ATI RN
Gastrointestinal System Nursing Exam Questions Questions
Question 1 of 5
A nurse is providing instructions to a client who will collect a stool specimen for occult blood. The nurse instructs the client to avoid which of the following for 3 days before the collection of the stool specimen?
Correct Answer: C
Rationale: The correct answer is C: Turnips. Turnips contain peroxidase enzymes that can cause false-positive results in occult blood tests. Therefore, the client should avoid consuming turnips for 3 days before collecting the stool specimen. Incorrect options: A: Milk products - Milk products do not interfere with occult blood tests. B: Hard cheese - Hard cheese does not contain peroxidase enzymes that would affect the test results. D: Cottage cheese - Cottage cheese also does not contain peroxidase enzymes that would interfere with the test.
Question 2 of 5
The client with Crohn's disease has a nursing diagnosis of Acute Pain. The nurse would teach the client to avoid which of the following in managing this problem?
Correct Answer: A
Rationale: The correct answer is A. Lying supine with the legs straight can worsen abdominal pain in Crohn's disease due to increased pressure on the abdomen. Massaging the abdomen helps to relieve pain by promoting relaxation. Antispasmodic medication can help reduce abdominal cramping, managing pain. Relaxation techniques such as deep breathing and guided imagery can also help alleviate pain and stress. Overall, option A is incorrect as it can exacerbate pain, while options B, C, and D are appropriate strategies for managing acute pain in Crohn's disease.
Question 3 of 5
A client with viral hepatitis is discussing with the nurse the need to avoid alcohol and states, 'I'm not sure I can avoid alcohol.' The most appropriate response is
Correct Answer: D
Rationale: The correct answer is D because it shows active listening and empathy towards the client's concerns. By asking the client to explain, the nurse can gain a better understanding of the client's perspective and provide tailored support and information. Choice A is incorrect as it dismisses the client's concerns. Choice B is incorrect as it deflects responsibility from the nurse. Choice C is incorrect as it shows disbelief and lacks empathy.
Question 4 of 5
A nurse is reviewing the orders of a client admitted to the hospital with a diagnosis of acute pancreatitis. Select the interventions that the nurse would expect to be prescribed for the client.
Correct Answer: B
Rationale: The correct answer is B: Meperidine (Demerol) as prescribed for pain. In acute pancreatitis, pain management is crucial, and Meperidine is commonly used due to its minimal effect on the sphincter of Oddi. Incorrect options: A: Small, frequent high-calorie feedings can exacerbate pancreatitis by stimulating pancreatic enzyme secretion. C: Placing the client in a side-lying position with the head elevated is not a specific intervention for pancreatitis. D: Administering antacids and anticholinergics is not a standard treatment for pancreatitis and may not address the underlying cause of the condition.
Question 5 of 5
A nurse is performing an assessment on a client with a suspected diagnosis of acute pancreatitis. The nurse assesses the client, knowing that which of the following is a hallmark sign of this disorder?
Correct Answer: B
Rationale: The correct answer is B: Severe abdominal pain that is unrelieved by vomiting. In acute pancreatitis, the pancreatic enzymes cause inflammation and damage to the pancreas, leading to severe abdominal pain that is typically constant and not relieved by vomiting. Vomiting may even worsen the pain. Other choices are incorrect because severe abdominal pain in acute pancreatitis is not relieved by vomiting (A), hypothermia is not a hallmark sign of acute pancreatitis (C), and epigastric pain radiating to the neck area is not a specific hallmark sign (D).