ATI RN
Gastrointestinal System ATI
1. Which stoma would you expect a malodorous, enzyme-rich, caustic liquid output that is yellow, green, or brown?
- A. Ileostomy.
- B. Ascending colostomy.
- C. Transverse colostomy.
- D. Descending colostomy.
Correct answer: A
Rationale: An ileostomy would have a malodorous, enzyme-rich, caustic liquid output that is yellow, green, or brown.
2. Which of the following factors is believed to be linked to Crohn’s disease?
- A. Constipation
- B. Diet
- C. Hereditary
- D. Lack of exercise
Correct answer: C
Rationale: Crohn's disease is believed to have a hereditary link, with genetic factors playing a significant role in its development.
3. A patient has a severe exacerbation of ulcerative colitis. Long-term medications will probably include:
- A. Antacids.
- B. Antibiotics.
- C. Corticosteroids.
- D. Histamine2-receptor blockers.
Correct answer: C
Rationale: Long-term medications for a severe exacerbation of ulcerative colitis probably include corticosteroids.
4. 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.
5. A 40-year-old male client has been hospitalized with peptic ulcer disease. He is being treated with a histamine receptor antagonist (cimetidine), antacids, and diet. The nurse doing discharge planning will teach him that the action of cimetidine is to:
- A. Reduce gastric acid output
- B. Protect the ulcer surface
- C. Inhibit the production of hydrochloric acid (HCl)
- D. Inhibit vagus nerve stimulation
Correct answer: C
Rationale: Cimetidine inhibits the production of hydrochloric acid (HCl), which helps to treat peptic ulcer disease.
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