ATI MED SURG GASTROINTESTINAL LATEST
ACTUAL EXAM TEST BANK QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIOANLES
(VERIFIED ANSWERS) |ALREADY GRADED A+
A client is admitted to the medical floor with a 4-day history of diarrheal vomiting
and poor appetite. You review the following documentation from the patients chart:
"1700: Mucous membranes pale and dry. Skin warm and dry to touch. Poor turgor
with tenting present. Bowel sounds hyperactive x 4 quadrants. Client states, "I am
unable to keep anything down." Vital signs: BP 96/68, HR 96, Temp 101.1F, and spO2
94% on room air."
What is the priority intervention by the nurse?
A. Administer an antipyretic for the fever
B. Provide the client with oral fluids
C. Ensure a patent IV and start IV fluids
D. Administer an antiemetic for the vomiting
C. Ensure a patent IV and start IV fluids
(Note: Managing the fever is not a priority action. Oral fluids are not correct
because the patient is vomiting. Administering an antiemetic for the vomiting should
happen, but is not the priority. The patient is experiencing dehydration. The priority
action would be IV and IV fluids.)
,A nurse is providing teaching for a client who has cirrhosis and a new prescription
for lactulose. The nurse should include which of the following instructions in the
teaching?
A. Notify the provider if bloating occurs
B. Expect to have 2-3 soft stools per day
C. Restrict carbs
D. Limit oral intake to 1000mL/day of clear liquids
B. Expect to have 2-3 soft stools per day
The purpose of administering lactulose is to promote the excretion of ammonia in
the stool. The nurse should instruct the client to take the medication every day and
inform the client that two to three bowel movements every day is the treatment
goal.
,A nurse is teaching a client how to prepare for a colonoscopy. Which of the
following instructions should the nurse include in the teaching?
A. Begin drinking the oral liquid prep for bowel cleansing on the morning of the
procedure
B. Drink full liquids for breakfast the day of the procedure, and then take nothing PO
for 2 hr before the procedure
C. Drink clear liquids for 24 hr prior to the procedure, and then NPO for 6 hr before
the procedure.
D. Drink the oral liquid prep for bowel cleansing slowly
C. Drink clear liquids for 24 hr prior to the procedure, and then NPO for 6 hr before
the procedure.
The nurse should instruct the client to drink clear liquids for 24 hr prior to the
colonoscopy to promote adequate bowel cleansing. Maintaining NPO status for 4
to 6 hr prior to the colonoscopy preserves the bowel's cleansed state.
A nurse is assessing a client who has Crohn's disease. Which of the following
findings should the nurse expect?
A. Fatty diarrheal stools
B. Hyperkalemia
C. Weight gain
D. Sharp epigastric pain
A. Fatty diarrheal stools
Steatorrhea, or fatty stool, is an expected finding in a client who has Crohn's
disease.
, A nurse is providing dietary teaching for a client who has a new diagnosis of celiac
disease. Which of the following statements by the client indicates an understanding
of the teaching?
A. "I can return to my regular diet when i am free of symptoms"
B. "I will need to avoid taking vitamin supplements while on this diet"
C. "I will eat beans to ensure I get enough fiber in my diet."
D. "I need to avoid drinking liquids with my meals while on this diet"
A. "I will eat beans to ensure I get enough fiber in my diet."
Clients who have celiac disease must maintain a gluten-free diet which eliminates
fiber-rich whole wheat products. Clients should eat beans, nuts, fruits, and
vegetables to ensure an adequate intake of fiber
A nurse is providing discharge teaching for a client who has peptic ulcer disease
and a new prescription for famotidine. Which of the following statements by the
client indicates an understanding of the teaching?
A. "I should take this medication at bedtime"
B. "I should expect this medication to discolor my stools"
C. "I will drink iced tea with my meals and snacks"
D. "I will monitor my blood glucose level regularly while taking this medication"
A. "I should take this medication at bedtime"
The nurse should instruct the client to take the medication at bedtime to inhibit the
action of histamine at the H2-receptor site in the stomach.
ACTUAL EXAM TEST BANK QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIOANLES
(VERIFIED ANSWERS) |ALREADY GRADED A+
A client is admitted to the medical floor with a 4-day history of diarrheal vomiting
and poor appetite. You review the following documentation from the patients chart:
"1700: Mucous membranes pale and dry. Skin warm and dry to touch. Poor turgor
with tenting present. Bowel sounds hyperactive x 4 quadrants. Client states, "I am
unable to keep anything down." Vital signs: BP 96/68, HR 96, Temp 101.1F, and spO2
94% on room air."
What is the priority intervention by the nurse?
A. Administer an antipyretic for the fever
B. Provide the client with oral fluids
C. Ensure a patent IV and start IV fluids
D. Administer an antiemetic for the vomiting
C. Ensure a patent IV and start IV fluids
(Note: Managing the fever is not a priority action. Oral fluids are not correct
because the patient is vomiting. Administering an antiemetic for the vomiting should
happen, but is not the priority. The patient is experiencing dehydration. The priority
action would be IV and IV fluids.)
,A nurse is providing teaching for a client who has cirrhosis and a new prescription
for lactulose. The nurse should include which of the following instructions in the
teaching?
A. Notify the provider if bloating occurs
B. Expect to have 2-3 soft stools per day
C. Restrict carbs
D. Limit oral intake to 1000mL/day of clear liquids
B. Expect to have 2-3 soft stools per day
The purpose of administering lactulose is to promote the excretion of ammonia in
the stool. The nurse should instruct the client to take the medication every day and
inform the client that two to three bowel movements every day is the treatment
goal.
,A nurse is teaching a client how to prepare for a colonoscopy. Which of the
following instructions should the nurse include in the teaching?
A. Begin drinking the oral liquid prep for bowel cleansing on the morning of the
procedure
B. Drink full liquids for breakfast the day of the procedure, and then take nothing PO
for 2 hr before the procedure
C. Drink clear liquids for 24 hr prior to the procedure, and then NPO for 6 hr before
the procedure.
D. Drink the oral liquid prep for bowel cleansing slowly
C. Drink clear liquids for 24 hr prior to the procedure, and then NPO for 6 hr before
the procedure.
The nurse should instruct the client to drink clear liquids for 24 hr prior to the
colonoscopy to promote adequate bowel cleansing. Maintaining NPO status for 4
to 6 hr prior to the colonoscopy preserves the bowel's cleansed state.
A nurse is assessing a client who has Crohn's disease. Which of the following
findings should the nurse expect?
A. Fatty diarrheal stools
B. Hyperkalemia
C. Weight gain
D. Sharp epigastric pain
A. Fatty diarrheal stools
Steatorrhea, or fatty stool, is an expected finding in a client who has Crohn's
disease.
, A nurse is providing dietary teaching for a client who has a new diagnosis of celiac
disease. Which of the following statements by the client indicates an understanding
of the teaching?
A. "I can return to my regular diet when i am free of symptoms"
B. "I will need to avoid taking vitamin supplements while on this diet"
C. "I will eat beans to ensure I get enough fiber in my diet."
D. "I need to avoid drinking liquids with my meals while on this diet"
A. "I will eat beans to ensure I get enough fiber in my diet."
Clients who have celiac disease must maintain a gluten-free diet which eliminates
fiber-rich whole wheat products. Clients should eat beans, nuts, fruits, and
vegetables to ensure an adequate intake of fiber
A nurse is providing discharge teaching for a client who has peptic ulcer disease
and a new prescription for famotidine. Which of the following statements by the
client indicates an understanding of the teaching?
A. "I should take this medication at bedtime"
B. "I should expect this medication to discolor my stools"
C. "I will drink iced tea with my meals and snacks"
D. "I will monitor my blood glucose level regularly while taking this medication"
A. "I should take this medication at bedtime"
The nurse should instruct the client to take the medication at bedtime to inhibit the
action of histamine at the H2-receptor site in the stomach.
