ATI RN
ATI Gastrointestinal System
1. A 40-year-old male client has been hospitalized with peptic ulcer disease. He is being treated with a histamine receptor antagonist (cimetidine), antacids, and diet. The nurse doing discharge planning will teach him that the action of cimetidine is to:
- A. Reduce gastric acid output
- B. Protect the ulcer surface
- C. Inhibit the production of hydrochloric acid (HCl)
- D. Inhibit vagus nerve stimulation
Correct answer: C
Rationale: Cimetidine inhibits the production of hydrochloric acid (HCl), which helps to treat peptic ulcer disease.
2. Which of the following diets is most commonly associated with colon cancer?
- A. Low-fiber, high fat
- B. Low-fat, high-fiber
- C. Low-protein, high-carbohydrate
- D. Low carbohydrate, high protein
Correct answer: A
Rationale: A low-fiber, high-fat diet is most commonly associated with an increased risk of colon cancer.
3. The most important pathophysiologic factor contributing to the formation of esophageal varices is:
- A. Decreased prothrombin formation
- B. Decreased albumin formation by the liver
- C. Portal hypertension
- D. Increased central venous pressure
Correct answer: C
Rationale: Portal hypertension is the most important pathophysiologic factor contributing to the formation of esophageal varices.
4. The client with Crohn’s disease has a nursing diagnosis of acute pain. The nurse would teach the client to avoid which of the following in managing this problem?
- A. Lying supine with the legs straight
- B. Massaging the abdomen
- C. Using antispasmodic medication
- D. Using relaxation techniques
Correct answer: A
Rationale: Lying supine with the legs straight can increase abdominal tension and exacerbate pain. The client should be advised to lie with the legs bent to reduce muscle tension and discomfort.
5. A nurse is caring for a client with cirrhosis of the liver. To minimize the effects of the disorder, the nurse teaches the client about foods that are high in thiamine. The nurse determines that the client has best understanding of the dietary measures to follow of the client states an intention to increase intake of:
- A. Pork
- B. Milk
- C. Chicken
- D. Broccoli
Correct answer: A
Rationale: The client with cirrhosis needs to consume foods high in thiamine. Thiamine is present in a variety of foods of plant and animal origin. Pork products are especially rich in this vitamin. Other good food sources include nuts, whole grain cereals, and legumes. Milk contains vitamins A, D, and B2. Broccoli contains vitamins C, E, and K and folic acid.
Similar Questions
Access More Features
ATI RN Basic
$69.99/ 30 days
- 5,000 Questions with answers
- All ATI courses Coverage
- 30 days access
ATI RN Premium
$149.99/ 90 days
- 5,000 Questions with answers
- All ATI courses Coverage
- 30 days access