ATI RN
Gastrointestinal System Nursing Exam Questions Questions
Question 1 of 5
A nurse is providing the client with biliary obstruction a simple overview of the anatomy of the liver and gallbladder. The nurse tells the client that normally the liver stores bile in the gallbladder, which is connected to the liver by the?
Correct Answer: C
Rationale: The correct answer is C: Cystic duct. The cystic duct connects the gallbladder to the common bile duct, through which bile flows from the liver to the gallbladder for storage. The liver canaliculi are tiny channels within the liver where bile is produced. The common bile duct is the main duct through which bile flows from the liver to the small intestine. The right hepatic duct is one of the ducts that collect bile from the liver but does not directly connect to the gallbladder. Therefore, the cystic duct is the correct choice as it specifically links the gallbladder to the common bile duct for bile transportation.
Question 2 of 5
The nurse has provided home care instructions to a client who had a subtotal gastrectomy. The nurse instructs the client regarding the signs and symptoms associated with dumping syndrome. Which of the following signs and symptoms, if identified by the client, indicates an understanding of this potential complication following gastrointestinal surgery?
Correct Answer: D
Rationale: The correct answer is D: Diaphoresis and diarrhea. Diaphoresis (excessive sweating) and diarrhea are classic signs of dumping syndrome, a common complication after gastrectomy. Diaphoresis occurs due to the rapid movement of food into the intestines, triggering the release of hormones leading to sweating. Diarrhea results from the rapid emptying of undigested food into the intestines. These symptoms typically occur within 30 minutes to 3 hours after eating in dumping syndrome. Explanation for why the other choices are incorrect: A: Hiccups and diarrhea - Hiccups are not typically associated with dumping syndrome. B: Fatigue and abdominal pain - Fatigue and abdominal pain are not specific symptoms of dumping syndrome. C: Constipation and fever - Constipation and fever are not typical signs of dumping syndrome. In summary, diaphoresis and diarrhea are classic symptoms of dumping syndrome due to rapid emptying of food into the intestines, making
Question 3 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 4 of 5
Which of the following nursing interventions should have the highest priority during the first hour after the admission of a client with cholecystitis who is experiencing pain, nausea, and vomiting?
Correct Answer: A
Rationale: The correct answer is A: Administering pain medication. Immediate pain relief is crucial in managing cholecystitis symptoms and improving the client's comfort. Pain can lead to increased stress, anxiety, and physiological responses that can worsen the condition. Administering pain medication promptly can help alleviate these symptoms and allow the client to rest. Completing the admission history (B) is important but can be done after addressing the urgent pain and discomfort. Maintaining hydration (C) is also essential but may not be the highest priority compared to pain relief. Teaching about planned diagnostic tests (D) is important for the client's understanding but can be deferred until the pain and discomfort are managed effectively.
Question 5 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.