ATI RN
ATI Medical Surgery Exam Custom GI Questions
Extract:
Question 1 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 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
Rationale: See rationale for question 7, as this is a repeated question with a subset of correct answers.
Question 3 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 4 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 5 of 5
A nurse is reinforcing teaching with a client who has a new prescription for docusate sodium. The nurse should recognize which of the following statements Indicates the client understands the teaching?
Correct Answer: B
Rationale: Docusate softens stools within 1-3 days, indicating correct client understanding.