ATI RN
Gastrointestinal Assessment Questions Questions
Question 1 of 5
Which statement about intestinal 'brakes' and 'accelerators' is FALSE?
Correct Answer: A
Rationale: The correct answer is A because dietary starch does not cause insulin release from the pancreas, but rather stimulates the release of incretin hormones like glucagon-like peptide 1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP). These incretins help regulate blood sugar levels postprandially and do not directly affect intestinal motility. Incorrect choices: B: Food in the stomach causing gastrin release is true and stimulates acid secretion. C: Short-chain fatty acids moving from colon to caecum promoting ileo-caecal motility is true. D: The arrival of lipid in the duodenum causing a reduction in motility is true.
Question 2 of 5
At which relative exercise intensity would you expect to utilize the most intramuscular triglycerides?
Correct Answer: B
Rationale: The correct answer is B (65% VO2 max) because at this intensity, the body primarily uses a combination of fats and carbohydrates for energy production. Intramuscular triglycerides are a source of fat utilized during moderate-intensity exercise. At 25% VO2 max (choice A), the body predominantly uses carbohydrates, while at 85% VO2 max (choice C) and 150% VO2 max (choice D), the reliance shifts towards carbohydrates due to the higher intensity levels. Therefore, option B is the most suitable intensity for utilizing intramuscular triglycerides efficiently.
Question 3 of 5
A client with proctitis needs a rectal suppository. A senior nursing student assigned to this client tells you that she is afraid to insert the suppository because she has never done it before. What is the most appropriate action in supervising this student?
Correct Answer: D
Rationale: Correct Answer: D Rationale: 1. Supervising students is part of the nursing role. 2. As a tutor, your responsibility is to guide and teach students. 3. Showing the student how to insert the suppository will help build their skills and confidence. 4. Talking to the instructor ensures proper supervision and support for the student's learning. 5. Reporting or dismissing the student is not constructive and goes against the principles of education and mentorship.
Question 4 of 5
Which of the following pretest evaluation measures should the nurse ensure before a client undergoes the gallbladder series test?
Correct Answer: C
Rationale: Step-by-step rationale for the correct answer (C): Determining whether the client is pregnant is crucial before a gallbladder series test because the test involves radiation exposure, which can be harmful to a developing fetus. It is essential to ensure the safety of both the client and the unborn child. Summary: - A: Determining the work environment of the client is not directly related to the safety or appropriateness of a gallbladder series test. - B: Determining whether the client has a family history of GI disorders is important for overall health assessment but not specifically necessary for the pretest evaluation of a gallbladder series test. - D: Determining whether the client is allergic to seafood or iodine is relevant for contrast materials used in some imaging tests but not specifically for a gallbladder series test.
Question 5 of 5
A client is admitted to the hospital for a hemorrhoidectomy. Postoperatively, which of the following would a client's nurse be most concerned about?
Correct Answer: D
Rationale: The correct answer is D because excessive bloody drainage on the external gauze dressing could indicate hemorrhage, a serious complication post-hemorrhoidectomy. This requires immediate medical attention to prevent further complications. A: Pain at the incision site is expected postoperatively and can be managed with pain medication. B: A white blood count of 6.5 is within the normal range and not a cause for concern. C: Client's refusal of a stool softener is important for bowel movement management but is not the most immediate concern compared to excessive bloody drainage.