RN exams gastrointestinal practice questions, set 20

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RN exams gastrointestinal practice questions set 20

You read GI bleed, liver, and nutrition stems and pick the intervention that protects the patient now. Five of the 15 questions include the correct answer and rationale. The other ten keep answers in the study hub. Continue with the RN exams exam guide or more RN exams practice questions.

Five gastrointestinal questions with answers

Cover the key. Write the first action. Then open the rationale and name why the other choices fail.

Question 1

The nurse is caring for a patient with acute pancreatitis. Which lab value is most concerning?

  1. A. Elevated amylase
  2. B. Elevated lipase
  3. C. Elevated glucose
  4. D. Decreased calcium
Show answer and rationale

Correct answer: D — Decreased calcium

The correct answer is D, "Decreased calcium." In acute pancreatitis, calcium can be saponified by free fatty acids, leading to hypocalcemia. This is known as the "fat saponification" process and can result in severe complications such as tetany or cardiac arrhythmias. While elevated amylase and lipase are commonly seen in acute pancreatitis, they are not as concerning as hypocalcemia, which can have more immediate and life-threatening consequences. Elevated glucose may be seen due to the stress response of the body, but it is not as critical as hypocalcemia in this scenario. Therefore, monitoring and addressing decreased calcium levels are crucial in the care of a patient with acute pancreatitis.

Question 2

.When rickets occurs, the alveolar bone is affected similar to other bones in the body. The trabeculae of the alveolar bone also weaken.

  1. A. Both statements are true.
  2. B. Both statements are false.
  3. C. The first statement is true; the second is false.
  4. D. The first statement is false; the second is true.
Show answer and rationale

Correct answer: A — Both statements are true.

The correct answer is A: 'Both statements are true.' Rickets is a condition caused by a deficiency in vitamin D, calcium, or phosphate, leading to weakened and soft bones. When rickets occurs, the alveolar bone, which supports the teeth, is affected similarly to other bones in the body. The trabeculae of the alveolar bone, the bony structures within the bone, also weaken due to the mineral deficiency. Therefore, both statements in the question are accurate, as rickets can indeed impact the alveolar bone and weaken its trabeculae. Understanding this relationship is crucial for dental professionals in diagnosing and treating patients with dental issues related to systemic conditions like rickets.

Question 3

.Each is true of calcium within saliva, except one. Which is the exception?

  1. A. Saliva is supersaturated with calcium.
  2. B. Saliva is a source of calcium to mineralize an immature of demineralized enamel surface.
  3. C. Calcium and phosphate in saliva provide a buffering action.
  4. D. Calcium within saliva increases dental caries.
Show answer and rationale

Correct answer: D — Calcium within saliva increases dental caries.

The correct answer is D because calcium within saliva actually helps prevent dental caries rather than increase them. Saliva is supersaturated with calcium, meaning it has more calcium ions than it can hold in solution, which is beneficial for enamel remineralization. Saliva also acts as a source of calcium to mineralize an immature or demineralized enamel surface. Additionally, calcium and phosphate in saliva work together to provide a buffering action, helping to maintain a neutral pH in the mouth and prevent acidic conditions that can lead to tooth decay. Therefore, the presence of calcium in saliva is actually protective against dental caries, making option D the exception in this context.

Question 4

The nurse is providing care for a patient with a new diagnosis of epilepsy. Which instruction should the nurse include in the discharge teaching?

  1. A. Avoid driving until your seizures are under control.
  2. B. Take your medication only when you feel a seizure coming on.
  3. C. Limit your fluid intake to prevent swelling.
  4. D. Avoid exercise to prevent fatigue.
Show answer and rationale

Correct answer: A — Avoid driving until your seizures are under control.

The correct answer is A: 'Avoid driving until your seizures are under control.' This instruction is crucial for patient safety as uncontrolled seizures can pose a risk while driving. It is essential for individuals with epilepsy to refrain from driving until their healthcare provider confirms that their seizures are under control and it is safe for them to operate a vehicle. This precaution helps prevent accidents and ensures the safety of the patient, as well as others on the road. Driving with uncontrolled seizures can lead to serious consequences, including accidents and injury. Therefore, this instruction is a key component of discharge teaching for patients newly diagnosed with epilepsy.

Question 5

.Each is a function of vitamin A, except one. Which is the exception?

  1. A. Prevention of night blindness
  2. B. Growth of soft tissues and bone
  3. C. Maintenance of more than 200 genes
  4. D. Integrity of body openings and their linings
Show answer and rationale

Correct answer: C — Maintenance of more than 200 genes

Vitamin A plays a vital role in various bodily functions. Option A is correct as vitamin A helps prevent night blindness by maintaining healthy vision. Option B is also correct as vitamin A is essential for the growth of soft tissues and bone development. Option D is correct as vitamin A is crucial for the integrity of body openings and their linings such as the skin and mucous membranes. However, option C is the exception as vitamin A is not directly responsible for the maintenance of more than 200 genes. While vitamin A does play a role in gene expression, it is not the primary function of this vitamin. Therefore, option C is the correct answer as the exception among the given choices.

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Question 6

.Located in the middle of the brain, what organ is responsible for satiety and hunger?

  1. A. Medulla Oblongata
  2. B. Pituitary Gland
  3. C. Hypothalamus
  4. D. Parathyroid
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Question 7

.Each of the following accurately describe aspects of the dietary reference intakes (DRIs) published by the Food and Nutrition Board of the Institute of Medicine (IOM) except one. Which one is the exception?

  1. A. The DRIs replace the older recommended daily allowances.
  2. B. Current DRIs attempt to estimate required nutrients to improve long-term health.
  3. C. DRIs specifically address individuals whose requirements are affected by a disease state.
  4. D. The DRIs attempt to establish maximum safe levels of tolerance for nutrients.
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Question 8

.Macronutrients include each of the following except one. Which one is the exception?

  1. A. Fat
  2. B. Polyunsaturated fatty acids
  3. C. Carbohydrate
  4. D. Protein
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Question 9

The nurse is providing care to a patient with cirrhosis of the liver. Which lab value is most concerning?

  1. A. Elevated bilirubin
  2. B. Elevated albumin
  3. C. Decreased AST
  4. D. Decreased ALT
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Question 10

.Primary bacteria involved in initiation of dental caries are:

  1. A. Streptococcus mutans and Lactobacillus species.
  2. B. Salmonella and Listeria species.
  3. C. Streptococcus, Lactobacillus, and Salmonella species.
  4. D. Listeria and Botulinum species and Escherichia coli.
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Question 11

The nurse is assessing a patient with a diagnosis of appendicitis. Which finding is most indicative of a complication?

  1. A. Abdominal pain
  2. B. Rebound tenderness
  3. C. Low-grade fever
  4. D. Sudden relief of pain
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Question 12

.Which type of nutritional deficiency results from inadequate absorption?

  1. A. Unmeasurable
  2. B. Primary deficiency
  3. C. Secondary deficiency
  4. D. Codependent
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Question 13

The nurse is caring for a patient who has recently been diagnosed with type 1 diabetes mellitus. Which information is most important to include in the discharge teaching?

  1. A. The importance of regular exercise
  2. B. How to administer insulin injections
  3. C. The need for regular eye examinations
  4. D. How to recognize signs of hyperglycemia
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Question 14

The nurse is caring for a patient with cirrhosis who is experiencing pruritus. Which intervention should the nurse implement?

  1. A. Administer an antihistamine
  2. B. Apply a cold compress
  3. C. Encourage hot showers
  4. D. Provide a high-fat diet
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Question 15

Which of the following is not an effect of the drug (Clozapine)?

  1. A. Agranulocytosis
  2. B. Antipsychotic
  3. C. Used for Schizophrenia
  4. D. Increased appetite
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About these RN exams gastrointestinal questions

RN exams gastrointestinal practice questions, set 20 for nursing students in the United States. Fifteen items. Five include answers and rationales in American English.

No. Nursier is independent practice. Register through the official path named on the RN exams exam guide.

The first five questions already include the rationale. Start full practice to unlock the remaining keys, missed-question review, and the rest of the bank.

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