ATI RN
Gastrointestinal NCLEX Questions and Answers Questions
Question 1 of 5
When planning nutritional interventions for a healthy 83-year-old man, the nurse recognizes what factor is most likely to affect his nutritional status?
Correct Answer: A
Rationale: The correct answer is A: Living alone on a fixed income. This is because social factors, such as living alone, can impact an individual's access to and ability to afford nutritious foods. Being on a fixed income may limit the man's ability to purchase healthy foods, leading to potential malnutrition. Choice B, an increase in GI motility and absorption, is incorrect as it does not directly impact the man's nutritional status. Choice C, changes in cardiovascular function, may affect overall health but does not specifically address nutritional status. Choice D, snacking between meals, is less likely to be the primary factor affecting the man's nutritional status compared to his living situation and financial constraints.
Question 2 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 3 of 5
Priority Decision: A patient with a gunshot wound to the abdomen complains of increasing abdominal pain several hours after surgery to repair the bowel. What action should the nurse take first?
Correct Answer: B
Rationale: The correct answer is B: Notify the health care provider. In this scenario, the patient's increasing abdominal pain after surgery could indicate a complication or deterioration in their condition. Notifying the healthcare provider immediately allows for prompt assessment and intervention to prevent further harm. Taking vital signs (choice A) can provide important information but may not address the underlying issue. Positioning the patient with knees flexed (choice C) and determining IV intake (choice D) are important, but addressing the worsening abdominal pain takes precedence.
Question 4 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 5 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.