ATI RN
Gastrointestinal System Nursing Exam Questions
1. When assessing the client with celiac disease, the nurse can expect to find which of the following?
- A. Steatorrhea
- B. Jaundiced sclerae
- C. Clay-colored stools
- D. Widened pulse pressure
Correct answer: A
Rationale: Because celiac disease destroys the absorbing surface of the intestine, fat isn't absorbed but is passed in the stool. Steatorrhea is bulky, fatty stools that have a foul odor. Jaundiced sclerae result from elevated bilirubin levels. Clay-colored stools are seen with biliary disease when bile flow is blocked. Celiac disease doesn't cause a widened pulse pressure.
2. You’re caring for a patient with a sigmoid colostomy. The stool from this colostomy is:
- A. Formed
- B. Semisolid
- C. Semiliquid
- D. Watery
Correct answer: A
Rationale: The stool from a sigmoid colostomy is typically formed.
3. A nurse is performing an assessment on a client with a suspected diagnosis of acute pancreatitis. The nurse assesses the client, knowing that which of the following is a hallmark sign of this disorder?
- A. Severe abdominal pain relieved by vomiting
- B. Severe abdominal pain that is unrelieved by vomiting
- C. Hypothermia
- D. Epigastric pain radiating to the neck area
Correct answer: B
Rationale: A hallmark sign of acute pancreatitis is severe abdominal pain that is not relieved by vomiting. Nausea and vomiting are common presenting symptoms, with vomitus typically consisting of gastric and duodenal contents. Hypothermia is not a hallmark sign of acute pancreatitis. Fever, typically less than 38 degrees centigrade, is more common. Epigastric pain radiating to the neck area is not a characteristic sign of acute pancreatitis. Therefore, choice B is the correct answer.
4. A client’s ulcerative colitis symptoms have been present for longer than 1 week. The nurse recognizes that the client should be assessed carefully for signs of which of the following complications?
- A. Heart failure
- B. DVT
- C. Hypokalemia
- D. Hypocalcemia
Correct answer: C
Rationale: The client should be assessed carefully for signs of hypokalemia, a common complication of prolonged ulcerative colitis symptoms.
5. Radiation therapy is used to treat colon cancer before surgery for which of the following reasons?
- A. Reducing the size of the tumor
- B. Eliminating the malignant cells
- C. Curing the cancer
- D. Helping the bowel heal after surgery
Correct answer: A
Rationale: Radiation therapy is used before surgery to reduce the size of the tumor, making it easier to remove.
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