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. A nurse is giving dietary instructions to a client who has a new colostomy. The nurse encourages the client to eat foods representing which of the following diets for the first 4 to 6 weeks postoperatively?
- A. High-protein
- B. High-carbohydrate
- C. Low-calorie
- D. Low-residue
Correct answer: D
Rationale: For the first 4 to 6 weeks following colostomy formation, the client should take in a low-residue diet. Following this period, the client should eat a high-carbohydrate, high-protein diet. The nurse also instructs the client to add new foods, one at a time, to determine tolerance to that food.
3. Which of the following tasks should be included in the immediate postoperative management of a client who has undergone gastric resection?
- A. Monitoring gastric pH to detect complications
- B. Assessing for bowel sounds
- C. Providing nutritional support
- D. Monitoring for symptoms of hemorrhage
Correct answer: D
Rationale: Monitoring for symptoms of hemorrhage is a crucial part of the immediate postoperative management of a client who has undergone gastric resection.
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. A client has a percutaneous endoscopic gastrostomy tube inserted for tube feedings. Before starting a continuous feeding, the nurse should place the client in which position?
- A. Semi-Fowlers
- B. Supine
- C. Reverse Trendelenburg
- D. High Fowler’s
Correct answer: D
Rationale: Placing the client in a high Fowler’s position helps prevent aspiration and promotes proper digestion and feeding tube function.
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