ATI RN
Gastrointestinal NCLEX Questions and Answers Questions
Question 1 of 5
The ampulla of Vater is the area that joins the common bile duct to the _____ duct.
Correct Answer: B
Rationale: The correct answer is B: pancreatic. The ampulla of Vater is where the common bile duct and the pancreatic duct join before emptying into the duodenum. The pancreatic duct carries digestive enzymes from the pancreas, which mix with bile from the common bile duct to aid in digestion. Choices A, C, and D are incorrect because the hepatic duct carries bile from the liver to the common bile duct, the cystic duct connects the gallbladder to the common bile duct, and the common hepatic duct is a part of the biliary system but does not directly join to the ampulla of Vater.
Question 2 of 5
A nurse is preparing to administer three liquid medications to a client who has an NG feeding tube with continuous enteral feedings. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Flush the NG feeding tube with 30 mL of water immediately following medication administration. This is important to ensure that the medications are completely delivered into the client's system and to prevent any potential clogging of the feeding tube. Flushing with water helps clear any residual medication in the tube, maintaining its patency. A: Mixing the medications together is not recommended as it may alter the effectiveness of each individual medication. B: Diluting each medication with tap water is not necessary and may dilute the medication's concentration, affecting its effectiveness. C: Maintaining the head of the bed flat for 30 min following medication administration is not directly related to the proper administration of medications through an NG tube.
Question 3 of 5
A nurse is caring for a client who has a postoperative ileus and an NG tube that has drained 2,500 mL in the past 6 hr. Which of the following electrolyte imbalances should the nurse monitor the client for?
Correct Answer: B
Rationale: The correct answer is B: Decreased potassium level. Postoperative ileus can lead to fluid and electrolyte imbalances. When a client has been draining a large volume of gastric fluid through an NG tube, it can lead to potassium depletion. Potassium is a major intracellular electrolyte and plays a crucial role in muscle function, including smooth muscle in the intestines. The loss of potassium through excessive drainage can lead to hypokalemia, which can further impair bowel function and exacerbate the ileus. Monitoring potassium levels is essential to prevent complications. Choices A, C, and D are incorrect because elevated sodium, magnesium, and calcium levels are not typically associated with postoperative ileus and excessive NG tube drainage.
Question 4 of 5
Your patient has a GI tract that is functioning, but has the inability to swallow foods. Which is the preferred method of feeding for your patient?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
Which one of the following is absorbed in the GI tract without being digested?
Correct Answer: C
Rationale: The correct answer is C: vitamins. Vitamins are absorbed in the GI tract without being digested because they are already in a form that can be easily absorbed by the body. Unlike starch, proteins, and triglycerides which require digestion by enzymes to break them down into smaller molecules for absorption, vitamins are typically small molecules that can be directly absorbed into the bloodstream. Therefore, vitamins do not undergo digestion in the GI tract and are absorbed as they are. Starch, proteins, and triglycerides require digestion to be broken down into their respective components before they can be absorbed.