ATI RN
ATI Gastrointestinal System
1. A client with a peptic ulcer is scheduled for a vagotomy. The client asks the nurse about the purpose of this procedure. The nurse tells the client that the procedure:
- A. Decreases food absorption in the stomach
- B. Heals the gastric mucosa
- C. Halts stress reactions
- D. Reduces the stimulus to acid secretions
Correct answer: D
Rationale: A vagotomy reduces the stimulus to acid secretions by cutting the vagus nerve, which innervates the stomach.
2. What information is correct about stomach cancer?
- A. Stomach pain is often a late symptom.
- B. Surgery is often a successful treatment.
- C. Chemotherapy and radiation are often successful treatments.
- D. The patient can survive for an extended time with TPN.
Correct answer: A
Rationale: Stomach pain is often a late symptom of stomach cancer.
3. Which goal of the client’s care should take priority during the first days of hospitalization for an exacerbation of ulcerative colitis?
- A. Promoting self-care and independence
- B. Managing diarrhea
- C. Maintaining adequate nutrition
- D. Promoting rest and comfort
Correct answer: B
Rationale: Managing diarrhea should take priority during the first days of hospitalization for an exacerbation of ulcerative colitis.
4. George has a T tube in place after gallbladder surgery. Before discharge, what information or instructions should be given regarding the T tube drainage?
- A. If there is any drainage, notify the surgeon immediately.
- B. The drainage will decrease daily until the bile duct heals.
- C. First, the drainage is dark green; then it becomes dark yellow.
- D. If the drainage stops, milk the tube toward the puncture wound.
Correct answer: B
Rationale: Before discharge, inform the patient that the drainage will decrease daily until the bile duct heals.
5. Which of the following would be an expected nutritional outcome for a client who has undergone a subtotal gastrectomy for cancer?
- A. Regain weight loss within 1 month after surgery
- B. Resume normal dietary intake of three meals per day
- C. Control nausea and vomiting through regular use of antiemetics
- D. Achieve optimal nutritional status through oral or parenteral feedings
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.
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