NCLEX Questions Gastrointestinal System

NCLEX Questions Gastrointestinal System Related

Review NCLEX Questions Gastrointestinal System related questions and content

Following a laparoscopic cholecystectomy, what should the nurse expect to be part of the plan of care?

  • A. Return to work in 2 to 3 weeks
  • B. Be hospitalized for 3 to 5 days postoperatively
  • C. Have a T-tube placed in the common bile duct to provide bile drainage
  • D. Have up to four small abdominal incisions covered with small dressings
Correct Answer: D

Rationale: The correct answer is D. After a laparoscopic cholecystectomy, the patient typically has up to four small abdominal incisions that are covered with small dressings. This is because laparoscopic cholecystectomy is a minimally invasive procedure involving small incisions, which do not require extensive wound care. The incisions are small and usually heal well with minimal scarring.

Explanation for why other choices are incorrect:
A: Return to work in 2 to 3 weeks - This is not part of the immediate postoperative plan of care. Patients may need more time to recover before returning to work.
B: Be hospitalized for 3 to 5 days postoperatively - Patients undergoing laparoscopic cholecystectomy typically have a shorter hospital stay, usually 1 to 2 days, not 3 to 5 days.
C: Have a T-tube placed in the common bile duct to provide bile drainage - This is not typically done after a laparoscopic

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A nurse is doing a nursing assessment on a patient with chronic constipation. What data obtained during the interview may be a factor contributing to the constipation?

  • A. Taking methylcellulose (Citrucel) daily
  • B. History of hemorrhoids and hypertension
  • C. High dietary fiber with high fluid intake
  • D. Suppressing the urge to defecate while at work
Correct Answer: D

Rationale: The correct answer is D: Suppressing the urge to defecate while at work. This behavior can lead to chronic constipation as it disrupts the natural bowel movement process. By holding in the urge to defecate, the stool can become harder and more difficult to pass, leading to constipation.

A: Taking methylcellulose daily is a form of fiber supplement that can actually help alleviate constipation by adding bulk to the stool and promoting regular bowel movements.

B: History of hemorrhoids and hypertension may be relevant to the patient's health but are not direct contributors to constipation.

C: High dietary fiber with high fluid intake is actually beneficial in preventing constipation by promoting healthy bowel movements.

Cholesterol is a major component of atherosclerotic plaque. Cholesterol carried by ______ is linked to coronary heart disease.

  • A. micelle
  • B. chylomicron
  • C. low-density lipoprotein (LDL)
  • D. high-density lipoprotein (HDL)
Correct Answer: C

Rationale: The correct answer is C: low-density lipoprotein (LDL). LDL is often referred to as "bad cholesterol" because it carries cholesterol from the liver to the cells, leading to the buildup of plaque in the arteries, which can result in coronary heart disease. Micelles are small lipid structures, not carriers of cholesterol. Chylomicrons are large lipoprotein particles that transport dietary fats, not primarily cholesterol. HDL is known as "good cholesterol" as it helps remove cholesterol from the bloodstream back to the liver for excretion, reducing the risk of atherosclerosis.

A client has to undergo a barium enema for a suspected GI disorder. During the test, he experiences a strong urge to defecate and seeks the nurse's advice. Which of the following should the nurse do?

  • A. Advise him to clear his bowel immediately
  • B. Assure him that most people can retain the urge
  • C. Give him analgesics to relieve him of the urge
  • D. Instruct him to drink plenty of fluids
Correct Answer: B

Rationale: The correct answer is B: Assure him that most people can retain the urge. The rationale is as follows:
1. Retaining the urge during a barium enema is common due to the pressure from the barium solution.
2. Advising the client to clear his bowel immediately is incorrect because it may disrupt the test.
3. Giving analgesics to relieve the urge is incorrect as it does not address the issue.
4. Instructing to drink plenty of fluids is incorrect as it does not help in managing the urge.
In summary, choice B is correct as it reassures the client and helps maintain the integrity of the test.

Which of the following vitamins is not stored in the liver?

  • A. C
  • B. D
  • C. B12
  • D. A
Correct Answer: A

Rationale: The correct answer is A: Vitamin C. Vitamin C is water-soluble and not stored in the liver. It gets absorbed in the intestines and any excess is excreted in the urine. Vitamin D (choice B) is fat-soluble and stored in the liver. Vitamin B12 (choice C) is also stored in the liver. Vitamin A (choice D) is fat-soluble and stored in the liver as well. Thus, the correct answer is A as it is the only water-soluble vitamin among the options.

The nurse is obtaining a history of a patient with hepatitis Which question is most appropriate for the nurse to ask?

  • A. "If using drugs, do you share needles?"
  • B. "Do you always practice safe sex?"
  • C. "You traveled to Canada in the last month?"
  • D. "Do you eat shellfish often?"
Correct Answer: D

Rationale: The correct answer is D because consuming contaminated shellfish can lead to Hepatitis A infection. It is important to ask about dietary habits to identify potential sources of infection. Choice A is incorrect as it assumes drug use, which may not be relevant to the patient. Choice B is more focused on sexual behavior rather than Hepatitis transmission. Choice C is irrelevant unless there was a known Hepatitis outbreak in Canada.

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