ATI RN
ATI Gastrointestinal System Test Questions
Question 1 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 2 of 5
You're caring for Carin who has just had ileostomy surgery. During the first 24 hours post-op, how much drainage can you expect from the ileostomy?
Correct Answer: C
Rationale: During the first 24 hours post-op, you can expect about 1500 ml of drainage from the ileostomy.
Question 3 of 5
Arthur has a family history of colon cancer and is scheduled to have a sigmoidoscopy. He is crying as he tells you, "I know that I have colon cancer, too." Which response is most therapeutic?
Correct Answer: B
Rationale: Acknowledging the patient's emotions with 'You seem upset' is the most therapeutic response.
Question 4 of 5
You're caring for Betty with liver cirrhosis. Which of the following assessment findings leads you to suspect hepatic encephalopathy in her?
Correct Answer: A
Rationale: Asterixis, a flapping tremor of the hands, is a sign of hepatic encephalopathy.
Question 5 of 5
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.
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