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GI UWORLD NCLEX-RN TEST QUESTIONS AND WELL EXLAINED ANSWERS 2024/2025 UPDATE
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GI UWORLD NCLEX-RN TEST QUESTIONS AND WELL EXLAINED ANSWERS 2024/2025 UPDATE
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Test Id: 287372642 (Tutored, Untimed)NCLEX-RN TEST - jennifer acilo
QId: 30699 (2900042)
During morning rounds, the nurse notices that a client admitted 3
Explanation
days ago with hepatic encephalopathy is sleepy and confused.
The client is scheduled for discharge later today. Which
Hepatic encephalopathy is
interventions are appropriate for the nurse to implement? Select
liver disease (ESLD) that re
all that apply.
of ammonia from the blood.
confusion, and slurred spee
1. Assess the client's hand movements with the arms
remains untreated. Asterixi
extended
when the arms are extende
2. Compare current mental status findings with those also be noted in the client w
from previous shifts
The client with ESLD exhibi
3. Contact the health care provider to request a blood evaluated for worsening enc
draw for ammonia level asterixis and comparing cur
4. Encourage the client to ambulate in the hallway to previous findings. If ence
medical treatment should in
5. Hold the client's morning dose of lactulose
rifaximin, and discharge sh
stable.
Omitted (Option 4) The client with l
Correct answer 66% falling. Ambulation is not an
Answered correctly
1,2,3
(Option 5) Lactulose is the
13 secs 2023 encephalopathy treatment.
Time Spent Version
the bowels as soft or loose
if the client's hepatic enceph
Educational objective:
Hepatic encephalopathy is a
liver disease caused by high
Assessment findings includ
coma and death can occur
Pharmacologic treatments i
rifaximin). The client with w
stable enough for discharge
Reduction of Risk Potential
NCSBN Client Need
Copyright ©
, Test Id: 287372642 (Tutored, Untimed)
NCLEX-RN TEST - jennifer acilo
QId: 32100 (2900042)
The nurse assesses a client with suspected acute pancreatitis and
anticipates the client reporting pain in which anatomical area?
1. Left flank radiating to the left groin area (6%)
2. Left upper quadrant radiating to the back (47%)
3. Periumbilical area shifting to the right lower (18%)
quadrant
4. Right upper quadrant radiating to the right (28%)
shoulder
Omitted
Correct answer 47%
Answered correctly
2
02 secs 2023
Time Spent Version The client with acute pancr
unrelenting, severe pain in t
midepigastric area of the a
back. The pain is referred t
retroperitoneal organ. Pain
worsens with lying flat. The
worse by a high-fat meal. N
due to severe pain. Clients
hypovolemia (third spacing
syndrome (due to intense sy
hypocalcemia (necrosed fat
(Option 1) Kidney stones c
the flank, back, or lower abd
ureter. The pain radiates to
(Option 3) Appendicitis pre
progressing to the right lowe
McBurney's point is present
tenderness occurs when pr
(Option 4) Cholecystitis (in
causes pain in the right upp
, Test Id: 287372642 (Tutored, Untimed)
NCLEX-RN TEST - jennifer acilo
QId: 38877 (2900042)
The nurse assesses for cancer risk factors during a screening
Explanation
event at a gastroenterology clinic. Which of the following client
statements include risk factors for esophageal cancer? Select all
that apply. Risk factors
Squamous cell carcin
1. "A few years ago, I switched from smoking cigarettes
to smoking cigars 1 or 2 times a week." Alcohol use
Tobacco smoking
2. "I am proud that I was able to lose 10 lb, but I'm still
N-nitroso–containing foo
considered obese for my height."
Underlying esophageal
3. "I drink 3 or 4 beers nightly to relax, but I did switch to disease (achalasia, prio
light beer recently."
Esophageal cancer is a ra
4. "I have struggled with daily episodes of acid reflux for
esophageal lining with a low
years, especially at nighttime."
carcinoma usually develops
5. "I snack on a lot of salted foods like popcorn and whereas adenocarcinoma u
peanuts."
Major risk factors include s
and excessive alcohol cons
drinks/week for men, >8 drin
Omitted
24% 3).
Correct answer
Answered correctly
1,2,3,4
Barrett esophagus is also
esophageal cancer; this con
01 sec 2023
Time Spent Version of the esophagus develops
(which allows stomach acid
due to increased abdomina
gastroesophageal reflux d
of Barrett esophagus; they a
esophageal cancer (Option
(Option 5) Consumption of
increased risk of esophagea
gastric cancer. Dietary facto
esophageal cancer include
foods (eg, pickled foods, be
hot beverages (thermal inju
vegetables.
Educational objective:
, Test Id: 287372642 (Tutored, Untimed)
NCLEX-RN TEST - jennifer acilo
QId: 31177 (2900042)
A nurse is precepting a new graduate nurse who is caring for a
client with a paralytic ileus and a Salem sump tube attached to
continuous suction. The preceptor should intervene when the
graduate nurse performs which interventions? Select all that
apply.
1. Checks for residual every 4 hours
2. Places client in semi-Fowler's position
Continuous suction can b
3. Plugs the air vent if gastric content refluxes stomach if a double lumen S
4. Provides mouth care every 4 hours larger lumen is attached to
(within the larger one) is op
5. Turns off suction when auscultating bowel sounds
Checking for residual volum
because the Salem sump is
Omitted decompression and is not b
Correct answer 15% feeding (Option 1).
Answered correctly
1,3
The air vent (blue pigtail)
01 sec 2023 continuous flow of atmosph
Time Spent Version
its distal end (to prevent exc
damage to the gastric muco
mL of air can be injected int
is kept above the level of th
(Option 3).
General interventions to ma
sump tube include:
Place the client in sem
the tube from lying ag
to help prevent gastric
Provide mouth care e
maintain moisture of o
comfort (Option 4).
Turn off suction brie
suction sound can be
5).
Inspect the drainage s
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