ATI RN
Gastrointestinal Assessment Questions Questions
Question 1 of 5
The three pairs of extrinsic salivary glands are:
Correct Answer: D
Rationale: The correct answer is D because the extrinsic salivary glands are the parotid, submandibular, and sublingual glands. The parotid gland is located near the ear, the submandibular gland is under the mandible, and the sublingual gland is under the tongue. A is incorrect because the ethmoidal gland is not an extrinsic salivary gland. B is incorrect because the buccal gland is not an extrinsic salivary gland. C is incorrect because the buccal gland is not an extrinsic salivary gland; it is a minor salivary gland located in the cheek.
Question 2 of 5
A client with proctitis needs a rectal suppository. A senior nursing student assigned to this client tells you that she is afraid to insert the suppository because she has never done it before. What is the most appropriate action in supervising this student?
Correct Answer: D
Rationale: Correct Answer: D Rationale: 1. Supervising students is part of the nursing role. 2. As a tutor, your responsibility is to guide and teach students. 3. Showing the student how to insert the suppository will help build their skills and confidence. 4. Talking to the instructor ensures proper supervision and support for the student's learning. 5. Reporting or dismissing the student is not constructive and goes against the principles of education and mentorship.
Question 3 of 5
Which of the following pretest evaluation measures should the nurse ensure before a client undergoes the gallbladder series test?
Correct Answer: C
Rationale: Step-by-step rationale for the correct answer (C): Determining whether the client is pregnant is crucial before a gallbladder series test because the test involves radiation exposure, which can be harmful to a developing fetus. It is essential to ensure the safety of both the client and the unborn child. Summary: - A: Determining the work environment of the client is not directly related to the safety or appropriateness of a gallbladder series test. - B: Determining whether the client has a family history of GI disorders is important for overall health assessment but not specifically necessary for the pretest evaluation of a gallbladder series test. - D: Determining whether the client is allergic to seafood or iodine is relevant for contrast materials used in some imaging tests but not specifically for a gallbladder series test.
Question 4 of 5
A client is admitted to the hospital for a hemorrhoidectomy. Postoperatively, which of the following would a client's nurse be most concerned about?
Correct Answer: D
Rationale: The correct answer is D because excessive bloody drainage on the external gauze dressing could indicate hemorrhage, a serious complication post-hemorrhoidectomy. This requires immediate medical attention to prevent further complications. A: Pain at the incision site is expected postoperatively and can be managed with pain medication. B: A white blood count of 6.5 is within the normal range and not a cause for concern. C: Client's refusal of a stool softener is important for bowel movement management but is not the most immediate concern compared to excessive bloody drainage.
Question 5 of 5
A patient receives atropine, an anticholinergic drug, in preparation for surgery. The nurse expects this drug to affect the GI tract by doing what?
Correct Answer: C
Rationale: The correct answer is C: Decreasing secretions and peristaltic action. Atropine, as an anticholinergic drug, inhibits the action of acetylcholine, leading to decreased secretions and peristaltic movement in the GI tract. This results in reduced motility and secretion production. A: Increasing gastric emptying - This is incorrect because atropine actually slows down gastric emptying by reducing peristaltic action. B: Relaxing pyloric and ileocecal sphincters - This is incorrect because atropine does not directly relax these sphincters. D: Stimulating the nervous system of the GI tract - This is incorrect because atropine inhibits the parasympathetic nervous system, leading to decreased GI tract activity.