ATI LPN · Gastrointestinal System Questions and Answers
Question 1 of 64
Which of the following drug and loading dose combinations are recommended for immediate antiplatelet therapy of an NSTEMI?
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ATI LPN · Gastrointestinal System Questions and Answers
Question 2 of 64
A previously healthy 42-year-old woman presents to the emergency room complaining of a 10-day history of abdominal pain and fever. She also notes that for the last three days her urine has been dark. She denies alcohol intake or illicit drug use. Her last menstrual period ended five days ago. Physical examination reveals tenderness in right upper quadrant and icteric discoloration of the skin, but no palpable mass in the abdomen. Blood tests demonstrate a white blood cell count of 8.3/ L, total bilirubin of 3.4 mg/dL, alkaline phosphatase of 280 IU/L, amylase of 54 U/L, and lipase of 47 U/L. A CT scan of the abdomen demonstrates a dilated biliary duct (18 mm in diameter) with a possible stone in it. There are no stones in the gallbladder. The intrahepatic ducts are not dilated. The pancreas appears normal. The patient is admitted to the hospital. The next morning an ERCP is performed and reveals a single choledochal cyst (2 cm in diameter) of the common bile duct with a single stone inside the cyst. Endoscopic sphincterotomy is done and the stone is removed from the choledochal cyst. What further management would you offer this patient?
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ATI LPN · Gastrointestinal System Questions and Answers
Question 3 of 64
Each of the following organs is a component of the digestive tract except one. Identify the exception.
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ATI LPN · Gastrointestinal System Questions and Answers
Question 4 of 64
In the stomach lining, the parietal cells release _________ and the chief cells release __________ which both play a role in peptic ulcer disease.
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Question 5 of 64
Which of the following cell types is characterized by secretory vesicles concentrated in basal cytoplasm, near the basement membrane?
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ATI LPN · Gastrointestinal System Questions and Answers
Question 6 of 64
The bulge of the greater curvature of the stomach superior to the esophageal junction (or the big wheel) is the
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ATI LPN · Gastrointestinal System Questions and Answers
Question 7 of 64
The enzyme pepsin is produced in the cells of the stomach but not in the cells of the small intestine. The small intestine produces a different enzyme, trypsin. The reason that the stomach and small intestine produce different enzymes is that the gene that codes for pepsin is
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ATI LPN · Gastrointestinal System Questions and Answers
Question 8 of 64
Which of the following is a reactant in the chemical digestion of food?
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Question 9 of 64
Where does the partly-digested food (in liquid form) go after it leaves the stomach?
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ATI LPN · Gastrointestinal System Questions and Answers
Question 10 of 64
Which of the following bacteria is a major causative factor for peptic ulcers and can be detected using a urea breath test?
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Question 11 of 64
In humans, structures that release digestive secretions directly into the small intestine include both the
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Question 12 of 64
All lipids are absorbed through the brush border of the small intestine by the process of
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Question 13 of 64
Which of the following statements about a tooth is NOT correct?
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Question 14 of 64
A patient with a history of PUD presents with dizziness, fatigue, and pallor. That complication might the nurse suspect?
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ATI LPN · Gastrointestinal System Questions and Answers
Question 15 of 64
The shape of hepatocytes is best described as:
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Question 16 of 64
A patient with PUD presents with signs of dehydration, including dry mucous membranes and hypotension. The nurse should anticipate which intervention?
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Question 17 of 64
The small, lymphatic capillaries that reside in the small intestines and absorb fats are known as
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Question 18 of 64
A patient with PUD reports severe pain 30 minutes after eating. The pain is not relieved by antacids. What should the nurse suspect?
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Question 19 of 64
The epithelium lining tonsillar crypts may be obscured by numerous cells migrating through it. These cells are:
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ATI LPN · Gastrointestinal System Questions and Answers
Question 20 of 64
Folds in the mucosa of the stomach are called:
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Question 21 of 64
A patient with PUD is advised to avoid eating within how many hours before bedtime?
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Question 22 of 64
Which of the following statements about pulmonary manifestations of liver disease is incorrect?
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Question 23 of 64
What fluid flows within hepatic sinusoids?
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Question 24 of 64
Teeth are similar to bone and contain a mineralized matrix called
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ATI LPN · Gastrointestinal System Questions and Answers
Question 25 of 64
Which of the following best describes the mechanism of action of streptokinase?
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ATI LPN · Gastrointestinal System Questions and Answers
Question 26 of 64
Which of the following is not a specific element of duodenal ulcers?
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Question 27 of 64
Pancreatic juice ________.
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Question 28 of 64
An 82-year-old woman with no past history presents to your clinic complaining of arthritic symptoms. She is on no medications at this time but needs something for her arthritis. You want to put her on nonsteroidal anti-inflammatory medicine but are concerned about her age and the risk of peptic ulcers. She has to pay for her medications out-of-pocket and requests the most inexpensive option possible. The most appropriate treatment plan would be
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ATI LPN · Gastrointestinal System Questions and Answers
Question 29 of 64
Which of the following is a result of the low pH of the stomach?
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Question 30 of 64
Which structures secrete chemicals utilized for the completion of digestion within the small intestine?
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ATI LPN · Gastrointestinal System Questions and Answers
Question 31 of 64
Feces is usually about 40 percent water and 60 percent solid matter. Reducing the water content to 20 percent would most likely result in
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ATI LPN · Gastrointestinal System Questions and Answers
Question 32 of 64
Which human excretory organ breaks down red blood cells and synthesizes urea?
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ATI LPN · Gastrointestinal System Questions and Answers
Question 33 of 64
A 72-year-old patient with lifelong asthma and dilated cardiomyopathy from a viral infection complains of worsening symptoms of shortness of breath. He is on optimal treatment for asthma. His echocardiogram confirms heart failure with an ejection fraction of 30%, which is thought to account for his breathlessness. He has minimal wheeze, bi-basal crackles and oxygen saturations of 95% on air. He is on Furosemide 80 mg twice daily and, ramipril 5 mg once daily with normal renal function. What would be an ideal initial step for this patient?
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ATI LPN · Gastrointestinal System Questions and Answers
Question 34 of 64
A 60-year-old female with a history of PUD is admitted with complaints of epigastric pain that radiates to her back, nausea, and vomiting. The pain intensifies after eating. What is the most likely diagnosis?
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ATI LPN · Gastrointestinal System Questions and Answers
Question 35 of 64
A patient with PUD who is taking NSAIDs reports worsening symptoms. The nurse should suggest which of the following to the physician?
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ATI LPN · Gastrointestinal System Questions and Answers
Question 36 of 64
For an organ lying within a body cavity, the tissue which forms the deepest layer (i.e., farthest from the inner core or lumen of the organ) is called the:
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ATI LPN · Gastrointestinal System Questions and Answers
Question 37 of 64
Some vitamins are essential to an organism because they function as
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ATI LPN · Gastrointestinal System Questions and Answers
Question 38 of 64
The gall bladder functions to
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ATI LPN · Gastrointestinal System Questions and Answers
Question 39 of 64
The appendix is attached to which of the following structures?
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Question 40 of 64
Which of the following is not a distinguishing characteristic of a parasympathetic neuron cell body in a ganglion of Meissner's or Auerbach's plexus?
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Question 41 of 64
What lifestyle change is most beneficial for a patient with PUD?
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Question 42 of 64
Which statement is INCORRECT about Histamine-receptor blockers?
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Question 43 of 64
Which characteristics of the digestive system increase its surface area?
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Question 44 of 64
In which of the following regions of the GI tract does the highest proportion of goblet cells occur in the surface epithelium of the mucosa?
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ATI LPN · Gastrointestinal System Questions and Answers
Question 45 of 64
The pancreas is located:
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ATI LPN · Gastrointestinal System Questions and Answers
Question 46 of 64
In humans, the organ that most directly regulates the concentration of water in the blood is the
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ATI LPN · Gastrointestinal System Questions and Answers
Question 47 of 64
Which of the following findings in a patient with PUD requires immediate intervention?
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Question 48 of 64
Cirrhosis, or liver scarring in which functional hepatic tissue is replaced by connective tissue, can be recognized by:
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ATI LPN · Gastrointestinal System Questions and Answers
Question 49 of 64
What type of cell releases glucagon?
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ATI LPN · Gastrointestinal System Questions and Answers
Question 50 of 64
Which the following stains is used to demonstrate mucus (as well as basement membranes and glycogen)?
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ATI LPN · Gastrointestinal System Questions and Answers
Question 51 of 64
An intestinal hormone that stimulates the gall bladder to release bile is
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Question 52 of 64
In a patient with an office blood pressure (BP) measured as above 140/90 mmHg, which of the following should be used to confirm a diagnosis of hypertension?
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ATI LPN · Gastrointestinal System Questions and Answers
Question 53 of 64
Which of the following epithelial types is most closely associated with active secretion at a mucosal surface, as in the stomach lining?
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ATI LPN · Gastrointestinal System Questions and Answers
Question 54 of 64
Where is maltose produced as a result of a digestive reaction?
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Question 55 of 64
A 56-year-old man chokes on a piece of steak while dining in a restaurant. The steak transiently becomes impacted in his esophagus. The next day, a barium swallow reveals a short, ringlike structure in his distal esophagus.
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Question 56 of 64
Lamina propria differs from dermis by having:
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Question 57 of 64
Which of the following is a recommended dietary modification for patients with PUD?
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Question 58 of 64
A 40-year-old man complains of crampy abdominal pain associated with intermittent loose stools for the last three months. He had been healthy until he developed a week of severe diarrhea while visiting India. He then took metronidazole for a week. The diarrhea was resolving by then but evolved soon afterward into his current symptoms. He finds that eating precipitates his symptoms although his weight is stable. Physical examination is unremarkable. Stool microscopy is negative and labs are unrevealing. Which of the following diagnoses is the most likely explanation for his current symptoms?
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Question 59 of 64
What is the most definitive diagnostic test for peptic ulcer disease?
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Question 60 of 64
Which phase of deglutition involves contraction of the longitudinal muscle layer of the muscularis?
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Question 61 of 64
The presence of which of the following antibody tests (IgG) indicate probable immunity to hepatitis B?
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Question 62 of 64
Glandular ducts are typically lined by which type of epithelium?
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Question 63 of 64
The principal secretory product for the pancreatic acinar cells is:
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Question 64 of 64
Which of these organs is not considered an accessory digestive structure?
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