ATI RN
Gastrointestinal System ATI Questions
Question 1 of 9
Your patient Maria takes NSAIDS for her degenerative joint disease, has developed peptic ulcer disease. Which drug is useful in preventing NSAID-induced peptic ulcer disease?
Correct Answer: C
Rationale: Misoprostol (Cytotec) is useful in preventing NSAID-induced peptic ulcer disease.
Question 2 of 9
Kevin has a history of peptic ulcer disease and vomits coffee-ground emesis. What does this indicate?
Correct Answer: C
Rationale: Coffee-ground emesis is a sign of upper gastrointestinal bleeding that occurred approximately 2 hours earlier. It results from the breakdown of blood in the stomach due to digestive enzymes, giving it a coffee-ground appearance. Choice A is incorrect because coffee-ground emesis indicates older, partially digested blood, not fresh active bleeding. Choice B is incorrect as gastric lavage is not indicated for coffee-ground emesis. Choice D is incorrect because a transfusion of packed RBCs is not the immediate management for this presentation.
Question 3 of 9
You're patient, post-op drainage of a pelvic abscess secondary to diverticulitis, begins to cough violently after drinking water. His wound has ruptured and a small segment of the bowel is protruding. What's your priority?
Correct Answer: D
Rationale: For a patient with a ruptured wound and protruding bowel, call the doctor while remaining with the patient, flex the patient's knees, and cover the wound with sterile towels soaked in sterile saline solution.
Question 4 of 9
Christina is receiving an enteral feeding that requires a concentration of 80ml of supplement mixed with 20 ml of water. How much water do you mix with an 8 oz (240ml) can of feeding?
Correct Answer: A
Rationale: For an 8 oz (240 ml) can of feeding, mix 60 ml of water to achieve the required concentration.
Question 5 of 9
Your patient with peritonitis is NPO and complaining of thirst. What is your priority?
Correct Answer: C
Rationale: The correct answer is C: Provide frequent mouth care. In a patient with peritonitis who is NPO and thirsty, the priority is to maintain oral hygiene and provide comfort by moistening the mouth with frequent mouth care. This helps alleviate the sensation of thirst and maintains oral health. Increasing the IV infusion rate (choice A) may not address the patient's discomfort directly related to thirst. Using diversion activities (choice B) is not as critical as addressing the patient's immediate need for oral care. Giving ice chips every 15 minutes (choice D) is not recommended for a patient with peritonitis who is NPO, as it can lead to complications or worsen the condition.
Question 6 of 9
Kevin has a history of peptic ulcer disease and vomits coffee-ground emesis. What does this indicate?
Correct Answer: C
Rationale: Coffee-ground emesis indicates that the gastric bleeding occurred 2 hours earlier.
Question 7 of 9
Your patient has a retractable gastric peptic ulcer and has had a gastric vagotomy. Which factor increases as a result of vagotomy?
Correct Answer: D
Rationale: After a gastric vagotomy, the gastric pH increases as a result of reduced acid secretion.
Question 8 of 9
A 53 y.o. patient has undergone a partial gastrectomy for adenocarcinoma of the stomach. An NG tube is in place and is connected to low continuous suction. During the immediate postoperative period, you expect the gastric secretions to be which color?
Correct Answer: C
Rationale: During the immediate postoperative period after a partial gastrectomy, gastric secretions are expected to be red.
Question 9 of 9
The student nurse is participating in colorectal cancer-screening program. Which patient has the fewest risk factors for colon cancer?
Correct Answer: C
Rationale: Herman, a 60 y.o. who follows a low-fat, high-fiber diet, has the fewest risk factors for colon cancer.