ATI QUIZ - ADULT GI
A nurse is preparing dietary instructions for a client who has episodes of biliary
colic from chronic cholecystitis. Which of the following instructions should the
nurse include in the teaching plan?
A. Include foods high in starch and proteins
Foods high in starch and proteins do not affect the episodes of biliary colic.
B. Include foods high in fiber.
A high-fiber diet does not affect the episodes of biliary colic.
C. Avoid foods high in fat.
The nurse should instruct the client to follow a low-fat diet to decrease episodes of biliary colic. A
client who has chronic cholecystitis has intolerance to fatty foods.
D. Avoid foods high in sodium.
A low-sodium diet does not affect the episodes of biliary colic.
A nurse is providing teaching for a client who has gastroesophageal reflux
disease (GERD) about ways to manage his condition. Which of the following
instructions should the nurse include?
"Sleep on your left side."
The nurse should recommend that the client sleep with the head of his bed elevated or that the
client uses a large wedge-style pillow to elevate his head.
"Drink milk to soothe your stomach."
Although in the past, clients who have GERD were encouraged to increase their intake of milk,
this approach is no longer recommended.
"Eat four small meals each day."
The client should avoid eating large meals because of the pressure it places on the stomach.
Instead, he should eat four to six small meals per day.
"Wait to go to bed for 1 hr after eating."
The client should wait at least 3 hr after eating before going to bed.
A nurse is teaching a client who has cholecystitis about required dietary
modifications. The nurse should include which of the following foods as
appropriate for the clients diet?
A. Ice cream
The total amount of fat in the diet should be reduced. Ice cream and other whole-milk products
should be avoided to reduce the symptoms associated with cholecystitis.
B. Roast turkey
Roast turkey is a low-fat protein that is an appropriate choice for inclusion in the client’s diet.
Low-fat food decreases stimulation of the gallbladder, thereby reducing associated symptoms.
C.Creamed chicken
The total amount of fat in the diet should be reduced. Creams should be avoided to reduce the
symptoms associated with cholecystitis
D. Mac n cheese
, The total amount of fat in the diet should be reduced. Macaroni and cheese should be avoided to
reduce the symptoms associated with cholecystitis.
A nurse is providing teaching to a client with gastroesophageal reflux. Which of
the following statements by the client indicates a need for further teaching?
"I should elevate the head of my bed while sleeping."
Elevating the head of the bed while sleeping helps reduce gastroesophageal reflux. This
statement does not indicate a need for further teaching.
“I drink no more than 4 cups of coffee a day.”
The client should not consume regular or decaffeinated beverages; therefore, this statement by
the client indicates a need for further teaching.
“I take my time when I am eating.”
Eating too fast can result in reflux symptoms; therefore, this statement by the client does not
indicate a need for further teaching.
“I avoid foods and drinks made with chocolate.”
Chocolate should be avoided to prevent reflux symptoms; therefore, this statement by the client
does not indicate a need for further teaching.
A nurse is admitting a client who reports anorexia and is experiencing
malnutrition. Which of the following laboratory findings should the nurse expect
to be altered?
Creatine kinase
Creatine kinase is a cardiac enzyme which is useful in the diagnosis of a myocardial infarction. It is
not a laboratory test that supports a diagnosis of malnutrition.
Troponin
Troponin is a cardiac enzyme which indicates a client has experienced a myocardial infarction. It
is not a laboratory test that supports a diagnosis of malnutrition.
Total bilirubin
Total bilirubin is altered in clients who are experiencing hepatobiliary disease. It is not a
laboratory test that supports a diagnosis of malnutrition.
Albumin
A low albumin is a measure of plasma proteins which reflects the nutritional condition of a client
experiencing anorexia and malnutrition over an extended period of time.
A nurse is assessing a client who is on long term omeprazole therapy. Which of
the following findings should indicate to the nurse the medication is effective?
Increased appetite
Omeprazole does not increase appetite. Nausea is an adverse effect of this medication.
Regular bowel movements
A nurse is preparing dietary instructions for a client who has episodes of biliary
colic from chronic cholecystitis. Which of the following instructions should the
nurse include in the teaching plan?
A. Include foods high in starch and proteins
Foods high in starch and proteins do not affect the episodes of biliary colic.
B. Include foods high in fiber.
A high-fiber diet does not affect the episodes of biliary colic.
C. Avoid foods high in fat.
The nurse should instruct the client to follow a low-fat diet to decrease episodes of biliary colic. A
client who has chronic cholecystitis has intolerance to fatty foods.
D. Avoid foods high in sodium.
A low-sodium diet does not affect the episodes of biliary colic.
A nurse is providing teaching for a client who has gastroesophageal reflux
disease (GERD) about ways to manage his condition. Which of the following
instructions should the nurse include?
"Sleep on your left side."
The nurse should recommend that the client sleep with the head of his bed elevated or that the
client uses a large wedge-style pillow to elevate his head.
"Drink milk to soothe your stomach."
Although in the past, clients who have GERD were encouraged to increase their intake of milk,
this approach is no longer recommended.
"Eat four small meals each day."
The client should avoid eating large meals because of the pressure it places on the stomach.
Instead, he should eat four to six small meals per day.
"Wait to go to bed for 1 hr after eating."
The client should wait at least 3 hr after eating before going to bed.
A nurse is teaching a client who has cholecystitis about required dietary
modifications. The nurse should include which of the following foods as
appropriate for the clients diet?
A. Ice cream
The total amount of fat in the diet should be reduced. Ice cream and other whole-milk products
should be avoided to reduce the symptoms associated with cholecystitis.
B. Roast turkey
Roast turkey is a low-fat protein that is an appropriate choice for inclusion in the client’s diet.
Low-fat food decreases stimulation of the gallbladder, thereby reducing associated symptoms.
C.Creamed chicken
The total amount of fat in the diet should be reduced. Creams should be avoided to reduce the
symptoms associated with cholecystitis
D. Mac n cheese
, The total amount of fat in the diet should be reduced. Macaroni and cheese should be avoided to
reduce the symptoms associated with cholecystitis.
A nurse is providing teaching to a client with gastroesophageal reflux. Which of
the following statements by the client indicates a need for further teaching?
"I should elevate the head of my bed while sleeping."
Elevating the head of the bed while sleeping helps reduce gastroesophageal reflux. This
statement does not indicate a need for further teaching.
“I drink no more than 4 cups of coffee a day.”
The client should not consume regular or decaffeinated beverages; therefore, this statement by
the client indicates a need for further teaching.
“I take my time when I am eating.”
Eating too fast can result in reflux symptoms; therefore, this statement by the client does not
indicate a need for further teaching.
“I avoid foods and drinks made with chocolate.”
Chocolate should be avoided to prevent reflux symptoms; therefore, this statement by the client
does not indicate a need for further teaching.
A nurse is admitting a client who reports anorexia and is experiencing
malnutrition. Which of the following laboratory findings should the nurse expect
to be altered?
Creatine kinase
Creatine kinase is a cardiac enzyme which is useful in the diagnosis of a myocardial infarction. It is
not a laboratory test that supports a diagnosis of malnutrition.
Troponin
Troponin is a cardiac enzyme which indicates a client has experienced a myocardial infarction. It
is not a laboratory test that supports a diagnosis of malnutrition.
Total bilirubin
Total bilirubin is altered in clients who are experiencing hepatobiliary disease. It is not a
laboratory test that supports a diagnosis of malnutrition.
Albumin
A low albumin is a measure of plasma proteins which reflects the nutritional condition of a client
experiencing anorexia and malnutrition over an extended period of time.
A nurse is assessing a client who is on long term omeprazole therapy. Which of
the following findings should indicate to the nurse the medication is effective?
Increased appetite
Omeprazole does not increase appetite. Nausea is an adverse effect of this medication.
Regular bowel movements
