ATI RN
Gastrointestinal NCLEX Questions Questions
Question 1 of 5
Which of the following would likely promote the development of obesity?
Correct Answer: D
Rationale: The correct answer is D because an increase in hypothalamic neuropeptide Y and agouti-related protein can lead to increased appetite, reduced energy expenditure, and ultimately promote the development of obesity. Neuropeptide Y stimulates food intake, while agouti-related protein inhibits the regulation of food intake and energy expenditure. A is incorrect because a greater proportion of bacteriabetes relative to firmicutes gut microflora is not directly linked to the development of obesity. B is incorrect because a smaller dopamine response to high fat and sugar foods would likely lead to reduced intake, not obesity. C is incorrect because a smaller increase in ghrelin concentrations would lead to decreased appetite, which is not conducive to obesity development.
Question 2 of 5
Which of the following routes is used to instill a dye for a radionuclide imaging test?
Correct Answer: A
Rationale: The correct answer is A because instilling a dye for radionuclide imaging test involves injecting the dye intravenously or orally to allow it to circulate in the bloodstream and be absorbed by the body tissues. IV route ensures rapid and direct entry into the bloodstream for proper distribution. Choices B, C, and D are incorrect as they do not provide the necessary direct access to the bloodstream required for effective distribution of the dye for imaging purposes.
Question 3 of 5
A nurse enters the room of a client with cramping, bloating, and flatus, as well as diarrhea and/or constipation, with or without the presence of mucus. What condition do the client's symptoms represent?
Correct Answer: B
Rationale: The correct answer is B: Irritable bowel syndrome. The symptoms described align with the criteria for diagnosing IBS, such as cramping, bloating, and changes in bowel habits. Peritonitis (A) is characterized by severe abdominal pain, fever, and rigidity. Ulcerative colitis (C) presents with bloody diarrhea and abdominal pain. Appendicitis (D) typically causes localized right lower quadrant pain, nausea, and vomiting. Therefore, based on the given symptoms, IBS is the most likely diagnosis.
Question 4 of 5
A nurse is doing discharge teaching on a client with a colostomy. What would the nurse convey to the client regarding when is the best time to perform irrigation?
Correct Answer: D
Rationale: The correct answer is D: Two hours before a meal. This timing allows for the colon to be relatively empty, making irrigation more effective. Irrigating two hours before a meal helps to prevent interference with digestion and absorption processes. Irrigating after a meal (choice A) or during a meal (choice C) may lead to discomfort, bloating, or potential leakage. Irrigating after a bowel movement (choice B) may not provide enough time for the colon to be adequately empty for effective irrigation.
Question 5 of 5
What contributes to increased protein-calorie needs?
Correct Answer: A
Rationale: The correct answer is A: Surgery. Surgery increases protein-calorie needs due to the body's increased demand for nutrients to support healing and recovery. The body requires more protein and calories to repair tissues and maintain immune function post-surgery. Choice B: A vegan diet does not necessarily contribute to increased protein-calorie needs as it is possible to meet nutritional requirements with proper planning. Choice C: Lowered temperature does not directly affect protein-calorie needs. Choice D: Cultural or religious beliefs do not inherently increase protein-calorie needs, as dietary choices can still meet nutritional requirements.