ATI RN
ATI Gastrointestinal System
1. The client has orders for a nasogastric (NG) tube insertion. During the procedure, instructions that will assist in the insertion would be:
- A. Instruct the client to tilt his head back for insertion in the nostril, then flex his neck for the final insertion
- B. After insertion into the nostril, instruct the client to extend his neck
- C. Introduce the tube with the client’s head tilted back, then instruct him to keep his head upright for final insertion
- D. Instruct the client to hold his chin down, then back for insertion of the tube
Correct answer: A
Rationale: Instructing the client to tilt his head back for insertion in the nostril, then flex his neck for the final insertion helps facilitate the NG tube insertion.
2. A 29 y.o. patient has an acute episode of ulcerative colitis. What diagnostic test confirms this diagnosis?
- A. Barium Swallow.
- B. Stool examination.
- C. Gastric analysis.
- D. Sigmoidoscopy.
Correct answer: D
Rationale: Sigmoidoscopy is the diagnostic test that confirms the diagnosis of an acute episode of ulcerative colitis.
3. A 30-year old client experiences weight loss, abdominal distention, crampy abdominal pain, and intermittent diarrhea after the birth of her 2nd child. Diagnostic tests reveal gluten-induced enteropathy. Which foods must she eliminate from her diet permanently?
- A. Milk and dairy products
- B. Protein-containing foods
- C. Cereal grains (except rice and corn)
- D. Carbohydrates
Correct answer: C
Rationale: Gluten-induced enteropathy, or celiac disease, requires the elimination of gluten-containing grains like wheat, barley, and rye. Dairy, proteins, and carbohydrates are not excluded unless the client has specific intolerances.
4. The student nurse is teaching the family of a patient with liver failure. You instruct them to limit which foods in the patient’s diet?
- A. Meats and beans.
- B. Butter and gravies.
- C. Potatoes and pastas.
- D. Cakes and pastries.
Correct answer: A
Rationale: For a patient with liver failure, it is important to limit the intake of meats and beans to reduce the risk of hepatic encephalopathy.
5. A client with gastric cancer can expect to have surgery for resection. Which of the following should be the nursing management priority for the preoperative client with gastric cancer?
- A. Discharge planning
- B. Correction of nutritional deficits
- C. Prevention of DVT
- D. Instruction regarding radiation treatment
Correct answer: B
Rationale: The priority for preoperative management of a client with gastric cancer is the correction of nutritional deficits.
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