ATI RN
Gastrointestinal System Nursing Exam Questions
1. A client with ulcerative colitis is diagnosed with a mild case of the disease. The nurse doing dietary teaching gives the client examples of foods to eat that represent which of the following therapeutic diets?
- A. High-fat with milk
- B. High-protein without milk
- C. Low-roughage without milk
- D. Low-roughage with milk
Correct answer: C
Rationale: The client with a mild case of ulcerative colitis is often advised to follow a diet low in roughage and avoid milk. This dietary approach helps reduce the frequency of diarrhea in these clients. Therefore, the correct therapeutic diet for the client with ulcerative colitis in this scenario is a low-roughage diet without milk. Choices A, B, and D are incorrect because high-fat, high-protein, and low-roughage with milk diets are not typically recommended for clients with ulcerative colitis, especially those with mild cases.
2. Overweight and obesity often accompany conditions such as _____ that limit mobility or result in short stature, which can lead to feeding difficulties.
- A. Parkinson's disease
- B. muscular dystrophy
- C. Down syndrome
- D. multiple sclerosis
Correct answer: C
Rationale: The correct answer is C, Down syndrome. Down syndrome is often associated with short stature and limited mobility, which can contribute to feeding difficulties and obesity. Parkinson's disease (choice A) primarily affects motor function, but it is not typically associated with short stature. Muscular dystrophy (choice B) primarily impacts muscle strength and does not necessarily lead to short stature. Multiple sclerosis (choice D) is a neurological condition affecting the central nervous system and does not directly cause short stature or feeding difficulties as seen in Down syndrome.
3. In a routine sputum analysis, which of the following indicates proper nursing action before sputum collection?
- A. Secure a clean container
- B. Discard the container if the outside becomes soiled
- C. Rinse the client's mouth with water after collection
- D. Tell the client that 4 tablespoons of sputum are needed
Correct answer: A
Rationale: Corrected Rationale: Before sputum collection, it is crucial to use a clean container to prevent specimen contamination. This step is essential to ensure accurate test results and to avoid introducing external particles or bacteria into the sample. Choice B is incorrect because discarding the container if the outside becomes soiled is not a standard practice before collection. Choice C is incorrect as rinsing the client's mouth with Listerine after collection can introduce unnecessary substances into the specimen. Choice D is incorrect as the amount of sputum needed should be determined by the healthcare provider, not the client.
4. Which of the following is not correct?
- A. energy density is a comparison of energy (kcals) content to the weight of food
- B. if a food product contains a 15% daily value of calcium, that product is said to be a low source of calcium
- C. MyPlate illustrates the 5 food groups
- D.
Correct answer: B
Rationale: A product with 15% Daily Value (DV) of calcium is considered a good source, not a low source. Typically, anything 10-19% DV is considered a good source.
5. Can fluid retention cause lab values to be deceptively high, whereas dehydration may cause the values to be deceptively low?
- A. True
- B. False
- C. Not always
- D. Sometimes
Correct answer: B: False
Rationale: The statement is incorrect. Fluid retention generally results in lab values appearing deceptively low, not high, because the excess fluid dilutes the concentration of substances in the blood. Conversely, dehydration can make lab values appear deceptively high as the reduced fluid volume in the body means substances in the blood are less diluted. Choices 'C: Not always' and 'D: Sometimes' are not specific and do not directly address the statement in the question, hence they are incorrect.
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