GI System NCLEX-like Critical Thinking Questions

Match the procedure or test with the priority interventions:

The nurse is caring for a 15-year-old female admitted to the emergency room with abdominal pain to the right lower quadrant that started 4 hours ago.  Pain is described as constant and rated 8 out of 10. 

The client has a temperature of 101° F, Heart rate 110, RR 20, and BP 142/78.

Other symptoms include: anorexia, nausea, vomiting, a small breast mass x 5 months, and delayed menses x 8 days.  Which of the following symptoms are consistent with appendicitis? Select all that apply.

The nurse anticipates that the client will be diagnosed with appendicitis; however, the nurse also anticipates that which of the following diagnosis must be ruled out?

Which of the following is the priority concern for a client with appendicitis?

Which of the following clients has the lowest risk for gastric cancer?

The nurse is creating a presentation for nursing students about enema administration. Which of the following teaching points should the nurse include? 

The nurse is caring for a client with Peptic Ulcer Disease who has an nasogastric tube to low intermittent suction.  The client starts vomiting.  Which of the following is the nurse’s priority concern?

The client is going home after being diagnosed with Clostridioides Difficile due to multiple antibiotic use.  Which of the following statements by the client demonstrates understanding of discharge instructions?

Which of the following is true of Clostridioides difficile infection? 

The nurse is caring for a client with diverticulitis.  Which of the following should the nurse anticipate? Select all that apply. 

The nurse demonstrates knowledge of the risk factors for C. Difficile when the nurse acknowledges that which of the clients is at the lowest risk for developing a C. Difficile infection? 

The nurse suspects that a client on nasogastric tube feedings has aspirated as evidenced by crackles on bilateral lower lung lobes.  What is the priority action by the nurse?

The abdominal surgical wound of a client who has been coughing forcefully opens up and internal organs are protruding.  What is the priority action by the nurse?

The nurse is caring for a client with irritable bowel syndrome.  Which of the following foods should the client eat?

The nurse is providing discharge teaching to a client with chronic pancreatitis.  Which of the following teaching points should the nurse include in the teaching plan? Select all that apply.