ATI RN
ATI Gastrointestinal System Test Questions
Question 1 of 9
You're preparing a patient with a malignant tumor for colorectal surgery and subsequent colostomy. The patient tells you he's anxious. What should your initial step be in working with this patient?
Correct Answer: A
Rationale: When a patient with a malignant tumor is anxious about colorectal surgery and a colostomy, the initial step is to determine what the patient already knows about colostomies.
Question 2 of 9
What information is correct about stomach cancer?
Correct Answer: A
Rationale: Stomach pain is often a late symptom of stomach cancer.
Question 3 of 9
A patient has an acute upper GI hemorrhage. Your interventions include:
Correct Answer: D
Rationale: For a patient with an acute upper GI hemorrhage, your interventions include treating shock and diagnosing the bleeding source.
Question 4 of 9
Eleanor, a 62 y.o. woman with diverticulosis is your patient. Which interventions would you expect to include in her care?
Correct Answer: C
Rationale: Care for a patient with diverticulosis includes a high-fiber diet and administration of psyllium.
Question 5 of 9
Develop a teaching care plan for Angie who is about to undergo a liver biopsy. Which of the following points do you include?
Correct Answer: B
Rationale: Instruct the patient to lie on their right side after the biopsy to apply pressure and prevent bleeding.
Question 6 of 9
Rob is a 46 y.o. admitted to the hospital with a suspected diagnosis of Hepatitis B. He's jaundiced and reports weakness. Which intervention will you include in his care?
Correct Answer: D
Rationale: For a patient with hepatitis B who is jaundiced and reports weakness, providing rest periods after small, frequent meals is important.
Question 7 of 9
Your patient recently had abdominal surgery and tells you that he feels a popping sensation in his incision during a coughing spell, followed by severe pain. You anticipate an evisceration. Which supplies should you take to his room?
Correct Answer: D
Rationale: For a suspected evisceration, sterile saline solution and sterile dressings should be taken to the patient's room to cover the wound and keep it moist.
Question 8 of 9
The nurse evaluates the client's stoma during the initial post-op period. Which of the following observations should be reported immediately to the physician?
Correct Answer: B
Rationale: A dark red to purple stoma may indicate compromised blood flow or ischemia, which requires immediate medical attention. This color change could be a sign of inadequate blood supply to the stoma tissue, leading to tissue damage or necrosis. Reporting this observation promptly is crucial to prevent further complications. Choices A, C, and D are not indicative of immediate medical concern. A slightly edematous stoma, oozing a small amount of blood, or not expelling stool may not be uncommon findings during the initial post-op period and can be managed without urgent intervention.
Question 9 of 9
The student nurse is teaching the family of a patient with liver failure. You instruct them to limit which foods in the patient's diet?
Correct Answer: A
Rationale: For a patient with liver failure, it is important to limit the intake of meats and beans to reduce the risk of hepatic encephalopathy.