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. Your teaching Anthony how to use his new colostomy. How much skin should remain exposed between the stoma and the ring of the appliance?
- A. 1/16”
- B. 1/4″
- C. 1/2”
- D. 1”
Correct answer: A
Rationale: When teaching a patient how to use a colostomy, only 1/16” of skin should remain exposed between the stoma and the ring of the appliance to prevent skin irritation.
3. 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.
4. 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.
5. A patient has an acute upper GI hemorrhage. Your interventions include:
- A. Treating hypovolemia.
- B. Treating hypervolemia.
- C. Controlling the bleeding source.
- D. Treating shock and diagnosing the bleeding source.
Correct answer: D
Rationale: For a patient with an acute upper GI hemorrhage, your interventions include treating shock and diagnosing the bleeding source.
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