ATI RN
ATI Gastrointestinal System
1. After a subtotal gastrectomy, care of the client’s nasogastric tube and drainage system should include which of the following nursing interventions?
- A. Irrigate the tube with 30 ml of sterile water every hour, if needed.
- B. Reposition the tube if it is not draining well
- C. Monitor the client for N/V, and abdominal distention
- D. Turn the machine to high suction of the drainage is sluggish on low suction.
Correct answer: C
Rationale: Monitoring the client for nausea, vomiting, and abdominal distention is crucial for ensuring proper functioning of the nasogastric tube and drainage system.
2. What assessment question will provide information to the healthcare provider regarding the effects of a woman's circadian rhythms on her quality of life?
- A. How much sleep do you usually get each night?
- B. Does your heart ever seem to skip a beat?
- C. When was the last time you had a fever?
- D. Do you have problems urinating?
Correct answer: A
Rationale: The correct assessment question to understand the effects of a woman's circadian rhythms on her quality of life is to inquire about her sleep duration. Circadian rhythms significantly influence sleep patterns, so knowing how much sleep she usually gets each night can provide valuable insight into potential circadian rhythm disturbances and their impact on her overall well-being.
3. Newborn Mariana, who reacts strongly to unpleasant stimuli, is __________.
- A. probably easy to console
- B. susceptible to colic
- C. likely to spend less time in REM sleep
- D. unlikely to respond to swaddling
Correct answer: B
Rationale: Newborn Mariana, who reacts strongly to unpleasant stimuli, is described as susceptible to colic. Colic is often characterized by excessive crying and fussiness in newborn babies, which can be challenging to console. This description suggests that Mariana's strong reactions to unpleasant stimuli may make her more prone to colic. Choices A, C, and D are incorrect because the strong reactions to unpleasant stimuli do not imply being easy to console, affect REM sleep, or responsiveness to swaddling.
4. A nurse is caring for a client who has a fecal impaction. Which action should the nurse take when digitally evacuating the stool?
- A. Insert a lubricated gloved finger and advance along the rectal wall
- B. Apply lubricant and stimulate peristalsis
- C. Apply pressure to the abdomen to assist with removal
- D. Increase fluid intake before the procedure
Correct answer: A
Rationale: The correct action when digitally evacuating a fecal impaction is to insert a lubricated gloved finger and advance along the rectal wall. This technique helps prevent trauma and effectively dislodge the impacted stool. Choice B, applying lubricant and stimulating peristalsis, is incorrect as it does not directly address the evacuation of the impacted stool. Choice C, applying pressure to the abdomen, is inappropriate and may cause discomfort or harm to the client. Choice D, increasing fluid intake before the procedure, is not directly related to the immediate evacuation of the fecal impaction.
5. A nurse is caring for a client and realizes they have administered the wrong medication. Which of the following actions should the nurse take first?
- A. Notify the provider
- B. Check the condition of the client
- C. Document the occurrence in the electronic medical record
- D. Complete an incident report
Correct answer: B
Rationale: The correct answer is to 'Check the condition of the client' first. When a medication error occurs, the nurse's initial priority should be to assess the client's condition to address any immediate harm or side effects. Notifying the provider can come after ensuring the client's safety. Documenting the occurrence in the electronic medical record and completing an incident report are important steps but should follow the assessment of the client's condition to prioritize patient safety.
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