the nurse is performing an assessment on a client with acute pancreatitis who was admitted to the hospital which of the following assessment questions
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Nursing Elites

ATI RN

Gastrointestinal System Nursing Exam Questions

1. The nurse is performing an assessment on a client with acute pancreatitis who was admitted to the hospital. Which of the following assessment questions most specifically would elicit information regarding the pain that is associated with acute pancreatitis?

Correct answer: B

Rationale: The pain that is associated with acute pancreatitis is often severe and is located in the epigastric region and radiates to the back. Options 1, 3, and 4 are incorrect because they are not specific for the pain experienced by the client with pancreatitis.

2. To accurately assess for jaundice in a patient with dark skin pigmentation, the nurse should examine which body areas?

Correct answer: C

Rationale: To accurately assess for jaundice in a patient with dark skin pigmentation, the nurse should examine the hard palate of the mouth. Jaundice is best assessed in the sclera; however, in dark-skinned patients, normal yellow pigmentation may be present in the sclera, making it difficult to detect jaundice. Inspection of the hard palate for a yellow color can confirm the presence of jaundice. Cyanosis is best observed in the nail beds, not indicative of jaundice. While skin on the palm of the hand can indicate jaundice, the back of the hand is not a typical area for assessment. Jaundice can be assessed on the soles of the feet in dark-skinned patients, but it is better visualized in the hard palate for accurate evaluation.

3. Which of the following diagnostic tests may be performed to determine if a client has gastric cancer?

Correct answer: C

Rationale: A gastroscopy is performed to visualize the stomach lining and obtain biopsies to diagnose gastric cancer.

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?

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 irritable bowel syndrome is being prepared for discharge. Which of the following meal plans should the nurse give the client?

Correct answer: B

Rationale: A high fiber, low-fat diet is recommended for clients with irritable bowel syndrome to promote bowel regularity and reduce symptoms.

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