ATI RN
ATI Gastrointestinal System Quizlet
1. Radiation therapy is used to treat colon cancer before surgery for which of the following reasons?
- A. Reducing the size of the tumor
- B. Eliminating the malignant cells
- C. Curing the cancer
- D. Helping the bowel heal after surgery
Correct answer: A
Rationale: Radiation therapy is used before surgery to reduce the size of the tumor, making it easier to remove.
2. A 53 y.o. patient has undergone a partial gastrectomy for adenocarcinoma of the stomach. An NG tube is in place and is connected to low continuous suction. During the immediate postoperative period, you expect the gastric secretions to be which color?
- A. Brown.
- B. Clear.
- C. Red.
- D. Yellow.
Correct answer: C
Rationale: During the immediate postoperative period after a partial gastrectomy, gastric secretions are expected to be red.
3. You’re patient is complaining of abdominal pain during assessment. What is your priority?
- A. Auscultate to determine changes in bowel sounds.
- B. Observe the contour of the abdomen.
- C. Palpate the abdomen for a mass.
- D. Percuss the abdomen to determine if fluid is present.
Correct answer: A
Rationale: When a patient is complaining of abdominal pain, the priority is to auscultate to determine changes in bowel sounds.
4. Findings during an endoscopic exam include a cobblestone appearance of the colon in your patient. The findings are characteristic of which disorder?
- A. Ulcer
- B. Crohn’s disease
- C. Chronic gastritis
- D. Ulcerative colitis
Correct answer: B
Rationale: The cobblestone appearance of the colon is characteristic of Crohn’s disease.
5. A client with a peptic ulcer is scheduled for a vagotomy. The client asks the nurse about the purpose of this procedure. The nurse tells the client that the procedure:
- A. Decreases food absorption in the stomach
- B. Heals the gastric mucosa
- C. Halts stress reactions
- D. Reduces the stimulus to acid secretions
Correct answer: D
Rationale: A vagotomy reduces the stimulus to acid secretions by cutting the vagus nerve, which innervates the stomach.
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