Med Surg Gastrointestinal NCLEX

1

Med Surg Gastrointestinal NCLEX Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

A nurse is caring for a client with liver cirrhosis. Which assessment finding requires immediate intervention?

• Spider angiomas on the chest
• Yellowing of the sclera

✔✔ C. Confusion and disorientation

• Dry, itchy skin

A client reports burning epigastric pain that improves with eating. Which condition is most likely?

• Gastric ulcer

✔✔ B. Duodenal ulcer

C. GERD

• Gallstones

Which instruction should the nurse give to a client preparing for a colonoscopy? 1 / 4

2

• Avoid liquids for 12 hours

✔✔ B. Take only clear liquids the day before the procedure

• Take an antacid before bedtime
• Avoid dairy products for 1 week

A nurse is teaching a client with a new ileostomy. Which statement indicates understanding?

• “I will expect my stool to be solid.”

✔✔ B. “I will need to empty the pouch several times a day.”

• “I will change the pouch once a month.”
• “I don’t need to worry about skin care.”

A client with hepatitis C asks how it is transmitted. What is the correct response?

• Through contaminated food or water

✔✔ B. Through blood or body fluids

• Through droplets from a cough
• Through insect bites

Which lab value should the nurse monitor in a client with pancreatitis? 2 / 4

3

• Bilirubin

✔✔ B. Amylase

• Hemoglobin
• Sodium

A client reports nausea, bloating, and belching after eating fried foods. Which condition is most likely?✔✔ A. Cholelithiasis

• Peptic ulcer disease
• Irritable bowel syndrome
• Pancreatic cancer

Which dietary instruction is appropriate for a client with diverticulosis?✔✔ A. Increase dietary fiber

• Follow a low-residue diet
• Avoid all carbohydrates
• Drink only clear liquids
• / 4

4

What is the priority nursing action after a liver biopsy?

• Encourage ambulation

✔✔ B. Position the client on the right side

• Provide a full meal
• Apply heat to the biopsy site

A client is experiencing frequent heartburn and regurgitation. Which condition is most likely?

✔✔ A. GERD

• Appendicitis
• Cholecystitis
• Gastric ulcer

A nurse is caring for a client with an NG tube for decompression. What is the priority nursing action?

• Monitor intake and output

✔✔ B. Verify tube placement regularly

• Flush the tube every 8 hours with air
• Clamp the tube between feedings
• / 4