ATI RN
Gastrointestinal System ATI
1. Your patient has a retractable gastric peptic ulcer and has had a gastric vagotomy. Which factor increases as a result of vagotomy?
- A. Peristalsis.
- B. Gastric acidity.
- C. Gastric motility.
- D. Gastric pH.
Correct answer: D
Rationale: After a gastric vagotomy, the gastric pH increases as a result of reduced acid secretion.
2. Which of the following best describes the method of action of medications, such as ranitidine (Zantac), which are used in the treatment of peptic ulcer disease?
- A. Neutralize acid
- B. Reduce acid secretions
- C. Stimulate gastrin release
- D. Protect the mucosal barrier
Correct answer: B
Rationale: Medications like ranitidine (Zantac) are H2 receptor antagonists that reduce acid secretions in the stomach, helping to treat peptic ulcer disease.
3. Develop a teaching care plan for Angie who is about to undergo a liver biopsy. Which of the following points do you include?
- A. You’ll need to lie on your stomach during the test.
- B. You’ll need to lie on your right side after the test.
- C. During the biopsy you’ll be asked to exhale deeply and hold it.
- D. The biopsy is performed under general anesthesia.
Correct answer: B
Rationale: Instruct the patient to lie on their right side after the biopsy to apply pressure and prevent bleeding.
4. Which of the following factors should be the main focus of nursing management for a client hospitalized for cholecystitis?
- A. Administration of antibiotics
- B. Assessment for complications
- C. Preparation for lithotripsy
- D. Preparation for surgery
Correct answer: B
Rationale: Assessment for complications should be the main focus of nursing management for a client hospitalized for cholecystitis.
5. A 29 y.o. patient has an acute episode of ulcerative colitis. What diagnostic test confirms this diagnosis?
- A. Barium Swallow.
- B. Stool examination.
- C. Gastric analysis.
- D. Sigmoidoscopy.
Correct answer: D
Rationale: Sigmoidoscopy is the diagnostic test that confirms the diagnosis of an acute episode of ulcerative colitis.
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