ATI RN
ATI Gastrointestinal System Test Questions
Question 1 of 5
A patient with Crohn's disease is admitted after 4 days of diarrhea. Which of the following urine specific gravity values do you expect to find in this patient?
Correct Answer: D
Rationale: A urine specific gravity of 1.030 indicates concentrated urine, which is expected in a patient with dehydration due to diarrhea from Crohn's disease.
Question 2 of 5
The student nurse is preparing a teaching care plan to help improve nutrition in a patient with achalasia. You include which of the following:
Correct Answer: C
Rationale: Eating meals while sitting upright helps improve swallowing and prevent complications in patients with achalasia.
Question 3 of 5
Jerod is experiencing an acute episode of ulcerative colitis. What is the priority for this patient?
Correct Answer: A
Rationale: The correct answer is to replace lost fluid and sodium. During an acute episode of ulcerative colitis, the priority is to manage the patient's fluid and electrolyte balance. This is crucial due to the potential for dehydration and electrolyte imbalances resulting from diarrhea and inflammation in the colon. Monitoring serum glucose levels (Choice B) may be important for patients on steroid therapy, but in this scenario, fluid and electrolyte balance take precedence. Restricting dietary intake of foods high in potassium (Choice C) is not a priority in the acute phase of ulcerative colitis. While noting changes in stool color and consistency (Choice D) is important for assessing the patient's gastrointestinal status, it is not the priority when managing acute ulcerative colitis.
Question 4 of 5
Your patient has a GI tract that is functioning, but has the inability to swallow foods. Which is the preferred method of feeding for your patient?
Correct Answer: C
Rationale: NG feeding is the preferred method for patients with a functioning GI tract but an inability to swallow foods.
Question 5 of 5
Your patient, Christopher, has a diagnosis of ulcerative colitis and has severe abdominal pain aggravated by movement, rebound tenderness, fever, nausea, and decreased urine output. This may indicate which complication?
Correct Answer: B
Rationale: Severe abdominal pain aggravated by movement, rebound tenderness, fever, nausea, and decreased urine output in a patient with ulcerative colitis may indicate bowel perforation.
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