ATI RN
ATI Gastrointestinal System Test
1. Rob is a 46 y.o. admitted to the hospital with a suspected diagnosis of Hepatitis B. He’s jaundiced and reports weakness. Which intervention will you include in his care?
- A. Regular exercise.
- B. A low-protein diet.
- C. Allow patient to select his meals.
- D. Rest period after small, frequent meals.
Correct answer: D
Rationale: For a patient with hepatitis B who is jaundiced and reports weakness, providing rest periods after small, frequent meals is important.
2. Before administering an intermittent tube feeding through a nasogastric tube, the nurse assesses for gastric residual. The nurse understands that this procedure is important to
- A. Confirm proper nasogastric tube placement.
- B. Observe gastric contents.
- C. Assess fluid and electrolyte status.
- D. Evaluate absorption of the last feeding.
Correct answer: D
Rationale: Evaluating the absorption of the last feeding is important because administration of a tube feeding to a full stomach could result in overdistention, thus predisposing the client to regurgitation and possible aspiration.
3. The nurse develops a plan of care for a client with a T tube. Which one of the following nursing interventions should be included?
- A. Inspect skin around the T tube daily for irritation.
- B. Irrigate the T tube every 4 hours to maintain patency.
- C. Maintain the client in a supine position while the T tube is in place.
- D. Keep the T tube clamped except during mealtimes.
Correct answer: A
Rationale: The correct nursing intervention to include in the plan of care for a client with a T tube is to inspect the skin around the T tube daily for irritation. Bile is erosive and can cause skin irritation, so it is crucial to keep the skin clean and dry. T tubes are not routinely irrigated; irrigation is done only with a physician's order. It is unnecessary to maintain the client in a supine position; instead, assist the client into a position of comfort. T tubes are not typically clamped unless ordered by a physician, and if clamped, it is usually done 1 to 2 hours before and after meals.
4. Which of the following tasks should be included in the immediate postoperative management of a client who has undergone gastric resection?
- A. Monitoring gastric pH to detect complications
- B. Assessing for bowel sounds
- C. Providing nutritional support
- D. Monitoring for symptoms of hemorrhage
Correct answer: D
Rationale: Monitoring for symptoms of hemorrhage is a crucial part of the immediate postoperative management of a client who has undergone gastric resection.
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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