Exam
ATI Med Surg Gastrointestinal Actual Exam 1
QUESTIONS AND CORRECT ANSWERS (100%
CORRECT ANSWERS) WITH RATIONALES/
GUARANTEED PASS GRADED A+
A nurse is caring for a client who has a history of cirrhosis and is admitted with
manifestations of hepatic encephalopathy. The nurse should anticipate a
prescription for which of the following lab tests to determine the possibility of
recent excessive alcohol use?
A. GGT
B. ALP
C. Serum bilirubin
A+ TEST BANK 1
, ATI Med Surg Gastrointestinal Actual Exam
Exam
D. ALT - Correct Answer :A
The GGT lab test is specific to the hepatobiliary system in which levels can be
raised by alcohol and hepatoxic drugs. Therefore, it is useful for monitoring drug
toxicty and excessive alcohol use
A nurse is caring for a client who has a percutaneous endoscopic gastrostomy
tube and is receiving intermittent feedings. Prior to initiating the feeding, which
of the following actions should the nurse take first?
A. Flush the tube with water
B. Place the client in semi fowlers position
C. Cleanse the skin around the tube side
D. Aspirate the tube for residual contents - Correct Answer :B
A nurse is providing dietary teaching to a client who has diverticulitis about
preventing acute attacks. Which of the following foods should the nurse
recommend?
A. Foods high in vitamin C
B. Foods low in fat
C. Foods high in fiber
D. Foods low in calories - Correct Answer :C
The result of long-term, low-fiber eating habits along with increased intracolonic
pressure lead to straining during bowel movements, causing development of
diverticula.
A+ TEST BANK 2
, ATI Med Surg Gastrointestinal Actual Exam
Exam
A nurse is caring for a client who is receiving TPN therapy and has just returned
to the room following physical therapy. The nurse notes that the infusion pump
for the clients TPN is turned off. After restarting the infusion pump, the nurse
should monitor the client for which of the following findings?
A. HTN
B. Excessive thirst
C. Fever
D. Diaphoresis - Correct Answer :D
The nurse should recongize that the client has potential for the development of
hypoglycemia due to the sudden withdrawal of TPN solution
A nurse is completing a history and physical assessment for a client who has
chronic pancreatitis. Which of the following findings should the nurse identify as
likely cause of the clients condition?
A. High calorie diet
B. Prior gastrointestinal illnesses
C. Tobacco use
D. Alcohol use - Correct Answer :D
A nurse in the ER is caring for a client who has bleeding esophageal varices. The
nurse should anticipate prescription for which of the following medications
A. Famotidine
B. Esomeprazole
C. Vasopressin
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, ATI Med Surg Gastrointestinal Actual Exam
Exam
D. Omeprazole - Correct Answer :C
Vasopressin constricts the splanchic bed and decreases portal pressure.
Vasopressin also constricts the distal esophageal and proximal gastric veins,
which reduces inflow into the portal system and used to treat
A nurse is caring for a client who is 2 days postoperative following a gastric
bypass. The nurse notes that bowel sounds are present. Which of the following
foods should the nurse provider at the initial feeding?
A. Vanilla pudding
B. Apple juice
C. Diet ginger ale
D. Clear liquids - Correct Answer :D
Clear liquids, such as water or broth, can be given for the first oral feedings, but
should be limited to only 30mL per feeding. Water does not contain sugar,
which could cause diarrhea
A nurse is assessing a client who has admitted with a bowel obstruction. The
client reports severe abdominal pain. Which of the following findings should
indicate to the nurse that possible bowel perforation has occurred?
A. Elevated blood pressure
B. Bowel sounds increased in frequency and pitch
C. Rigid abdomen
D. Emesis of undigested food - Correct Answer :C
A+ TEST BANK 4