ATI RN
ATI Gastrointestinal System Test
1. You promote hemodynamic stability in a patient with upper GI bleeding by:
- A. Encouraging oral fluid intake.
- B. Monitoring central venous pressure.
- C. Monitoring laboratory test results and vital signs.
- D. Giving blood, electrolyte and fluid replacement.
Correct answer: D
Rationale: Promoting hemodynamic stability in a patient with upper GI bleeding involves giving blood, electrolyte, and fluid replacement.
2. Sharon has cirrhosis of the liver and develops ascites. What intervention is necessary to decrease the excessive accumulation of serous fluid in her peritoneal cavity?
- A. Restrict fluids
- B. Encourage ambulation
- C. Increase sodium in the diet
- D. Give antacids as prescribed
Correct answer: A
Rationale: Restricting fluids is necessary to decrease the excessive accumulation of serous fluid in the peritoneal cavity for a patient with ascites due to cirrhosis.
3. Arthur has a family history of colon cancer and is scheduled to have a sigmoidoscopy. He is crying as he tells you, “I know that I have colon cancer, too.” Which response is most therapeutic?
- A. I know just how you feel.
- B. You seem upset.
- C. Oh, don’t worry about it, everything will be just fine.
- D. Why do you think you have cancer?
Correct answer: B
Rationale: Acknowledging the patient's emotions with 'You seem upset' is the most therapeutic response.
4. Janice is waiting for discharge instructions after her herniorrhaphy. Which of the following instructions do you include?
- A. Eat a low-fiber diet.
- B. Resume heavy lifting in 2 weeks.
- C. Lose weight, if obese.
- D. Resume sexual activity once discomfort is gone.
Correct answer: C
Rationale: Advise the patient to lose weight if obese to reduce the risk of complications after herniorrhaphy.
5. Stephen is a 62 y.o. patient that has had a liver biopsy. Which of the following groups of signs alert you to a possible pneumothorax?
- A. Dyspnea and reduced or absent breath sounds over the right lung
- B. Tachycardia, hypotension, and cool, clammy skin
- C. Fever, rebound tenderness, and abdominal rigidity
- D. Redness, warmth, and drainage at the biopsy site
Correct answer: A
Rationale: Dyspnea and reduced or absent breath sounds over the right lung are signs of a possible pneumothorax.
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