ATI RN
Gastrointestinal NCLEX Questions Questions
Question 1 of 5
Which one of the following tissues normally DOES NOT produce ghrelin that stimulates food intake?
Correct Answer: D
Rationale: Step 1: Ghrelin is primarily produced by the stomach to stimulate appetite. Step 2: The pancreas produces insulin and enzymes, not ghrelin. Step 3: The adrenal glands produce hormones like cortisol, not ghrelin. Step 4: The liver is not a major site for ghrelin production, making choice D the correct answer.
Question 2 of 5
In caring for a client with GERD, which task would be appropriate to assign to the nursing assistant?
Correct Answer: C
Rationale: The correct answer is C because reminding the client not to lie down after eating helps prevent acid reflux in GERD. Nursing assistants can provide this basic instruction to promote client safety. Choice A involves sharing strategies that require more in-depth knowledge, not within a nursing assistant's scope. Choice B involves addressing emotional concerns, typically handled by nurses. Choice D involves explaining the rationale, which requires more understanding of the condition, beyond a nursing assistant's role.
Question 3 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 4 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 5 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.