ATI RN
ATI Gastrointestinal System Questions
Question 1 of 9
The physician orders a Salem sump tube for gastrointestinal intubation. The nurse prepares for the insertion and obtains which of the following items from the supply room?
Correct Answer: B
Rationale: A tube with a large lumen and an air vent is a Salem sump tube. A tube with a single lumen is called a Levin's tube. A Sengstaken-Blakemore tube is used to control bleeding in the esophagus. A Dobbhoff weighted tube is used for feedings.
Question 2 of 9
The client being seen in a physician's office has just been scheduled for a barium swallow the next day. The nurse writes down which of the following instructions for the client to follow before the test?
Correct Answer: A
Rationale: A barium swallow is an x-ray study that uses a substance called barium for contrast to highlight abnormalities in the gastrointestinal tract. The client should fast for 8 to 12 hours before the test, depending on physician instructions. Most oral medications also are withheld before the test. After the procedure the nurse must monitor for constipation, which can occur as a result of the presence of barium in the gastrointestinal tract.
Question 3 of 9
The nurse instructs the nursing assistant on how to provide oral hygiene for a client who cannot perform this task for himself. Which of the following techniques should the nurse tell the assistant to incorporate into the client's daily care?
Correct Answer: C
Rationale: Swabbing the client's tongue, gums, and lips with a soft foam applicator every 2 hours helps maintain oral hygiene for a client who cannot perform this task.
Question 4 of 9
If a gastric acid perforates, which of the following actions should not be included in the immediate management of the client?
Correct Answer: B
Rationale: Antacid administration should not be included in the immediate management of a gastric perforation.
Question 5 of 9
The pain of a duodenal ulcer can be distinguished from that of a gastric ulcer by which of the following characteristics?
Correct Answer: D
Rationale: Pain on an empty stomach is characteristic of a duodenal ulcer, while pain on eating is characteristic of a gastric ulcer.
Question 6 of 9
The client being treated for esophageal varices has a Sengstaken-Blakemore tube inserted to control the bleeding. The most important assessment is for the nurse to:
Correct Answer: C
Rationale: Regularly assessing respiratory status is crucial when a Sengstaken-Blakemore tube is inserted to control bleeding in esophageal varices.
Question 7 of 9
The most important pathophysiologic factor contributing to the formation of esophageal varices is:
Correct Answer: C
Rationale: Portal hypertension is the most important pathophysiologic factor contributing to the formation of esophageal varices.
Question 8 of 9
The nurse develops a plan of care for a client with a T tube. Which one of the following nursing interventions should be included?
Correct Answer: A
Rationale: The correct nursing intervention to include in the plan of care for a client with a T tube is to inspect the skin around the T tube daily for irritation. Bile is erosive and can cause skin irritation, so it is crucial to keep the skin clean and dry. T tubes are not routinely irrigated; irrigation is done only with a physician's order. It is unnecessary to maintain the client in a supine position; instead, assist the client into a position of comfort. T tubes are not typically clamped unless ordered by a physician, and if clamped, it is usually done 1 to 2 hours before and after meals.
Question 9 of 9
A client has been diagnosed with adenocarcinoma of the stomach and is scheduled to undergo a subtotal gastrectomy (Billroth II procedure). During pre-operative teaching, the nurse is reinforcing information about the procedure. Which of the following explanations is most accurate?
Correct Answer: B
Rationale: The Billroth II procedure involves anastomosis of the gastric stump to the jejunum.