ATI RN
NCLEX Questions Gastrointestinal System Questions
Question 1 of 5
Why should a nurse instruct a client with an ileostomy to avoid enteric-coated products?
Correct Answer: A
Rationale: The correct answer is A because enteric-coated products are designed to bypass the stomach and dissolve in the small intestine, where absorption of medications occurs. Since an ileostomy bypasses the large intestine, the medication in enteric-coated products may not be fully absorbed, leading to reduced effectiveness. Choices B, C, and D are incorrect because they do not directly relate to the specific issue of absorption in the context of an ileostomy.
Question 2 of 5
The nurse has completed initial instruction with a patient regarding a weight-loss program. Which patient comment indicates to the nurse that the teaching has been effective?
Correct Answer: D
Rationale: The correct answer is D because it demonstrates the patient's understanding of the importance of behavior modification for long-term weight loss success. By joining a behavior modification group, the patient shows a commitment to changing habits and lifestyle, which is crucial for sustained weight loss. Choice A focuses on tracking weight loss progress, which is important but does not necessarily indicate a deep understanding of behavior change. Choice B sets unrealistic weight loss goals that may not be safe or sustainable. Choice C shows a misconception about exercise and appetite, indicating a potential misunderstanding of weight loss principles. In summary, choice D is correct because it reflects a holistic approach to weight loss that includes addressing behavior patterns, while the other choices either focus on surface-level strategies or misunderstand key concepts related to weight loss.
Question 3 of 5
What is an accurate description of eosinophilic esophagitis?
Correct Answer: D
Rationale: The correct answer is D because eosinophilic esophagitis is characterized by swelling of the esophagus due to an allergic response to food or environmental triggers. Eosinophils are a type of white blood cell typically involved in allergic reactions. Adenocarcinoma or squamous cell tumors (choice A) are types of esophageal cancer, not related to eosinophilic esophagitis. Dilated veins in the esophagus from portal hypertension (choice B) are seen in conditions such as cirrhosis, not eosinophilic esophagitis. Inflammation from irritants or gastric reflux (choice C) may cause esophagitis but not specifically eosinophilic esophagitis, which is immune-mediated.
Question 4 of 5
A nurse is doing a nursing assessment on a patient with chronic constipation. What data obtained during the interview may be a factor contributing to the constipation?
Correct Answer: D
Rationale: The correct answer is D: Suppressing the urge to defecate while at work. This behavior can lead to chronic constipation as it disrupts the natural bowel movement process. By holding in the urge to defecate, the stool can become harder and more difficult to pass, leading to constipation. A: Taking methylcellulose daily is a form of fiber supplement that can actually help alleviate constipation by adding bulk to the stool and promoting regular bowel movements. B: History of hemorrhoids and hypertension may be relevant to the patient's health but are not direct contributors to constipation. C: High dietary fiber with high fluid intake is actually beneficial in preventing constipation by promoting healthy bowel movements.
Question 5 of 5
During a routine screening colonoscopy on a 56-year-old patient, a rectosigmoidal polyp was identified and remove The patient asks the nurse if his risk for colon cancer is increased because of the polyp. What is the best response by the nurse?
Correct Answer: C
Rationale: Rationale: 1. Choice C is correct because it acknowledges that all polyps are abnormal and should be removed, but the risk for cancer depends on the type and presence of malignant changes. 2. This response is accurate as not all polyps become cancerous, and the risk varies depending on the specific characteristics of the polyp. 3. It also emphasizes the importance of removing polyps and monitoring for any signs of malignancy, aligning with best practice guidelines for colon cancer prevention. 4. In contrast, choices A, B, and D provide misleading information by either downplaying or exaggerating the risk associated with polyps, which can lead to unnecessary anxiety or complacency in the patient.