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ATI RN · ATI Medical Surgical · Gastrointestinal NCLEX RN Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The patient has persistent and continuous pain at McBurney's point. The nursing assessment reveals rebound tenderness and muscle guarding with the patient preferring to lie still with the right leg flexe What should the nursing interventions for this patient include?

A. Laxatives to move the constipated bowel

B. NPO status in preparation for possible appendectomy

C. Parenteral fluids and antibiotic therapy for 6 hours before surgery

D. NG tube inserted to decompress the stomach and prevent aspiration

Expert Explanatory Rationale

Correct Answer: NPO status in preparation for possible appendectomy

Question 2 of 5

Gallbladder stones are medically referred to as a _____ condition.

A. cholecystitis

B. cholecystectomy

C. cholelithiasis

D. cholesterol calculi

Expert Explanatory Rationale

Correct Answer: cholelithiasis

Question 3 of 5

What is the primary function of the enzyme amylase in digestion?

A. Breakdown of proteins

B. Breakdown of carbohydrates

C. Breakdown of fats

D. Absorption of water

Expert Explanatory Rationale

Correct Answer: Breakdown of carbohydrates

Question 4 of 5

In small intestine:

A. Lactase, maltase and sucrase enzymes are secreted.

B. Glucose and amino acids absorption is by simple diffusion.

C. Bile pigment is completely absorbed.

D. Fat absorption is an active process and needs Na co-transport system.

Expert Explanatory Rationale

Correct Answer: Lactase, maltase and sucrase enzymes are secreted.

Question 5 of 5

Which one of the following functions best describes the effects of the hormone cholecystokinin?

A. inhibits gastric secretions

B. increases gastric secretions

C. inhibits gastric secretions, stimulates pancreatic secretions (high in enzymes), stimulates contraction of the gall bladder and relaxation of the sphincter of Oddi

D. inhibits gastric secretions, stimulates pancreatic secretions (high in bicarbonate ions) and increases the secretions of bile, intestinal juice and mucus

Expert Explanatory Rationale

Correct Answer: inhibits gastric secretions, stimulates pancreatic secretions (high in enzymes), stimulates contraction of the gall bladder and relaxation of the sphincter of Oddi

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