NCLEX : NCLEX

Study concepts, example questions & explanations for NCLEX

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Example Questions

Example Question #1 : Gastrointestinal Physiology

The portions of the small intestine, in order from superior to inferior, are __________.

Possible Answers:

duodenum, ileum, jejunum

ileum, jejunum, cecum

jejunum, cecum, duodenum

duodenum, jejunum, ileum

Correct answer:

duodenum, jejunum, ileum

Explanation:

The portions of the small intestine, in order from superior to inferior, are the duodenum, the jejunum, and the ileum. The cecum is not a part of the small intestine at all but rather the beginning of the large intestine.

Example Question #3 : Gastrointestinal Physiology

What nerve innervates the external anal sphincter?

Possible Answers:

Cluneal nerve

Perineal nerve

The pudendal nerve

Ilioinguinal nerve

Correct answer:

The pudendal nerve

Explanation:

The pudendal nerve innervates the external anal sphincter and is responsible for a person's ability to voluntarily control defecation. Dysfunction of the pudendal nerve has been associated with fecal incontinence or constipation. The other nerves listed are all part of the pelvic floor but do not directly innervate the anal sphincter.

Example Question #2 : Gastrointestinal Physiology

Absorption of nutrients in the small intestine occurs mainly in the __________.

Possible Answers:

jejunum and ileum

duodenum and ileum

ileum and cecum

duodenum and jejunum

Correct answer:

duodenum and jejunum

Explanation:

The majority of absorption of nutrients in the small intestine occurs mainly in duodenum and the jejunum. The ileum is still a site of some absorption, though it is far less than nutrient absorption in the superior parts of the small intestine. The cecum is part of the large intestine.

Example Question #4 : Gastrointestinal Physiology

What vein carries the nutrient-rich blood from the gastrointestinal system to the liver for processing?

Possible Answers:

The hepatic portal vein

The splenic vein

The ileal vein

The left gastric vein 

Correct answer:

The hepatic portal vein

Explanation:

The hepatic portal vein is the main vein the carries nutrient-rich blood from the digestive tract to the liver for further processing. The other veins listed are all smaller veins that drain the stomach, small intestine, and spleen into the portal vein. 

Example Question #3 : Gastrointestinal Physiology

What is the name of the muscular sphincter that keeps stomach contents from regurgitating into the esophagus?

Possible Answers:

Ileocecal valve

Pyloric sphincter

Upper esophageal sphincter

Lower esophageal sphincter

Correct answer:

Lower esophageal sphincter

Explanation:

The muscular sphincter that keeps stomach contents from regurgitating into the esophagus is the lower esophageal sphincter. The upper esophageal sphincter separates the esophagus from the pharynx, the pyloric sphincter separates the stomach from the small intestine, and the ileocecal valve separates the small intestine from the large intestine.

Example Question #11 : Gastrointestinal Physiology

The most superior part of the stomach is the __________.

Possible Answers:

rugae

body

fundus

pyloric antrum

Correct answer:

fundus

Explanation:

The areas of the stomach, from superior to inferior, are the fundus, the body, and the pyloric antrum. The rugae are folds in the stomach that increase its surface area and expandability. 

Example Question #12 : Gastrointestinal Physiology

What ligament attaches the liver to the abdominal wall?

Possible Answers:

The splenorenal ligament

Ligamentum flava

The ligament of Treitz

The falciform ligament

Correct answer:

The falciform ligament

Explanation:

The ligament of Treitz suspends the duodenum, while the splenorenal ligament goes between the left kidney and the spleen. Ligamentum flava are ligaments present in the spinal cord.

Example Question #316 : Nclex

Which of the following digestive enzymes breaks down starches?

Possible Answers:

Amylase

Protease

Lipase

Peptidase

Correct answer:

Amylase

Explanation:

Amylase enzymes, produced by the salivary gland and the pancreas, break starched down into simple sugars. Peptidase and protease enzymes break down proteins, while lipase enzymes break down lipids.

Example Question #13 : Gastrointestinal Physiology

Which of the following substances helps emulsify fats during digestion?

Possible Answers:

Hydrochloric acid

Cholecystokinin

Bile acids

Pancreatic lipase

Correct answer:

Bile acids

Explanation:

Bile acids, produced in the liver and stored in the gallbladder, help emulsify fats during digestion. The process of emulsification makes fats collect into small droplets, increasing the surface area of ingested lipids and increasing the ability of pancreatic lipase to break fats down into fatty acids and glycerol. Hydrochloric acid aids in the breakdown of proteins in the stomach, and cholecystokinin is a hormone with a wide variety of functions in the digestive process, including the stimulation of the release of bile (though it does itself not play a role in emulsification of fats).

Example Question #318 : Nclex

Which of the following would be a normal gastric pH?

Possible Answers:

2.0

1.2

4.8

4.0

Correct answer:

2.0

Explanation:

Normal gastric pH ranges from 1.5 to 3.5. This highly acidic environment aids the stomach in denaturing proteins, a fundamental part of digestion. 

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