ATI RN
Gastrointestinal System Nursing Exam Questions
1. The nurse is monitoring a client for the early signs and symptoms for dumping syndrome. Which symptom indicates this occurrence?
- A. Abdominal cramping and pain
- B. Bradycardia and indigestion
- C. Sweating and pallor
- D. Double vision and chest pain
Correct answer: C
Rationale: Early manifestations of dumping syndrome occur 5 to 30 minutes after eating. Symptoms include vertigo, tachycardia, syncope, sweating, pallor, palpitations, and the desire to lie down.
2. Which of the following conditions is most likely to directly cause peritonitis?
- A. Cholelithiasis
- B. Gastritis
- C. Perforated ulcer
- D. Incarcerated hernia
Correct answer: C
Rationale: A perforated ulcer is most likely to directly cause peritonitis due to the leakage of gastric contents into the peritoneal cavity.
3. Which of the following symptoms would a client in the early stages of peritonitis exhibit?
- A. Abdominal distention
- B. Abdominal pain and rigidity
- C. Hyperactive bowel sounds
- D. Right upper quadrant pain
Correct answer: B
Rationale: In the early stages of peritonitis, the client would exhibit abdominal pain and rigidity due to inflammation.
4. Fistulas are most common with which of the following bowel disorders?
- A. Crohn’s disease
- B. Diverticulitis
- C. Diverticulosis
- D. Ulcerative colitis
Correct answer: A
Rationale: Fistulas are most common in Crohn's disease due to the transmural inflammation that characterizes this condition.
5. While caring for a client with peptic ulcer disease, the client reports that he has been nauseated most of the day and is now feeling lightheaded and dizzy. Based upon these findings, which nursing actions would be most appropriate for the nurse to take?
- A. Administering an antacid hourly until nausea subsides.
- B. Monitoring the client's vital signs
- C. Notifying the family and friends of the client's symptoms
- D. Initiating oxygen therapy
Correct answer: B
Rationale: Monitoring the client's vital signs and notifying the physician of the client's symptoms are crucial actions based on the reported symptoms.
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