ATI RN
Gastrointestinal System ATI
1. George has a T tube in place after gallbladder surgery. Before discharge, what information or instructions should be given regarding the T tube drainage?
- A. If there is any drainage, notify the surgeon immediately.
- B. The drainage will decrease daily until the bile duct heals.
- C. First, the drainage is dark green; then it becomes dark yellow.
- D. If the drainage stops, milk the tube toward the puncture wound.
Correct answer: B
Rationale: Before discharge, inform the patient that the drainage will decrease daily until the bile duct heals.
2. Which of the following diagnostic tests may be performed to determine if a client has gastric cancer?
- A. Barium enema
- B. Colonoscopy
- C. Gastroscopy
- D. Serum chemistry levels
Correct answer: C
Rationale: A gastroscopy is performed to visualize the stomach lining and obtain biopsies to diagnose gastric cancer.
3. Dark, tarry stools indicate bleeding in which location of the GI tract?
- A. Upper colon.
- B. Lower colon.
- C. Upper GI tract.
- D. Small intestine.
Correct answer: C
Rationale: Dark, tarry stools indicate bleeding in the upper GI tract.
4. Glenda has cholelithiasis (gallstones). You expect her to complain of:
- A. Pain in the right upper quadrant, radiating to the shoulder.
- B. Pain in the right lower quadrant, with rebound tenderness.
- C. Pain in the left upper quadrant, with shortness of breath.
- D. Pain in the left lower quadrant, with mild cramping.
Correct answer: A
Rationale: Patients with cholelithiasis often complain of pain in the right upper quadrant, radiating to the shoulder.
5. Which of the following dietary measures would be useful in preventing esophageal reflux?
- A. Eating small, frequent meals
- B. Increasing fluid intake
- C. Avoiding air swallowing with meals
- D. Adding a bedtime snack to the dietary plan
Correct answer: A
Rationale: Eating small, frequent meals helps prevent esophageal reflux.
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