NCLEX RN Practice Question # 638

When caring for a client with epigastric pain and suspected gastric cancer, which diagnostic test should a nurse address with the client because it is the specific test used to diagnose the cancer?

1. Arthroscopy
2. Bronchoscopy
3. Colonoscopy
4. Esophagogastroduodenoscopy


Gastric Cancer Nclex Review


Gastric cancer is a malignant growth of the mucosal cells in the inner lining of the stomach, with invasion to the muscle and beyond in advanced disease.
No single causative agent has been identified but it is believed that Helicobacter pylori infection and a diet of smoked, highly salted, processed, or spiced foods have carcinogenic effects; other risk factors include smoking, alcohol and nitrate ingestion, and a history of gastric ulcers.
Complications include hemorrhage, obstruction, metastasis, and dumping syndrome.
The goal of treatment is to remove the tumor and provide a nutritional program.


Early symptoms of gastric cancer

Abdominal discomfort
Full feeling
Epigastric, back, or retrosternal pain

Late symptoms of gastric cancer

Weakness and fatigue
Anorexia and weight loss
Nausea and vomiting
A sensation of pressure in the stomach
Dysphagia and obstructive symptoms
Iron deficiency anemia