ATI RN
ATI Medical Surgery Exam Custom GI Questions
Extract:
Question 1 of 5
A nurse in a clinic is caring for a client who has alcohol use disorder. The client reports frequent bruising and nosebleeds. Which of the following conditions should the nurse suspect?
Correct Answer: C
Rationale: Cirrhosis from chronic alcohol use impairs clotting factor production and causes thrombocytopenia, leading to bruising and nosebleeds.
Question 2 of 5
A nurse is reviewing the laboratory values of a client who is receiving total parenteral nutrition (TPN): glucose 72 mg/dL, chloride 100 mEq/L sodium 138 mEq/L, and potassium 3.0 mEq/L. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: Potassium level of 3.0 mEq/L is low, requiring replacement to prevent complications like arrhythmias.
Question 3 of 5
A nurse is calculating a client's fluid intake over the past 8 hr. The client had one 8-oz cup of coffee, 3 oz of juice, and 12 oz of soda. The client's water pitcher had 300 ml and 200 ml remains. The client also had IV fluids infusing as 40 mL/hr via an infusion pump. How many ml should the nurse document as the client's total Intake for the shift?
Correct Answer: 1110 ml
Rationale:
Total intake is calculated as: coffee (8 oz × 30 ml/oz = 240 ml), juice (3 oz × 30 ml/oz = 90 ml), soda (12 oz × 30 ml/oz = 360 ml), water (300 ml - 200 ml = 100 ml), IV fluids (40 ml/hr × 8 hr = 320 ml). Sum: 240 + 90 + 360 + 100 + 320 = 1110 ml.
Question 4 of 5
A nurse is contributing to the plan of care for a client who has a gastrostomy tube through which he is receiving continuous enteral feedings. Which of the following interventions should the nurse include in the plan?
Correct Answer: C
Rationale: Flushing the tube every 4 hours maintains patency and hydration, preventing clogs.
Question 5 of 5
A nurse is assisting in the plan of care for a client who had surgery for a bowel obstruction. The client has a nasogastric tube in place. Which of the following actions should the nurse include in the client's plan of care? (Select all that apply.)
Correct Answer: A,D,E
Rationale: See rationale for question 2, as this is a repeated question.