Gastrointestinal System
Which structure would be identified as being responsible for the initiation of digestion? - correct answer
Mouth
The mouth initiates secretion of saliva that contains water and digestive enzymes to begin the digestive
process. The stomach is responsible for mechanical and chemical breakdown of foods into useable
nutrients. The small intestine is responsible for absorption of nutrients. The pancreas secretes enzymes
and sodium bicarbonate into the beginning of the small intestine to neutralize acid from the stomach
and further facilitate digestion.
Which substance is secreted by the parietal cells of the stomach? - correct answer
Hydrochloric acid
The parietal cells of the stomach secrete hydrochloric acid. Pepsin is secreted by the chief cells. Gastrin
is stimulated by the arrival of the food bolus in the stomach. Bile is secreted by the gall bladder.
What best describes the action of sodium bicarbonate? - correct answer Neutralize
the acid bolus
Sodium bicarbonate neutralizes the acid bolus. Saliva facilitates swallowing by making the food bolus
slippery. Chymotrypsin and trypsin break down proteins into amino acids. Gastrin causes stomach
muscle contraction.
When describing the process used by the esophagus for motility, which would the nurse include? -
correct answer Peristalsis
, The esophagus uses peristalsis to move food forward. Churning occurs in the stomach. Mass movement
with an occasional peristaltic wave occurs in the large intestine. The small intestine uses a process of
segmentation with an occasional peristaltic wave to clear the segment.
The gastrointestinal system is sterile. - correct answer False
The gastrointestinal system is the only system in the body that is open to the external environment and
therefore is not sterile.
The peritoneum lines the abdominal wall and viscera. - correct answer True
The stomach has three muscle layers, one running horizontally, one running circularly, and one running
obliquely. - correct answer True
A patient has been diagnosed with a gastric ulcer. Within the gastrointestinal tract, what secretion
protects the esophagus from the development of ulcerations? - correct answer
Mucus
The function of mucus is to protect the lining of the gastrointestinal tract from digestive juices, lubricate
the food bolus for easier passage, promote adherence of the fecal mass, and neutralize acids and bases.
Hydrochloric acid will erode the gastrointestinal tract without mucus. Gastrin and pepsin do not protect
the gastrointestinal tract from erosion.
The nurse assists and educates clients about the structure and function of the digestive system. The
nurse is reviewing the processes involved during digestion. What is the best explanation the nurse can
give the client about the process of peristalsis? - correct answer Alternate
contraction and relaxation of muscles that sends food down through the digestive tube
Peristalsis is alternate contraction and relaxation of muscles that sends food down through the digestive
tube. Mastication is the act of chewing. Absorption is the process of transferring broken-down food
elements into the circulation for transport. Deglutition is the process of swallowing.