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: See rationale for question 2, as this is a repeated question.
Question 2 of 5
A nurse is reinforcing teaching about dietary recommendations for a client who has a hiatal hernia. Which of the following client statements indicate understanding of the teaching? (Select all that apply)
Correct Answer: A,B,E
Rationale: Reducing caffeine and spicy foods minimizes esophageal irritation, elevating the bed prevents acid reflux, and maintaining healthy weight reduces abdominal pressure. Lying down after meals or reducing fluids is not recommended.
Question 3 of 5
A nurse is reinforcing teaching about lleostomy care with a client. The nurse should recognize which of the following statements by the client Indicates a need for further teaching?
Correct Answer: C
Rationale: Enteric-coated medications may not dissolve properly in clients with ileostomies due to rapid transit, requiring alternative forms.
Question 4 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 5 of 5
A nurse in a provider's office is caring for a client who has a gastric ulcer caused by Helicobacter pylori. The nurse should anticipate that in addition to cimetidine and sucralfate, the provider will prescribe which of the following?
Correct Answer: B
Rationale: Clarithromycin is an antibiotic used to eradicate H. pylori, a common cause of gastric ulcers.