ATI RN
Gastrointestinal System Nursing Exam Questions
1. The nurse aspirates 40 mL of undigested formula from the client’s nasogastric tube. Before administering an intermittent tube feeding, the nurse understands that the 40 mL of gastric aspirate should be
- A. Discarded properly and recorded as output on the client’s intake and output record.
- B. Poured into the nasogastric tube through a syringe with the plunger removed.
- C. Mixed with the formula and poured into the nasogastric tube through a syringe with the plunger removed.
- D. Diluted with water and injected into the nasogastric tube by putting pressure on the plunger.
Correct answer: B
Rationale: After checking the residual feeding contents, the gastric contents are reinstalled into the stomach by removing the syringe bulb or plunger and pouring the gastric contents into the syringe and through the nasogastric tube. Gastric contents should be reinstalled to maintain the client’s electrolyte balance. The gastric contents should be poured into the nasogastric tube through a syringe without a plunger and not injected by putting pressure on the plunger. Gastric contents do not need to be mixed with water or should the contents be discarded.
2. What role does genetic predisposition play in the development of mental disorders?
- A. Genetic predisposition guarantees the development of mental disorders.
- B. Genetic predisposition plays a significant role but is not the only factor in developing mental disorders.
- C. Genetic predisposition is irrelevant in mental health.
- D. Genetic predisposition can be completely overridden by environmental factors.
Correct answer: B
Rationale: Genetic predisposition plays a significant role in the development of mental disorders, interacting with environmental factors. While genetics can predispose individuals to certain mental disorders, it is not a guarantee that the disorders will develop. Environmental factors, such as lifestyle, upbringing, and traumatic experiences, also play a crucial role in the manifestation of mental health conditions. Choice C is incorrect as genetic predisposition does have relevance in mental health. Choice D is incorrect as genetic predisposition and environmental factors both contribute to the development of mental disorders, neither completely overriding the other.
3. Which of the following statements is true concerning the female reproductive system?
- A. It produces female sex cells.
- B. It transports the female sex cells.
- C. It can support the development of an embryo.
- D. All of the above
Correct answer: All of the above
Rationale: The correct answer is 'All of the above.' The female reproductive system produces female sex cells (eggs), transports them through the fallopian tubes, and can support the development of an embryo through the uterus. Choice A is correct because the ovaries produce eggs, choice B is correct as the fallopian tubes transport the eggs, and choice C is correct as the uterus provides the environment for the embryo to develop. Therefore, all of these statements are true regarding the female reproductive system.
4. Which of the following descriptions of chemotherapy is correct?
- A. Chemotherapy is externally given through high energy waves
- B. Chemotherapy is known to have fatigue as a common side effect
- C. Chemotherapy spreads throughout the body
- D. Chemotherapy attacks cancer cells only
Correct answer: C
Rationale: Chemotherapy drugs are typically administered systemically, meaning they circulate throughout the body via the bloodstream. This allows them to target cancer cells that may have spread beyond the original tumor site, making chemotherapy an effective treatment for cancers that are metastatic (have spread to other parts of the body). However, because chemotherapy is not selective, it can also affect healthy cells that divide rapidly, leading to a range of side effects.
5. The nurses assess the client’s pain prior to completing a dressing change. The client says his current pain is 5/10, but he has pain of 10/10 when his dressing is changed. What is the priority intervention for this client?
- A. Offer the client protein with meals to promote healing
- B. Remove the old dressing with clean gloves
- C. Teach the client about nonpharmacological pain control methods
- D. Check medication administration record (MAR)for as needed orders (PRN)
Correct answer: Teach the client about nonpharmacological pain control methods
Rationale:
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