ATI RN
ATI Gastrointestinal System
1. The most important pathophysiologic factor contributing to the formation of esophageal varices is:
- A. Decreased prothrombin formation
- B. Decreased albumin formation by the liver
- C. Portal hypertension
- D. Increased central venous pressure
Correct answer: C
Rationale: Portal hypertension is the most important pathophysiologic factor contributing to the formation of esophageal varices.
2. Which of the following symptoms indicates diverticulosis?
- A. No symptoms exist
- B. Change in bowel habits
- C. Anorexia with low-grade fever
- D. Episodic, dull, or steady midabdominal pain
Correct answer: A
Rationale: Diverticulosis often has no symptoms and is usually found incidentally during tests for other conditions.
3. You’re caring for a patient with a sigmoid colostomy. The stool from this colostomy is:
- A. Formed
- B. Semisolid
- C. Semiliquid
- D. Watery
Correct answer: A
Rationale: The stool from a sigmoid colostomy is typically formed.
4. A client with which of the following conditions may be likely to develop rectal cancer?
- A. Adenomatous polyps
- B. Diverticulitis
- C. Hemorrhoids
- D. Peptic ulcer disease
Correct answer: A
Rationale: Adenomatous polyps are a known risk factor for the development of rectal cancer.
5. You have to teach ostomy self care to a patient with a colostomy. You tell the patient to measure and cut the wafer:
- A. To the exact size of the stoma.
- B. About 1/16” larger than the stoma.
- C. About 1/8” larger than the stoma.
- D. About 1/4″ larger than the stoma.
Correct answer: C
Rationale: The wafer should be measured and cut about 1/8” larger than the stoma to ensure proper fit and prevent skin irritation.
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