ATI RN
ATI Gastrointestinal System Test Questions
Question 1 of 5
Matt is a 49 y.o. with a hiatal hernia that you are about to counsel. Health care counseling for Matt should include which of the following instructions?
Correct Answer: D
Rationale: For a patient with a hiatal hernia, it is important to eat three regular meals a day to prevent symptoms.
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
Sitty, a 66 y.o. patient underwent a colostomy for ruptured diverticulum. She did well during the surgery and returned to your med-surg floor in stable condition. You assess her colostomy 2 days after surgery. Which finding do you report to the doctor?
Correct Answer: A
Rationale: A blanched stoma 2 days after colostomy surgery should be reported to the doctor as it may indicate compromised blood flow.
Question 4 of 5
Jerod is experiencing an acute episode of ulcerative colitis. What is the priority for this patient?
Correct Answer: A
Rationale: The correct answer is to replace lost fluid and sodium. During an acute episode of ulcerative colitis, the priority is to manage the patient's fluid and electrolyte balance. This is crucial due to the potential for dehydration and electrolyte imbalances resulting from diarrhea and inflammation in the colon. Monitoring serum glucose levels (Choice B) may be important for patients on steroid therapy, but in this scenario, fluid and electrolyte balance take precedence. Restricting dietary intake of foods high in potassium (Choice C) is not a priority in the acute phase of ulcerative colitis. While noting changes in stool color and consistency (Choice D) is important for assessing the patient's gastrointestinal status, it is not the priority when managing acute ulcerative colitis.
Question 5 of 5
Findings during an endoscopic exam include a cobblestone appearance of the colon in your patient. The findings are characteristic of which disorder?
Correct Answer: B
Rationale: The cobblestone appearance of the colon is characteristic of Crohn's disease.
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