ATI RN
ATI Gastrointestinal System Test Questions
Question 1 of 9
Anna is 45 y.o. and has a bleeding ulcer. Despite multiple blood transfusions, her HGB is 7.5g/dl and HCT is 27%. Her doctor determines that surgical intervention is necessary and she undergoes partial gastrectomy. Postoperative nursing care includes:
Correct Answer: D
Rationale: Postoperative care for a patient who underwent partial gastrectomy includes keeping her NPO until the return of peristalsis to prevent complications.
Question 2 of 9
The student nurse is teaching the family of a patient with liver failure. You instruct them to limit which foods in the patient's diet?
Correct Answer: A
Rationale: For a patient with liver failure, it is important to limit the intake of meats and beans to reduce the risk of hepatic encephalopathy.
Question 3 of 9
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.
Question 4 of 9
Sharon has cirrhosis of the liver and develops ascites. What intervention is necessary to decrease the excessive accumulation of serous fluid in her peritoneal cavity?
Correct Answer: A
Rationale: Restricting fluids is necessary to decrease the excessive accumulation of serous fluid in the peritoneal cavity for a patient with ascites due to cirrhosis.
Question 5 of 9
You have to teach ostomy self care to a patient with a colostomy. You tell the patient to measure and cut the wafer:
Correct Answer: C
Rationale: The wafer should be measured and cut about 1/8" larger than the stoma to ensure proper fit and prevent skin irritation.
Question 6 of 9
Hepatic encephalopathy develops when the blood level of which substance increases?
Correct Answer: A
Rationale: Hepatic encephalopathy develops when the blood level of ammonia increases.
Question 7 of 9
You're caring for Jane, a 57 y.o. patient with liver cirrhosis who develops ascites and requires paracentesis. Before her paracentesis, you instruct her to:
Correct Answer: A
Rationale: Before paracentesis, instruct the patient to empty her bladder to avoid bladder injury during the procedure.
Question 8 of 9
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 9 of 9
Annebell is being discharged with a colostomy, and you're teaching her about colostomy care. Which statement correctly describes a healthy stoma?
Correct Answer: A
Rationale: A healthy stoma may bleed slightly when touched initially, which is normal.