Med/Surg Final: ATI Questions
& Module Exam with Answers
What is the cause of a 'non-mechanical' bowel obstruction?
A. A tumor or twisting of the bowel.
B. Constipation.
C. General anesthesia, narcotics, and handling of the bowel during surgery.
D. Adhesions - Correct Answers: C
What should the nurse advise a pt. who has diverticulosis to eat?
A. High fiber foods.
B. Low fiber foods.
C. Low carb foods.
D. High carb foods - Correct Answers: A
What should the nurse advise a pt. who has diverticulitis to eat?
A. High fiber foods.
B. Low fiber foods.
C .Low carb foods.
D. High carb foods - Correct Answers: B
Which of the following is an appropriate nursing intervention for a patient who has had an EGD?
A. Give food and water as soon as the test is completed.
B. Enemas until clear.
C. Monitor for hemorrhage r/t organ perforation.
D. Administer a sedative. - Correct Answers: C
Which of the following is an appropriate nursing intervention for a pt. who has GERD?
,A. Advise pt. to remain upright after meals.
B. Withhold fluids during meal time.
C. Administer the appropriate immunoglobulin.
D. Give the prescribed steroids with half a glass of milk. - Correct Answers: A
Which of the following is a priority for a pt. who is hemorrhaging from a perforated duodenal ulcer?
A. Administer the sedative prior to the PY test.
B. Monitor for shock.
C. Position the pt. on his back with a pillow under his right ribs and his right hand under his head.
D. Guiac his stool. - Correct Answers: B
Which of the following should the nurse advise a pt who has ulcerative colitis to call the doctor for?
A. Occasional abdominal cramping
B. Nine mucousy bloody stools per day.
C. Signs of colon perforation and peritonitis.
D. Diarrhea - Correct Answers: C
Which of the following promotes rest and healing of the bowel in a pt. who has ulcerative colitis?
A.High fiber diet
B. Maintaining NPO status as ordered
C. Low carb diet
D. Avoiding licorice and caffeine - Correct Answers: B
Which of the following nursing diagnosis might be appropriate for a pt with ulcerative colitis?
A. Pain R/T the passage of stones.
B. Risk for injury from falling R/T dizziness and low BP immediately after meals.
C. Fatigue R/T blood loss caused by frequent bloody stools.
D. Risk of injury R/T auto digestion of the pancreas. - Correct Answers: C
, A nurse is providing teaching for a client who has a new diagnosis of dumping syndrome following
gastric surgery. Which of the following should be included in the teaching?
A. Eat three moderate-sized meals a day.
B. Drink at least one glass of water with each meal.
C. Eat a bedtime snack that contains a milk product.
D. Increase protein in the diet - Correct Answers: D
A nurse is completing discharge teaching for a client who has an infection due to Helicobacter pylori (H.
pylori). Which of the following statements by the client indicates understanding of the teaching?
A. "I will continue my prescription for corticosteroids."
B. "I will schedule a CT scan to monitor improvement."
C. "I will take a combination of medications for treatment."
D. "I will have my throat swabbed to recheck for this bacteria. - Correct Answers: C
A nurse is providing discharge teaching to a client who has a new prescription for aluminum hydroxide
(Amphojel). The nurse should advise the client to
A. take the medication with food.
B. monitor for diarrhea.
C. wait 1 to 2 hr before taking other oral medications.
D. maintain a low-fiber diet. - Correct Answers: C
A nurse is planning care for a client who has a small bowel instruction and a nasogastric (NG) tube in
place. Which of the following nursing interventions should be included in the plan of care? (Select all
that apply.)
A. Subtract the NG drainage from the client's output.
B. Irrigate the NG tube every 8 hr.
C. Assess bowel sounds.
D. Provide oral hygiene every 2 hr.
E. Clamp the NG tube during ambulation. - Correct Answers: C, D, E
& Module Exam with Answers
What is the cause of a 'non-mechanical' bowel obstruction?
A. A tumor or twisting of the bowel.
B. Constipation.
C. General anesthesia, narcotics, and handling of the bowel during surgery.
D. Adhesions - Correct Answers: C
What should the nurse advise a pt. who has diverticulosis to eat?
A. High fiber foods.
B. Low fiber foods.
C. Low carb foods.
D. High carb foods - Correct Answers: A
What should the nurse advise a pt. who has diverticulitis to eat?
A. High fiber foods.
B. Low fiber foods.
C .Low carb foods.
D. High carb foods - Correct Answers: B
Which of the following is an appropriate nursing intervention for a patient who has had an EGD?
A. Give food and water as soon as the test is completed.
B. Enemas until clear.
C. Monitor for hemorrhage r/t organ perforation.
D. Administer a sedative. - Correct Answers: C
Which of the following is an appropriate nursing intervention for a pt. who has GERD?
,A. Advise pt. to remain upright after meals.
B. Withhold fluids during meal time.
C. Administer the appropriate immunoglobulin.
D. Give the prescribed steroids with half a glass of milk. - Correct Answers: A
Which of the following is a priority for a pt. who is hemorrhaging from a perforated duodenal ulcer?
A. Administer the sedative prior to the PY test.
B. Monitor for shock.
C. Position the pt. on his back with a pillow under his right ribs and his right hand under his head.
D. Guiac his stool. - Correct Answers: B
Which of the following should the nurse advise a pt who has ulcerative colitis to call the doctor for?
A. Occasional abdominal cramping
B. Nine mucousy bloody stools per day.
C. Signs of colon perforation and peritonitis.
D. Diarrhea - Correct Answers: C
Which of the following promotes rest and healing of the bowel in a pt. who has ulcerative colitis?
A.High fiber diet
B. Maintaining NPO status as ordered
C. Low carb diet
D. Avoiding licorice and caffeine - Correct Answers: B
Which of the following nursing diagnosis might be appropriate for a pt with ulcerative colitis?
A. Pain R/T the passage of stones.
B. Risk for injury from falling R/T dizziness and low BP immediately after meals.
C. Fatigue R/T blood loss caused by frequent bloody stools.
D. Risk of injury R/T auto digestion of the pancreas. - Correct Answers: C
, A nurse is providing teaching for a client who has a new diagnosis of dumping syndrome following
gastric surgery. Which of the following should be included in the teaching?
A. Eat three moderate-sized meals a day.
B. Drink at least one glass of water with each meal.
C. Eat a bedtime snack that contains a milk product.
D. Increase protein in the diet - Correct Answers: D
A nurse is completing discharge teaching for a client who has an infection due to Helicobacter pylori (H.
pylori). Which of the following statements by the client indicates understanding of the teaching?
A. "I will continue my prescription for corticosteroids."
B. "I will schedule a CT scan to monitor improvement."
C. "I will take a combination of medications for treatment."
D. "I will have my throat swabbed to recheck for this bacteria. - Correct Answers: C
A nurse is providing discharge teaching to a client who has a new prescription for aluminum hydroxide
(Amphojel). The nurse should advise the client to
A. take the medication with food.
B. monitor for diarrhea.
C. wait 1 to 2 hr before taking other oral medications.
D. maintain a low-fiber diet. - Correct Answers: C
A nurse is planning care for a client who has a small bowel instruction and a nasogastric (NG) tube in
place. Which of the following nursing interventions should be included in the plan of care? (Select all
that apply.)
A. Subtract the NG drainage from the client's output.
B. Irrigate the NG tube every 8 hr.
C. Assess bowel sounds.
D. Provide oral hygiene every 2 hr.
E. Clamp the NG tube during ambulation. - Correct Answers: C, D, E
