ATI RN
Gastrointestinal System Nursing Exam Questions Questions
Question 1 of 5
The nurse is doing preoperative teaching with the client who is about to undergo creation of a Kock pouch. The nurse interprets that the client has the best understanding of the nature of the surgery if the client makes which of the following statements?
Correct Answer: A
Rationale: The correct answer is A: "I will need to drain the pouch regularly with a catheter." This answer demonstrates an accurate understanding of the Kock pouch procedure, which involves the creation of a reservoir that needs to be drained periodically to prevent complications like overflow or infection. Rationale: 1. A Kock pouch is a continent ileostomy that requires regular catheterization for drainage. 2. Choice B is incorrect because wearing a drainage bag for life is not necessary with a Kock pouch. 3. Choice C is incorrect as a Kock pouch does not produce formed drainage. 4. Choice D is incorrect because passing stool from the rectum is not possible after a Kock pouch surgery. In summary, choice A is the correct answer as it aligns with the specific care requirements of a Kock pouch surgery, while the other options misrepresent the nature of the procedure.
Question 2 of 5
Cholestyramine resin (Questran Light) is prescribed for the client with an elevated serum cholesterol level. The nurse would instruct the client to take the medication
Correct Answer: B
Rationale: The correct answer is B: Mixed with fruit juice. Cholestyramine resin should be taken mixed with a liquid, such as fruit juice, to prevent esophageal irritation and improve absorption. Taking it with a meal can interfere with nutrient absorption. Taking it via rectal suppository is incorrect as it is an oral medication. Taking it at least 3 hours before meals is not necessary and may lead to decreased effectiveness. Mixing it with fruit juice helps improve tolerability and effectiveness.
Question 3 of 5
A client is admitted with a diagnosis of ulcerative colitis. Which of the following symptoms should the nurse expect the client to report when responding to questions about his bowel elimination pattern?
Correct Answer: B
Rationale: The correct answer is B: Bloody, diarrheal stools. In ulcerative colitis, inflammation of the colon leads to symptoms such as bloody diarrhea. This occurs due to ulceration and inflammation of the colon lining. The presence of blood in the stool is a hallmark symptom of ulcerative colitis. The other choices are incorrect because: A: Constipation is not typically associated with ulcerative colitis. It is more common in conditions like irritable bowel syndrome. C: Steatorrhea, which is fatty, greasy stools, is not a common symptom of ulcerative colitis. D: Alternating periods of constipation and diarrhea are more indicative of conditions like irritable bowel syndrome or functional gastrointestinal disorders, not specifically ulcerative colitis.
Question 4 of 5
The nurse is caring for a client following a Billroth II procedure. On review of the postoperative orders, which of the following if prescribed, should the nurse question and verify?
Correct Answer: A
Rationale: The correct answer is A: Irrigating the nasogastric tube. After a Billroth II procedure, the client's stomach has been partially removed, making them prone to dumping syndrome. Irrigating the nasogastric tube can disrupt the natural digestive process and may exacerbate dumping syndrome. Instead, the focus should be on promoting slow, gradual feeding to prevent complications. Summary: B: Coughing and deep breathing exercises - Important for preventing respiratory complications postoperatively. C: Leg exercises - Essential for preventing blood clots and promoting circulation. D: Early ambulation - Encourages mobility and prevents complications such as pneumonia and blood clots.
Question 5 of 5
The nurse is caring for a client who underwent a subtotal gastrectomy. To manage dumping syndrome, the nurse should advise the client to:
Correct Answer: D
Rationale: The correct answer is D: drink liquids only between meals. This is because restricting fluids during meals can worsen dumping syndrome by rapidly emptying the stomach contents into the intestines, causing symptoms like cramping and diarrhea. By advising the client to drink liquids only between meals, it allows for better digestion and absorption of nutrients, reducing the risk of dumping syndrome. Choice A is incorrect because restricting fluid intake can lead to dehydration and other complications. Choice B is incorrect as drinking liquids with meals can exacerbate dumping syndrome symptoms. Choice C is incorrect as not drinking liquids before meals may not effectively manage dumping syndrome and can lead to dehydration.