ATI RN
Gastrointestinal System ATI
1. Which stoma would you expect a malodorous, enzyme-rich, caustic liquid output that is yellow, green, or brown?
- A. Ileostomy.
- B. Ascending colostomy.
- C. Transverse colostomy.
- D. Descending colostomy.
Correct answer: A
Rationale: An ileostomy would have a malodorous, enzyme-rich, caustic liquid output that is yellow, green, or brown.
2. A child is admitted to the hospital for hypercalcemia and is placed on diuretic therapy. Which diuretic would the nurse expect to administer?
- A. Furosemide (Lasix)
- B. Hydrochlorothiazide (Aquazide)
- C. Spironolactone (Aldactone)
- D. Mannitol (Osmitrol)
Correct answer: A
Rationale: Furosemide (Lasix) is a loop diuretic that acts on the ascending loop of Henle in the kidney to increase calcium excretion. In the setting of hypercalcemia, where there is an elevated level of calcium in the blood, Furosemide can help promote the elimination of excess calcium through the urine, thereby aiding in the management of hypercalcemia.
3. Two children are working on a puzzle together in the hospital playroom. Which type of play describes this activity?
- A. Solitary play
- B. Associative play
- C. Parallel play
- D. Cooperative play
Correct answer: D
Rationale: The correct answer is D, cooperative play. In cooperative play, children work together toward a common goal, such as completing a puzzle. Solitary play (A) is when a child plays alone, associative play (B) involves children playing together but without a common goal, and parallel play (C) is when children play alongside each other without direct interaction.
4. A nurse is caring for an immobile client. What is the priority assessment of this client?
- A. Palpate for edema
- B. Auscultate for bowel sounds
- C. Inspect the skin for injury
- D. Auscultation of lung sounds
Correct answer: C
Rationale: Inspecting the skin for injury is crucial to prevent pressure ulcers and other complications in immobile clients.
5. Which of the following is an example of professional negligence?
- A. Following facility guidelines at all times
- B. Using equipment in a knowledgeable manner
- C. Communicating effectively with clients
- D. Documenting client interactions accurately
Correct answer: A
Rationale: Professional negligence involves failing to meet the standard of care expected in a particular profession, which can lead to harm. In this case, not following facility guidelines can result in lapses in safety or quality of care, potentially causing harm to clients. Choices B, C, and D all represent essential aspects of professional conduct and do not directly relate to negligence.
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