy (omeprazole, clarithromycin, amoxicillin). Which task is NOT appropriate to assign to a licensed practical nurse (LPN/LVN) on this unit?Answer →
  552. 552The nurse plans care for a client who underwent a total colectomy with ileostomy four days ago due to severe ulcerative colitis. What action should the nurse prioritize in the client's plan of care?Answer →
  553. 553A nurse is caring for a client who has end-stage liver disease and is being placed on a transplant list. Which of the following statements by the client is the priority for the nurse to report to the provider?Answer →
  554. 554A nurse is reinforcing teaching with a newly licensed nurse about physiological changes in the digestive system that occur with aging. The nurse should include older adults who might experience which of the following physiological changes?Answer →
  555. 555A nurse on a busy medical floor must prioritize care for four patients with PUD or GERD on acid-suppression therapy. Which patient should the nurse assess LAST—meaning this patient does NOT require priority intervention?Answer →
  556. 556Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.Answer →
  557. 557A client who has been diagnosed with cholecystitis is being discharged home from the ED to be scheduled for later surgery. The client received morphine during the present ED admission and is visibly drowsy. When providing health education to the client, what would be the most appropriate nursing action?Answer →
  558. 558The nurse is assessing clients for risk factors associated with undernutrition. Which conditions or situations increase the risk for undernutrition? Select all that apply.Answer →
  559. 559Which medication orders are NOT appropriate for a patient with active peptic ulcer disease? (Select all that apply)Answer →
  560. 560A nurse is teaching a client who had a Roux-en-Y gastric bypass (RNYGB) about preventing dumping syndrome. Which statement by the client indicates a need for further teaching?Answer →
  561. 561Which task is appropriate for the nurse to delegate to a licensed practical nurse (LPN) caring for a patient with peptic ulcer disease?Answer →
  562. 562A nurse admits a client to the emergency department who reports nausea and vomiting that worsens when he lies down. Antacids do not help. The provider suspects acute pancreatitis. Which of the following laboratory test results should the nurse expect to see?Answer →
  563. 563A nurse is providing education to a client who has peptic ulcer disease and a prescription for lansoprazole. Which of the following client statements indicates an understanding of the teaching?Answer →
  564. 564A charge nurse is assigning care tasks for a patient with active peptic ulcer disease who is receiving triple therapy (omeprazole, clarithromycin, amoxicillin). Which task is NOT appropriate to assign to a licensed practical nurse (LPN/LVN) on this unit?Answer →
  565. 565A nurse is caring for a client with acute pancreatitis. Which healthcare provider order should the nurse question?Answer →
  566. 566The nurse receives shift report on several clients with cirrhosis. Which client should the nurse assess first?Answer →
  567. 567The nurse is caring for a client with Crohn's disease who reports severe abdominal pain, frequent diarrhea, and a weight loss of 10 pounds in the last month. What additional finding requires immediate intervention by the nurse?Answer →
  568. 568What is a non-modifiable risk factor for the development of colorectal cancer?Answer →
  569. 569Which of the following are potential side effects of cimetidine that a nurse should educate the patient about? (Select all that apply.)Answer →
  570. 570A client with liver cirrhosis presents with confusion, lethargy, and asterixis. Which complication is the client most likely experiencing?Answer →
  571. 571A nurse is teaching an older adult client who reports constipation. Which of the following instructions should the nurse include in the teaching?Answer →
  572. 572A nurse is caring for a child who has appendicitis. Which of the following actions should the nurse take to manage the child's pain?Answer →
  573. 573A nurse is teaching a client who has been prescribed aluminum hydroxide to treat peptic ulcer disease. Which statement by the client indicates the teaching has been effective?Answer →
  574. 574A nurse is caring for a client who has nausea and a prescription for metoclopramide intermittent IV bolus every 4 hr as needed. The client asks the nurse how metoclopramide will relieve her nausea. Which of the following explanations should the nurse provide?Answer →
  575. 575While preparing a client with suspected appendicitis for an abdominal ultrasound, the nurse observes that the client is experiencing localized rebound tenderness in the right lower quadrant of the abdomen. Based on this information, which nursing intervention should the nurse implement?Answer →
  576. 576A nurse is monitoring a client who recently had an esophagogastroduodenoscopy procedure. Which of the following findings should the nurse identify as an indication that the client is recovering after the procedure as expected?Answer →
  577. 577A nurse is reviewing the medication list for a client who has a new diagnosis of a small bowel obstruction. The nurse should withhold which of the following medications?Answer →
  578. 578Based on the client presentation, evaluate the actions listed below and categorize them under planned actions for managing diverticulitis and ulcerative colitis.Answer →
  579. 579A 52-year-old presents with chronic heartburn and regurgitation and the RN is explaining the pathophysiology of GERD to the patient and family members. Which of the following is NOT a primary mechanism responsible for the development of GERD?Answer →
  580. 580The nurse assesses a patient with severe liver failure. Which assessment is the highest priority for this patient?Answer →
  581. 581A nurse is providing discharge teaching to a client who had gastric bypass surgery. Which of the following statements by the client Indicates understanding of the instructions. Select 3 options.Answer →
  582. 582A patient comes to the clinic reporting pain in the epigastric region. What statement by the patient suggests the presence of a duodenal ulcer?Answer →
  583. 583A nurse is reinforcing teaching to a client about how to perform fecal occult blood testing for screening of colorectal cancer. Which of the following statements by the client indicates a need for further teaching?Answer →
  584. 584A client just experienced a severe episode of gastroesophageal reflux with regurgitation. Which assessment by the nurse is the priority?Answer →