ATI RN
ATI Medical Surgery Exam Custom GI Questions
Extract:
Question 1 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: Leg exercises prevent blood clots, incentive spirometer use prevents atelectasis, and documenting nasogastric drainage monitors for complications. Irrigation is not standard without a physician's order, and prolonged bed rest increases complication risks.
Question 2 of 5
A nurse is contributing to the plan of care of a client who is postoperative following a gastrectomy and has a double-lumen nasogastric (NG) tube. Which of the following interventions should the nurse include in the plan?
Correct Answer: A
Rationale: Avoiding NG tube replacement post-gastrectomy prevents surgical site disruption.
Question 3 of 5
A nurse is reinforcing discharge teaching with a client who has a new diagnosis of gastroesophageal disease (GERD). Which of the following foods should the nurse include in the list of foods the client should avoid?
Correct Answer: C
Rationale: Chocolate relaxes the lower esophageal sphincter, allowing stomach acid to flow back into the esophagus, exacerbating GERD symptoms.
Question 4 of 5
A nurse is collecting data from a client who has obstruction and inflammation of the common bile duct due to cholelithiasis. Which of the following findings is expected for this condition?
Correct Answer: D
Rationale: Obstruction of the common bile duct impairs fat digestion, leading to fatty stools due to malabsorption.
Question 5 of 5
A nurse is collecting data from a client who has diverticular disease. The nurse should expect the client to report abdominal pain in which of the following locations?
Correct Answer: C
Rationale: Diverticular disease commonly affects the sigmoid colon, causing pain in the lower left quadrant.