ATI RN
Gastrointestinal Exam Questions Questions
Question 1 of 5
In which group of clients will the nurse observe the pain to be mild or absent in pancreatitis?
Correct Answer: D
Rationale: The correct answer is D, Older adults. In pancreatitis, older adults may have diminished pain perception due to age-related changes in nerve function. This can lead to mild or absent pain sensation despite the presence of significant inflammation in the pancreas. Women nearing menopause (choice A) may still experience significant pain. Children (choice B) and young adults (choice C) are more likely to experience severe pain due to their higher pain perception and sensitivity.
Question 2 of 5
When teaching the older adult about nutritional needs during aging, what does the nurse emphasize?
Correct Answer: B
Rationale: The correct answer is B because as individuals age, their metabolism slows down, leading to a decreased need for calories. However, the need for protein remains the same or slightly increases to support muscle mass maintenance and repair. Option A is incorrect because nutrient needs do not decrease with aging. Option C is incorrect as reducing carbohydrates and protein while increasing vitamins and minerals is not recommended. Option D is incorrect as high-calorie supplements are not necessary for all older adults and should not be used as a general recommendation.
Question 3 of 5
What is the main underlying risk factor for metabolic syndrome?
Correct Answer: C
Rationale: The main underlying risk factor for metabolic syndrome is insulin resistance (Choice C). Insulin resistance is a condition where the cells in the body do not respond effectively to insulin, leading to high blood sugar levels. This is a key feature of metabolic syndrome, which includes a cluster of conditions such as high blood pressure, high blood sugar, excess body fat around the waist, and abnormal cholesterol levels. Insulin resistance plays a central role in the development of metabolic syndrome by promoting inflammation, dyslipidemia, and cardiovascular complications. The other choices, Age (A), Heart disease (B), and High cholesterol levels (D), while they may be associated with metabolic syndrome, are not the main underlying risk factor. Age is a risk factor for many health conditions, heart disease is a potential consequence of metabolic syndrome, and high cholesterol levels are a component of metabolic syndrome but not the primary underlying risk factor.
Question 4 of 5
What does the nurse include when teaching a patient with newly diagnosed peptic ulcer disease?
Correct Answer: C
Rationale: The correct answer is C because it promotes individualized dietary adjustments based on the patient's symptoms. By eating as normally as possible and eliminating foods that cause pain or discomfort, the patient can identify trigger foods. A bland diet (choice A) may not be necessary for all patients with peptic ulcer disease. Moderating alcohol and caffeine (choice B) is generally advised but not the top priority in dietary education. Avoiding milk and dairy (choice D) is not a standard recommendation unless the patient specifically experiences worsened symptoms with these products.
Question 5 of 5
Priority Decision: When caring for a patient with irritable bowel syndrome (IBS), what is most important for the nurse to do?
Correct Answer: B
Rationale: Rationale: 1. Building a trusting relationship is crucial for patients with IBS to provide emotional support. 2. Trust enables effective communication and understanding of the patient's symptoms. 3. Trust fosters adherence to treatment plans and promotes better outcomes. 4. Symptomatic care helps manage IBS symptoms and improve the patient's quality of life. Summary: - Choice A is incorrect because IBS is a real medical condition, not just psychogenic. - Choice C is incorrect as fiber intake may worsen symptoms for some IBS patients. - Choice D is incorrect because medication effectiveness varies, and not all patients may benefit.