ATI RN
ATI Gastrointestinal System Test
1. Sharon has cirrhosis of the liver and develops ascites. What intervention is necessary to decrease the excessive accumulation of serous fluid in her peritoneal cavity?
- A. Restrict fluids
- B. Encourage ambulation
- C. Increase sodium in the diet
- D. Give antacids as prescribed
Correct answer: A
Rationale: Restricting fluids is necessary to decrease the excessive accumulation of serous fluid in the peritoneal cavity for a patient with ascites due to cirrhosis.
2. Gail is scheduled for a cholecystectomy. After completion of preoperative teaching, Gail states,”If I lie still and avoid turning after the operation, I’ll avoid pain. Do you think this is a good idea?” What is the best response?
- A. You’ll need to turn from side to side every 2 hours.
- B. It’s always a good idea to rest quietly after surgery.
- C. The doctor will probably order you to lie flat for 24 hours.
- D. Why don’t you decide about activity after you return from the recovery room?
Correct answer: A
Rationale: The best response to Gail is to inform her that she will need to turn from side to side every 2 hours to prevent complications.
3. 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.
4. Your goal is to minimize David’s risk of complications after a heriorrhaphy. You instruct the patient to:
- A. Avoid the use of pain medication.
- B. Cough and deep breathe Q2H.
- C. Splint the incision if he can’t avoid sneezing or coughing.
- D. Apply heat to scrotal swelling.
Correct answer: C
Rationale: Instruct the patient to splint the incision if he can't avoid sneezing or coughing to minimize the risk of complications after heriorrhaphy.
5. The client being seen in a physician’s office has just been scheduled for a barium swallow the next day. The nurse writes down which of the following instructions for the client to follow before the test?
- A. Fast for 8 hours before the test
- B. Eat a regular supper and breakfast
- C. Continue to take all oral medications as scheduled.
- D. Monitor own bowel movement pattern for constipation
Correct answer: A
Rationale: Fasting for 8 hours ensures that the stomach is empty, which is necessary for an accurate barium swallow test.
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