ATI RN
ATI Gastrointestinal System
1. A client has been taking aluminum hydroxide 30 mL six times per day at home to treat his peptic ulcer. He tells the nurse that he has been unable to have a bowel movement for 3 days. Based on this information, the nurse would determine that which of the following is the most likely cause of the client’s constipation?
- A. The client has not been including enough fiber in his diet
- B. The client needs to increase his daily exercise
- C. The client is experiencing a side effect of the aluminum hydroxide.
- D. The client has developed a gastrointestinal obstruction.
Correct answer: C
Rationale: The client is experiencing a common side effect of aluminum hydroxide, which is constipation.
2. Which of the following complications of gastric resection should the nurse teach the client to watch for?
- A. Constipation
- B. Dumping syndrome
- C. Gastric spasm
- D. Intestinal spasms
Correct answer: B
Rationale: Clients should be taught to watch for symptoms of dumping syndrome, a common complication after gastric resection.
3. Colon cancer is most closely associated with which of the following conditions?
- A. Appendicitis
- B. Hemorrhoids
- C. Hiatal hernia
- D. Ulcerative colitis
Correct answer: D
Rationale: Ulcerative colitis is a condition closely associated with an increased risk of developing colon cancer due to chronic inflammation of the colon.
4. The nurse is assessing for stoma prolapse in a client with a colostomy. The nurse would observe which of the following if stoma prolapse occurred?
- A. Sunken and hidden stoma
- B. Dark- and bluish-colored stoma
- C. Narrowed and flattened stoma
- D. Protruding stoma
Correct answer: D
Rationale: A protruding stoma is indicative of stoma prolapse, which occurs when the bowel protrudes excessively through the stoma.
5. Which of the following tests should be administered to a client suspected of having diverticulosis?
- A. Abdominal ultrasound
- B. Barium enema
- C. Barium swallow
- D. Gastroscopy
Correct answer: B
Rationale: A barium enema is a diagnostic test used to visualize the colon and can help diagnose diverticulosis.
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