ATI RN
Gastrointestinal System ATI
1. Christina is receiving an enteral feeding that requires a concentration of 80ml of supplement mixed with 20 ml of water. How much water do you mix with an 8 oz (240ml) can of feeding?
- A. 60 ml.
- B. 70 ml.
- C. 80 ml.
- D. 90 ml.
Correct answer: A
Rationale: For an 8 oz (240 ml) can of feeding, mix 60 ml of water to achieve the required concentration.
2. While caring for a client with peptic ulcer disease, the client reports that he has been nauseated most of the day and is now feeling lightheaded and dizzy. Based upon these findings, which nursing actions would be most appropriate for the nurse to take?
- A. Administering an antacid hourly until nausea subsides.
- B. Monitoring the client's vital signs
- C. Notifying the family and friends of the client's symptoms
- D. Initiating oxygen therapy
Correct answer: B
Rationale: Monitoring the client's vital signs and notifying the physician of the client's symptoms are crucial actions based on the reported symptoms.
3. A client with rectal cancer may exhibit which of the following symptoms?
- A. Abdominal fullness
- B. Gastric fullness
- C. Rectal bleeding
- D. Right upper quadrant pain
Correct answer: C
Rationale: Rectal bleeding is a common symptom in clients with rectal cancer.
4. A client with gastric cancer can expect to have surgery for resection. Which of the following should be the nursing management priority for the preoperative client with gastric cancer?
- A. Discharge planning
- B. Correction of nutritional deficits
- C. Prevention of DVT
- D. Instruction regarding radiation treatment
Correct answer: B
Rationale: The priority for preoperative management of a client with gastric cancer is the correction of nutritional deficits.
5. Which of the following associated disorders may a client with ulcerative colitis exhibit?
- A. Gallstones
- B. Hydronephrosis
- C. Nephrolithiasis
- D. Toxic megacolon
Correct answer: D
Rationale: Toxic megacolon is a severe complication that may be exhibited by a client with ulcerative colitis.
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