ATI RN
NCLEX Questions Gastrointestinal System Questions
Question 1 of 5
A nurse is caring for a client who has just returned from the PACU after a traditional cholecystectomy. In which of the following positions should the nurse place the client?
Correct Answer: B
Rationale: The correct answer is B: Semi-Fowler's position. After a traditional cholecystectomy, placing the client in a Semi-Fowler's position (head of the bed elevated at 30-45 degrees) helps promote lung expansion, improve breathing, and reduce the risk of aspiration. This position also helps with comfort and aids in preventing complications such as respiratory issues and surgical site complications. A: Prone position is incorrect as it involves lying on the stomach and is not appropriate for a client after cholecystectomy due to the risk of putting pressure on the abdomen and surgical site. C: Supported Sims' position is incorrect as it is typically used for rectal examinations or enemas, not for post-cholecystectomy care. D: Dorsal recumbent position is incorrect as it involves lying on the back with knees flexed, which may not provide optimal support and comfort for a client post-cholecystectomy.
Question 2 of 5
A nurse is caring for a client who reports having chronic constipation. Which of the following herbal supplements should the nurse recommend?
Correct Answer: D
Rationale: The correct answer is D: Flaxseed. Flaxseed is rich in fiber, which helps promote bowel regularity and relieve constipation. The insoluble fiber in flaxseed adds bulk to stool, making it easier to pass. Ginseng (A) is not typically used for constipation. Coenzyme Q-10 (B) is not known to alleviate constipation. Cranberry juice (C) is more commonly used for urinary tract health, not constipation. Flaxseed is the best choice due to its high fiber content and effectiveness in promoting regular bowel movements.
Question 3 of 5
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). The nurse notices that the solution bag is almost empty and there is not another bag of TPN to administer. Which of the following IV solutions should the nurse administer until the next bag of TPN solution is available?
Correct Answer: A
Rationale: The correct answer is A: 10% dextrose in water (D10W). When a TPN bag is almost empty, abruptly stopping it can lead to hypoglycemia. Administering D10W provides a temporary source of glucose to prevent this. D10W is a hypertonic solution that delivers a high concentration of dextrose for energy. Option B (0.45% NaCl) is hypotonic and lacks the necessary glucose content. Option C (Lactated Ringer's solution) does not contain glucose, and option D (D5LR) contains lactate, which may not be suitable for all patients. Administering D10W is the most appropriate choice to prevent hypoglycemia until the next bag of TPN is available.
Question 4 of 5
Katrina is diagnosed with lactose intolerance. To avoid complications with lack of calcium in the diet, which food should be included in the diet?
Correct Answer: D
Rationale: The correct answer is D: Dark green, leafy vegetables. Dark green, leafy vegetables are a good source of calcium and can help Katrina meet her calcium needs without consuming milk and cheese products. Since Katrina is lactose intolerant, consuming milk and cheese products can lead to gastrointestinal issues due to the inability to digest lactose. Fruits and whole grains do not provide significant amounts of calcium compared to dark green, leafy vegetables. Therefore, including dark green, leafy vegetables in the diet is the best option to prevent complications from lack of calcium intake.
Question 5 of 5
Mandy, an adolescent girl is admitted to an acute care facility with severe malnutrition. After a thorough examination, the physician diagnoses anorexia nervosa. When developing the plan of care for this client, the nurse is most likely to include which nursing diagnosis?
Correct Answer: C
Rationale: The correct answer is C: Chronic low self-esteem. In anorexia nervosa, individuals often have distorted body image and low self-esteem, which contributes to their disordered eating behavior. By addressing the nursing diagnosis of chronic low self-esteem, the nurse can focus on interventions to help improve the client's self-worth and body image perception. A: Hopelessness may be present in anorexia nervosa but chronic low self-esteem is more directly related to the disorder. B: Powerlessness is not the primary nursing diagnosis in anorexia nervosa; it may be a secondary issue. D: Deficient knowledge is not the main nursing diagnosis in anorexia nervosa; clients generally have knowledge about their condition but struggle with self-image and self-esteem.