ATI RN
Gastrointestinal System ATI
1. Kevin has a history of peptic ulcer disease and vomits coffee-ground emesis. What does this indicate?
- A. He has fresh, active upper GI bleeding.
- B. He needs immediate saline gastric lavage.
- C. His gastric bleeding occurred 2 hours earlier.
- D. He needs a transfusion of packed RBCs.
Correct answer: C
Rationale: Coffee-ground emesis is a sign of upper gastrointestinal bleeding that occurred approximately 2 hours earlier. It results from the breakdown of blood in the stomach due to digestive enzymes, giving it a coffee-ground appearance. Choice A is incorrect because coffee-ground emesis indicates older, partially digested blood, not fresh active bleeding. Choice B is incorrect as gastric lavage is not indicated for coffee-ground emesis. Choice D is incorrect because a transfusion of packed RBCs is not the immediate management for this presentation.
2. Radiation therapy is used to treat colon cancer before surgery for which of the following reasons?
- A. Reducing the size of the tumor
- B. Eliminating the malignant cells
- C. Curing the cancer
- D. Helping the bowel heal after surgery
Correct answer: A
Rationale: Radiation therapy is used before surgery to reduce the size of the tumor, making it easier to remove.
3. The client with ascites is scheduled for a paracentesis. The nurse is assisting the physician in performing the procedure. Which of the following positions will the nurse assist the client to assume for this procedure?
- A. Supine
- B. Left side-lying
- C. Right side-lying
- D. Upright position.
Correct answer: D
Rationale: An upright position allows the intestine to float posteriorly and helps prevent intestinal laceration during catheter insertion.
4. The nurse is caring for a client with chronic gastritis. The nurse monitors the client, knowing that this client is at risk for which of the following vitamin deficiencies?
- A. Vitamin A
- B. Vitamin B12
- C. Vitamin C
- D. Vitamin E
Correct answer: B
Rationale: Clients with chronic gastritis are at risk for Vitamin B12 deficiency due to impaired absorption.
5. Which of the following symptoms is common with a hiatal hernia?
- A. Left arm pain
- B. Lower back pain
- C. Esophageal reflux
- D. Abdominal cramping
Correct answer: C
Rationale: Esophageal reflux is a common symptom of a hiatal hernia because the hernia can cause stomach acid to move back up into the esophagus.
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