ATI MEDICAL SURGICAL EXAM
CARDIOVASCULAR ENDOCRINE
GASTROINTESTINAL CERTIFICATION
EVALUATION EXAMS 2026 SOLVED
QUESTIONS WITH FULL SOLUTION
◉ a nurse is caring for a client who has celiac disease. which kind of
food should the nurse remove from the clients meal tray?
Answer: wheat toast.
rational- celiac disease is an autoimmune disorder characterized by
a permanent intolerance to wheat, barely, and rye.
◉ a nurse is caring for a client who has acute pancreatitis. what
serum lab values should the nurse anticipate returning to the
expected reference range within 72 hours after treatment begins?
Answer: amylase. pancreatitis is the most common diagnosis
marked for elevations in serum amylase. serum amylase begins to
increase about 3-6hr following the onset of acute pancreatitis. the
amylase level peaks in 20-30 hr and returns to the expected
reference range within 2-3 days.
,◉ a nurse is teaching a client who has Barrett's esophagus and is
scheduled to undergo an esophagogastroduodenoscopy (EGD). what
statement should the nurse include in the teaching?
Answer: this procedure can determine how well the lower part of
your esophagus works
◉ a nurse is assessing a client who is experiencing a perforation of a
peptic ulcer. what manifestation should the nurse expect?
Answer: boardlike abdomen rational-
The nurse should expect the client who is experiencing perforation
of a peptic ulcer to exhibit manifestations of a boardlike abdomen
and severe pain in the abdomen or back that radiates to the right
shoulder. Vomiting of blood and shock can occur if the perforation
causes hemorrhaging.
◉ a nurse is caring for a client who is scheduled to undergo an EGD.
the nurse should identify that this procedure is used to do what?
Answer: to detect an ulceration in the stomach. rational- An EGD is
used to visualize the esophagus, stomach, and duodenum with a
lighted tube to detect a tumor, ulceration, or obstruction.
◉ a nurse is caring for a client who is dehydrated and is receiving
continuous tube feeding through a pump at 75mL/hr. when the
nurse assesses the client at 0800, what finding would require
intervention by the nurse?
,Answer: the head of the bed is elevated at 20degrees. rational- The
head of the bed should be elevated at least 30° (semi-Fowler's
position) while the tube feeding is administered. This position uses
gravity to help the feeding move down through the digestive system
and lessens the possibility of regurgitation.
◉ a nurse is caring for a client who has percutaneous endoscopic
gastrostomy (PEG) tube and is receiving intermittent feedings. prior
to initiating the feeding, what action should the nurse take first?
Answer: place the client in semi-fowlers position. rational- A client
who is receiving PEG tube feedings should be positioned with the
head of the bed elevated at least 30° during and after feedings to
decrease the risk of aspiration. Therefore, this is the priority action
by the nurse. THINK ABCS
◉ a nurse is providing dietary teaching to a client who has
diverticulitis about preventing acute attacks. what foods should the
nurse recommend?
Answer: foods high in fiber. rational- The result of long-term, low-
fiber eating habits along with increased intracolonic pressure lead to
straining during bowel movements, causing the development of
diverticula. High-fiber foods help strengthen and maintain active
motility of the gastrointestinal tract.
◉ a nurse is caring for 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 the
nurse should monitor the client for what?
Answer: diaphoresis. rational- The nurse should recognize that the
client has the potential for the development of hypoglycemia due to
the sudden withdrawal of the TPN solution. In addition to
diaphoresis, other potential manifestations of hypoglycemia can
include weakness, anxiety, confusion, and hunger.
◉ a nurse is completing a history and physical assessment for a
client who has chronic pancreatitis. what finding should the nurse
identify as a likely cause of the client's condition?
Answer: alcohol use
◉ a nurse in the ER is caring for a client who has bleeding
esophageal varies. the nurse should anticipate a prescription for
which medication?
Answer: vasopressin. rational- vasopressin constricts the splanchnic
bed and decreases portal pressure. Vasopressin 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 a client who is 2 days postoperative following
a gastric bypass. the nurse notes that bowel sounds are present.
what foods should the nurse provide at the initial feeding?
Answer: clear liquids rationall- Clear liquids, such as water or broth,
can be given for the first oral feedings, but should be limited to only
CARDIOVASCULAR ENDOCRINE
GASTROINTESTINAL CERTIFICATION
EVALUATION EXAMS 2026 SOLVED
QUESTIONS WITH FULL SOLUTION
◉ a nurse is caring for a client who has celiac disease. which kind of
food should the nurse remove from the clients meal tray?
Answer: wheat toast.
rational- celiac disease is an autoimmune disorder characterized by
a permanent intolerance to wheat, barely, and rye.
◉ a nurse is caring for a client who has acute pancreatitis. what
serum lab values should the nurse anticipate returning to the
expected reference range within 72 hours after treatment begins?
Answer: amylase. pancreatitis is the most common diagnosis
marked for elevations in serum amylase. serum amylase begins to
increase about 3-6hr following the onset of acute pancreatitis. the
amylase level peaks in 20-30 hr and returns to the expected
reference range within 2-3 days.
,◉ a nurse is teaching a client who has Barrett's esophagus and is
scheduled to undergo an esophagogastroduodenoscopy (EGD). what
statement should the nurse include in the teaching?
Answer: this procedure can determine how well the lower part of
your esophagus works
◉ a nurse is assessing a client who is experiencing a perforation of a
peptic ulcer. what manifestation should the nurse expect?
Answer: boardlike abdomen rational-
The nurse should expect the client who is experiencing perforation
of a peptic ulcer to exhibit manifestations of a boardlike abdomen
and severe pain in the abdomen or back that radiates to the right
shoulder. Vomiting of blood and shock can occur if the perforation
causes hemorrhaging.
◉ a nurse is caring for a client who is scheduled to undergo an EGD.
the nurse should identify that this procedure is used to do what?
Answer: to detect an ulceration in the stomach. rational- An EGD is
used to visualize the esophagus, stomach, and duodenum with a
lighted tube to detect a tumor, ulceration, or obstruction.
◉ a nurse is caring for a client who is dehydrated and is receiving
continuous tube feeding through a pump at 75mL/hr. when the
nurse assesses the client at 0800, what finding would require
intervention by the nurse?
,Answer: the head of the bed is elevated at 20degrees. rational- The
head of the bed should be elevated at least 30° (semi-Fowler's
position) while the tube feeding is administered. This position uses
gravity to help the feeding move down through the digestive system
and lessens the possibility of regurgitation.
◉ a nurse is caring for a client who has percutaneous endoscopic
gastrostomy (PEG) tube and is receiving intermittent feedings. prior
to initiating the feeding, what action should the nurse take first?
Answer: place the client in semi-fowlers position. rational- A client
who is receiving PEG tube feedings should be positioned with the
head of the bed elevated at least 30° during and after feedings to
decrease the risk of aspiration. Therefore, this is the priority action
by the nurse. THINK ABCS
◉ a nurse is providing dietary teaching to a client who has
diverticulitis about preventing acute attacks. what foods should the
nurse recommend?
Answer: foods high in fiber. rational- The result of long-term, low-
fiber eating habits along with increased intracolonic pressure lead to
straining during bowel movements, causing the development of
diverticula. High-fiber foods help strengthen and maintain active
motility of the gastrointestinal tract.
◉ a nurse is caring for 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 the
nurse should monitor the client for what?
Answer: diaphoresis. rational- The nurse should recognize that the
client has the potential for the development of hypoglycemia due to
the sudden withdrawal of the TPN solution. In addition to
diaphoresis, other potential manifestations of hypoglycemia can
include weakness, anxiety, confusion, and hunger.
◉ a nurse is completing a history and physical assessment for a
client who has chronic pancreatitis. what finding should the nurse
identify as a likely cause of the client's condition?
Answer: alcohol use
◉ a nurse in the ER is caring for a client who has bleeding
esophageal varies. the nurse should anticipate a prescription for
which medication?
Answer: vasopressin. rational- vasopressin constricts the splanchnic
bed and decreases portal pressure. Vasopressin 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 a client who is 2 days postoperative following
a gastric bypass. the nurse notes that bowel sounds are present.
what foods should the nurse provide at the initial feeding?
Answer: clear liquids rationall- Clear liquids, such as water or broth,
can be given for the first oral feedings, but should be limited to only
