ATI RN
ATI Gastrointestinal System Test
1. Develop a teaching care plan for Angie who is about to undergo a liver biopsy. Which of the following points do you include?
- A. You’ll need to lie on your stomach during the test.
- B. You’ll need to lie on your right side after the test.
- C. During the biopsy you’ll be asked to exhale deeply and hold it.
- D. The biopsy is performed under general anesthesia.
Correct answer: B
Rationale: Instruct the patient to lie on their right side after the biopsy to apply pressure and prevent bleeding.
2. Which of the following areas is the most common site of fistulas in clients with Crohn’s disease?
- A. Anorectal
- B. Ileum
- C. Rectovaginal
- D. Transverse colon
Correct answer: A
Rationale: The anorectal area is the most common site of fistulas in clients with Crohn's disease.
3. The nurse evaluates the client’s stoma during the initial post-op period. Which of the following observations should be reported immediately to the physician?
- A. The stoma is slightly edematous
- B. The stoma is dark red to purple
- C. The stoma oozes a small amount of blood
- D. The stoma does not expel stool
Correct answer: B
Rationale: A dark red to purple stoma may indicate compromised blood flow or ischemia, which requires immediate medical attention. This color change could be a sign of inadequate blood supply to the stoma tissue, leading to tissue damage or necrosis. Reporting this observation promptly is crucial to prevent further complications. Choices A, C, and D are not indicative of immediate medical concern. A slightly edematous stoma, oozing a small amount of blood, or not expelling stool may not be uncommon findings during the initial post-op period and can be managed without urgent intervention.
4. A client has a percutaneous endoscopic gastrostomy tube inserted for tube feedings. Before starting a continuous feeding, the nurse should place the client in which position?
- A. Semi-Fowlers
- B. Supine
- C. Reverse Trendelenburg
- D. High Fowler’s
Correct answer: D
Rationale: Placing the client in a high Fowler’s position helps prevent aspiration and promotes proper digestion and feeding tube function.
5. A client has been diagnosed with gastroesophageal reflux disease. The nurse interprets that the client has dysfunction of which of the following parts of the digestive system?
- A. Chief cells of the stomach
- B. Parietal cells of the stomach
- C. Lower esophageal sphincter
- D. Upper esophageal sphincter
Correct answer: C
Rationale: The lower esophageal sphincter is a functional sphincter that normally remains closed except when food or fluids are swallowed. If relaxation of this sphincter occurs, the client could experience symptoms of gastroesophageal reflux disease.
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