NCLEX style Questions and Answers G.I.

NCLEX style Questions and Answers ( G.I.Drugs)

A physician has written an order for ranitidine (Zantac) once daily. The nurse schedules the medications for which of the following times?

• At bed time
• After lunch
• With supper
• Before breakfast - answerA. at bed time, ranitidine (Zantac) is an H2 blocker

A client has been taking omeprazole (Prilosec) for 4 weeks. The nurse determines that the client is receiving the optimal intended effect of the medication if the client reports absence of which of the following symptoms?

• Diarrhea
• Heartburn
• Flatulence
• Constipation - answerB. Heartburn ,omeprazole (Prilosec) is used for GERD

A physician prescribes bisacodyl (Dulcolax) for a client in preparation for a diagnostic test and wants the client to achieve a rapid effect from the medication. The nurse then tells the client to

take the medication:

• With a large meal
• On an empty stomach
• At bedtime with a snack

• With two glasses of juice - answerB. on an empty stomach, bisacodyl (Dulcolax) is a stool

softner

A client has a PRN order for loperamide (Imodium). The nurse should plan to administer this

medication if the client has:

• constipation
• abdominal pain
• episode of diarrhea
• Hematest-positive nasogastric tube drainage - answerC. episode of diarrhea, loperamide

(Imodium) is an antidiarrheal

A client is taking docusate sodium (Colace). The nurse monitors which of the following to determine whether the client is having a therapeutic effect from this medication?

• Abdominal pain
• Reduction in steatorrhea
• Hematest-negative stools
• Regular bowel movements - answerD. Regular bowel movements

A nurse teaches a client taking metoclopramide (Reglan) to discontinue the medication immediately and call the physician if which side effect occurs with long- term use?

• Excessive excitability
• Anxiety or irritability
• Uncontrolled rhythmic movements of the face or limbs
• Dry mouth not helped by the use of sugar-free hard candy - answerC. Uncontrolled rhythmic

movements of the face or limbs

A client has just taken a dose of trimethobenzamide (Tigan). The nurse plans to monitor this

client for relief of:

• Heartburn
• Constipation
• Abdominal Pain
• Nausea and vomiting - answerD. Nausea and vomiting, trimethobenzamide (Tigan) is an

antiemetic

A client has a PRN order for ondansetron (Zofran). The nurse would administer this medication to

the postoperative client for relief of:

• paralytic ileus
• incisional pain
• urinary retention
• Nausea and vomiting - answerD. Nausea and vomiting, ondansetron (Zofran) is an antiemetic

A client has an order to take magnesium citrate to prevent constipation following a barium study of the upper gastrointestinal (GI) tract. The nurse plans to administer this medication:

• chilled
• with fruit juice only
• room temp
• with a full glass of water - answerA. chilled

A client has begun medication therapy with pancrelipase (Pancrease). The nurse determines that the medication is having the optimal intended benefit if which effect is observed?

• Weight loss

• Relief of heartburn
• Reduction of steatorrhea
• Absence of abdominal pain - answerC. Reduction of steatorrhea

A histamine (H2) - receptor antagonist will be prescribed for a client. The nurse understands that which medications are H2- receptor antagonists, one of which could be prescribed. Select all that apply.

• Nizatidine (Axid)
• Ranitidine (Zantac)
• Famotidine (Pepcid)
• Cimetidine (Tagamet)
• Esomeprazole (Nexium)

6. Lansoprazole (Prevacid) - answeranswer: 1,2,3,4

• 5 and 6 are PPI's (proton pump inhibitors)

A client with a gastric ulcer has an order for sucralfate (Carafate), 1 g orally four times a day. The nurse schedules the medications for which of the following times?

• With meals and at bedtime
• Every 6 hours around the clock
• One hour after meals and at bedtime
• One hour before meals and at bedtime - answerD. one hour before meals and at bedtime

A client with a history of duodenal ulcer is taking calcium carbonate chewable tablets. The nurse determines that the client is experiencing optimal effects of the medication if:

• Heart burn is relieved
• Muscle twitching stops