ATI RN
ATI Gastrointestinal System Test
1. The nurse evaluates the client’s stoma during the initial post-op period. Which of the following observations should be reported immediately to the physician?
- A. The stoma is slightly edematous
- B. The stoma is dark red to purple
- C. The stoma oozes a small amount of blood
- D. The stoma does not expel stool
Correct answer: B
Rationale: A dark red to purple stoma may indicate compromised blood flow or ischemia, which requires immediate medical attention. This color change could be a sign of inadequate blood supply to the stoma tissue, leading to tissue damage or necrosis. Reporting this observation promptly is crucial to prevent further complications. Choices A, C, and D are not indicative of immediate medical concern. A slightly edematous stoma, oozing a small amount of blood, or not expelling stool may not be uncommon findings during the initial post-op period and can be managed without urgent intervention.
2. How should a healthcare professional care for a patient with a central line to prevent infection?
- A. Change the dressing daily
- B. Monitor for redness
- C. Check the central line site every shift
- D. Flush the line with saline
Correct answer: A
Rationale: Corrected Rationale: Changing the central line dressing daily is crucial in preventing infection at the insertion site. This practice helps maintain a clean and sterile environment around the central line, reducing the risk of pathogens entering the bloodstream. Monitoring for redness (choice B) is important but may not directly prevent infection. Checking the central line site every shift (choice C) is essential for early detection of any issues but does not solely prevent infection. Flushing the line with saline (choice D) is a necessary procedure for maintaining central line patency but does not primarily prevent infection.
3. When injecting subcutaneous injection in an obese patient, It should be angled at around:
- A. 45 °
- B. 90 °
- C. 180 °
- D. Parallel to the skin
Correct answer: B
Rationale: Nursing interventions should be grounded in a deep understanding of the physiological processes involved, ensuring that care provided is both effective and efficient.
4. A nurse is teaching about diet modification to a client who is breastfeeding. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should drink an 8 ounce glass of water each time my baby nurses.
- B. I should take a 1500 milligram iron supplement daily.
- C. I can eat a 2500 calorie daily diet lose 1 lb per week.
- D. I can eat ounces of swordfish daily.
Correct answer: A
Rationale: Drinking an 8 ounce glass of water each time the baby nurses helps maintain hydration and support milk production.
5. A typical budget takes time to prepare. What timetable should the nurse manager plan for the budgeting process?
- A. 9-12 months
- B. 3-6 months
- C. 1-2 months
- D. Over two years
Correct answer: B
Rationale: The correct answer is B: 3-6 months. The process of preparing a typical budget usually takes around 3-6 months. This allows enough time for gathering financial data, analyzing expenses, projecting revenues, and finalizing the budget. Choice A (9-12 months) is too long for a typical budgeting process in most settings. Choice C (1-2 months) is too short to adequately complete all the necessary steps in the budgeting process. Choice D (Over two years) is excessive and not practical for the timeline of a standard budget preparation.
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