ATI RN
Gastrointestinal System ATI Questions
Question 1 of 5
Your patient with peritonitis is NPO and complaining of thirst. What is your priority?
Correct Answer: C
Rationale: Providing frequent mouth care is the priority for a patient with peritonitis who is NPO and complaining of thirst.
Question 2 of 5
Kevin has a history of peptic ulcer disease and vomits coffee-ground emesis. What does this indicate?
Correct Answer: C
Rationale: Coffee-ground emesis is a sign of upper gastrointestinal bleeding that occurred approximately 2 hours earlier. It results from the breakdown of blood in the stomach due to digestive enzymes, giving it a coffee-ground appearance. Choice A is incorrect because coffee-ground emesis indicates older, partially digested blood, not fresh active bleeding. Choice B is incorrect as gastric lavage is not indicated for coffee-ground emesis. Choice D is incorrect because a transfusion of packed RBCs is not the immediate management for this presentation.
Question 3 of 5
George has a T tube in place after gallbladder surgery. Before discharge, what information or instructions should be given regarding the T tube drainage?
Correct Answer: B
Rationale: Before discharge, inform the patient that the drainage will decrease daily until the bile duct heals.
Question 4 of 5
Kevin has a history of peptic ulcer disease and vomits coffee-ground emesis. What does this indicate?
Correct Answer: C
Rationale: Coffee-ground emesis indicates that the gastric bleeding occurred 2 hours earlier.
Question 5 of 5
You're patient, post-op drainage of a pelvic abscess secondary to diverticulitis, begins to cough violently after drinking water. His wound has ruptured and a small segment of the bowel is protruding. What's your priority?
Correct Answer: D
Rationale: For a patient with a ruptured wound and protruding bowel, call the doctor while remaining with the patient, flex the patient's knees, and cover the wound with sterile towels soaked in sterile saline solution.
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