ATI RN
Multiple Choice Questions on Gastrointestinal Disorders Questions
Question 1 of 5
In a radical pancreaticoduodenectomy (Whipple procedure) for treatment of cancer of the pancreas, what anatomic structure is completely resected that will affect the patient's nutritional status?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
The nurse is performing pre-procedure teaching for a patient scheduled to undergo a liver biopsy. After listening to the information, the patient states, "I am so scareI just don't know if I can do this procedure." Which response is best?
Correct Answer: D
Rationale: The correct answer is D because it demonstrates empathy and active listening. By acknowledging the patient's fear and encouraging them to express their concerns further, the nurse can address specific fears and provide appropriate support. This approach helps build trust and rapport, leading to better patient outcomes. A: Providing the duration of the procedure (choice A) may not effectively address the patient's underlying fear. B: Comparing the sensation to a punch (choice B) may minimize the patient's concerns and not address the emotional aspect of their fear. C: Telling the patient they do not have to have the procedure (choice C) could be misleading and may not be in the patient's best interest without further exploration of their concerns.
Question 3 of 5
Where are most fat-digesting enzymes produced?
Correct Answer: D
Rationale: The correct answer is D: pancreas. The pancreas produces most fat-digesting enzymes, such as lipase, which help break down fats in the small intestine. The liver produces bile, stored in the gallbladder, which aids in fat digestion but doesn't directly produce fat-digesting enzymes. The small intestine primarily absorbs nutrients rather than producing fat-digesting enzymes. Therefore, the pancreas is the main source of fat-digesting enzymes in the digestive system.
Question 4 of 5
The nurse is caring for a patient with chronic kidney disease. Which of the following laboratory results should the nurse prioritize?
Correct Answer: C
Rationale: The correct answer is C: Serum creatinine level of 4.0 mg/dL. This is prioritized as high serum creatinine indicates impaired kidney function in chronic kidney disease. Elevated creatinine levels suggest decreased glomerular filtration rate, which is crucial in monitoring kidney function. Option A (Potassium level of 3.5 mEq/L) may be important due to the risk of hyperkalemia in kidney disease, but it is not as critical as monitoring kidney function. Option B (BUN level of 18 mg/dL) is within normal range and typically fluctuates based on diet and hydration status. Option D (Hemoglobin level of 12 g/dL) is important but not the priority in this case.
Question 5 of 5
Which of the following cells produce hydrochloric acid?
Correct Answer: A
Rationale: The correct answer is A: parietal cells. Parietal cells are located in the gastric glands of the stomach and are responsible for producing hydrochloric acid to help with digestion. They also secrete intrinsic factor, which is essential for vitamin B12 absorption. Enteroendocrine cells (B) produce hormones, mucous neck cells (C) secrete mucus to protect the stomach lining, and chief cells (D) produce pepsinogen for protein digestion, but they do not produce hydrochloric acid. Therefore, parietal cells are the only cells among the choices that specifically produce hydrochloric acid.