ATI RN
ATI Gastrointestinal System Test Questions
Question 1 of 5
Anna is 45 y.o. and has a bleeding ulcer. Despite multiple blood transfusions, her HGB is 7.5g/dl and HCT is 27%. Her doctor determines that surgical intervention is necessary and she undergoes partial gastrectomy. Postoperative nursing care includes:
Correct Answer: D
Rationale: Postoperative care for a patient who underwent partial gastrectomy includes keeping her NPO until the return of peristalsis to prevent complications.
Question 2 of 5
You're caring for a 28 y.o. woman with hepatitis B. She's concerned about the duration of her recovery. Which response isn't appropriate?
Correct Answer: A
Rationale: Encouraging the patient to not worry about the future is not appropriate. Instead, address her concerns and provide information.
Question 3 of 5
The nurse evaluates the client's stoma during the initial post-op period. Which of the following observations should be reported immediately to the physician?
Correct Answer: B
Rationale: A dark red to purple stoma may indicate compromised blood flow or ischemia, which requires immediate medical attention. This color change could be a sign of inadequate blood supply to the stoma tissue, leading to tissue damage or necrosis. Reporting this observation promptly is crucial to prevent further complications. Choices A, C, and D are not indicative of immediate medical concern. A slightly edematous stoma, oozing a small amount of blood, or not expelling stool may not be uncommon findings during the initial post-op period and can be managed without urgent intervention.
Question 4 of 5
Britney, a 20 y.o. student is admitted with acute pancreatitis. Which laboratory findings do you expect to be abnormal for this patient?
Correct Answer: C
Rationale: Serum amylase and lipase levels are typically elevated in patients with acute pancreatitis.
Question 5 of 5
A patient with Crohn's disease is admitted after 4 days of diarrhea. Which of the following urine specific gravity values do you expect to find in this patient?
Correct Answer: D
Rationale: A urine specific gravity of 1.030 indicates concentrated urine, which is expected in a patient with dehydration due to diarrhea from Crohn's disease.
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