ATI RN
Gastrointestinal System ATI Questions
Question 1 of 5
Your patient with peritonitis is NPO and complaining of thirst. What is your priority?
Correct Answer: C
Rationale: Providing frequent mouth care is the priority for a patient with peritonitis who is NPO and complaining of thirst.
Question 2 of 5
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 5
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 4 of 5
Which stoma would you expect a malodorous, enzyme-rich, caustic liquid output that is yellow, green, or brown?
Correct Answer: A
Rationale: An ileostomy would have a malodorous, enzyme-rich, caustic liquid output that is yellow, green, or brown.
Question 5 of 5
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.
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