ATI RN
Gastrointestinal NCLEX Questions and Answers Questions
Question 1 of 5
What is the rationale for treating acute exacerbation of peptic ulcer disease with NG intubation?
Correct Answer: D
Rationale: The correct answer is D because NG intubation helps remove stimulation for hydrochloric acid and pepsin secretion by keeping the stomach empty. By reducing gastric acid production, it allows the ulcer to heal. Choice A is incorrect because it focuses on a different aspect of treatment. Choice B is incorrect because NG intubation is not primarily for removing excess fluids and undigested food. Choice C is incorrect as the primary purpose of NG intubation in this context is not to provide missing nutrients but to reduce acid secretion.
Question 2 of 5
What information should be included when the nurse teaches a patient about colostomy irrigation?
Correct Answer: D
Rationale: The correct answer is D because hanging the irrigation bag about 36 inches above the stoma ensures a slow, steady flow of irrigation solution. This allows for proper irrigation without causing discomfort or complications. If the bag is too high or too low, it can lead to issues such as cramping, leakage, or inadequate irrigation. Options A, B, and C are incorrect because they do not address the proper positioning of the irrigation bag, which is crucial for a successful colostomy irrigation procedure.
Question 3 of 5
The occurrence of acute liver failure is most common in which situation?
Correct Answer: D
Rationale: The correct answer is D: Use of acetaminophen with alcohol abuse. Acute liver failure is most commonly seen in individuals who consume excessive amounts of acetaminophen, especially when combined with alcohol. Acetaminophen overdose can cause severe liver damage, and alcohol abuse can further exacerbate the toxicity. Choice A (An individual with hepatitis A) is incorrect because hepatitis A typically does not lead to acute liver failure. Choice B (An individual with hepatitis C) is also incorrect as hepatitis C usually causes chronic liver disease rather than acute liver failure. Choice C (Antihypertensive medication use) is not a common cause of acute liver failure compared to acetaminophen and alcohol abuse.
Question 4 of 5
A patient with cirrhosis asks the nurse about the possibility of a liver transplant. What is the best response by the nurse?
Correct Answer: D
Rationale: The correct answer is D because cirrhosis is indeed an indication for transplantation in some cases. By responding with option D, the nurse acknowledges the patient's question, provides accurate information, and encourages the patient to discuss the possibility of a liver transplant with their doctor. Option A is incorrect because age is not the only factor considered for liver transplants; the severity of the liver disease matters. Option B doesn't provide specific guidance and redirects responsibility. Option C is incorrect as rejection is a manageable risk in liver transplants, and cirrhosis patients can undergo transplantation successfully.
Question 5 of 5
A patient is diagnosed with cholelithiasis and is experiencing biliary coli What is the best intervention for the nurse to implement first?
Correct Answer: B
Rationale: The correct answer is B: Administer analgesics as ordered. This is the best intervention as biliary colic is characterized by severe pain caused by gallstones obstructing the bile duct. Providing analgesics will help alleviate the pain and improve the patient's comfort. Encouraging oral intake (choice A) is important but addressing the pain takes precedence. Cholecystectomy (choice C) is a treatment for cholelithiasis but not the immediate intervention for biliary colic. Placing the patient on a low-fat diet (choice D) is beneficial for long-term management but is not the first priority when the patient is in acute pain.