ATI RN
ATI Medical Surgery Exam Custom GI Questions
Extract:
Question 1 of 5
A nurse is reinforcing discharge teaching with a client who has a new diagnosis of gastroesophageal disease (GERD). Which of the following foods should the nurse include in the list of foods the client should avoid?
Correct Answer: C
Rationale: Chocolate relaxes the lower esophageal sphincter, allowing stomach acid to flow back into the esophagus, exacerbating GERD symptoms.
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 in a clinic is caring for a client who has alcohol use disorder. The client reports frequent bruising and nosebleeds. Which of the following conditions should the nurse suspect?
Correct Answer: C
Rationale: Cirrhosis from chronic alcohol use impairs clotting factor production and causes thrombocytopenia, leading to bruising and nosebleeds.
Question 4 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 5 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.