ATI GI System Practice Questions
1. A nurse is teaching a client with Barrett's esophagus who is scheduled
to undergo an esophagogastroduodenoscopy (EGD). Which of the
following statements should the nurse include in the teaching?
A.
"This procedure is performed to measure the presence of acid in your
esophagus."
B.
"This procedure can determine how well the lower part of your
esophagus works."
C.
"This procedure is performed while you are under general anesthesia."
D.
"This procedure can determine if you have colon cancer.": Correct Answer: B.
"This procedure can determine how well the lower part of your esophagus works."
An EGD is useful in determining the function of the esophageal lining and the
extent of inflammation, potential scarring, and strictures.
Incorrect Answers:A. A pH probe study, which involves the insertion of a specially
designed probe into the distal esophagus, is performed to monitor for the
presence of acid in the normally alkaline esophagus.
C. An EGD is performed while the client receives moderate sedation.
D. A colonoscopy is performed to detect colon cancer.
2. A nurse is caring for a client who has acute pancreatitis. Which of the
following serum laboratory values should return to the expected
reference range within 72 hr of treatment beginning?
A. Aldolase
B. Lipase
C. Amylase
D.
Lactic dehydrogenase: Correct Answer: C.
Amylase
Pancreatitis is the most common diagnosis for marked elevations in serum amylase.
Serum amylase begins to increase about 3 to 6 hours following the onset of acute
pancreatitis. The amylase level peaks in 20 to 30 hours and returns to the expected
reference range within 2 to 3 days.
, ATI GI System Practice Questions
Incorrect Answers:A. Elevated aldolase levels are caused by inflammation of the
muscles, also known as myositis. Aldolase levels are not affected by pancreatic
disorders.
B. Lipase levels in clients who have pancreatitis increase after a rise in serum
amylase and stay elevated for up to 14 days longer than amylase levels.
D. Lactic dehydrogenase (LDH) increases are typically seen in clients who have
anemia, leukemia, or liver damage.
3. A nurse is assessing a client who has a bleeding duodenal ulcer. Which
of the following findings should the nurse expect?
A.
Emesis with a coffee-ground appearance
B.
Increased blood pressure
C.
Decreased heart rate
D.
Bright green stools: Correct Answer: A.
Emesis with a coffee-ground appearance
The nurse should expect a client who has a bleeding duodenal ulcer to have emesis
that resembles coffee-grounds or is bright red in color. Hematemesis indicates
upper gastrointestinal bleeding, occurring at or above the duodenojejunal junction.
Incorrect Answers:B. A client who has a bleeding duodenal ulcer will have a
decreased blood pressure due to bleeding and fluid loss.
C. A client who has a bleeding duodenal ulcer will have a decreased heart rate
due to bleeding and fluid loss.
D. A client who has a bleeding duodenal ulcer will have melena stools, which
are tarry or dark in color and sticky.
4. A nurse is providing teaching to the guardian of a child who has celiac
disease. Which of the following foods should the nurse instruct the
guardian to omit from the child's diet?
A.
Cornflakes
B.
Reduced-fat milk
C.
, ATI GI System Practice Questions
Canned fruits
D.
Wheat bread: Correct Answer: D.
Wheat bread
Clients who have celiac disease should eliminate as much gluten as possible from
their diets. Wheat, rye, and barley contain gluten and should be eliminated from the
diet of a child who has celiac disease.
Incorrect Answers:A. Cornflakes do not contain gluten and do not have to be
omitted from the diet of a child who has celiac disease.
B. Milk is gluten-free and does not have to be eliminated from the diet of a child
who has celiac disease.
C. Canned fruits without additives are gluten-free and do not have to be
eliminated from the diet of a child who has celiac disease.
5. A nurse is planning an in-service training session regarding nutrition.
Which of the following minerals should the nurse identify as involved in
oxygen transportation?
A. Zinc
B. Iron
C.
Phosphorus
D.
Magnesium: Correct Answer: B.
Iron
Iron transports oxygen by means of hemoglobin and myoglobin. It is also a
component of enzyme systems.
Incorrect Answers:A. Zinc plays a role in tissue growth and wound healing and
supports immune function, but it does not affect oxygen transport.
C. Phosphorus plays a role in bone and teeth formation and energy metabolism,
but it does not affect oxygen transport.
D. Magnesium affects enzyme and neurochemical activities and the excitability
of cardiac and skeletal muscles, but it does not affect oxygen transport.
6. A nurse is presenting an in-service training session about nutrition. How
many of the amino acids must be obtained from dietary intake? A ................ 1
B ............................................................................................................................. 1
C ............................................................................................................................. 1
, ATI GI System Practice Questions
D. 15: Correct Answer: B.
9
Proteins are made up of chains of amino acids, which are composed of carbon,
hydrogen, oxygen, and nitrogen. Nine amino acids are considered essential for
the human body and must be obtained from diet. These include histidine,
isoleucine, leucine, lysine, methionine, phenylalanine, threonine, tryptophan, and
valine. Incorrect Answers:A. C. D. Of the 20 amino acids identified, the body is
able to manufacture 11. These are defined as nonessential amino acids.
7. A nurse is teaching dietary-modification strategies to a client who has been
newly diagnosed with cirrhosis. Which of the following foods should the
nurse recommend?
A.
Grilled chicken
B.
Potato soup
C.
Fish sticks
D.
Baked ham: Correct Answer: A.
Grilled chicken
The nurse should identify that a client who has cirrhosis requires protein to
compensate for disease-related weight loss. Increasing protein intake from animal
or plant sources will also provide the client with more energy.
Incorrect Answers:B. A client who has cirrhosis should avoid foods that are high
in sodium content, especially if ascites is present; therefore, the nurse should
recommend another food choice.
C. A client who has cirrhosis should avoid foods that are high in fat, especially if
the client is experiencing steatorrhea; therefore, the nurse should recommend
another food choice.
D. A client who has cirrhosis should avoid foods that are high in sodium,
especially if ascites is present; therefore, the nurse should recommend another
food choice.
8. A nurse is providing dietary teaching to a client who has dumping
syndrome following gastric bypass surgery 4 days ago. Which of the
following recommendations should the nurse include in the teaching? A.
1. A nurse is teaching a client with Barrett's esophagus who is scheduled
to undergo an esophagogastroduodenoscopy (EGD). Which of the
following statements should the nurse include in the teaching?
A.
"This procedure is performed to measure the presence of acid in your
esophagus."
B.
"This procedure can determine how well the lower part of your
esophagus works."
C.
"This procedure is performed while you are under general anesthesia."
D.
"This procedure can determine if you have colon cancer.": Correct Answer: B.
"This procedure can determine how well the lower part of your esophagus works."
An EGD is useful in determining the function of the esophageal lining and the
extent of inflammation, potential scarring, and strictures.
Incorrect Answers:A. A pH probe study, which involves the insertion of a specially
designed probe into the distal esophagus, is performed to monitor for the
presence of acid in the normally alkaline esophagus.
C. An EGD is performed while the client receives moderate sedation.
D. A colonoscopy is performed to detect colon cancer.
2. A nurse is caring for a client who has acute pancreatitis. Which of the
following serum laboratory values should return to the expected
reference range within 72 hr of treatment beginning?
A. Aldolase
B. Lipase
C. Amylase
D.
Lactic dehydrogenase: Correct Answer: C.
Amylase
Pancreatitis is the most common diagnosis for marked elevations in serum amylase.
Serum amylase begins to increase about 3 to 6 hours following the onset of acute
pancreatitis. The amylase level peaks in 20 to 30 hours and returns to the expected
reference range within 2 to 3 days.
, ATI GI System Practice Questions
Incorrect Answers:A. Elevated aldolase levels are caused by inflammation of the
muscles, also known as myositis. Aldolase levels are not affected by pancreatic
disorders.
B. Lipase levels in clients who have pancreatitis increase after a rise in serum
amylase and stay elevated for up to 14 days longer than amylase levels.
D. Lactic dehydrogenase (LDH) increases are typically seen in clients who have
anemia, leukemia, or liver damage.
3. A nurse is assessing a client who has a bleeding duodenal ulcer. Which
of the following findings should the nurse expect?
A.
Emesis with a coffee-ground appearance
B.
Increased blood pressure
C.
Decreased heart rate
D.
Bright green stools: Correct Answer: A.
Emesis with a coffee-ground appearance
The nurse should expect a client who has a bleeding duodenal ulcer to have emesis
that resembles coffee-grounds or is bright red in color. Hematemesis indicates
upper gastrointestinal bleeding, occurring at or above the duodenojejunal junction.
Incorrect Answers:B. A client who has a bleeding duodenal ulcer will have a
decreased blood pressure due to bleeding and fluid loss.
C. A client who has a bleeding duodenal ulcer will have a decreased heart rate
due to bleeding and fluid loss.
D. A client who has a bleeding duodenal ulcer will have melena stools, which
are tarry or dark in color and sticky.
4. A nurse is providing teaching to the guardian of a child who has celiac
disease. Which of the following foods should the nurse instruct the
guardian to omit from the child's diet?
A.
Cornflakes
B.
Reduced-fat milk
C.
, ATI GI System Practice Questions
Canned fruits
D.
Wheat bread: Correct Answer: D.
Wheat bread
Clients who have celiac disease should eliminate as much gluten as possible from
their diets. Wheat, rye, and barley contain gluten and should be eliminated from the
diet of a child who has celiac disease.
Incorrect Answers:A. Cornflakes do not contain gluten and do not have to be
omitted from the diet of a child who has celiac disease.
B. Milk is gluten-free and does not have to be eliminated from the diet of a child
who has celiac disease.
C. Canned fruits without additives are gluten-free and do not have to be
eliminated from the diet of a child who has celiac disease.
5. A nurse is planning an in-service training session regarding nutrition.
Which of the following minerals should the nurse identify as involved in
oxygen transportation?
A. Zinc
B. Iron
C.
Phosphorus
D.
Magnesium: Correct Answer: B.
Iron
Iron transports oxygen by means of hemoglobin and myoglobin. It is also a
component of enzyme systems.
Incorrect Answers:A. Zinc plays a role in tissue growth and wound healing and
supports immune function, but it does not affect oxygen transport.
C. Phosphorus plays a role in bone and teeth formation and energy metabolism,
but it does not affect oxygen transport.
D. Magnesium affects enzyme and neurochemical activities and the excitability
of cardiac and skeletal muscles, but it does not affect oxygen transport.
6. A nurse is presenting an in-service training session about nutrition. How
many of the amino acids must be obtained from dietary intake? A ................ 1
B ............................................................................................................................. 1
C ............................................................................................................................. 1
, ATI GI System Practice Questions
D. 15: Correct Answer: B.
9
Proteins are made up of chains of amino acids, which are composed of carbon,
hydrogen, oxygen, and nitrogen. Nine amino acids are considered essential for
the human body and must be obtained from diet. These include histidine,
isoleucine, leucine, lysine, methionine, phenylalanine, threonine, tryptophan, and
valine. Incorrect Answers:A. C. D. Of the 20 amino acids identified, the body is
able to manufacture 11. These are defined as nonessential amino acids.
7. A nurse is teaching dietary-modification strategies to a client who has been
newly diagnosed with cirrhosis. Which of the following foods should the
nurse recommend?
A.
Grilled chicken
B.
Potato soup
C.
Fish sticks
D.
Baked ham: Correct Answer: A.
Grilled chicken
The nurse should identify that a client who has cirrhosis requires protein to
compensate for disease-related weight loss. Increasing protein intake from animal
or plant sources will also provide the client with more energy.
Incorrect Answers:B. A client who has cirrhosis should avoid foods that are high
in sodium content, especially if ascites is present; therefore, the nurse should
recommend another food choice.
C. A client who has cirrhosis should avoid foods that are high in fat, especially if
the client is experiencing steatorrhea; therefore, the nurse should recommend
another food choice.
D. A client who has cirrhosis should avoid foods that are high in sodium,
especially if ascites is present; therefore, the nurse should recommend another
food choice.
8. A nurse is providing dietary teaching to a client who has dumping
syndrome following gastric bypass surgery 4 days ago. Which of the
following recommendations should the nurse include in the teaching? A.
