ATI RN
NCLEX Questions Gastrointestinal System Questions
Question 1 of 5
You would be most concerned about which client having an order for TPN (total parenteral nutrition) fat emulsion?
Correct Answer: D
Rationale: Correct Answer: D Rationale: 1. TPN fat emulsion can increase the risk of fat embolism in clients with fractures. 2. Fat embolism is a serious complication in clients with long bone fractures, like a fractured femur. 3. Clients with gastrointestinal issues, anorexia nervosa, chronic diarrhea, or vomiting are not at increased risk for fat embolism. 4. Monitoring for signs of fat embolism is crucial in clients receiving TPN fat emulsion to prevent complications.
Question 2 of 5
A client with ulcerative colitis, who experiences severe diarrhea, is prescribed a cleansing enema to relieve the symptoms. Which of the following interventions should the nurse consider at this stage?
Correct Answer: A
Rationale: The correct answer is A: Question the physician about the use of the cleansing enema. In this scenario, the nurse should question the physician because administering a cleansing enema to a client with ulcerative colitis and severe diarrhea can potentially exacerbate the condition. The nurse needs to verify if the enema is the appropriate intervention and if there are alternative treatments that may be safer and more effective. Summary: - Choice B: Educating the client about the procedure does not address the potential risks of administering the enema. - Choice C: Positioning the client comfortably is important but does not address the appropriateness of the enema. - Choice D: Instructing the client to visit the toilet before the enema does not address the potential risks associated with the procedure.
Question 3 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 4 of 5
Which statement accurately describes vitamin deficiencies?
Correct Answer: C
Rationale: The correct answer is C because surgery on the gastrointestinal (GI) tract can impair the absorption of essential vitamins leading to deficiencies. This is due to the fact that many vitamins are absorbed in the GI tract, and any alteration or removal of parts of the tract can hinder this process. For example, surgeries like gastric bypass can reduce the absorption of certain vitamins such as B12. Choice A is incorrect because vegan diets can be deficient in various nutrients, not just vitamin B6 and folic acid. Choice B is incorrect because vitamin imbalances are not solely due to excessive fat intake but can also be caused by various factors. Choice D is incorrect because while skin disorders can be a symptom of vitamin deficiencies, they are not the most common clinical manifestation in adults.
Question 5 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.