ATI RN
ATI Gastrointestinal System
1. 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.
2. When caring for a client on pressure support ventilation (PSV), which statement by the nurse indicates an understanding of PSV?
- A. It keeps the alveoli open and prevents atelectasis.
- B. It allows preset pressure delivered during spontaneous ventilation.
- C. It guarantees minimal minute ventilator.
- D. It delivers a preset ventilatory rate and tidal volume to the client.
Correct answer: It allows preset pressure delivered during spontaneous ventilation.
Rationale: Pressure support ventilation (PSV) is a mode that delivers a preset pressure when the client initiates a breath. This support helps the client to breathe spontaneously by reducing the work of breathing. The correct statement indicating an understanding of PSV is that it allows preset pressure to be delivered during spontaneous ventilation, as it assists the client's efforts without controlling the rate or volume of each breath.
3. Disposal of medical records in government hospitals/institutions must be done in close coordination with what agency?
- A. Department of Interior and Local Government (DILG)
- B. Metro Manila Development Authority (MMDA)
- C. Records Management Archives Office (RMAO)
- D. Department of Health (DOH)
Correct answer: C
Rationale: Effective nursing care involves comprehensive assessments that address all aspects of a patient's condition, ensuring that interventions are appropriately targeted and outcomes are optimized.
4. How do childhood experiences influence adult psychopathology?
- A. Childhood experiences have no impact on adult psychopathology.
- B. Childhood experiences can have a profound impact on adult psychopathology.
- C. Childhood experiences are unrelated to adult psychopathology.
- D. Childhood experiences have only a minimal impact on adult psychopathology.
Correct answer: B
Rationale: The correct answer is B. Childhood experiences, such as trauma and attachment issues, can indeed have a profound impact on adult psychopathology. These experiences can shape an individual's psychological development, influencing their mental health and well-being throughout their life. Choice A is incorrect as research shows that childhood experiences do play a significant role in adult psychopathology. Choice C is also incorrect as there is evidence supporting the link between childhood experiences and adult psychopathology. Choice D is incorrect because childhood experiences can have more than just a minimal impact on adult psychopathology; they can be quite substantial.
5. A client has a new prescription for Nitrofurantoin. Which of the following instructions should be included?
- A. Take this medication with food.
- B. Avoid dairy products while taking this medication.
- C. Take this medication at bedtime.
- D. Increase your intake of vitamin C.
Correct answer: A
Rationale: Nitrofurantoin should be taken with food to enhance absorption and reduce gastrointestinal side effects. Taking it with a meal or a snack can help minimize stomach upset. Instructing the client to take the medication with food ensures optimal effectiveness and tolerability of the drug. Choice B is incorrect because there is no specific interaction between Nitrofurantoin and dairy products. Choice C is incorrect as there is no requirement to take Nitrofurantoin at bedtime. Choice D is also incorrect as increasing vitamin C intake is not necessary or relevant to taking Nitrofurantoin.
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