ATI RN
ATI Gastrointestinal System Test
1. Type A chronic gastritis can be distinguished from type B by its ability to:
- A. Cause atrophy of the parietal cells.
- B. Affect only the antrum of the stomach.
- C. Thin the lining of the stomach walls.
- D. Decrease gastric secretions.
Correct answer: A
Rationale: Type A chronic gastritis can cause atrophy of the parietal cells, which is a distinguishing feature from type B.
2. Colon cancer is most closely associated with which of the following conditions?
- A. Appendicitis
- B. Hemorrhoids
- C. Hiatal hernia
- D. Ulcerative colitis
Correct answer: D
Rationale: Ulcerative colitis is a condition closely associated with an increased risk of developing colon cancer due to chronic inflammation of the colon.
3. A 53 y.o. patient has undergone a partial gastrectomy for adenocarcinoma of the stomach. An NG tube is in place and is connected to low continuous suction. During the immediate postoperative period, you expect the gastric secretions to be which color?
- A. Brown.
- B. Clear.
- C. Red.
- D. Yellow.
Correct answer: C
Rationale: During the immediate postoperative period after a partial gastrectomy, gastric secretions are expected to be red.
4. Anna is 45 y.o. and has a bleeding ulcer. Despite multiple blood transfusions, her HGB is 7.5g/dl and HCT is 27%. Her doctor determines that surgical intervention is necessary and she undergoes partial gastrectomy. Postoperative nursing care includes:
- A. Giving pain medication Q6H.
- B. Flushing the NG tube with sterile water.
- C. Positioning her in high Fowler’s position.
- D. Keeping her NPO until the return of peristalsis.
Correct answer: D
Rationale: Postoperative care for a patient who underwent partial gastrectomy includes keeping her NPO until the return of peristalsis to prevent complications.
5. Which of the following symptoms is associated with ulcerative colitis?
- A. Dumping syndrome
- B. Rectal bleeding
- C. Soft stools
- D. Fistulas
Correct answer: B
Rationale: Rectal bleeding is a common symptom of ulcerative colitis due to the inflammation and ulceration of the colon lining.
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