ATI RN
Gastrointestinal System Nursing Exam Questions Questions
Question 1 of 5
The client has had a new colostomy created 2 days earlier. The client is beginning to pass malodorous flatus from the stoma. The nurse interprets that
Correct Answer: B
Rationale: The correct answer is B: This is a normal, expected event. After colostomy creation, it is common for clients to pass malodorous flatus from the stoma as the intestines begin to function. This is due to the presence of normal intestinal flora. Choice A is incorrect as preoperative bowel preparation does not directly relate to malodorous flatus post-colostomy. Choice C is incorrect as ischemic bowel presents with more serious symptoms. Choice D is incorrect as nasogastric tube removal is not related to passing flatus from the stoma.
Question 2 of 5
The nurse is performing an assessment on a client with acute pancreatitis who was admitted to the hospital. Which of the following assessment questions most specifically would elicit information regarding the pain that is associated with acute pancreatitis?
Correct Answer: B
Rationale: The correct answer is B: "Does the pain in your stomach radiate to the back?" This question is specific to acute pancreatitis as the pain typically radiates from the epigastric area to the back. Pancreatitis pain often presents as severe, constant, and radiating to the back due to the inflammation of the pancreas affecting surrounding structures. Choice A is incorrect as the pain in acute pancreatitis typically radiates to the back, not the groin. Choice C is incorrect as it specifies a different area in the abdomen, not the typical location for pancreatitis pain. Choice D is incorrect as pancreatitis pain does not typically radiate to the hip. In summary, understanding the characteristic radiation of pain in acute pancreatitis is key to assessing and differentiating it from other abdominal conditions.
Question 3 of 5
The nurse has given instructions to the client with an ileostomy about foods to eat to thicken the stool. The nurse determines that the client needs further instructions if the client stated to eat which of the following foods to make the stool less watery?
Correct Answer: C
Rationale: Rationale: C: Bran is a high-fiber food known to add bulk to stool, thus making it less watery in individuals with ileostomy. A: Pasta and B: Boiled rice are low-fiber foods that may not help thicken stool. D: Low-fat cheese is not specifically known to thicken stool. In summary, choosing high-fiber foods like bran can help thicken stool, while low-fiber foods like pasta, boiled rice, and low-fat cheese may not have the same effect.
Question 4 of 5
The nurse is caring for a client with an exacerbation of ulcerative colitis. Which of the following nursing measures should be included in the client's plan of care?
Correct Answer: B
Rationale: The correct answer is B: Incorporate frequent rest periods into the client's schedule. Rest periods are essential for managing ulcerative colitis exacerbations as they help reduce stress on the digestive system. Antidiarrheal medications (A) may worsen the condition by masking symptoms and delaying appropriate treatment. High-fiber diets (C) can aggravate symptoms in some individuals with ulcerative colitis. Wearing a gown (D) is unrelated to managing ulcerative colitis exacerbations.
Question 5 of 5
A nurse orientee is preparing to insert a nasogastric tube, and a nurse educator is observing the procedure. Which of the following supplies if obtained by the nurse orientee would indicate a need for further education regarding this procedure?
Correct Answer: B
Rationale: The correct answer is B: Oil-soluble lubricant. The rationale is that oil-based lubricants should not be used for nasogastric tube insertion due to the risk of aspiration pneumonia. The other options are appropriate for the procedure: A) Tape is used to secure the tube, C) Water with a straw is used to check tube placement, and D) A syringe is used for verification of tube placement and administration of medications. Therefore, selecting B indicates a lack of understanding of proper supplies for nasogastric tube insertion.