NCLEX style questions ( G.I. Drugs)

NCLEX style questions ( G.I. Drugs)

• studiers today 3.8 (18 reviews)

Students also studied Terms in this set (34) George Brown College Nursing Save

Pharmacology NCLEX GI drugs: GI a...

29 terms pmkuphairPreview Gastrointestinal Disorders NCLEX q...17 terms Shannon_Bolton9 Preview

NCLEX Questions: GI

Teacher 29 terms rebecca_bowman2 Preview Med Su 86 terms Jasm 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
• 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
• 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
• 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
• 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
• 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

• 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
• 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
• 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
• 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
• 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)
• Lansoprazole (Prevacid)

answer: 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
• 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
• Serum calcium levels rise
• Serum phosphrous levels decrease
• Heart burn is relieved

The patient asks how stool softeners relieve constipation.Which of the following would be the best response by

the nurse? Stool softeners relieve constipation by:

• stimulating the walls of the intestine
• promoting the retention of sodium in the fecal mass
• promoting the retention of water in the fecal mass
• lubricating the intestinal walls
• promoting the retention of water in the fecal mass

the nurse administers antidiarrheal drugs...

• after each loose bowel movement
• hourly until diarrhea ceases
• with food
• BID, in the AM and at bedtime
• after each loose bowel movement

the pregnancy category for the antiflatulent drug

simethicone is:

• category A
• category C
• category unknown
• category X
• category unknown

When recording the administration of diphenoxylate for

multiple loose stools:

• document the daily number of drugs given
• record all stools once each shift
• indicate all stools on the MAR next to the drug
• document each dose on the MAR
• document each dose on the MAR

A hospitalized client asks the nurse for sodium bicarbonate to relieve heartburn following a meal. The nurse reviews the client's medical record, knowing that the medication is contraindicated in which of the following conditions?

• urinary calculi
• chronic bronchitis
• metabolic alkalosis
• respiratory acidosis
• Respiratory acidosis

An 80- year-old client has recently been started on cimetidine (Tagamet). The nurse monitors the client for which most frequent central nervous system (CNS) side effect of this medication?

• Tremors
• Dizziness
• Confusion
• Hallucination
• confusion

A client is relying on OTC laxatives for regular elimination.Which of the following pieces of information is most important for the nurse to provide to the client?

• daily bowel movements are not necessary for good

intestinal health

• Excessive laxative use may cause decreased sodium

levels

• Chronic use of laxatives can lead to dependency of

elimination

• The client should increase intake of high-fiber diet
• Excessive laxative use may cause decreased sodium levels

Rationale: Excessive laxative use causes G.I. system to become dependent on

external methods to achieve elimination

• Laxative dependence weakens peristalsis and musculature of colon