ATI RN
ATI Gastrointestinal System
1. The client with ascites is scheduled for a paracentesis. The nurse is assisting the physician in performing the procedure. Which of the following positions will the nurse assist the client to assume for this procedure?
- A. Supine
- B. Left side-lying
- C. Right side-lying
- D. Upright position.
Correct answer: D
Rationale: An upright position allows the intestine to float posteriorly and helps prevent intestinal laceration during catheter insertion.
2. What role does culture play in understanding abnormal behavior?
- A. Culture plays a minimal role in understanding abnormal behavior.
- B. Culture is essential in shaping our perceptions and definitions of abnormal behavior.
- C. Culture has little impact on the expression of abnormal behavior.
- D. Culture only affects the treatment of abnormal behavior, not its understanding.
Correct answer: B
Rationale: Culture is essential in shaping our perceptions and definitions of abnormal behavior. Choice A is incorrect because culture actually plays a significant role in understanding abnormal behavior. Choice C is incorrect as culture can have a considerable impact on how abnormal behavior is expressed. Choice D is incorrect because culture influences not only the treatment but also the understanding of abnormal behavior.
3. Which finding suggests fluid volume deficit in an infant presenting with vomiting and diarrhea for 2 days?
- A. Increased blood pressure
- B. A sunken fontanel
- C. Decreased pulse rate
- D. Low urine specific gravity
Correct answer: B
Rationale: A sunken fontanel is a classic sign of dehydration in infants, indicating a fluid volume deficit. In dehydration, the fontanel sinks due to decreased fluid volume in the body. Increased blood pressure (Choice A) is not typically associated with dehydration in infants. Decreased pulse rate (Choice C) is not a common finding in fluid volume deficit, as the body tries to increase the heart rate to compensate for decreased volume. Low urine specific gravity (Choice D) may be seen in dehydration, but it is not as specific or as easily observable as a sunken fontanel.
4. What is the nurse’s priority action for a client with compromised immunity?
- A. Wash hands before entering the client’s room
- B. Take the client’s vital signs every 4 hours
- C. Determine whether it is temporary or permanent
- D. Teach the family members to receive the flu shot annually
Correct answer: Wash hands before entering the client’s room
Rationale:
5. A nurse is teaching a prenatal class about infection prevention. Which of the following statements indicates an understanding of the teaching?
- A. I can visit someone with chickenpox 5 days after the sores crust.
- B. I should avoid cleaning my cat's litter box during pregnancy.
- C. I should wash my hands with hot water for 10 seconds after gardening.
- D. I can take antibiotics for viral infections.
Correct answer: B
Rationale: The correct answer is B because avoiding cleaning the cat's litter box during pregnancy reduces the risk of toxoplasmosis, which can be harmful to the developing fetus. Choice A is incorrect because visiting someone with chickenpox should be avoided as it is highly contagious. Choice C is incorrect as handwashing after gardening should involve soap and water, not just hot water, for effective infection prevention. Choice D is incorrect because antibiotics are ineffective against viral infections.
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