ATI RN
Gastrointestinal System Nursing Exam Questions Questions
Question 1 of 5
The nurse has provided home care instructions to a client who had a subtotal gastrectomy. The nurse instructs the client regarding the signs and symptoms associated with dumping syndrome. Which of the following signs and symptoms, if identified by the client, indicates an understanding of this potential complication following gastrointestinal surgery?
Correct Answer: D
Rationale: The correct answer is D: Diaphoresis and diarrhea. Diaphoresis (excessive sweating) and diarrhea are classic signs of dumping syndrome, a common complication after gastrectomy. Diaphoresis occurs due to the rapid movement of food into the intestines, triggering the release of hormones leading to sweating. Diarrhea results from the rapid emptying of undigested food into the intestines. These symptoms typically occur within 30 minutes to 3 hours after eating in dumping syndrome. Explanation for why the other choices are incorrect: A: Hiccups and diarrhea - Hiccups are not typically associated with dumping syndrome. B: Fatigue and abdominal pain - Fatigue and abdominal pain are not specific symptoms of dumping syndrome. C: Constipation and fever - Constipation and fever are not typical signs of dumping syndrome. In summary, diaphoresis and diarrhea are classic symptoms of dumping syndrome due to rapid emptying of food into the intestines, making
Question 2 of 5
Which of the following nursing interventions should have the highest priority during the first hour after the admission of a client with cholecystitis who is experiencing pain, nausea, and vomiting?
Correct Answer: A
Rationale: The correct answer is A: Administering pain medication. Immediate pain relief is crucial in managing cholecystitis symptoms and improving the client's comfort. Pain can lead to increased stress, anxiety, and physiological responses that can worsen the condition. Administering pain medication promptly can help alleviate these symptoms and allow the client to rest. Completing the admission history (B) is important but can be done after addressing the urgent pain and discomfort. Maintaining hydration (C) is also essential but may not be the highest priority compared to pain relief. Teaching about planned diagnostic tests (D) is important for the client's understanding but can be deferred until the pain and discomfort are managed effectively.
Question 3 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 4 of 5
A client with viral hepatitis is discussing with the nurse the need to avoid alcohol and states, 'I'm not sure I can avoid alcohol.' The most appropriate response is
Correct Answer: D
Rationale: The correct answer is D because it shows active listening and empathy towards the client's concerns. By asking the client to explain, the nurse can gain a better understanding of the client's perspective and provide tailored support and information. Choice A is incorrect as it dismisses the client's concerns. Choice B is incorrect as it deflects responsibility from the nurse. Choice C is incorrect as it shows disbelief and lacks empathy.
Question 5 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.