ATI RN
ATI Gastrointestinal System
1. The physician orders a Salem sump tube for gastrointestinal intubation. The nurse prepares for the insertion and obtains which of the following items from the supply room?
- A. A tube with a single lumen that connects to suction
- B. A tube with a large lumen and an air vent
- C. A Sengstaken-Blakemore tube
- D. A Dobbhoff weighted tube
Correct answer: B
Rationale: A tube with a large lumen and an air vent is a Salem sump tube. A tube with a single lumen is called a Levin’s tube. A Sengstaken-Blakemore tube is used to control bleeding in the esophagus. A Dobbhoff weighted tube is used for feedings.
2. The nurse is reviewing the medication record of a client with acute gastritis. Which medication, if noted on the client’s record, would the nurse question?
- A. Digoxin (Lanoxin)
- B. Indomethacin (Indocin)
- C. Furosemide (Lasix)
- D. Propranolol hydrochloride (Inderal)
Correct answer: B
Rationale: Indomethacin (Indocin) is an NSAID that can aggravate acute gastritis and should be questioned.
3. A client being treated for chronic cholecystitis should be given which of the following instructions?
- A. Increase rest
- B. Avoid antacids
- C. Increase protein in diet
- D. Use anticholinergics as prescribed
Correct answer: D
Rationale: Using anticholinergics as prescribed can help manage the symptoms of chronic cholecystitis.
4. A client has been diagnosed with adenocarcinoma of the stomach and is scheduled to undergo a subtotal gastrectomy (Billroth II procedure). During pre-operative teaching, the nurse is reinforcing information about the procedure. Which of the following explanations is most accurate?
- A. The procedure will result in enlargement of the pyloric sphincter
- B. The procedure will result in anastomosis of the gastric stump to the jejunum
- C. The procedure will result in removal of the duodenum
- D. The procedure will result in repositioning of the vagus nerve
Correct answer: B
Rationale: The Billroth II procedure involves anastomosis of the gastric stump to the jejunum.
5. The client is admitted to the hospital for treatment of acute hepatitis B. Which activity order would the nurse expect to be prescribed?
- A. Bedrest
- B. Encourage ambulation
- C. Out of bed in a chair
- D. No activity restrictions
Correct answer: A
Rationale: Fatigue is a normal response to hepatic cellular damage. During the acute stage, rest is an essential intervention to reduce the metabolic demands on the liver and its blood supply.
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