ATI RN
ATI Gastrointestinal System Test
1. After an abdominal resection for colon cancer, Madeline returns to her room with a Jackson-Pratt drain in place. The purpose of the drain is to:
- A. Irrigate the incision with a saline solution.
- B. Prevent bacterial infection of the incision.
- C. Measure the amount of fluid lost after surgery.
- D. Prevent accumulation of drainage in the wound.
Correct answer: D
Rationale: The purpose of the Jackson-Pratt drain is to prevent the accumulation of drainage in the wound after an abdominal resection.
2. 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.
3. You’re developing the plan of care for a patient experiencing dumping syndrome after a Billroth II procedure. Which dietary instructions do you include?
- A. Omit fluids with meals.
- B. Increase carbohydrate intake.
- C. Decrease protein intake.
- D. Decrease fat intake.
Correct answer: A
Rationale: To manage dumping syndrome, it is important to omit fluids with meals to slow gastric emptying.
4. A patient with chronic alcohol abuse is admitted with liver failure. You closely monitor the patient’s blood pressure because of which change that is associated with the liver failure?
- A. Hypoalbuminemia
- B. Increased capillary permeability
- C. Abnormal peripheral vasodilation
- D. Excess rennin release from the kidneys
Correct answer: C
Rationale: Abnormal peripheral vasodilation is a change associated with liver failure that requires close monitoring of the patient's blood pressure.
5. You are developing a careplan on Sally, a 67 y.o. patient with hepatic encephalopathy. Which of the following do you include?
- A. Administering a lactulose enema as ordered.
- B. Encouraging a protein-rich diet.
- C. Administering sedatives, as necessary.
- D. Encouraging ambulation at least four times a day.
Correct answer: A
Rationale: Administering a lactulose enema as ordered helps reduce ammonia levels in patients with hepatic encephalopathy.
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