ATI RN
Gastrointestinal System ATI Questions
Question 1 of 5
Your patient has a retractable gastric peptic ulcer and has had a gastric vagotomy. Which factor increases as a result of vagotomy?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
Kevin has a history of peptic ulcer disease and vomits coffee-ground emesis. What does this indicate?
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
Kevin has a history of peptic ulcer disease and vomits coffee-ground emesis. What does this indicate?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
Christina is receiving an enteral feeding that requires a concentration of 80ml of supplement mixed with 20 ml of water. How much water do you mix with an 8 oz (240ml) can of feeding?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
A nurse is caring for a client who has a new diagnosis of Crohn's disease. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Clients with Crohn's disease often experience fatty stools (steatorrhea) due to malabsorption of fats. This occurs because the inflammation caused by Crohn's disease can affect the small intestine, impairing the body's ability to absorb nutrients. Bloody diarrhea is more commonly associated with ulcerative colitis. Weight gain is not a typical symptom of Crohn's disease; instead, weight loss is more common due to malabsorption and decreased appetite. High fever can occur during acute flare-ups but is not a primary finding of Crohn's disease.