ATI RN
ATI Gastrointestinal System
1. The nurse would assess the client experiencing an acute episode of cholecystitis for pain that is located in the right:
- A. Upper quadrant and radiates to the left scapula and shoulder
- B. Upper quadrant and radiates to the right scapula and shoulder
- C. Lower quadrant and radiates to the umbilicus
- D. Lower quadrant and radiates to the back
Correct answer: B
Rationale: Pain from cholecystitis is typically located in the right upper quadrant and may radiate to the right scapula and shoulder.
2. After a subtotal gastrectomy, the nurse should anticipate that nasogastric tube drainage will be what color for about 12 to 24 hours after surgery?
- A. Dark brown
- B. Bile green
- C. Bright red
- D. Cloudy white
Correct answer: A
Rationale: Dark brown drainage is expected for about 12 to 24 hours after surgery.
3. Which of the following substances is most likely to cause gastritis?
- A. Milk
- B. Bicarbonate of soda or baking soda
- C. Enteric-coated aspirin
- D. Nonsteroidal anti-inflammatory drugs (NSAIDs)
Correct answer: D
Rationale: The correct answer is D, Nonsteroidal anti-inflammatory drugs (NSAIDs). NSAIDs are known to cause gastritis by irritating the stomach lining. Choice A, Milk, is unlikely to cause gastritis and is actually a common remedy for mild gastritis symptoms. Choice B, Bicarbonate of soda or baking soda, is often used to relieve heartburn and indigestion, not cause gastritis. Choice C, Enteric-coated aspirin, is less likely to cause gastritis compared to NSAIDs because the enteric coating helps protect the stomach lining from irritation.
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. Arthur has a family history of colon cancer and is scheduled to have a sigmoidoscopy. He is crying as he tells you, “I know that I have colon cancer, too.” Which response is most therapeutic?
- A. I know just how you feel.
- B. You seem upset.
- C. Oh, don’t worry about it, everything will be just fine.
- D. Why do you think you have cancer?
Correct answer: B
Rationale: Acknowledging the patient's emotions with 'You seem upset' is the most therapeutic response.
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