ATI RN
ATI Medical Surgery Exam Custom GI Questions
Question 1 of 5
A nurse is reinforcing discharge teaching with a client who has a new diagnosis of gastroesophageal disease (GERD). Which of the following foods should the nurse include in the list of foods the client should avoid?
Correct Answer: C
Rationale: Chocolate relaxes the lower esophageal sphincter, allowing stomach acid to flow back into the esophagus, exacerbating GERD symptoms.
Question 2 of 5
A nurse is assisting in the plan of care for a client who had surgery for a bowel obstruction. The client has a nasogastric tube in place. Which of the following actions should the nurse include in the client's plan of care? (Select all that apply.)
Correct Answer: A,D,E
Rationale: Leg exercises prevent blood clots, incentive spirometer use prevents atelectasis, and documenting nasogastric drainage monitors for complications. Irrigation is not standard without a physician's order, and prolonged bed rest increases complication risks.
Question 3 of 5
A nurse is collecting data from a client who has obstruction and inflammation of the common bile duct due to cholelithiasis. Which of the following findings is expected for this condition?
Correct Answer: D
Rationale: Obstruction of the common bile duct impairs fat digestion, leading to fatty stools due to malabsorption.
Question 4 of 5
A nurse is collecting data from a client who has acute gastroenteritis. Which of the following data collection findings should the nurse identify as the priority?
Correct Answer: B
Rationale: Hypokalemia (low potassium) is critical in gastroenteritis due to losses from vomiting and diarrhea, risking cardiac arrhythmias, making it the priority.
Question 5 of 5
A nurse is calculating a client's fluid intake over the past 8 hr. The client had one 8-oz cup of coffee, 3 oz of juice, and 12 oz of soda. The client's water pitcher had 300 ml and 200 ml remains. The client also had IV fluids infusing as 40 mL/hr via an infusion pump. How many ml should the nurse document as the client's total Intake for the shift?
Correct Answer: 1110 ml
Rationale:
Total intake is calculated as: coffee (8 oz × 30 ml/oz = 240 ml), juice (3 oz × 30 ml/oz = 90 ml), soda (12 oz × 30 ml/oz = 360 ml), water (300 ml - 200 ml = 100 ml), IV fluids (40 ml/hr × 8 hr = 320 ml). Sum: 240 + 90 + 360 + 100 + 320 = 1110 ml.