The small intestine:

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NCLEX Questions Gastrointestinal System Questions

Question 1 of 5

The small intestine:

Correct Answer: B

Rationale: The correct answer is B because the small intestine has a larger internal surface area compared to the large intestine due to its extensive folding and villi. This increased surface area enhances nutrient absorption efficiency. Choice A is incorrect as the small intestine is longer than the large intestine. Choice C is incorrect as the small intestine absorbs more water than the large intestine. Choice D is incorrect as the small intestine typically does not contain the same amount of bacteria as the large intestine, which is known for its significant bacterial population.

Question 2 of 5

The submucosa of the GIT

Correct Answer: B

Rationale: The submucosa of the GIT is rich in blood vessels, nerves, and lymphatic vessels, aiding in absorption and secretion of nutrients and fluids. The submucosa is not primarily responsible for protection (choice A). It does not contain distinct outer and inner layers (choice C). The submucosa is located between the mucosa and muscularis externa, not the serosa (choice D). Therefore, the correct answer is B as it aligns with the known functions and characteristics of the submucosa.

Question 3 of 5

The Mallory-Weiss syndrome refers to the occurrence of gastrointestinal hemorrhage as a result of:

Correct Answer: C

Rationale: The Mallory-Weiss syndrome is characterized by mucosal tears at the esophagogastric junction. This occurs due to forceful or prolonged vomiting causing the tears in the mucosa. Esophageal varices (A) are dilated veins in the esophagus typically associated with liver disease, not related to Mallory-Weiss syndrome. Esophageal peptic ulcers (B) are erosions in the lining of the esophagus caused by acid reflux or infection, not a characteristic of Mallory-Weiss syndrome. Iatrogenic perforation (D) refers to accidental perforation caused during a medical procedure, not related to Mallory-Weiss syndrome. Therefore, the correct answer is C as it directly correlates with the characteristic presentation of Mallory-Weiss syndrome.

Question 4 of 5

Which of the following mechanisms most accurately describes how pseudo-membranous colitis caused by Clostridium difficile is produced?

Correct Answer: A

Rationale: The correct answer is A because Clostridium difficile produces toxins, specifically enterotoxins, which cause damage to the intestinal mucosa leading to pseudo-membranous colitis. The organism colonizes the colon and then elaborates the toxins, which disrupt the mucosal barrier. Choice B is incorrect as there is no preformed toxin ingested; the toxin is produced by the organism after colonization. Choice C is incorrect as Clostridium difficile does not invade and destroy the mucosa directly. Choice D is incorrect as the host immune response is a consequence of the toxin production, not the primary mechanism of disease.

Question 5 of 5

Gastrin hormone:

Correct Answer: B

Rationale: The correct answer is B: Gastrin stimulates HCL secretion. Gastrin is a hormone released from the stomach, not the duodenum. It acts to increase the secretion of hydrochloric acid (HCL) in the stomach, aiding in digestion. Gastrin also accelerates stomach emptying, contrary to choice C. Therefore, options A and C are incorrect. Choice D is incorrect as well because only option B is correct.

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