ATI RN
Gastrointestinal System Nursing Exam Questions Questions
Question 1 of 5
The nurse is caring for a client on the first postoperative day following a surgical repair of an abdominal aortic aneurysm. Which nursing diagnosis is the most important for this client?
Correct Answer: C
Rationale: The correct answer is C: Ineffective peripheral tissue perfusion. This is the most important nursing diagnosis because after abdominal aortic aneurysm repair, there is a risk of compromised blood flow to peripheral tissues due to potential complications like embolism or thrombosis. Monitoring tissue perfusion is crucial to prevent complications such as tissue necrosis. A: Risk for infection is important but not the priority immediately postoperatively. B: Deficient knowledge may be addressed later once the client is stable. D: Activity intolerance may be a concern but ensuring tissue perfusion is more critical in the immediate postoperative period. In summary, monitoring and addressing ineffective peripheral tissue perfusion is essential for preventing serious complications following abdominal aortic aneurysm repair.
Question 2 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 3 of 5
The nurse is assessing a 71-year-old female client with ulcerative colitis. Which assessment finding related to the family will have the greatest impact on the client's rehabilitation after discharge?
Correct Answer: C
Rationale: The correct answer is C because emotional support from the family is crucial for the client's rehabilitation. Emotional support can positively impact the client's mental health, motivation, and adherence to treatment plans. It can also reduce stress and anxiety, which are common in chronic illnesses like ulcerative colitis. Options A and D focus on practical aspects and understanding of the illness, which are important but not as impactful as emotional support. Option B addresses the client's responsibilities, which, while important, may not have as direct an impact on rehabilitation as emotional support.
Question 4 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 5 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.