a 30 year old woman is admitted to the hospital with complaints of severe abdominal cramping and diarrhea the nurse evaluates the effectiveness of the
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Nursing Elites

ATI RN

Gastrointestinal System Nursing Exam Questions

1. A 30-year-old woman is admitted to the hospital with complaints of severe abdominal cramping and diarrhea. The nurse evaluates the effectiveness of the patient's intravenous therapy. Which of the following laboratory tests BEST reflects hydration status?

Correct answer: C

Rationale: Hematocrit is the best indicator of hydration status because it reflects the proportion of red blood cells in the blood. An increased hematocrit indicates dehydration, as the blood becomes more concentrated due to fluid loss. Erythrocyte sedimentation rate (Choice A) is a nonspecific marker of inflammation, not hydration status. White blood cell count (Choice B) is an indicator of infection or inflammation. Serum glucose (Choice D) is used to monitor blood sugar levels, not hydration status.

2. Which of the following would be an expected nutritional outcome for a client who has undergone a subtotal gastrectomy for cancer?

Correct answer: D

Rationale: Achieving optimal nutritional status through oral or parenteral feedings is an expected nutritional outcome for a client who has undergone a subtotal gastrectomy for cancer.

3. Ralph has a history of alcohol abuse and has acute pancreatitis. Which lab value is most likely to be elevated?

Correct answer: B

Rationale: In a patient with acute pancreatitis and a history of alcohol abuse, glucose levels are most likely to be elevated.

4. Regina is a 46 y.o. woman with ulcerative colitis. You expect her stools to look like:

Correct answer: B

Rationale: Stools in ulcerative colitis are typically bloody and mucoid.

5. A client is suspected of having hepatitis. Which diagnostic test results will assist in confirming this diagnosis?

Correct answer: B

Rationale: Laboratory indicators of hepatitis include elevated liver enzyme levels, elevated serum bilirubin levels, elevated erythrocyte sedimentation rates, and leucopenia. An elevated blood urea nitrogen may indicate renal dysfunction. A hemoglobin level is unrelated to this diagnosis.

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