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Medical-Surgical Nursing Exam I and GI ATI – focused exam
review and ATI-aligned study material
A nurse is caring for a hospitalized client with acute pancreatitis. After treatment
begins, the nurse anticipates that which serum laboratory value will return to
normal within 72 hr?
A aldolase
B amylase
C lipase
D lactose dehydrogenase - ANSWER-B, Amylase
Rationale: Pancreatitis is the most common reason for marked elevations in serum
amylase. Serum amylase begins to increase about 3 to 6 hr following onset of acute
pancreatitis. The amylase level peaks in 20 to 30 hr and returns to normal in 2 to 3
days.
A client is receiving a tube feeding via a continuous enteral pump at 75 mL/hr. When
the nurse assesses the client at 0800, which of the following nursing observations
requires intervention?
A A pitcher of water and plastic cup are sitting on the client's over-bed table within
reach.
B The disposable feeding bag is from the previous day at 1000 and contains 200 mL
of feeding.
C The client is lying on the right side with a visible dependent loop in the feeding
tube.
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D, The head of the bed is elevated 20º. - ANSWER-D, The head of the bed is elevated
20º.
Rationale:The head of the bed should be elevated at least 30º (semi-Fowler's
position) while the tube feeding is administered. This position uses gravity to help
the feeding go down and lessens the possibility of regurgitation.
A nurse is caring for a client with severe gastroesophageal reflux disease (GERD) who
is to undergo a esophagoscopy. While teaching the client about the procedure, the
nurse should state,
AThe procedure is needed to measure the presence of acid in the esophagus."
"B Esophagoscopy is useful in determining how well the lower part of your
esophagus works."
"C You should discuss this procedure with your provider."
"D An esophagoscopy procedure helps to determine if you have cancer." - ANSWER-
B, Esophagoscopy is useful in determining how well the lower part of your esophagus
works."
Rationale: Esophagoscopy is useful in determining the incompetence of the lower
esophageal sphincter and the extent of inflammation, potential scarring, and
strictures.
A nurse is caring for a client who is diagnosed with fulminant hepatic failure. Which
of the following procedures should the nurse expect the client to be prepared for?
A Portacaval anastomosis
B Right liver lobectomy
C Liver transplant
D Transjugular intrahepatic portosystemic shunt - ANSWER-C, Liver Transplant
Medical-Surgical Nursing Exam I and GI ATI – focused exam
review and ATI-aligned study material
A nurse is caring for a hospitalized client with acute pancreatitis. After treatment
begins, the nurse anticipates that which serum laboratory value will return to
normal within 72 hr?
A aldolase
B amylase
C lipase
D lactose dehydrogenase - ANSWER-B, Amylase
Rationale: Pancreatitis is the most common reason for marked elevations in serum
amylase. Serum amylase begins to increase about 3 to 6 hr following onset of acute
pancreatitis. The amylase level peaks in 20 to 30 hr and returns to normal in 2 to 3
days.
A client is receiving a tube feeding via a continuous enteral pump at 75 mL/hr. When
the nurse assesses the client at 0800, which of the following nursing observations
requires intervention?
A A pitcher of water and plastic cup are sitting on the client's over-bed table within
reach.
B The disposable feeding bag is from the previous day at 1000 and contains 200 mL
of feeding.
C The client is lying on the right side with a visible dependent loop in the feeding
tube.
, Page 2 of 15
D, The head of the bed is elevated 20º. - ANSWER-D, The head of the bed is elevated
20º.
Rationale:The head of the bed should be elevated at least 30º (semi-Fowler's
position) while the tube feeding is administered. This position uses gravity to help
the feeding go down and lessens the possibility of regurgitation.
A nurse is caring for a client with severe gastroesophageal reflux disease (GERD) who
is to undergo a esophagoscopy. While teaching the client about the procedure, the
nurse should state,
AThe procedure is needed to measure the presence of acid in the esophagus."
"B Esophagoscopy is useful in determining how well the lower part of your
esophagus works."
"C You should discuss this procedure with your provider."
"D An esophagoscopy procedure helps to determine if you have cancer." - ANSWER-
B, Esophagoscopy is useful in determining how well the lower part of your esophagus
works."
Rationale: Esophagoscopy is useful in determining the incompetence of the lower
esophageal sphincter and the extent of inflammation, potential scarring, and
strictures.
A nurse is caring for a client who is diagnosed with fulminant hepatic failure. Which
of the following procedures should the nurse expect the client to be prepared for?
A Portacaval anastomosis
B Right liver lobectomy
C Liver transplant
D Transjugular intrahepatic portosystemic shunt - ANSWER-C, Liver Transplant
