ATI RN
Gastrointestinal System Nursing Exam Questions Questions
Question 1 of 5
A client had an abdominal perineal resection with a colostomy 4 days ago and is ready for discharge. Which of the following would be an appropriate expected outcome at this point?
Correct Answer: B
Rationale: The correct answer is B because discussing concerns about sexual functioning is an appropriate expected outcome at this point. After an abdominal perineal resection with a colostomy, it is important for the client to address any concerns related to sexual functioning as it can impact their quality of life. A: The client maintaining a high-fiber diet is not the most appropriate expected outcome at this point as it may be too soon after surgery to focus solely on dietary adjustments. C: The client maintaining bedrest is not appropriate as early mobilization is usually encouraged after surgery to prevent complications. D: Limiting fluid intake to 1000 ml/day is not recommended as adequate hydration is crucial for recovery post-surgery.
Question 2 of 5
Which of the following expected outcomes would be appropriate for the client who has ulcerative colitis?
Correct Answer: B
Rationale: The correct answer is B: The client verbalizes the importance of small, frequent feedings. This is appropriate for a client with ulcerative colitis because small, frequent feedings help reduce gastrointestinal distress and maintain proper nutrition. Clients with ulcerative colitis often have difficulty tolerating large meals, so small, frequent feedings can help prevent exacerbation of symptoms. A: Recording intake and output is important for certain conditions but not specifically for ulcerative colitis. C: Using a heating pad may provide temporary relief for abdominal cramping but does not address the underlying issue of ulcerative colitis. D: Accepting a colostomy is not an expected outcome for ulcerative colitis treatment unless all other options have failed.
Question 3 of 5
The home care nurse is visiting a client with a diagnosis of pernicious anemia that developed as a result of gastric surgery. The nurse instructs the client that because the stomach lining produces a decreased amount of intrinsic factor in this disorder, the client will need
Correct Answer: A
Rationale: The correct answer is A: Vitamin B12 injections. Pernicious anemia results from a lack of intrinsic factor, which is needed for Vitamin B12 absorption. Since the stomach lining produces less intrinsic factor after gastric surgery, the client cannot absorb B12 orally. Therefore, B12 injections are necessary to bypass the need for intrinsic factor. Vitamin B6 injections (B) are not indicated for pernicious anemia. Antibiotics (C) and antacids (D) are not relevant to the treatment of pernicious anemia.
Question 4 of 5
When assessing the client with celiac disease, the nurse can expect to find which of the following?
Correct Answer: A
Rationale: The correct answer is A: Steatorrhea. In celiac disease, the small intestine is unable to absorb nutrients properly due to gluten intolerance, leading to fat malabsorption. Steatorrhea is a common symptom characterized by foul-smelling, greasy, and bulky stools. Jaundiced sclerae (B) are associated with liver dysfunction, not celiac disease. Clay-colored stools (C) may indicate issues with the liver or bile ducts, not celiac disease. Widened pulse pressure (D) is not typically a direct symptom of celiac disease but may be seen in conditions like aortic regurgitation.
Question 5 of 5
A client with viral hepatitis states, 'I am so yellow.' The nurse most appropriately would
Correct Answer: A
Rationale: The correct answer is A because assisting the client in expressing feelings shows empathy and addresses the client's emotional needs. It helps the client cope with the physical manifestations of the illness. Choice B is incorrect as it promotes dependence. Choice C is incorrect because providing information only upon request may not address the client's emotional distress. Choice D is incorrect as restricting visitors may further isolate the client.