NCLEX-PN : Gastrointestinal Conditions

Study concepts, example questions & explanations for NCLEX-PN

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Example Questions

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Example Question #2 : Symptoms And Tests For Gastrointestinal Conditions

Hepatitis B can be transmitted via any of the following routes except __________.

Possible Answers:

blood

stool

semen

vaginal fluids

Correct answer:

stool

Explanation:

Hepatitis B is primarily transmitted via blood, vaginal secretions, and semen. While the virus is often present in saliva, it is not generally spread by sneezing, kissing, or sharing utensils (unless there are oral abrasions resulting in a mutual exchange of blood). The virus does not have fecal-oral transmission.

Example Question #3 : Symptoms And Tests For Gastrointestinal Conditions

A patient with pancreatitis is placed on an NPO order. What does this order mean?

Possible Answers:

The patient cannot drink only

The patient cannot eat or drink

The patient cannot eat only

The patient cannot walk

Correct answer:

The patient cannot eat or drink

Explanation:

NPO means is a latin phrase meaning nothing by mouth. This order is used when a patient is not allowed to eat or drink any substances, usually due to a disturbance within the GI tract or if they are scheduled for a surgery. NPO orders are common in the ICU and surgical setting.

Example Question #51 : Gastrointestinal Conditions

A client with Crohn's disease is asking the nurse how to accomplish a low-residue, low-fiber diet. The nurse will tell the client to avoid:
Possible Answers:
Apples
White bread
Cooked potatoes
Refined pasta
Correct answer: Apples
Explanation: Crohn's disease is an indicator for a low-residue, low-fiber diet. The diet should include foods that are unlikely to obstruct the intestinal tract if narrowed by inflammation or scarring, or if gastrointestinal motility is slowed.

Example Question #2 : Gastrointestinal Condition Follow Up

The home health nurse visits the home of a patient who has just been discharged from the hospital after a small bowel resection. Which of the following patient statements concerns the nurse?

Possible Answers:

“I drink a lot of apple juice.”

“I have stopped drinking coffee every day.”

“I enjoy eating corn bread with my dinner.”

“I make my sandwiches with white bread and smoked turkey.”

“I limit the amount of milk I drink to one glass each day with breakfast.”

Correct answer:

“I enjoy eating corn bread with my dinner.”

Explanation:

Patients recovering from lower bowel surgery, such as small bowel resection, must adhere to a low-residue diet to minimize intestinal activity. A low-residue diet includes white breads, cereals, and pastas, well-cooked vegetables without skins, fresh fruits without peels or seeds, tender and well-cooked meats, limited dairy, meat broths and strained soups, and clear juices. The patient must avoid high-residue foods, including whole-grain breads such as corn bread, strong cheeses and yogurt, raw vegetables, dried fruits or legumes, juices with pulp, coffee or other caffeinated beverages, popcorn, nuts, and seeds.

Example Question #2 : Gastrointestinal Condition Follow Up

Which of these is a proper lifestyle change to fight gastroesophageal reflux disease (GERD)?

Possible Answers:

Decreasing fluid intake

Increasing spicy food intake

Eating meals less than one hour before bedtime

Eating acidic foods

Cessation of soda intake

Correct answer:

Cessation of soda intake

Explanation:

Soda intake exacerbates symptoms of GERD. Along with this, individuals should wear loose clothing, exercise regularly, drink plenty of fluids, avoid eating within 1-2 hours of bed time, and avoid spicy and acidic foods. 

Example Question #4 : Gastrointestinal Condition Follow Up

A nurse is counseling a 60 year old woman who recently found out that she has chronic hepatitis C. She is not sure how she became infected, though she does state that she had a blood transfusion in 1989 due to postpartum hemorrhage. She is concerned about the stigma of the disease and wonders how common it is in the United States. The nurse informs her of which of the following?

Possible Answers:

Hepatitis C is a rare infection: there are currently approximately 30,000 people in the United States living with this disease.

Hepatitis C is not particularly common: approximately 300,000 people in the United States have a current or past infection with the virus.

Hepatitis C is the third most common chronic blood-borne infection in the US. Two million Americans have had or are currently infected with the virus.

Hepatitis C is the most common chronic blood-borne infection in the US. 3.9 million Americans have had or are currently infected with the virus.

Correct answer:

Hepatitis C is the most common chronic blood-borne infection in the US. 3.9 million Americans have had or are currently infected with the virus.

Explanation:

Hepatitis C is the most common chronic blood-borne infection in the US. Approximately 3.9 million Americans have antibodies against the virus. Of those, approximately 70% (2.7 million) have chronic hepatitis C infections.

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