ATI RN
ATI Gastrointestinal System Test
1. Before bowel surgery, Lee is to administer enemas until clear. During administration, he complains of intestinal cramps. What do you do next?
- A. Discontinue the procedure.
- B. Lower the height of the enema container.
- C. Complete the procedure as quickly as possible.
- D. Continue administration of the enema as ordered without making any adjustments.
Correct answer: B
Rationale: If a patient complains of intestinal cramps during an enema, lowering the height of the enema container can help reduce discomfort.
2. Dark, tarry stools indicate bleeding in which location of the GI tract?
- A. Upper colon.
- B. Lower colon.
- C. Upper GI tract.
- D. Small intestine.
Correct answer: C
Rationale: Dark, tarry stools indicate bleeding in the upper GI tract.
3. Jason, a 22 y.o. accident victim, requires an NG tube for feeding. What should you immediately do after inserting an NG tube for liquid enteral feedings?
- A. Aspirate for gastric secretions with a syringe.
- B. Begin feeding slowly to prevent cramping.
- C. Get an X-ray of the tip of the tube within 24 hours.
- D. Clamp off the tube until the feedings begin.
Correct answer: A
Rationale: Immediately after inserting an NG tube for enteral feedings, aspirate for gastric secretions to confirm proper placement.
4. You’re patient is complaining of abdominal pain during assessment. What is your priority?
- A. Auscultate to determine changes in bowel sounds.
- B. Observe the contour of the abdomen.
- C. Palpate the abdomen for a mass.
- D. Percuss the abdomen to determine if fluid is present.
Correct answer: A
Rationale: When a patient is complaining of abdominal pain, the priority is to auscultate to determine changes in bowel sounds.
5. Sitty, a 66 y.o. patient underwent a colostomy for ruptured diverticulum. She did well during the surgery and returned to your med-surg floor in stable condition. You assess her colostomy 2 days after surgery. Which finding do you report to the doctor?
- A. Blanched stoma
- B. Edematous stoma
- C. Reddish-pink stoma
- D. Brownish-black stoma
Correct answer: A
Rationale: A blanched stoma 2 days after colostomy surgery should be reported to the doctor as it may indicate compromised blood flow.
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