ATI RN
Med Surg Gastrointestinal NCLEX Questions Questions
Question 1 of 5
The membrane that hangs like an apron over the intestines is the _____.
Correct Answer: D
Rationale: The correct answer is D: greater omentum. The greater omentum is a membrane that hangs like an apron over the intestines, providing protection and insulation. It consists of fatty tissue and helps to limit the spread of infection within the abdominal cavity. The mesentery (choice A) is a different structure that attaches the intestines to the abdominal wall. The visceral peritoneum (choice B) is the inner layer of the peritoneum that covers the organs, while the parietal peritoneum (choice C) is the outer layer that lines the abdominal cavity. Therefore, the greater omentum is the correct choice in this context.
Question 2 of 5
A nurse is providing teaching for a client who has a new diagnosis of gastroesophageal reflux disease (GERD). The client asks about foods he should avoid eating. Which of the following foods should the nurse tell him to avoid?
Correct Answer: B
Rationale: The correct answer is B: Chocolate. Chocolate is high in fat and caffeine, which can relax the lower esophageal sphincter, leading to increased acid reflux in GERD. Nonfat milk (A), apples (C), and oatmeal (D) are actually recommended for GERD as they are low in fat and acidic content, and can help reduce symptoms.
Question 3 of 5
A nurse on the day shift is preparing to change a client's total parenteral nutrition (TPN) solution, but the new TPN solution has not arrived from the pharmacy. The client receives additional IV fat emulsion during the night shift. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Hang dextrose 10% in water (D10W) until the TPN solution is delivered. This is the correct action because the client is dependent on TPN for nutrition and cannot go without it. D10W provides a source of glucose to prevent hypoglycemia until the TPN solution arrives. It is important to maintain the client's glucose levels to prevent complications. Choice B is incorrect because saline locking the IV catheter would not address the client's nutritional needs. Choice C is incorrect because hanging the IV fat emulsion solution alone would not provide the necessary nutrients that the client needs from the TPN solution. Choice D is incorrect because calling the provider for new TPN orders would delay the client from receiving essential nutrition. Hanging D10W is the most appropriate action to ensure the client's safety and well-being while waiting for the TPN solution to arrive.
Question 4 of 5
You're caring for Beth who underwent a Billroth II procedure (surgical removal of the pylorus and duodenum) for treatment of a peptic ulcer. Which findings suggest that the patient is developing dumping syndrome, a complication associated with this procedure?
Correct Answer: C
Rationale: Rationale: Dumping syndrome is a common complication post-Billroth II procedure due to rapid emptying of gastric contents into the small intestine. Choice C (dizziness and sweating) align with early dumping syndrome symptoms like vasomotor symptoms and hypoglycemia. Flushed, dry skin (A) is not typical, headache and bradycardia (B) are more indicative of vagal reaction, and dyspnea and chest pain (D) are not usually associated with dumping syndrome.
Question 5 of 5
The enteric plexus in the tunica submucosa is called the ______ plexus.
Correct Answer: A
Rationale: The correct answer is A: Meissner's plexus. Meissner's plexus is located in the tunica submucosa and is responsible for controlling the movements of the muscularis mucosae. It regulates local blood flow, secretion, and absorption in the small intestine. Auerbach's plexus, located in the muscularis externa, controls the motility of the muscular layer. Myenteric plexus is another name for Auerbach's plexus. Solar plexus is a network of nerves located in the abdomen, not specifically related to the enteric plexus.