ATI RN
NCLEX Questions Gastrointestinal System Questions
Question 1 of 5
The di- and tripeptides are transported in the enterocytes by peptide transporter 1 that requires:-
Correct Answer: C
Rationale: The correct answer is C: H+. Peptide transporter 1 requires a proton gradient for the active transport of di- and tripeptides across the enterocytes. This proton gradient is maintained by the H+ ions. Na+ (Choice A), Ca++ (Choice B), and Cl- (Choice D) are not directly involved in the transport of di- and tripeptides by peptide transporter 1. Na+ is primarily involved in glucose and amino acid transport, Ca++ in bone formation and muscle contraction, and Cl- in maintaining osmotic balance. Therefore, the correct answer is H+ as it is crucial for the functioning of peptide transporter 1.
Question 2 of 5
Which of the following carbohydrates can be transported across the absorptive cells of the intestinal surface?
Correct Answer: C
Rationale: The correct answer is C because glucose, fructose, and galactose are all monosaccharides, which are the simplest form of carbohydrates and can be directly absorbed by the intestinal cells through specific transport proteins. This process occurs through facilitated diffusion or active transport mechanisms. In contrast, choices A and B consist of disaccharides or polysaccharides, which need to be broken down into monosaccharides before absorption can occur. Choice D includes enzymes and disaccharides, which are not directly absorbed but rather involved in the digestion process. Thus, only choice C aligns with the mechanism of carbohydrate absorption in the intestines.
Question 3 of 5
The pacemaker signal generated by the SA node spreads to the ventricles by passing through the AV node. What would happen to the contraction of the ventricles if there was a complete block at the AV node?
Correct Answer: C
Rationale: Rationale: A complete block at the AV node would prevent the transmission of the pacemaker signal from the SA node to the ventricles. As a result, the ventricles would not receive the signal to contract at their normal rate. Instead, they would rely on their inherent ability to generate impulses, resulting in a slower, but still rhythmic contraction. This scenario is known as an escape rhythm, where a lower pacemaker takes over in the absence of the SA node signal. Summary: A: the ventricles would cease beating - Incorrect, as the ventricles have their own intrinsic pacemaker. B: the ventricles would beat very fast and uncontrollably - Incorrect, as a complete AV block would lead to a slower rhythm. D: the ventricles would contract at the same rate as the atria - Incorrect, as the ventricles and atria have different intrinsic rates.
Question 4 of 5
You would be most concerned about which client having an order for TPN (total parenteral nutrition) fat emulsion?
Correct Answer: D
Rationale: Correct Answer: D Rationale: 1. TPN fat emulsion can increase the risk of fat embolism in clients with fractures. 2. Fat embolism is a serious complication in clients with long bone fractures, like a fractured femur. 3. Clients with gastrointestinal issues, anorexia nervosa, chronic diarrhea, or vomiting are not at increased risk for fat embolism. 4. Monitoring for signs of fat embolism is crucial in clients receiving TPN fat emulsion to prevent complications.
Question 5 of 5
A client has to undergo a barium enema for a suspected GI disorder. During the test, he experiences a strong urge to defecate and seeks the nurse's advice. Which of the following should the nurse do?
Correct Answer: B
Rationale: The correct answer is B: Assure him that most people can retain the urge. The rationale is as follows: 1. Retaining the urge during a barium enema is common due to the pressure from the barium solution. 2. Advising the client to clear his bowel immediately is incorrect because it may disrupt the test. 3. Giving analgesics to relieve the urge is incorrect as it does not address the issue. 4. Instructing to drink plenty of fluids is incorrect as it does not help in managing the urge. In summary, choice B is correct as it reassures the client and helps maintain the integrity of the test.