ATI RN
ATI Medical Surgery Exam Custom GI Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who is 12 hr postoperative following a colectomy with colostomy placement. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: A purplish stoma indicates potential ischemia, requiring immediate reporting to the provider.
Question 2 of 5
A nurse is checking a client's bowel sounds. At which of the following times should the nurse auscultate the client's abdomen?
Correct Answer: A
Rationale: Auscultation before percussion or palpation ensures accurate bowel sound assessment, as these actions can alter sounds.
Question 3 of 5
A nurse is reinforcing teaching a client who is scheduled for a barium swallow to evaluate dysphagia. Which of the following statements Indicate to the nurse that the client understands the instructions?
Correct Answer: B
Rationale: Drinking fluids post-barium swallow prevents constipation and aids barium clearance.
Question 4 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 5 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: Leg exercises prevent blood clots, incentive spirometer use prevents atelectasis, and documenting nasogastric drainage monitors for complications. Irrigation is not standard without a physician's order, and prolonged bed rest increases complication risks.