ATI RN
ATI Gastrointestinal System Test
1. You’re performing an abdominal assessment on Brent who is 52 y.o. In which order do you proceed?
- A. Observation, percussion, palpation, auscultation
- B. Observation, auscultation, percussion, palpation
- C. Percussion, palpation, auscultation, observation
- D. Palpation, percussion, observation, auscultation
Correct answer: B
Rationale: The correct order for performing an abdominal assessment is observation, auscultation, percussion, and palpation.
2. After abdominal surgery, your patient has a severe coughing episode that causes wound evisceration. In addition to calling the doctor, which intervention is most appropriate?
- A. Irrigate the wound & organs with Betadine.
- B. Cover the wound with a saline soaked sterile dressing.
- C. Apply a dry sterile dressing & binder.
- D. Push the organs back & cover with moist sterile dressings.
Correct answer: B
Rationale: Covering the wound with a saline soaked sterile dressing is the most appropriate intervention for wound evisceration.
3. Which goal of the client’s care should take priority during the first days of hospitalization for an exacerbation of ulcerative colitis?
- A. Promoting self-care and independence
- B. Managing diarrhea
- C. Maintaining adequate nutrition
- D. Promoting rest and comfort
Correct answer: B
Rationale: Managing diarrhea should take priority during the first days of hospitalization for an exacerbation of ulcerative colitis.
4. Gail is scheduled for a cholecystectomy. After completion of preoperative teaching, Gail states,â€If I lie still and avoid turning after the operation, I’ll avoid pain. Do you think this is a good idea?†What is the best response?
- A. You’ll need to turn from side to side every 2 hours.
- B. It’s always a good idea to rest quietly after surgery.
- C. The doctor will probably order you to lie flat for 24 hours.
- D. Why don’t you decide about activity after you return from the recovery room?
Correct answer: A
Rationale: The best response to Gail is to inform her that she will need to turn from side to side every 2 hours to prevent complications.
5. You’re caring for Carin who has just had ileostomy surgery. During the first 24 hours post-op, how much drainage can you expect from the ileostomy?
- A. 100 ml
- B. 500 ml
- C. 1500 ml
- D. 5000 ml
Correct answer: C
Rationale: During the first 24 hours post-op, you can expect about 1500 ml of drainage from the ileostomy.
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