ATI RN
ATI Medical Surgery Exam Custom GI Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who has peptic ulcer disease. Which of the following findings is a manifestation of gastrointestinal perforation?
Correct Answer: C
Rationale: Severe, sudden upper abdominal pain is a hallmark of gastrointestinal perforation, a medical emergency.
Question 2 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 3 of 5
A nurse is caring for a client who is 2 days postoperative from abdominal surgery. The client reports discomfort from abdominal distension and flatus. Which of the following suggestions should the nurse include?
Correct Answer: C
Rationale: Ambulation promotes intestinal motility, relieving distension and flatus.
Question 4 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.
Question 5 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.