ATI RN
ATI Gastrointestinal System Questions
Question 1 of 5
The physician orders a Salem sump tube for gastrointestinal intubation. The nurse prepares for the insertion and obtains which of the following items from the supply room?
Correct Answer: B
Rationale: A tube with a large lumen and an air vent is a Salem sump tube. A tube with a single lumen is called a Levin's tube. A Sengstaken-Blakemore tube is used to control bleeding in the esophagus. A Dobbhoff weighted tube is used for feedings.
Question 2 of 5
If a gastric acid perforates, which of the following actions should not be included in the immediate management of the client?
Correct Answer: B
Rationale: Antacid administration should not be included in the immediate management of a gastric perforation.
Question 3 of 5
When counseling a client in ways to prevent cholecystitis, which of the following guidelines is most important?
Correct Answer: B
Rationale: Eating a low-fat, low-cholesterol diet is most important for preventing cholecystitis.
Question 4 of 5
After a subtotal gastrectomy, care of the client's nasogastric tube and drainage system should include which of the following nursing interventions?
Correct Answer: C
Rationale: Monitoring the client for nausea, vomiting, and abdominal distention is crucial for ensuring proper functioning of the nasogastric tube and drainage system.
Question 5 of 5
The client being seen in a physician's office has just been scheduled for a barium swallow the next day. The nurse writes down which of the following instructions for the client to follow before the test?
Correct Answer: A
Rationale: A barium swallow is an x-ray study that uses a substance called barium for contrast to highlight abnormalities in the gastrointestinal tract. The client should fast for 8 to 12 hours before the test, depending on physician instructions. Most oral medications also are withheld before the test. After the procedure the nurse must monitor for constipation, which can occur as a result of the presence of barium in the gastrointestinal tract.
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