ATI RN
Gastrointestinal System Nursing Exam Questions Questions
Question 1 of 5
Fatty acids and glycerol are released when _____ are broken down by liver or muscle cells.
Correct Answer: B
Rationale: The correct answer is B: chylomicrons. Chylomicrons are lipoprotein particles that transport dietary lipids (including fatty acids and glycerol) from the small intestine to the liver or muscle cells for metabolism. When chylomicrons reach the liver or muscles, lipoprotein lipase breaks them down, releasing fatty acids and glycerol for energy production or storage. Now, let's analyze why the other choices are incorrect: A: Micelles are small lipid droplets formed in the small intestine to aid in lipid digestion and absorption, but they do not release fatty acids and glycerol when broken down. C: Lacteals are lymphatic vessels in the small intestine that absorb dietary fats, but they do not release fatty acids and glycerol. D: Lipoproteins are involved in transporting lipids in the bloodstream but do not release fatty acids and glycerol when broken down.
Question 2 of 5
A nurse is providing care for a client who had a laparoscopic cholecystectomy. Which of the following is an appropriate nursing action?
Correct Answer: D
Rationale: The correct answer is D: Instruct the client not to lift over 4.5 kg (10 lb). Rationale: 1. Lifting restrictions are crucial post-laparoscopic cholecystectomy to prevent strain on the surgical site. 2. Lifting heavy objects can lead to complications such as incisional hernias or wound dehiscence. 3. Following lifting restrictions aids in the proper healing of the surgical incisions. 4. Placing the client in a supine position (A) may be uncomfortable due to gas used during surgery. Ambulation (B) is important but not the priority immediately post-op. Offering ice cream (C) is not relevant to postoperative care.
Question 3 of 5
A nurse is providing teaching to a client who has a new colostomy. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A because it is important for the nurse to educate the client that fecal output should be expected within 24 hours after colostomy surgery. This information is crucial for the client to understand the functioning of the colostomy and to monitor for any potential issues. Choice B is incorrect because increasing dietary intake of raw vegetables may not be suitable for all colostomy patients and can potentially lead to digestive issues. Choice C is incorrect because a purplish color of the stoma is not a normal finding and could indicate inadequate blood supply or other complications that should be promptly addressed by a healthcare provider. Choice D is incorrect because experiencing bleeding around the stoma is abnormal and should be reported to the healthcare provider immediately for further evaluation.
Question 4 of 5
The term gastrointestinal (GI) tract refers to the
Correct Answer: A
Rationale: Step 1: The GI tract starts from the oral cavity where digestion begins. Step 2: It then moves to the pharynx, esophagus for food transport. Step 3: Next, the food enters the stomach for further digestion. Step 4: The small intestine is where most digestion and absorption occur. Step 5: Lastly, the large intestine absorbs water and prepares waste for elimination. Step 6: Thus, answer A includes all the structures involved in the entire digestive process, making it the correct choice. Summary: Choice B is incorrect as it omits the oral cavity. Choice C excludes the pharynx. Choice D is incorrect as it misses the oral cavity, pharynx, and esophagus.
Question 5 of 5
Accumulation of excess fluid in the peritoneal cavity is called
Correct Answer: D
Rationale: The correct answer is D: ascites. Ascites is the accumulation of excess fluid in the peritoneal cavity. This condition can be caused by liver disease, heart failure, kidney disease, or certain cancers. Peritonitis (A) is inflammation of the peritoneum, not fluid accumulation. Hiatal hernia (B) is a condition where the stomach bulges through the diaphragm. Inguinal hernia (C) is the protrusion of abdominal contents through the inguinal canal. Hence, choices A, B, and C are incorrect in the context of excess fluid accumulation in the peritoneal cavity.