ATI RN
Gastrointestinal System Nursing Exam Questions Questions
Question 1 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.
Question 2 of 5
The nurse is caring for a client on the first postoperative day following a surgical repair of an abdominal aortic aneurysm. Which nursing diagnosis is the most important for this client?
Correct Answer: C
Rationale: The correct answer is C: Ineffective peripheral tissue perfusion. This is the most important nursing diagnosis because after abdominal aortic aneurysm repair, there is a risk of compromised blood flow to peripheral tissues due to potential complications like embolism or thrombosis. Monitoring tissue perfusion is crucial to prevent complications such as tissue necrosis. A: Risk for infection is important but not the priority immediately postoperatively. B: Deficient knowledge may be addressed later once the client is stable. D: Activity intolerance may be a concern but ensuring tissue perfusion is more critical in the immediate postoperative period. In summary, monitoring and addressing ineffective peripheral tissue perfusion is essential for preventing serious complications following abdominal aortic aneurysm repair.
Question 3 of 5
The client with cirrhosis has ascites and excess fluid volume. Which measure will the nurse include in the plan of care for this client?
Correct Answer: B
Rationale: The correct answer is B: Limit the amount of fluids consumed. In cirrhosis with ascites and excess fluid volume, limiting fluid intake helps reduce fluid overload and prevent further accumulation of fluid in the body. Excess fluid can worsen ascites, leading to complications like respiratory distress and electrolyte imbalances. Increasing sodium intake (A) would worsen fluid retention. Encouraging ambulation (C) is important but not directly related to managing ascites. Administering magnesium antacids (D) is not necessary for addressing fluid volume excess.
Question 4 of 5
The client has had a new colostomy created 2 days earlier. The client is beginning to pass malodorous flatus from the stoma. The nurse interprets that
Correct Answer: B
Rationale: The correct answer is B: This is a normal, expected event. After colostomy creation, it is common for clients to pass malodorous flatus from the stoma as the intestines begin to function. This is due to the presence of normal intestinal flora. Choice A is incorrect as preoperative bowel preparation does not directly relate to malodorous flatus post-colostomy. Choice C is incorrect as ischemic bowel presents with more serious symptoms. Choice D is incorrect as nasogastric tube removal is not related to passing flatus from the stoma.
Question 5 of 5
The nurse is assessing a 71-year-old female client with ulcerative colitis. Which assessment finding related to the family will have the greatest impact on the client's rehabilitation after discharge?
Correct Answer: C
Rationale: The correct answer is C because emotional support from the family is crucial for the client's rehabilitation. Emotional support can positively impact the client's mental health, motivation, and adherence to treatment plans. It can also reduce stress and anxiety, which are common in chronic illnesses like ulcerative colitis. Options A and D focus on practical aspects and understanding of the illness, which are important but not as impactful as emotional support. Option B addresses the client's responsibilities, which, while important, may not have as direct an impact on rehabilitation as emotional support.