ATI RN
ATI Gastrointestinal System Test
1. Ralph has a history of alcohol abuse and has acute pancreatitis. Which lab value is most likely to be elevated?
- A. Calcium
- B. Glucose
- C. Magnesium
- D. Potassium
Correct answer: B
Rationale: In a patient with acute pancreatitis and a history of alcohol abuse, glucose levels are most likely to be elevated.
2. You’re caring for Lewis, a 67 y.o. patient with liver cirrhosis who develops ascites and requires paracentesis. Relief of which symptom indicated that the paracentesis was effective?
- A. Pruritus
- B. Dyspnea
- C. Jaundice
- D. Peripheral Neuropathy
Correct answer: B
Rationale: Dyspnea relief indicates that the paracentesis was effective in reducing ascites.
3. 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.
4. 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.
5. You’re preparing a patient with a malignant tumor for colorectal surgery and subsequent colostomy. The patient tells you he’s anxious. What should your initial step be in working with this patient?
- A. Determine what the patient already knows about colostomies.
- B. Show the patient some pictures of colostomies.
- C. Arrange for someone who has a colostomy to visit the patient.
- D. Provide the patient with written material about colostomy care.
Correct answer: A
Rationale: When a patient with a malignant tumor is anxious about colorectal surgery and a colostomy, the initial step is to determine what the patient already knows about colostomies.
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