ATI RN
ATI Gastrointestinal System Test
1. 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.
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. Stephen is a 62 y.o. patient that has had a liver biopsy. Which of the following groups of signs alert you to a possible pneumothorax?
- A. Dyspnea and reduced or absent breath sounds over the right lung
- B. Tachycardia, hypotension, and cool, clammy skin
- C. Fever, rebound tenderness, and abdominal rigidity
- D. Redness, warmth, and drainage at the biopsy site
Correct answer: A
Rationale: Dyspnea and reduced or absent breath sounds over the right lung are signs of a possible pneumothorax.
4. Which of the following diagnostic tests should be performed annually over age 50 to screen for colon cancer?
- A. Abdominal CT scan
- B. Abdominal x-ray
- C. Colonoscopy
- D. Fecal occult blood test
Correct answer: D
Rationale: A fecal occult blood test should be performed annually for individuals over age 50 to screen for colon cancer.
5. You’re caring for a 28 y.o. woman with hepatitis B. She’s concerned about the duration of her recovery. Which response isn’t appropriate?
- A. Encourage her to not worry about the future.
- B. Encourage her to express her feelings about the illness.
- C. Discuss the effects of hepatitis B on future health problems.
- D. Provide avenues for financial counseling if she expresses the need.
Correct answer: A
Rationale: Encouraging the patient to not worry about the future is not appropriate. Instead, address her concerns and provide information.
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