NCLEX-PN : Gastrointestinal Conditions
Study concepts, example questions & explanations for NCLEX-PN
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Example Questions
Example Question #4 : Symptoms And Tests For Gastrointestinal Conditions
Hepatitis B can be transmitted via any of the following routes except __________.
vaginal fluids
semen
blood
stool
stool
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?
The patient cannot walk
The patient cannot drink only
The patient cannot eat or drink
The patient cannot eat only
The patient cannot eat or drink
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
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?
“I limit the amount of milk I drink to one glass each day with breakfast.”
“I have stopped drinking coffee every day.”
“I drink a lot of apple juice.”
“I make my sandwiches with white bread and smoked turkey.”
“I enjoy eating corn bread with my dinner.”
“I enjoy eating corn bread with my dinner.”
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 #53 : Gastrointestinal Conditions
Which of these is a proper lifestyle change to fight gastroesophageal reflux disease (GERD)?
Eating meals less than one hour before bedtime
Eating acidic foods
Decreasing fluid intake
Cessation of soda intake
Increasing spicy food intake
Cessation of soda intake
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 #3 : 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?
Hepatitis C is a rare infection: there are currently approximately 30,000 people in the United States living with this disease.
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.
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.
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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