ATI RN
ATI Medical Surgery Exam Custom GI Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has hepatitis A. The client asks the nurse how he might have contracted the virus. Before responding, which of the following questions should the nurse first ask the client?
Correct Answer: D
Rationale: Travel to areas with poor sanitation is a common hepatitis A risk factor, making this the priority question.
Question 2 of 5
A nurse is caring for a client who has a bowel obstruction and a new prescription for the insertion of a nasogastric tube. Which of the following Interventions should the nurse take when inserting the nasogastric tube?
Correct Answer: D
Rationale: Instructing the client to swallow with the chin to chest guides the tube into the esophagus, facilitating correct placement.
Question 3 of 5
A nurse is caring for a client who has cirrhosis and a prescription for lactulose. Following administration, the nurse should monitor the client for which of the following adverse effects?
Correct Answer: B
Rationale: Lactulose, a laxative, causes diarrhea to reduce ammonia levels in cirrhosis, preventing hepatic encephalopathy.
Question 4 of 5
A nurse is planning care for a client who has a peptic ulcer and a new prescription for sucralfate 2 gm administered twice daily. Which of the following times should the nurse plan to administer the medication?
Correct Answer: A
Rationale: Sucralfate is most effective 30 minutes before meals, forming a protective ulcer coating.
Question 5 of 5
A nurse is caring for a client who reports constipation. The provider has prescribed an enema. Identify the sequence of steps the nurse should take to administer the enema. (Move the steps in the selected order of performance. Use all the steps.)
Correct Answer: A,B,C,D
Rationale: This sequence ensures safety, privacy, proper positioning, and correct administration.