Digestion NCLEX Questions

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Digestion NCLEX
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Pepsin
Which of the following is an
enzyme secreted by the
Explanation: Pepsin is secreted
gastric mucosa?
by the gastric mucosa. Trypsin is
secreted by the pancreas. The
a) Pepsin
salivary glands secrete ptyalin.
b) Trypsin
The liver and gallbladder

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Chapter 34 (Prep U)

Terms in this set (45) Original

Which of the Pepsin

following is an
enzyme Explanation: Pepsin is
secreted by the secreted by the gastric
gastric mucosa. Trypsin is secreted
mucosa? by the pancreas. The salivary
glands secrete ptyalin. The
a) Pepsin liver and gallbladder secrete
b) Trypsin bile.
c) Bile
d) Ptyalin

When assisting Avoid smoking for at least a

with preparing day before the procedure.
a client
scheduled for a Explanation: The nurse
barium swallow, should instruct the client to
which of the avoid smoking for at least a
following would day before the procedure of
be appropriate barium swallow because
to include? smoking stimulates gastric
motility. The client is advised
a) Take three to take vitamin K before a
cleansing liver biopsy and instructed
enemas before to take three cleansing
the procedure. enemas before a barium
b) Take vitamin enema. Instruction to avoid
K before the red meat would be
procedure. appropriate for a client who
c) Avoid the is having a Hemoccult test.
intake of red
meat before the
procedure.
d) Avoid
smoking for at
least a day
before the
procedure.

Which of the Absorption

following is the
primary Explanation: Absorption is
function of the the primary function of the
small intestine? small intestine. Digestion
occurs in the stomach.
a) Secretion Peristalsis occurs in the
b) Peristalsis colon. The duodenum
c) Absorption secretes enzymes.
d) Digestion

A 24-year-old Absorb nutrients

athlete is
admitted to the Explanation: The primary
trauma unit function of the small
following a intestine is to absorb
motor-vehicle nutrients from the chyme.
collision. The
client is
comatose and
has developed
ascites as a
result of the
accident. You
are explaining
the client's
condition to his
parents. In your
education, what
do you indicate
is the primary
function of the
small intestine?

a) Digest fats
b) Digest
proteins
c) Absorb
water
d) Absorb
nutrients

A home care "I'll avoid eating or drinking

nurse is caring anything 6 to 8 hours before
for a client with the test."
complaints of
epigastric Explanation: The client
discomfort who demonstrates understanding
is scheduled for of a barium swallow when he
a barium states that he must refrain
swallow. Which from eating or drinking for 6
statement by to 8 hours before the test.
the client No other preparation is
indicates an needed. Before a lower GI
understanding series, the client should eat a
of the test? low-residue or clear liquid
diet for 2 days and take a
a) "I'll avoid potent laxative and an oral
eating or liquid preparation.
drinking
anything 6 to 8
hours before
the test."
b) "I'll drink full
liquids the day
before the test."
c) "I'll take a
laxative to clear
my bowels
before the test."
d) "There is no
need for
special
preparation
before the test."

A nurse is Review the instructions with

providing the person accompanying
postprocedure the client home.
instructions for
a client who Explanation: A client who
had an undergoes
esophagogastr esophagogastroduodenosc
oduodenoscop opy receives sedation
y. The nurse during the procedure, and
should perform his memory becomes
which action? impaired. Clients tend not to
remember instructions
a) Tell the client provided after the
there aren't procedure. The nurse's best
specific course of action is to give
instructions for the instructions to the
after the person who is
procedure. accompanying the client
b) Tell the client home. It isn't appropriate for
to call back in the nurse to tell the client to
the morning so call back in the morning for
she can give instructions. The client needs
him instructions to be aware at discharge of
over the phone. potential complications and
c) Give signs and symptoms to
instructions to report to the physician.
the client
immediately
before
discharge.
d) Review the
instructions
with the person
accompanying
the client home.

The nurse is "Yes, your abdomen may

assessing a appear larger as a result of
client following the injection of carbon
laparoscopy. dioxide for visualization."
The client states
that his stomach Explanation: During a
looks bloated laparoscopic procedure, a
and asks if this pneumoperitoneum is used
is normal. How to inject carbon dioxide into
will the nurse the peritoneal cavity to
respond? separate the intestines from
the pelvic organs. Gas
a) "I am not (carbon dioxide) is
sure about this. insufflated into the
Let me get peritoneal cavity to create a
another nurse." working space for
b) "Yes, your visualization.
abdomen may
appear larger
as a result of
the injection of
carbon dioxide
for
visualization."
c) "Do you
need to use the
restroom? You
may have to
have a bowel
movement."
d) "No, this
should not
occur. I will call
the physician
right away."

A client is to The ultrasonography should

have an upper be scheduled before the GI
GI procedure procedure.
with barium
ingestion and Explanation: Both an upper
abdominal GI procedure with barium
ultrasonograph ingestion and an
y. While ultrasonography may be
scheduling completed on the same day.
these The ultrasonography test
diagnostic tests, should be completed first,
the nurse must because the barium solution
consider which could interfere with the
factor? transmission of the sound
waves. The ultrasonography
a) The test uses sound waves that
ultrasonograph are passed into internal
y should be body structures, and the
scheduled echoes are recorded as they
before the GI strike tissues. Fluid in the
procedure. abdomen prevents
b) The upper GI transmission of ultrasound.
should be
scheduled
before the
ultrasonograph
y.
c) The client
may eat a light
meal before
either test.
d) Both tests
need to be
done before
breakfast.

Which of the Monitoring the stool

following would passage and its color.
be most
important to Explanation: Monitoring
ensure that a stool passage and its color
client does not will ensure that the client
retain any remains barium free
barium after a following a barium swallow
barium test. The white or clay color
swallow? of the stool would indicate
barium retention. The stool
a) Observing should be placed in a
the color of special preservative if the
urine. client undergoes a stool
b) Placing any analysis. Observing the
stool passed in color and volume of urine
a specific will not ensure that the client
preservative. is barium free because
c) Monitoring barium is not eliminated
the stool through urine but through
passage and its stool.
color.
d) Monitoring
the volume of
urine.

A nursing Injury to oral mucosa or

instructor tells tooth decay can lead to
the class that difficulty in chewing food."
review of oral
hygiene is an Explanation: Poor oral
important hygiene can result in injury
component to the oral mucosa, lip, or
during palate; tooth decay; or loss
assessment of of teeth. Such problems may
the lead to disruption in the
gastrointestinal digestive system. The ability
system. One of to chew food or even
the students swallow may be hindered.
questions this
statement.
Which of the
following
explanations
from the nurse
educator is
most
appropriate?

a) "Bad breath
will encourage
ingestion of
fatty foods to
mask odor."
b) "Injury to oral
mucosa or
tooth decay
can lead to
difficulty in
chewing food."
c) "Decaying
teeth secrete
toxins that
decrease the
absorption of
nutrients."
d) "Mouth sores
are caused by
bacteria that
can thin the villi
of the small
intestine."

One or two Hypoactive

bowel sounds
in 2 minutes Explanation: Hypoactive
would be bowel sound is the
documented as description given to
which of the auscultation of one to two
following? bowel sounds in 2 minutes.
Normal bowel sounds are
a) Hypoactive heard every 5 to 20 seconds.
b) Hyperactive Hyperactive bowel sounds
c) Normal occur when 5 or 6 sounds
d) Absent are heard in less than 30
seconds. The nurse records
that bowel sounds are
absent when no sound is
heard in 3 to 5 minutes.

A nurse Asymmetrical upper

assesses the quadrants
abdomen of a
newly admitted Explanation: The client lies
client. Which supine with knees flexed for
finding would the abdominal assessment.
necessitate Upon inspection the nurse
further notes any skin changes,
investigation? nodules, lesions,
inflammation, or striae.
a) Flat Lesions are of particular
appearance importance and require
below the further investigation, as do
umbilicus irregular contours or
b) asymmetry of the abdomen.
Asymmetrical
upper
quadrants
c) Striae of
lateral
abdomen
d) Rounded
contour

The hydrogen Carbohydrate

breath test was
developed to Explanation: The hydrogen
evaluate which breath test that is used to
type of evaluate carbohydrate
absorption? absorption is performed if
carbohydrate malabsorption
a) Protein is suspected. The hydrogen
b) Vitamin B12 test does not evaluate fat,
c) protein, or vitamin B12
Carbohydrate absorption.
d) Fat

Gastrin has Increased motility of the

which of the stomach
following
effects on Explanation: Gastrin has the
gastrointestinal following effects on GI
(GI) motility? motility: increased motility of
the stomach, excitation of
a) Relaxation of the colon, relaxation of
the colon ileocecal sphincter, and
b) Contraction contraction of the
of the ileocecal gastroesophageal sphincter.
sphincter
c) Increased
motility of the
stomach
d) Relaxation of
gastroesophag
eal sphincter

Which of the Follow the dietary and fluid

following restrictions and bowel
should be preparation procedures
included as
part of the Explanation: For a patient
preprocedure due to undergo a
teaching for a proctosigmoidoscopy, it is
patient essential that the patient
scheduled for a follows the dietary and fluid
proctosigmoido restrictions and bowel
scopy involving preparation procedures if
the lower GI the examination involves the
structures? lower GI structures. For the
patient undergoing an
a) Consume at esophagogastroduodenosc
least three opy (EGD), it is necessary for
quarts of water the patient to spray or
30 minutes gargle with a local
before the test anesthetic. The patient is not
b) Follow the advised to consume three
dietary and quarts of water and is not
fluid restrictions advised to void before the
and bowel test. These interventions may
preparation be essential for tests that
procedures involve ultrasonographic
c) Spray or procedures.
gargle with a
local anesthetic
d) Do not void
for at least 30
minutes before
the test

Which of the Inspection, auscultation,

following percussion, palpation
sequence
should be used Explanation: Assessment
to assess the begins with an overall visual
abdomen? inspection of the abdomen
followed by auscultation,
a) Palpation, which always precedes
inspection, percussion and palpation
percussion, since manipulation of the
auscultation abdomen may alter the
b) Auscultation, frequency and intensity of
inspection, bowel sounds. Inspection
percussion, allows the nurse to visualize
palpation the skin, umbilicus, contour,
c) Inspection, and symmetry of abdomen
auscultation, and any movement or
percussion, pulsations.
palpation
d) Percussion,
auscultation,
palpation,
inspection

Upon review of Treatment for cancer

a client's chart,
the nurse notes Explanation: Antiemetics are
the client has used to treat nausea and
been receiving vomiting. Common causes of
antiemetics nausea and vomiting include
every 6 to 8 visceral afferent stimulation,
hours. What in peritoneal irritation,
this client's infections, radiation or
history may chemotherapy therapy,
necessitate increased intracranial
such pressure, and vestibular
frequency? disorders. Irritation of the
chemoreceptor trigger zone
from cancer treatment can
a) Pituitary induce nausea and lead to
tumor vomiting.
b) Adrenal
gland removal
3 days ago
c) Treatment for
cancer
d) Multiple leg
fractures

One or two Hypoactive

bowel sounds
in 2 minutes Explanation: Hypoactive
would be bowel sounds is the
documented as description given to
which of the auscultation of 1 to 2 bowel
following? sounds in 2 minutes. Normal
bowel sounds are heard
a) Hyperactive every 5 to 20 seconds.
b) Absent Hyperactive bowel sounds
c) Normal occur when 5 or 6 sounds
d) Hypoactive are heard in less than 30
seconds. The nurse records
that bowel sounds are
absent when no sound is
heard in 3 to 5 minutes.

The nurse asks You selected: "Often the

a client to point area of pain is referred from
to where she another area."
feels pain. The
client asks why Explanation: Pain can be a
this is important. major symptom of disease.
The nurse's best The location and distribution
response would of pain can be referred from
be which of the a different area. If a client
following? points to an area of pain and
has other symptoms
a) "This associated with a certain
determines the disease, this is valuable
pain medication information for treatment.
to be ordered."
b) "The area
may determine