ATI RN
ATI Gastrointestinal System Quizlet
1. A client presents to the emergency room, reporting that he has been vomiting every 30 to 40 minutes for the past 8 hours. Frequent vomiting puts him at risk for which of the following?
- A. Metabolic acidosis with hyperkalemia
- B. Metabolic acidosis with hypokalemia
- C. Metabolic alkalosis with hyperkalemia
- D. Metabolic alkalosis with hypokalemia
Correct answer: D
Rationale: Frequent vomiting can lead to metabolic alkalosis with hypokalemia due to the loss of stomach acid and electrolytes.
2. In a client with Crohn’s disease, which of the following symptoms should not be a direct result from antibiotic therapy?
- A. Decrease in bleeding
- B. Decrease in temperature
- C. Decrease in body weight
- D. Decrease in the number of stools
Correct answer: C
Rationale: Decrease in body weight is not a direct result of antibiotic therapy but may occur due to the underlying disease process.
3. A client with peptic ulcer disease tells the nurse that he has black stools, which he has not reported to his physician. Based on this information, which nursing diagnosis would be appropriate for this client?
- A. Ineffective coping related to fear of diagnosis of chronic illness
- B. Deficient knowledge related to unfamiliarity with significant signs and symptoms
- C. Constipation related to decreased gastric motility
- D. Imbalanced nutrition: Less than body requirements due to gastric bleeding
Correct answer: B
Rationale: Deficient knowledge related to unfamiliarity with significant signs and symptoms is appropriate because the client did not report the black stools, which can be a sign of bleeding.
4. If a client had irritable bowel syndrome, which of the following diagnostic tests would determine if the diagnosis is Crohn’s disease or ulcerative colitis?
- A. Abdominal computed tomography (CT) scan
- B. Abdominal x-ray
- C. Barium swallow
- D. Colonoscopy with biopsy
Correct answer: D
Rationale: A colonoscopy with biopsy is the most definitive diagnostic test to differentiate between Crohn's disease and ulcerative colitis.
5. A client with which of the following conditions may be likely to develop rectal cancer?
- A. Adenomatous polyps
- B. Diverticulitis
- C. Hemorrhoids
- D. Peptic ulcer disease
Correct answer: A
Rationale: Adenomatous polyps are a known risk factor for the development of rectal cancer.
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