ATI RN
ATI Gastrointestinal System
1. Which of the following tests is most commonly used to diagnose cholecystitis?
- A. Abdominal CT scan
- B. Abdominal ultrasound
- C. Barium swallow
- D. Endoscopy
Correct answer: B
Rationale: An abdominal ultrasound is the most commonly used test to diagnose cholecystitis.
2. Eleanor, a 62 y.o. woman with diverticulosis is your patient. Which interventions would you expect to include in her care?
- A. Low-fiber diet and fluid restrictions.
- B. Total parenteral nutrition and bed rest.
- C. High-fiber diet and administration of psyllium.
- D. Administration of analgesics and antacids.
Correct answer: C
Rationale: Care for a patient with diverticulosis includes a high-fiber diet and administration of psyllium.
3. Which of the following symptoms would a client in the early stages of peritonitis exhibit?
- A. Abdominal distention
- B. Abdominal pain and rigidity
- C. Hyperactive bowel sounds
- D. Right upper quadrant pain
Correct answer: B
Rationale: In the early stages of peritonitis, the client would exhibit abdominal pain and rigidity due to inflammation.
4. A client with a peptic ulcer is scheduled for a vagotomy. The client asks the nurse about the purpose of this procedure. The nurse tells the client that the procedure:
- A. Decreases food absorption in the stomach
- B. Heals the gastric mucosa
- C. Halts stress reactions
- D. Reduces the stimulus to acid secretions
Correct answer: D
Rationale: A vagotomy reduces the stimulus to acid secretions by cutting the vagus nerve, which innervates the stomach.
5. A nurse is caring for a client diagnose with pancreatitis. The nurse anticipates that the client would not experience an elevation of which of the following enzymes?
- A. Lipase
- B. Lactase
- C. Amylase
- D. Trypsin
Correct answer: B
Rationale: Lactase is produced in the small intestine and aids in splitting neutral fats into glycerol and fatty acids. Lipase, amylase, and trypsin are produced in the pancreas and aid in the digestion of fats, starches, and proteins, respectively.
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