Digestive System
A client has had projectile vomiting for two hours. Which is the mechanism for vomiting? A. decrease in the process of peristalsis B. Reverse peristaltic wave within the stomach C. Propulsive peristaltic wave occurring in the small intestine D. weak peristaltic wave occurring in the esophagus
B
The nurse is reviewing the amount of energy used by the body at rest to sustain a client's life. What is this called? A. metabolism B. basal metabolism C. catabolism D. anabolism
B
A client is told during an education session that several enzymes are secreted by the pancreas. Which are enzymes secreted by the pancreas? Select all that apply. A. pepsin B. amylase C. trypsin D. ptyalin E. lipase
B C E
Which are the end-products produced during catabolism? Select all that apply. A. Oxygen B. Energy C. Glycogen D. Carbon dioxide E. Water
B D E
A client has been admitted to the hospital with appendicitis. Which leads to the development of appendicitis? A. Retained bolus B. Dislodged chyme C. Overflowing chyme D. Impacted feces
D
#471 The nurse is reinforcing teaching to a client about an upcoming colonoscopy procedure. The nurse should include in the instructions that the client will be placed in which position for the procedure. 1. Left Sims' position 2. Lithotomy position 3. Knee-chest position 4. Right Sims' position. NCLEX p613
1
#477 The nurse is monitoring a client for the early signs and symptoms of dumping syndrome. Which indicates this occurrence? 1. sweating and pallor 2. dry skin and stomach pain 3. bradycardia and indigestion 4. double vision and chest pain NCLEX p614
1
#478 The nurse is reviewing the record of a client with Crohn's disease. Which stool characteristic should the nurse expect to see documented in the record? 1. Diarrhea 2. Constipation 3. Bloody stools 4. Stool constantly oozing from the rectum NCLEX p614
1
#481 It has been determined that a client with hepatitis has contracted the infection from contaminated food. Which type of hepatitis is this client most likely experiencing? 1. Hepatitis A 2. Hepatitis B 3. Hepatitis C. 4. Hepatitis D NCLEX 615
1
#483 A client with hiatal hernia chronically experiences heartburn after meals. Which should the nurse teach the client to avoid? 1. Lying recumbent after meals 2. Eating small, frequent, bland meals 3. Raising the head of the bed on 6-inch blocks 4. Taking histamine receptor antagonist medication as prescribed NCLEX 615
1
#480 The nurse is reviewing the prescription of a client admitted to the hospital with a diagnosis of acute pancreatitis. Which interventions should the nurse expect to note? Select all that apply. 1 Administer antacids, as prescribed 2. Encourage small, frequent, high-calorie feedings 3. Encourage coughing and deep breathing 4 Administer anticholinergics, as prescribed 5. Maintain the client in a supine and flat position NCLEX 614
1 3 4
#472 The nurse is preparing to perform an abdominal examination. The initial step should be which? 1. Palpation 2. Inspection 3. Percussion 4. Auscultation NCLEX p613
2
#479 A client with ascites is scheduled for a paracentesis. The nurse is assisting the health care provider in performing the procedure. Which position should the nurse assist the client into for this procedure? 1. Flat 2. Upright 3. Left side-lying 4. Right side-lying NCLEX 614
2
#473 The nurse reinforces postoperative liver biopsy procedures to a client. Which should the nurse tell the client? 1. Avoid alcohol for 8 hours. 2. Remain NPO for 24 hours 3. Lie on the right side for 2 hours 4. Save all stools to be checked for blood NCLEX p613
3
#475 The nurse is caring for a client after a Billroth II (gastrojejunostomy) procedure. On review of the postoperative prescriptions, which should the nurse clarify? 1. Leg exercises 2. Early ambuation 3. Irrigating the NG tube 4. Coughing and deep-breathing exercises NCLEX p614
3
#476 The nurse is reinforcing discharge instructions to a client after a gastroectomy. Which measure should the nurse include in client teaching to help prevent dumping syndrome? 1. Ambulate after a meal 2. Eat high-carbohydrate foods 3. Limit the fluids taken with meals 4. Sit in a high Fowler's position during meals NCLEX p614
3
#482 The nurse is reviewing the health care provider's prescriptions written for a client admitted with acute pancreatitis. Which health care provider prescription should the nurse verify if noted in the client's chart? 1. NPO status 2. An anticholinergic medication 3. Position the client supine and flat 4. Prepare to insert a NG tube NCLEX 615
3
#485 An ultrasound of the gallbladder is scheduled for the client with a suspected diagnosis of cholecystitis. Which should the nurse explain to the client about this test 1. The test is uncomfortable 2. The test requires that the client be NPO 3. The test requires the client to lie still for short intervals 4. The test is preceded by the administration of oral tablets. NCLEX 616
3
#474 The nurse is caring for a client with a diagnosis of chronic gastritis. The nurse anticipates that the client is at risk for which vitamin deficiency? 1. Vitamin A 2. Vitamin C 3. Vitamin E 4. Vitamin B12 NCLEX 614
4
#484 The nurse is monitoring for stoma prolapse in a client with a colostomy. Which stoma observation should indicate that a prolapse has occurred? 1. dark and bluish 2. sunken and hidden 3. narrowed and flattened 4. protruding and swollen NCLEX p615
4
A client is having difficulty speaking. Which would be the cause of a client's speech difficulty? A. short frenulum B. long rugae C. expanded fundus D. small mesenteries
A
The nurse is reviewing with the client the proper functioning of the salivary glands. Which enzyme is secreted by the salivary glands? A. ptyalin B. pepsin C. amylase D. trypsin
A
A client has a history of achalasis. Which should a nurse consider as a cause of achalasia? A. partial cosure of the pyloric sphincter B. inadequate relaxation of the external anal sphincter C. Non-relaxation of the lower esophageal sphincter D. Impaired closure of the ileocecal valve
C
A client's liver function tests are abnormal. Which would be affected after an impairment of the liver? A. formation of vitamin D B. absorption of fat-soluble vitamins C. synthesis of urea D. digestion of starch
C
____________ digestion is the breakdown of chemical bonds in food with the addition of enzymes, acids, and water.
Chemical
A client has been taking a medication that has impacted the proper functioning of the salivary glands. Which is the function of the salivary gland? A. it senses the temperature and texture of food and is also involved with the mixing of the food with saliva B. within this organ, food is mixed with gastric juices and churned until it is in a semi-liquid form called chyme C. The contraction of this organ results in continuation of the act of swallowing and pushes the food into the esophagus D. Its secretion helps in the moistening of the food, making it easier to swallow, and in preventing oral infections
D
What is achalasia?
abnormal motility in the esophagus due to constant contraction of the the esophageal sphincter
A small, finger-like projection of the cecum is the vermiform____________________
appendix
The system of passage ways for the transport of bile from the liver to the gallbladder to the intestine is known as __________ apparatus
biliary
__________ cells in the stomach mucosa secrete pepsinogen (breakdown proteins) and gastric lipase.
chief
In the stomach, all foods mix with gastric juices and churn until they are in a semi-liquid form called ____________________
chyme
The contraction of this organ results in continuation of the act of swallowing and pushes the food into the esophagus
pharynx
Its secretion helps in the moistening of the food, making it easier to swallow, and in preventing oral infections.
salivary glands
Within this organ, food is mixed with gastric juices and churned until it is in a semi-liquid form called chyme.
stomach
It senses the temperature and texture of food and is also involved with the mixing of the food with saliva
tongue
