ATI RN
ATI Gastrointestinal System Questions
Question 1 of 5
The most important pathophysiologic factor contributing to the formation of esophageal varices is:
Correct Answer: C
Rationale: Portal hypertension is the most important pathophysiologic factor contributing to the formation of esophageal varices.
Question 2 of 5
The nurse is reviewing the medication record of a client with acute gastritis. Which medication, if noted on the client's record, would the nurse question?
Correct Answer: B
Rationale: Indomethacin (Indocin) is an NSAID that can aggravate acute gastritis and should be questioned.
Question 3 of 5
The client with a duodenal ulcer may exhibit which of the following findings on assessment?
Correct Answer: C
Rationale: Melena (black, tarry stools) can be an indication of a duodenal ulcer.
Question 4 of 5
The hospitalized client with GERD is complaining of chest discomfort that feels like heartburn following a meal. After administering an ordered antacid, the nurse encourages the client to lie in which of the following positions?
Correct Answer: C
Rationale: Lying on the left side with the head of the bed elevated 30 degrees helps prevent reflux by keeping stomach contents from moving up into the esophagus.
Question 5 of 5
The nurse is reviewing the medication record of a client with acute gastritis. Which medication if noted on the client's record, would the nurse question?
Correct Answer: B
Rationale: Indomethacin (Indocin) is a Nonsteroidal anti-inflammatory drug and can cause ulceration of the esophagus, stomach, duodenum, or small intestine. Indomethacin is contraindicated in a client with gastrointestinal disorders. Furosemide (Lasix) is a loop diuretic. Digoxin is an antidysrhythmic. Propranolol (Inderal) is a B- adrenergic blocker. Furosemide, digoxin, and propranolol are not contraindicated in clients with gastric disorders.
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