ATI RN
Gastrointestinal System ATI
1. The student nurse is participating in colorectal cancer-screening program. Which patient has the fewest risk factors for colon cancer?
- A. Janice, a 45 y.o. with a 25-year history of ulcerative colitis
- B. George, a 50 y.o. whose father died of colon cancer
- C. Herman, a 60 y.o. who follows a low-fat, high-fiber diet
- D. Sissy, a 72 y.o. with a history of breast cancer
Correct answer: C
Rationale: Herman, a 60 y.o. who follows a low-fat, high-fiber diet, has the fewest risk factors for colon cancer.
2. Jason, a 22 y.o. accident victim, requires an NG tube for feeding. What should you immediately do after inserting an NG tube for liquid enteral feedings?
- A. Aspirate for gastric secretions with a syringe.
- B. Begin feeding slowly to prevent cramping.
- C. Get an X-ray of the tip of the tube within 24 hours.
- D. Clamp off the tube until the feedings begin.
Correct answer: A
Rationale: Immediately after inserting an NG tube for enteral feedings, aspirate for gastric secretions to confirm proper placement.
3. George has a T tube in place after gallbladder surgery. Before discharge, what information or instructions should be given regarding the T tube drainage?
- A. If there is any drainage, notify the surgeon immediately.
- B. The drainage will decrease daily until the bile duct heals.
- C. First, the drainage is dark green; then it becomes dark yellow.
- D. If the drainage stops, milk the tube toward the puncture wound.
Correct answer: B
Rationale: Before discharge, inform the patient that the drainage will decrease daily until the bile duct heals.
4. The nurse is performing a colostomy irrigation on a client. During the irrigation, a client begins to complain of abdominal cramps. Which of the following is the most appropriate nursing action?
- A. Notify the physician
- B. Increase the height of the irrigation
- C. Stop the irrigation temporarily.
- D. Medicate with dilaudid and resume the irrigation
Correct answer: C
Rationale: If a client experiences abdominal cramps during a colostomy irrigation, it is appropriate to stop the irrigation temporarily to allow the cramps to subside.
5. You’re assessing the stoma of a patient with a healthy, well-healed colostomy. You expect the stoma to appear:
- A. Pale, pink and moist
- B. Red and moist
- C. Dark or purple colored
- D. Dry and black
Correct answer: B
Rationale: A healthy, well-healed colostomy stoma should appear red and moist.
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