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
Your teaching Anthony how to use his new colostomy. How much skin should remain exposed between the stoma and the ring of the appliance?
Correct Answer: A
Rationale: When teaching a patient how to use a colostomy, only 1/16" of skin should remain exposed between the stoma and the ring of the appliance to prevent skin irritation.
Question 3 of 5
You're performing an abdominal assessment on Brent who is 52 y.o. In which order do you proceed?
Correct Answer: B
Rationale: The correct order for performing an abdominal assessment is observation, auscultation, percussion, and palpation.
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 Betty with liver cirrhosis. Which of the following assessment findings leads you to suspect hepatic encephalopathy in her?
Correct Answer: A
Rationale: Asterixis, a flapping tremor of the hands, is a sign of hepatic encephalopathy.
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