ATI: Adult Medical Surgical
Gastrointestinal 2026 With Questions
And Correct Answers
A nurse is caring for a client who is scheduled to undergo a liver biopsy for a suspected malignancy.
Which of the following laboratory findings should the nurse monitor prior to the procedure?
A. Prothrombin time
B. Serum lipase
C. Bilirubin
D. Calcium - correct answer <<<<<💕💕💕✔✔A. Prothrombin time
A major complication following a liver biopsy is hemorrgage. Many clients who have liver disease have
clotting defects and are at risk for bleeding.
A nurse is checking who was admitted with a bowel obstruction. The client reports severe abdominal
pain. Which of the following findings should indicate to the nurse that a 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. Rigid abdomen
Abdominal tenderness and rigidity occur with a bowel perforation. As fluid escapes into the peritoneal
cavity, there is a reduction in circulating blood volume and a lowered blood pressure, or hypotension
results
A nurse is assisting with the card of a client who is receiving total parenteral nutrition (TPN) therapy and
has just returned to the room following physical therapy. The nurse notes that the infusion pump for the
client's TPN is turned off. After restarting the infusion pump, the nurse should monitor the client for
which of the following findings?
A. Hypertension
, B. Excessive thirst
C. Fever
D. Diaphoresis - correct answer <<<<<💕💕💕✔✔D. Diaphoresis
The nurse should recognize that the client has the potential for the development of hypoglycemia due
to the sudden withdrawal of the TPN solution.
A nurse is assisting with the admission of a client who has bleeding esophageal varices. The nurse should
anticipate a prescription for which of the following medications?
A. Famotidine
B. Esomeprazole
C. Vasopressin
D. Omeprazole - correct answer <<<<<💕💕💕✔✔C. Vasopressin
Vasopressin constricts the splanchnic bed and decreases portal pressure. It also constricts the distal
esophageal and proximal gastric veins, which reduces inflow into the portal system and is used to treat
bleeding varices.
A nurse is caring for client who has a percutaneous endoscopic gastronomy (PEG) 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-Folwer's position
C. Cleanse the skin around the tube site
D. Aspirate the tube prior to each feeding - correct answer <<<<<💕💕💕✔✔B. Place the client in
semi-Folwer's position
The nurse should apply the ABC priority-setting framework
A nurse is collecting data from a client who is experiencing perforation of a peptic ulcer. Which of the
following manifestations should the nurse expect?
A. Decreased heart rate
B. Yellowing of the skin
C. Increased blood pressure
Gastrointestinal 2026 With Questions
And Correct Answers
A nurse is caring for a client who is scheduled to undergo a liver biopsy for a suspected malignancy.
Which of the following laboratory findings should the nurse monitor prior to the procedure?
A. Prothrombin time
B. Serum lipase
C. Bilirubin
D. Calcium - correct answer <<<<<💕💕💕✔✔A. Prothrombin time
A major complication following a liver biopsy is hemorrgage. Many clients who have liver disease have
clotting defects and are at risk for bleeding.
A nurse is checking who was admitted with a bowel obstruction. The client reports severe abdominal
pain. Which of the following findings should indicate to the nurse that a 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. Rigid abdomen
Abdominal tenderness and rigidity occur with a bowel perforation. As fluid escapes into the peritoneal
cavity, there is a reduction in circulating blood volume and a lowered blood pressure, or hypotension
results
A nurse is assisting with the card of a client who is receiving total parenteral nutrition (TPN) therapy and
has just returned to the room following physical therapy. The nurse notes that the infusion pump for the
client's TPN is turned off. After restarting the infusion pump, the nurse should monitor the client for
which of the following findings?
A. Hypertension
, B. Excessive thirst
C. Fever
D. Diaphoresis - correct answer <<<<<💕💕💕✔✔D. Diaphoresis
The nurse should recognize that the client has the potential for the development of hypoglycemia due
to the sudden withdrawal of the TPN solution.
A nurse is assisting with the admission of a client who has bleeding esophageal varices. The nurse should
anticipate a prescription for which of the following medications?
A. Famotidine
B. Esomeprazole
C. Vasopressin
D. Omeprazole - correct answer <<<<<💕💕💕✔✔C. Vasopressin
Vasopressin constricts the splanchnic bed and decreases portal pressure. It also constricts the distal
esophageal and proximal gastric veins, which reduces inflow into the portal system and is used to treat
bleeding varices.
A nurse is caring for client who has a percutaneous endoscopic gastronomy (PEG) 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-Folwer's position
C. Cleanse the skin around the tube site
D. Aspirate the tube prior to each feeding - correct answer <<<<<💕💕💕✔✔B. Place the client in
semi-Folwer's position
The nurse should apply the ABC priority-setting framework
A nurse is collecting data from a client who is experiencing perforation of a peptic ulcer. Which of the
following manifestations should the nurse expect?
A. Decreased heart rate
B. Yellowing of the skin
C. Increased blood pressure
