ATI RN
ATI Gastrointestinal System
1. If a gastric acid perforates, which of the following actions should not be included in the immediate management of the client?
- A. Blood replacement
- B. Antacid administration
- C. Nasogastric tube suction
- D. Fluid and electrolyte replacement
Correct answer: B
Rationale: Antacid administration should not be included in the immediate management of a gastric perforation.
2. A nurse is caring for a client diagnose with pancreatitis. The nurse anticipates that the client would not experience an elevation of which of the following enzymes?
- A. Lipase
- B. Lactase
- C. Amylase
- D. Trypsin
Correct answer: B
Rationale: Lactase is produced in the small intestine and aids in splitting neutral fats into glycerol and fatty acids. Lipase, amylase, and trypsin are produced in the pancreas and aid in the digestion of fats, starches, and proteins, respectively.
3. Which of the following tests can be used to diagnose ulcers?
- A. Abdominal x-ray
- B. Barium swallow
- C. Computed tomography (CT) scan
- D. Esophagogastroduodenoscopy (EGD)
Correct answer: D
Rationale: Esophagogastroduodenoscopy (EGD) is a diagnostic test that involves visualizing the esophagus, stomach, and duodenum to diagnose ulcers.
4. After a subtotal gastrectomy, care of the client’s nasogastric tube and drainage system should include which of the following nursing interventions?
- A. Irrigate the tube with 30 ml of sterile water every hour, if needed.
- B. Reposition the tube if it is not draining well
- C. Monitor the client for N/V, and abdominal distention
- D. Turn the machine to high suction of the drainage is sluggish on low suction.
Correct answer: C
Rationale: Monitoring the client for nausea, vomiting, and abdominal distention is crucial for ensuring proper functioning of the nasogastric tube and drainage system.
5. A 40-year-old male client has been hospitalized with peptic ulcer disease. He is being treated with a histamine receptor antagonist (cimetidine), antacids, and diet. The nurse doing discharge planning will teach him that the action of cimetidine is to:
- A. Reduce gastric acid output
- B. Protect the ulcer surface
- C. Inhibit the production of hydrochloric acid (HCl)
- D. Inhibit vagus nerve stimulation
Correct answer: C
Rationale: Cimetidine inhibits the production of hydrochloric acid (HCl), which helps to treat peptic ulcer disease.
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