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
Stephen is a 62 y.o. patient that has had a liver biopsy. Which of the following groups of signs alert you to a possible pneumothorax?
Correct Answer: A
Rationale: Dyspnea and reduced or absent breath sounds over the right lung are signs of a possible pneumothorax.
Question 3 of 5
Annebell is being discharged with a colostomy, and you're teaching her about colostomy care. Which statement correctly describes a healthy stoma?
Correct Answer: A
Rationale: A healthy stoma may bleed slightly when touched initially, which is normal.
Question 4 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 5 of 5
You're caring for Lewis, a 67 y.o. patient with liver cirrhosis who develops ascites and requires paracentesis. Relief of which symptom indicated that the paracentesis was effective?
Correct Answer: B
Rationale: Dyspnea relief indicates that the paracentesis was effective in reducing ascites.
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