ATI RN
Gastrointestinal Questions Questions
Question 1 of 5
Which of these is a water soluble vitamin?
Correct Answer: B
Rationale: Step 1: Water-soluble vitamins dissolve in water, are not stored in the body, and need to be replenished daily. Step 2: Vitamin C fits these criteria as it dissolves in water, is not stored in the body, and needs daily intake. Step 3: Vitamin D, E, and K are fat-soluble vitamins, stored in the body, and do not need daily replenishment. Summary: Choice B (Vitamin C) is the correct answer as it is water-soluble, while choices A (Vitamin D), C (Vitamin E), and D (Vitamin K) are fat-soluble vitamins and do not meet the criteria of water solubility.
Question 2 of 5
A nurse is providing instructions for a 52-year-old client who is scheduled for a colonoscopy. The client reports that he has not had the procedure before and is very anxious about feeling pain during the procedure. Which of the following responses by the nurse is appropriate?
Correct Answer: B
Rationale: The correct answer is B because administering a sedative before the colonoscopy will help the client relax and reduce anxiety. Sedatives are commonly used to ensure the client is comfortable during the procedure. This approach addresses the client's fear of feeling pain and helps ensure a successful and tolerable experience. Choice A is incorrect because dismissing the client's concerns may increase anxiety. Choice C is incorrect as it does not offer a solution to alleviate the client's anxiety. Choice D is also incorrect because discussing the procedure after signing the consent form may not address the client's immediate anxiety about pain during the procedure.
Question 3 of 5
A nurse in a PACU is assessing a client who has a newly created colostomy. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Purplish-colored stoma. A purplish-colored stoma may indicate inadequate blood supply to the area, which is a sign of ischemia and can lead to tissue necrosis. This is a critical finding that requires immediate intervention to prevent further complications. A: Stoma oozing red drainage is a common finding in the immediate postoperative period and is not typically concerning unless it is excessive or accompanied by other symptoms. B: A shiny, moist stoma is a healthy stoma appearance, indicating good blood supply and hydration. D: A rosebud-like stoma orifice is a normal finding and not typically concerning unless there are signs of infection or other complications.
Question 4 of 5
While palpating a female client's right upper quadrant (RUQ), the nurse would expect to find which of the following structures?
Correct Answer: D
Rationale: The correct answer is D: Liver. Palpating the RUQ, the nurse would expect to feel the liver due to its location in that area. The liver is the largest solid organ in the body and is situated in the RUQ, beneath the diaphragm. It is a vital organ responsible for multiple functions, including metabolism, storage, and detoxification. The other choices (A: Sigmoid colon, B: Appendix, C: Spleen) are located in different areas of the abdomen and would not typically be palpable in the RUQ. The sigmoid colon is located in the lower left quadrant, the appendix is in the lower right quadrant, and the spleen is in the left upper quadrant. Therefore, the liver is the most likely structure to be palpated in the RUQ.
Question 5 of 5
Contractions of the smooth muscles in the tunica muscularis in the GI tract causes ______ and is stimulated by ______ plexus.
Correct Answer: B
Rationale: The correct answer is B because contractions of smooth muscles in the GI tract lead to peristalsis, the movement that propels food through the digestive system. These contractions are stimulated by the Auerbach's or myenteric plexus, which are responsible for coordinating muscle movements in the gut. Choice A is incorrect as local secretions do not directly cause muscle contractions. Choice C is incorrect because peristalsis is the result of muscle contractions, not local secretions. Choice D is incorrect as local secretions are not the primary stimulus for muscle contractions in the GI tract.