your patient recently had abdominal surgery and tells you that he feels a popping sensation in his incision during a coughing spell followed by severe

ATI RN

ATI Gastrointestinal System Test

1. Your patient recently had abdominal surgery and tells you that he feels a popping sensation in his incision during a coughing spell, followed by severe pain. You anticipate an evisceration. Which supplies should you take to his room?

A. A suture kit.
B. Sterile water and a suture kit.
C. Sterile water and sterile dressings.
D. Sterile saline solution and sterile dressings.

Correct answer: D

Rationale: For a suspected evisceration, sterile saline solution and sterile dressings should be taken to the patient's room to cover the wound and keep it moist.

2. You’re discharging Nathaniel with hepatitis B. Which statement suggests understanding by the patient?

A. Now I can never get hepatitis again.
B. I can safely give blood after 3 months.
C. I’ll never have a problem with my liver again, even if I drink alcohol.
D. My family knows that if I get tired and start vomiting, I may be getting sick again.

Correct answer: D

Rationale: Understanding that family needs to be aware of symptoms that may indicate a recurrence of hepatitis B shows proper understanding by the patient.

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

A. Barium enema
B. Colonoscopy
C. Gastroscopy
D. Serum chemistry levels

Correct answer: C

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

4. A client with rectal cancer may exhibit which of the following symptoms?

A. Abdominal fullness
B. Gastric fullness
C. Rectal bleeding
D. Right upper quadrant pain

Correct answer: C

Rationale: Rectal bleeding is a common symptom in clients with rectal cancer.

5. A nurse is monitoring a client admitted to the hospital with a diagnosis of appendicitis. The client is scheduled for surgery in 2 hours. The client begins to complain of increased abdominal pain and begins to vomit. On assessment the nurse notes that the abdomen is distended and the bowel sounds are diminished. Which of the following is the most appropriate nursing intervention?

A. Administer dilaudid
B. Notify the physician
C. Call and ask the operating room team to perform the surgery as soon as possible
D. Reposition the client and apply a heating pad on a warm setting to the client’s abdomen.

Correct answer: B

Rationale: The symptoms suggest possible perforation or peritonitis, which are serious complications requiring immediate medical attention. The nurse should promptly notify the physician.