ATI RN
ATI Medical Surgery Exam Custom GI Questions
Extract:
Question 1 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.
Question 2 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 3 of 5
A nurse is planning to collect data about the abdomen of a client who reports "stomach pain". Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Inspection is the first step in abdominal assessment to observe for visible abnormalities before altering bowel activity.
Question 4 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 5 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.