MN 551 UNIT 6 NCLEX QUESTIONS & ANSWERS
Question 1. A 42-year-old female patient with a long-standing history of chronic
nausea and vomiting but a near-insatiable appetite has had her symptoms attributed to
an enzyme deficiency. Further diagnostic testing indicates that she has inadequate
pancreatic enzyme levels and that her large appetite is due to a lack of enzyme control
of food intake inhibition. In which of the following enzymes is the woman most likely
deficient? (Points : 0.4)
Cholecystokinin
Ghrelin
Gastrin
Secretin
Question 2. A 20-year-old male college student has recently finished a
Thanksgiving dinner of heroic proportions while home for the holiday weekend.
Which of the following phenomena would most likely have produced his sensation
of satiety? (Points : 0.4)
Stretch receptors in the stomach and small intestine signal the feeding center in the
medulla.
Increased levels of leptin stimulate a decrease in appetite by way of the vagus nerve.
The breakdown of products of lipids such as ketoacids produces a decrease in appetite.
Cholecystokinin and glucagon-like peptide-1 suppress the hunger impulse.
Question 3. A 20-year-old male who is addicted to crystal methamphetamine
has been admitted to the hospital with a diagnosis of protein-calorie malnutrition
after many months of inadequate food intake. Which of the following treatment
plans would the care team most likely favor? (Points : 0.4)
Intravenous infusion of albumin coupled with vitamin supplementation
Total parenteral nutrition
Incremental feeding combined with vitamin and mineral supplementation
Rapid administration of normal saline and carbohydrates
1
, Question 4. Which of the following measures would likely be rejected as
part of a first-line weight loss plan for a patient with a BMI of 30.2, type 2
diabetes, and hypertension? (Points : 0.4)
Prescription drug therapy
Gastric bypass
Calorie reduction by 500 to 1,000 kcal/day
30 minutes or more of moderate-intensity activity at least 3 days per week
Question 5. Chronic anxiety and stress contribute to ulcers. Which of the
following effects of the sympathetic nervous system is most responsible
for this effect? (Points : 0.4)
Inhibition of the actions of Brunner glands
Overstimulation of the oxyntic glands
Suppression of cholecystokinin
Inflammation of the parotid glands
Question 6. A nurse practitioner is providing care for a male patient
with a long-standing hiatal hernia. Which of the following statements
most accurately captures an aspect of the pathophysiology of hiatal
hernias? (Points : 0.4)
Paraesophageal hiatal hernias are common and are normally not treated if the
patient is asymptomatic.
The root causes of hiatal hernias are normally treatable with medication.
If esophageal acid clearance is impaired, esophagitis can result.
An incompetent pyloric sphincter and high fat diet are commonly implicated in
the development of hiatal hernias.
2
Question 1. A 42-year-old female patient with a long-standing history of chronic
nausea and vomiting but a near-insatiable appetite has had her symptoms attributed to
an enzyme deficiency. Further diagnostic testing indicates that she has inadequate
pancreatic enzyme levels and that her large appetite is due to a lack of enzyme control
of food intake inhibition. In which of the following enzymes is the woman most likely
deficient? (Points : 0.4)
Cholecystokinin
Ghrelin
Gastrin
Secretin
Question 2. A 20-year-old male college student has recently finished a
Thanksgiving dinner of heroic proportions while home for the holiday weekend.
Which of the following phenomena would most likely have produced his sensation
of satiety? (Points : 0.4)
Stretch receptors in the stomach and small intestine signal the feeding center in the
medulla.
Increased levels of leptin stimulate a decrease in appetite by way of the vagus nerve.
The breakdown of products of lipids such as ketoacids produces a decrease in appetite.
Cholecystokinin and glucagon-like peptide-1 suppress the hunger impulse.
Question 3. A 20-year-old male who is addicted to crystal methamphetamine
has been admitted to the hospital with a diagnosis of protein-calorie malnutrition
after many months of inadequate food intake. Which of the following treatment
plans would the care team most likely favor? (Points : 0.4)
Intravenous infusion of albumin coupled with vitamin supplementation
Total parenteral nutrition
Incremental feeding combined with vitamin and mineral supplementation
Rapid administration of normal saline and carbohydrates
1
, Question 4. Which of the following measures would likely be rejected as
part of a first-line weight loss plan for a patient with a BMI of 30.2, type 2
diabetes, and hypertension? (Points : 0.4)
Prescription drug therapy
Gastric bypass
Calorie reduction by 500 to 1,000 kcal/day
30 minutes or more of moderate-intensity activity at least 3 days per week
Question 5. Chronic anxiety and stress contribute to ulcers. Which of the
following effects of the sympathetic nervous system is most responsible
for this effect? (Points : 0.4)
Inhibition of the actions of Brunner glands
Overstimulation of the oxyntic glands
Suppression of cholecystokinin
Inflammation of the parotid glands
Question 6. A nurse practitioner is providing care for a male patient
with a long-standing hiatal hernia. Which of the following statements
most accurately captures an aspect of the pathophysiology of hiatal
hernias? (Points : 0.4)
Paraesophageal hiatal hernias are common and are normally not treated if the
patient is asymptomatic.
The root causes of hiatal hernias are normally treatable with medication.
If esophageal acid clearance is impaired, esophagitis can result.
An incompetent pyloric sphincter and high fat diet are commonly implicated in
the development of hiatal hernias.
2
