ATI RN
NCLEX Questions Gastrointestinal System Questions
Question 1 of 5
The enzymes present in pancreatic juice are
Correct Answer: B
Rationale: The correct answer is B because pancreatic juice contains enzymes such as Trypsinogen, Lipase, Amylase, and Procarboxypeptidase. Trypsinogen helps in protein digestion, Lipase breaks down fats, Amylase digests carbohydrates, and Procarboxypeptidase aids in protein digestion. Choice A is incorrect because it includes Rennin, which is not typically found in pancreatic juice. Choice C is incorrect because Pepsin is a stomach enzyme, not found in pancreatic juice. Choice D is incorrect because Maltase is an enzyme found in the small intestine, not in pancreatic juice.
Question 2 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 3 of 5
A nurse is caring for a client who has ulcerative colitis and is teaching the client about the common link with Crohn's disease. Which of the following information should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Both are inflammatory. Ulcerative colitis and Crohn's disease are both inflammatory bowel diseases. Ulcerative colitis primarily affects the colon and rectum, while Crohn's disease can affect any part of the digestive tract. This common inflammatory nature is the link between the two conditions. Choices B and C are incorrect because Crohn's disease can start in any part of the digestive tract, not specifically in the rectum, and fistula formation is more common in Crohn's disease than in ulcerative colitis. Choice D is incorrect as not all cases of ulcerative colitis and Crohn's disease require frequent surgery; surgery is usually considered for complications or severe cases.
Question 4 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 5 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.