Gastrointestinal System ATI

Question 1 of 5

George has a T tube in place after gallbladder surgery. Before discharge, what information or instructions should be given regarding the T tube drainage?

A. If there is any drainage, notify the surgeon immediately. B. The drainage will decrease daily until the bile duct heals. C. First, the drainage is dark green; then it becomes dark yellow. D. If the drainage stops, milk the tube toward the puncture wound.

Correct Answer: B

Rationale: Before discharge, inform the patient that the drainage will decrease daily until the bile duct heals.

Question 2 of 5

Kevin has a history of peptic ulcer disease and vomits coffee-ground emesis. What does this indicate?

A. He has fresh, active upper GI bleeding. B. He needs immediate saline gastric lavage. C. His gastric bleeding occurred 2 hours earlier. D. He needs a transfusion of packed RBCs.

Correct Answer: C

Rationale: Coffee-ground emesis is a sign of upper gastrointestinal bleeding that occurred approximately 2 hours earlier. It results from the breakdown of blood in the stomach due to digestive enzymes, giving it a coffee-ground appearance.
Choice A is incorrect because coffee-ground emesis indicates older, partially digested blood, not fresh active bleeding.
Choice B is incorrect as gastric lavage is not indicated for coffee-ground emesis.
Choice D is incorrect because a transfusion of packed RBCs is not the immediate management for this presentation.

Question 3 of 5

Your patient Maria takes NSAIDS for her degenerative joint disease, has developed peptic ulcer disease. Which drug is useful in preventing NSAID-induced peptic ulcer disease?

A. Calcium carbonate (Tums) B. Famotidine (Pepcid) C. Misoprostol (Cytotec) D. Sucralfate (Carafate)

Correct Answer: C

Rationale: Misoprostol (Cytotec) is useful in preventing NSAID-induced peptic ulcer disease.

Question 4 of 5

Your patient has a retractable gastric peptic ulcer and has had a gastric vagotomy. Which factor increases as a result of vagotomy?

A. Peristalsis. B. Gastric acidity. C. Gastric motility. D. Gastric pH.

Correct Answer: D

Rationale: After a gastric vagotomy, the gastric pH increases as a result of reduced acid secretion.

Question 5 of 5

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.

Gastrointestinal System ATI - Nurselytic

Nurselytic

ATI RN

ATI RN