ATI RN
ATI Medical Surgery Exam Custom GI Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching about lleostomy care with a client. The nurse should recognize which of the following statements by the client Indicates a need for further teaching?
Correct Answer: C
Rationale: Enteric-coated medications may not dissolve properly in clients with ileostomies due to rapid transit, requiring alternative forms.
Question 2 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: Low potassium (3.0 mEq/L) requires replacement to prevent complications, as seen in the rationale for question 8.
Question 3 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 4 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 5 of 5
A nurse is reinforcing teaching about dietary recommendations for a client who has a hiatal hernia. Which of the following client statements indicate understanding of the teaching? (Select all that apply)
Correct Answer: A,B,E
Rationale: Reducing caffeine and spicy foods minimizes esophageal irritation, elevating the bed prevents acid reflux, and maintaining healthy weight reduces abdominal pressure. Lying down after meals or reducing fluids is not recommended.