GI NCLEX LATEST newest actual EXAM with

GI NCLEX LATEST newest actual 2025/2026 EXAM with complete QUESTIONS AND ANSWERS.verifed/GRADED A+/

GUARANTEE PASS

When assessing a patient with pancreatitits, nurse would

expect to find:

• hyperactive bowel sounds
• hypertension and tachycardia
• severe midepigastric of LUQ pain
• temp greater than 102º - ----Answers---C

Combined with clinical manifestations, the lab finding that is

most commonly used to diagnose acute prancreatitis is:

• increased serum lipase

c

• increased urinary amylase
• decreased renal amylase creatine clearance - ----

Answers---C

Most effective means of suppressing pancreatic secreation

during an episode of pancreatitis is the use of:

• antibiotics 1 / 4

• NPO status
• antispasmotics
• H2R blockers - ----Answers---B

Patient with pancreatitis has nursing dx of pain r/t distention of pancreas and peritoneal irritation. In addition to effective

use of analgesics the nurse should:

• provide diversional activiies to distract patient
• provide small frequent meals
• position the patient on the side with the head of the bed

elevated 45º

• ambulate the patient q 3-4 hours - ----Answers---C

he nurse determines tha further discharge instruction is

needed whne the patient with acute pancreatititis states:

• "i should observe for fat in my stools"
• "I must not use alcohol to prevent future attacks"
• "I shouldn't eat salty foods"
• "I will need to continue to monitor my blood glucose levels

until my pancreas is healed" - ----Answers---C

A 74 y.o. female pt w/ GERD takes over-the-counter meds. For which med, if taken long-term, should the nurse teach about increased risk of fractures? 2 / 4

Sucralfate (Carafate) Cimetidine (Tagamet) Omeprazole (Prilosec) Metoclopramide (Reglan) - ----Answers---Omeprazole (Prilosec)

There is a potential link between proton pump inhibitor use and bone metabolism. Long-term use or high doese of these may increase the risk of fractures of the hip, wrist, and spine.Lower doses or shorter duration of therapy should be considered.

The nurse is planning to teach a client with GERD about substances to avoid. Which items should the nurse include on this list? Select all that apply.

Coffee Chocolate Peppermint Nonfat milk Fried chicken Scrambled eggs - ----Answers---Coffee, chocolate, peppermint, fried chicken

The nurse explains to the pt with GERD that this disorder: 3 / 4

• results in acid erosion and ulceration of the esophagus

caused by frequent vomiting.

• will require surgical wrapping or repair of the pyloric

sphincter to control the symptoms.

• is the protrusion of a portion of the stomach into the

esophagus through an opening in the diaphragm

• often involves relaxation of the LES, allowing stomach

contents to back up into the esophagus. - ----Answers---d

Which of the following complications is thought to be the most common cause of appendicitis?

• A fecalith
• Bowel kinking
• Internal bowel occlusion
• Abdominal bowel swelling - ----Answers---A

A fecalith is a fecal calculus, or stone, that occludes the lumen of the appendix and is the most common cause of appendicitis. Bowel wall swelling, kinking of the appendix, and external occlusion, not internal occlusion, of the bowel by adhesions can also be causes of appendicitis.

Which of the following nursing interventions should be implemented to manage a client with appendicitis?

• Assessing for pain
• / 4