RN TARGETED GASTROINTESTINAL NEWEST 2024
ACTUAL EXAM
A nurse is providing discharge teaching for a client who has
chronic hepatitis C. Which of the following statements by the
client indicates understanding of the teaching? – ANSWER- “I
will avoid medications that contain acetaminophen”
Rationale: A client who has hepatitis C should avoid
medications that contain acetaminophen, which can cause
additional liver damage.
A nurse is assessing a client who has upper gastrointestinal
bleeding. Which of the following findings should the nurse
expect? – ANSWER- Hypotension
Rationale: A client who has upper gastrointestinal bleeding
is at risk for hemorrhagic shock. Hypotension is a
manifestation of hemorrhagic shock.
A nurse is reviewing the laboratory values of a client who has
colorectal cancer. Which of the following findings should the
nurse expect? – ANSWER- Hemoglobin 9.1 g.dL
Rationale: A hemoglobin level of 9.1 g/dL is below the
expected reference range. Decreased hemoglobin is an
expected finding in a client who has colorectal cancer due to
occult intestinal bleeding.
A nurse is providing discharge teaching for a client who has an
new colostomy and is concerned about flatus and odor. Which
of the following foods should the nurse recommend to the
client? – ANSWER- Yogurt
Rationale: The nurse should recommend yogurt, crackers,
and toast, which can prevent flatus and stool odor.
A nurse is caring for a client who has ulcerative colitis. the
client has has several exacerbations over the past 3 years. Which
of the following instructions should the nurse include in the plan
of care to minimize the risk of further exacerbations? –
ANSWER- Use progressive relaxation techniques
Rationale: Progressive relaxation techniques, a form of
biofeedback, are recommended to help the client minimize
stress, which can precipitate an exacerbation.
Arrange activities to allow for daily rest periods
Daily rest periods decrease stress and reduce intestinal
motility.
Restrict intake of carbonated beverages
The client should avoid gastrointestinal stimulants, such as
carbonated beverages, nuts, peppers, and smoking
A nurse is admitting a client who has acute pancreatitis. Which
of the following actions should the nurse take first? – ANSWERIdentify the clients current level of pain
Rationale: The first action the nurse should take when using
the nursing process is to assess the client. Clients who have
acute pancreatitis often have severe abdominal pain. By
assessing the client’s level of pain, the nurse can identify the
need for and implement interventions to alleviate the client’s
pain.
A nurse is providing dietary teaching for a client who is
postoperative following a gastrectomy. Which of the following
foods should the nurse encourage the client tp include in their
diet to reduce the risk for dumping syndrome – ANSWER- Eggs
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