ATI RN
ATI Gastrointestinal System Test
1. During the assessment of a client’s mouth, the nurse notes the absence of saliva. The client is also complaining of pain near the area of the ear. The client has been NPO for several days because of the insertion of an NG tube. Based on these findings, the nurse suspects that the client is developing which of the following mouth conditions?
- A. Stomatitis
- B. Oral candidiasis
- C. Parotitis
- D. Gingivitis
Correct answer: C
Rationale: The correct answer is C, Parotitis. Parotitis, inflammation of the parotid glands, can occur due to the absence of saliva and dehydration, often associated with being NPO and having an NG tube. Stomatitis (choice A) is inflammation of the oral mucosa, not specifically related to absent saliva. Oral candidiasis (choice B) is a fungal infection that can occur in the mouth, not directly related to the absence of saliva. Gingivitis (choice D) is inflammation of the gums and is not typically associated with the absence of saliva and dehydration.
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. Eleanor, a 62 y.o. woman with diverticulosis is your patient. Which interventions would you expect to include in her care?
- A. Low-fiber diet and fluid restrictions.
- B. Total parenteral nutrition and bed rest.
- C. High-fiber diet and administration of psyllium.
- D. Administration of analgesics and antacids.
Correct answer: C
Rationale: Care for a patient with diverticulosis includes a high-fiber diet and administration of psyllium.
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. Hepatic encephalopathy develops when the blood level of which substance increases?
- A. Ammonia
- B. Amylase
- C. Calcium
- D. Potassium
Correct answer: A
Rationale: Hepatic encephalopathy develops when the blood level of ammonia increases.
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