ATI RN
ATI Gastrointestinal System Test
1. A patient has an acute upper GI hemorrhage. Your interventions include:
- A. Treating hypovolemia.
- B. Treating hypervolemia.
- C. Controlling the bleeding source.
- D. Treating shock and diagnosing the bleeding source.
Correct answer: D
Rationale: For a patient with an acute upper GI hemorrhage, your interventions include treating shock and diagnosing the bleeding source.
2. What specific instructions should the nurse provide to ensure proper administration of alendronate (Fosamax) for the treatment of osteoporosis?
- A. Take the medication with a full glass of water and remain upright for at least 30 minutes.
- B. Take the medication at bedtime to ensure absorption during sleep.
- C. Take the medication with milk to enhance calcium absorption.
- D. Take the medication with food to prevent gastrointestinal upset.
Correct answer: A
Rationale: The correct answer is to take the medication with a full glass of water and remain upright for at least 30 minutes. This is important to prevent esophageal irritation and ensure proper absorption. Choice B is incorrect because alendronate should be taken in the morning on an empty stomach, at least 30 minutes before eating or drinking anything other than water. Choice C is incorrect because alendronate should not be taken with milk as it can interfere with its absorption. Choice D is incorrect because alendronate should be taken on an empty stomach, not with food.
3. A client requests information on the use of Feverfew. Which of the following responses should the nurse make?
- A. It is used to treat skin infections.
- B. It can decrease the frequency of migraine headaches.
- C. It can lessen nasal congestion in the common cold.
- D. It can relieve nausea of morning sickness during pregnancy.
Correct answer: B
Rationale: The correct response is B: Feverfew is commonly used to decrease the frequency of migraine headaches. However, it is important to note that it has not been proven to relieve an existing migraine headache. Choices A, C, and D are incorrect as Feverfew is not typically used for treating skin infections, lessening nasal congestion in the common cold, or relieving nausea of morning sickness during pregnancy.
4. When should a critical pathway be revised?
- A. When variances show a new trend.
- B. When the variances show a new trend.
- C. When a member of the team retires.
- D. When the client leaves the hospital.
Correct answer: B
Rationale: A critical pathway should be revised when variances in the patient's progress indicate a new trend or deviation from the expected course of treatment. This allows healthcare providers to adjust the pathway to ensure optimal patient care and outcomes. Changes in the critical pathway are not typically driven by its length or external factors like team member retirements or client discharges. Therefore, the correct answer is B. Choice A is a better phrasing of the correct answer, emphasizing the importance of variances showing a new trend. Choices C and D are irrelevant to the patient's progress and treatment plan, making them incorrect.
5. Does the diaphragm separate the thoracic and abdominopelvic cavities?
- A. True
- B. False
- C. Not Sure
- D. None of the above
Correct answer: A
Rationale: The correct answer is A: True. The diaphragm is a dome-shaped muscle that separates the thoracic cavity, which contains the heart and lungs, from the abdominopelvic cavity, which contains organs such as the stomach, liver, and intestines. It plays a crucial role in breathing by contracting and relaxing to help with the process of respiration. Therefore, the statement is accurate. Choice B is incorrect because the diaphragm indeed separates these two cavities. Choice C is incorrect as the information provided allows one to determine the correct answer. Choice D is incorrect as the correct answer is 'True.'
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