ATI RN
ATI Gastrointestinal System Test
1. Gail is scheduled for a cholecystectomy. After completion of preoperative teaching, Gail states,”If I lie still and avoid turning after the operation, I’ll avoid pain. Do you think this is a good idea?” What is the best response?
- A. You’ll need to turn from side to side every 2 hours.
- B. It’s always a good idea to rest quietly after surgery.
- C. The doctor will probably order you to lie flat for 24 hours.
- D. Why don’t you decide about activity after you return from the recovery room?
Correct answer: A
Rationale: The best response to Gail is to inform her that she will need to turn from side to side every 2 hours to prevent complications.
2. Type A chronic gastritis can be distinguished from type B by its ability to:
- A. Cause atrophy of the parietal cells.
- B. Affect only the antrum of the stomach.
- C. Thin the lining of the stomach walls.
- D. Decrease gastric secretions.
Correct answer: A
Rationale: Type A chronic gastritis can cause atrophy of the parietal cells, which is a distinguishing feature from type B.
3. After abdominal surgery, your patient has a severe coughing episode that causes wound evisceration. In addition to calling the doctor, which intervention is most appropriate?
- A. Irrigate the wound & organs with Betadine.
- B. Cover the wound with a saline soaked sterile dressing.
- C. Apply a dry sterile dressing & binder.
- D. Push the organs back & cover with moist sterile dressings.
Correct answer: B
Rationale: Covering the wound with a saline soaked sterile dressing is the most appropriate intervention for wound evisceration.
4. A patient with chronic alcohol abuse is admitted with liver failure. You closely monitor the patient’s blood pressure because of which change that is associated with the liver failure?
- A. Hypoalbuminemia
- B. Increased capillary permeability
- C. Abnormal peripheral vasodilation
- D. Excess rennin release from the kidneys
Correct answer: C
Rationale: Abnormal peripheral vasodilation is a change associated with liver failure that requires close monitoring of the patient's blood pressure.
5. A patient has an acute upper GI hemorrhage. Your interventions include:
- A. Treating hypovolemia.
- B. Treating hypervolemia.
- C. Controlling the bleeding source.
- D. Treating shock and diagnosing the bleeding source.
Correct answer: D
Rationale: For a patient with an acute upper GI hemorrhage, your interventions include treating shock and diagnosing the bleeding source.
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