ATI RN
Gastrointestinal System Nursing Exam Questions
1. The nurse is caring for a client who underwent a subtotal gastrectomy. To manage dumping syndrome, the nurse should advise the client to:
- A. restrict fluid intake to 1 qt (1,000 ml)/day.
- B. drink liquids only with meals.
- C. don't drink liquids 2 hours before meals.
- D. drink liquids only between meals.
Correct answer: D
Rationale: A client who experiences dumping syndrome after a subtotal gastrectomy should be advised to ingest liquids between meals rather than with meals. Taking fluids between meals allows for adequate hydration, reduces the amount of bulk ingested with meals, and aids in preventing rapid gastric emptying. There is no need to restrict the amount of fluids, just the time when the client drinks fluids. Drinking liquids with meals increases the risk of dumping syndrome by increasing the amount of bulk and stimulating rapid gastric emptying. Small amounts of water are allowable before meals.
2. Which of the following tests can be performed to diagnose a hiatal hernia?
- A. Colonoscopy
- B. Lower GI series
- C. Barium swallow
- D. Abdominal x-rays
Correct answer: C
Rationale: A barium swallow is a diagnostic test that can visualize the esophagus, stomach, and small intestine to diagnose a hiatal hernia.
3. A client is to take one daily dose of ranitidine (Zantac) at home to treat her peptic ulcer. The nurse knows that the client understands proper drug administration of ranitidine when she says that she will take the drug at which of the following times?
- A. Before meals
- B. With meals
- C. At bedtime
- D. When pain occurs
Correct answer: C
Rationale: Ranitidine (Zantac) is best taken at bedtime to reduce stomach acid production overnight.
4. A nurse is monitoring a client admitted to the hospital with a diagnosis of appendicitis. The client is scheduled for surgery in 2 hours. The client begins to complain of increased abdominal pain and begins to vomit. On assessment the nurse notes that the abdomen is distended and the bowel sounds are diminished. Which of the following is the most appropriate nursing intervention?
- A. Administer dilaudid
- B. Notify the physician
- C. Call and ask the operating room team to perform the surgery as soon as possible
- D. Reposition the client and apply a heating pad on a warm setting to the client’s abdomen.
Correct answer: B
Rationale: The symptoms suggest possible perforation or peritonitis, which are serious complications requiring immediate medical attention. The nurse should promptly notify the physician.
5. Dark, tarry stools indicate bleeding in which location of the GI tract?
- A. Upper colon.
- B. Lower colon.
- C. Upper GI tract.
- D. Small intestine.
Correct answer: C
Rationale: Dark, tarry stools indicate bleeding in the upper GI tract.
Similar Questions
Access More Features
ATI RN Basic
$69.99/ 30 days
- 5,000 Questions with answers
- All ATI courses Coverage
- 30 days access
ATI RN Premium
$149.99/ 90 days
- 5,000 Questions with answers
- All ATI courses Coverage
- 30 days access