ATI RN
ATI Gastrointestinal System
1. The nurse is caring for a client following a Billroth II procedure. On review of the post-operative orders, which of the following, if prescribed, would the nurse question and verify?
- A. Irrigating the nasogastric tube
- B. Coughing a deep breathing exercises
- C. Leg exercises
- D. Early ambulation
Correct answer: A
Rationale: Irrigating the nasogastric tube is typically not recommended after a Billroth II procedure unless specifically ordered by a physician due to the risk of disrupting the surgical site.
2. The nurse instructs the nursing assistant on how to provide oral hygiene for a client who cannot perform this task for himself. Which of the following techniques should the nurse tell the assistant to incorporate into the client’s daily care?
- A. Assess the oral cavity each time mouth care is given and record observations
- B. Use a soft toothbrush to brush the client’s teeth after each meal
- C. Swab the client’s tongue, gums, and lips with a soft foam applicator every 2 hours.
- D. Rinse the client’s mouth with mouthwash several times a day.
Correct answer: C
Rationale: Swabbing the client’s tongue, gums, and lips with a soft foam applicator every 2 hours helps maintain oral hygiene for a client who cannot perform this task.
3. A female client complains of gnawing epigastric pain for a few hours after meals. At times, when the pain is severe, vomiting occurs. Specific tests are indicated to rule out:
- A. Cancer of the stomach
- B. Peptic ulcer disease
- C. Chronic gastritis
- D. Pylorospasm
Correct answer: A
Rationale: Specific tests are indicated to rule out cancer of the stomach when a client complains of gnawing epigastric pain and vomiting after meals.
4. You’re advising a 21 y.o. with a colostomy who reports problems with flatus. What food should you recommend?
- A. Peas
- B. Cabbage
- C. Broccoli
- D. Yogurt
Correct answer: D
Rationale: Yogurt can help reduce problems with flatus in patients with a colostomy.
5. The client with Crohn’s disease has a nursing diagnosis of acute pain. The nurse would teach the client to avoid which of the following in managing this problem?
- A. Lying supine with the legs straight
- B. Massaging the abdomen
- C. Using antispasmodic medication
- D. Using relaxation techniques
Correct answer: A
Rationale: Lying supine with the legs straight can increase abdominal tension and exacerbate pain. The client should be advised to lie with the legs bent to reduce muscle tension and discomfort.
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