ATI RN
Gastrointestinal System Nursing Exam Questions Questions
Question 1 of 5
The client with Crohn's disease has a nursing diagnosis of Acute Pain. The nurse would teach the client to avoid which of the following in managing this problem?
Correct Answer: A
Rationale: The correct answer is A. Lying supine with the legs straight can worsen abdominal pain in Crohn's disease due to increased pressure on the abdomen. Massaging the abdomen helps to relieve pain by promoting relaxation. Antispasmodic medication can help reduce abdominal cramping, managing pain. Relaxation techniques such as deep breathing and guided imagery can also help alleviate pain and stress. Overall, option A is incorrect as it can exacerbate pain, while options B, C, and D are appropriate strategies for managing acute pain in Crohn's disease.
Question 2 of 5
A nurse is reviewing the orders of a client admitted to the hospital with a diagnosis of acute pancreatitis. Select the interventions that the nurse would expect to be prescribed for the client.
Correct Answer: B
Rationale: The correct answer is B: Meperidine (Demerol) as prescribed for pain. In acute pancreatitis, pain management is crucial, and Meperidine is commonly used due to its minimal effect on the sphincter of Oddi. Incorrect options: A: Small, frequent high-calorie feedings can exacerbate pancreatitis by stimulating pancreatic enzyme secretion. C: Placing the client in a side-lying position with the head elevated is not a specific intervention for pancreatitis. D: Administering antacids and anticholinergics is not a standard treatment for pancreatitis and may not address the underlying cause of the condition.
Question 3 of 5
A nurse is performing an assessment on a client with a suspected diagnosis of acute pancreatitis. The nurse assesses the client, knowing that which of the following is a hallmark sign of this disorder?
Correct Answer: B
Rationale: The correct answer is B: Severe abdominal pain that is unrelieved by vomiting. In acute pancreatitis, the pancreatic enzymes cause inflammation and damage to the pancreas, leading to severe abdominal pain that is typically constant and not relieved by vomiting. Vomiting may even worsen the pain. Other choices are incorrect because severe abdominal pain in acute pancreatitis is not relieved by vomiting (A), hypothermia is not a hallmark sign of acute pancreatitis (C), and epigastric pain radiating to the neck area is not a specific hallmark sign (D).
Question 4 of 5
A 30-year-old woman is admitted to the hospital with complaints of severe abdominal cramping and diarrhea. The nurse evaluates the effectiveness of the patient's intravenous therapy. Which of the following laboratory tests BEST reflects hydration status?
Correct Answer: C
Rationale: The correct answer is C: Hematocrit. Hematocrit reflects the proportion of red blood cells in the blood and can indicate hydration status. When a person is dehydrated, their blood becomes more concentrated, leading to an increase in hematocrit levels. In this case, severe abdominal cramping and diarrhea can cause dehydration, making hematocrit the best indicator of hydration status. Explanation for other choices: A: Erythrocyte sedimentation rate is a nonspecific marker of inflammation and not directly related to hydration status. B: White blood cell count is an indicator of infection or inflammation, not hydration status. D: Serum glucose levels are related to blood sugar regulation, not hydration status.
Question 5 of 5
The nurse provides discharge instructions to a patient with hepatitis B. Which of the following statements, if made by the patient, would indicate the need for further instruction?
Correct Answer: D
Rationale: Rationale for Correct Answer (D): The patient should avoid drugs and alcohol to prevent further damage to the liver affected by hepatitis B. Substance abuse can exacerbate liver disease. This statement indicates understanding of the importance of liver health. Summary of Other Choices: A: This statement is correct because individuals with hepatitis B should not donate blood to prevent transmission. B: This statement is correct because unprotected sex can transmit hepatitis B to sexual partners. C: This statement is correct because sharing needles can spread hepatitis B through blood-to-blood contact.