ATI RN
ATI Gastrointestinal System
1. A client with suspected gastric cancer undergoes an endoscopy of the stomach. Which of the following assessments made after the procedure would indicate the development of a potential complication?
- A. The client complains of a sore throat
- B. The client displays signs of sedation
- C. The client experiences a sudden increase in temperature
- D. The client demonstrates a lack of appetite
Correct answer: C
Rationale: A sudden increase in temperature after an endoscopy can indicate a potential complication, such as perforation.
2. Which best describes a key principle of public health?
- A. Focusing on individual health behaviors
- B. Addressing the social determinants of health
- C. Reducing health care costs
- D. Increasing access to health services
Correct answer: B
Rationale: A key principle of public health is addressing the social determinants of health, which include factors like socioeconomic status, education, and environment. By focusing on these determinants, public health initiatives aim to improve overall health outcomes for entire populations, rather than just individual health behaviors. This approach helps in creating a healthier society and preventing diseases at a broader level.
3. A nurse manager is planning to promote client advocacy among staff in a medical unit. Which of the following actions should the nurse take?
- A. Encourage staff to implement the principle of paternalism when a client is having difficulty making a choice
- B. Tell staff to explain procedures to clients before obtaining informed consent
- C. Instruct unit staff to share personal experiences to help clients make decisions
- D. Develop a system for staff members to report safety concerns in the client care environment
Correct answer: D
Rationale: The correct answer is D. Developing a system for staff members to report safety concerns in the client care environment is crucial to promoting client advocacy and ensuring client safety. This action empowers staff to identify and address potential safety issues, ultimately enhancing the quality of care provided. Choices A, B, and C are incorrect. Choice A suggests implementing paternalism, which involves making decisions for clients without their input, contradicting the principles of client advocacy. Choice B focuses on informed consent procedures, which are important but do not directly relate to promoting client advocacy among staff. Choice C, sharing personal experiences, may not always align with professional boundaries and can potentially bias clients' decision-making processes.
4. A nurse is providing education to a client who is experiencing dumping syndrome following gastric surgery. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should drink additional fluids with my meals.
- B. I should eat high-fiber snacks between meals.
- C. I should eat a protein source with each meal.
- D. I can have caffeinated beverages in small amounts.
Correct answer: C
Rationale: Eating a protein source with each meal can help manage dumping syndrome by slowing gastric emptying and reducing symptoms.
5. In addition to matching ABO antigens, a blood transfusion must also be matched for:
- A. HLA type
- B. Rh antigen
- C. Immunoglobulins
- D. Platelet compatibility
Correct answer: B
Rationale: The correct answer is B: Rh antigen. In addition to ABO antigens, Rh antigen must also be matched for a blood transfusion. Rh antigen compatibility is crucial to prevent adverse reactions. Choice A, HLA type, is not directly related to blood transfusions but plays a role in organ transplantation. Choice C, Immunoglobulins, are not typically matched for blood transfusions. Choice D, Platelet compatibility, while important in specific cases, is not a standard requirement for all blood transfusions.
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