ATI Gastrointestinal Questions with CORRECT
Answers
Question:
A nurse is caring for a client who has a percutaneous endoscopic gastrostomy (PEG)
tube and is receiving intermittent feedings. Prior to initiating the feeding, which of the
following actions should the nurse take first?
Answer:
- Flush the tube with water.
Question:
- Place the client in semi-Fowlers's position.
- Cleanse the skin around the tube site.
Aspirate the tube for residual contents.
Answer:
Place the client in semi-Fowlers's position. The nurse should apply the ABC
priority-setting framework. This framework emphasizes the basic core of human
functioning: having an open airway, being able to breathe in adequate amounts of
oxygen, and circulating oxygen to the body's organs via the blood. An alteration in any
of these can indicate a threat to life and is therefore the nurse's priority concern. When
applying the ABC prioritysetting framework, airway is always the highest priority
because the airway must be clear and open for oxygen exchange to occur. Breathing is
the second priority in the ABC priority-setting framework because adequate ventilatory
effort is essential for oxygen exchange to occur. Circulation is the third priority in the
ABC priority-setting framework because delivery of oxygen to critical organs only occurs
if the heart and blood vessels are capable of efficiently carrying oxygen to them. 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.
Question:
A nurse is caring for a client who is scheduled to undergo an
esophagogastroduodenoscopy (EGD). The nurse should identify that this procedure is
used to do which of the following?
Answer:
- To visualize polyps in the colon
, Question:
- To detect an ulceration in the stomach
- To identify an obstruction in the biliary tract
To determine the presence of free air in the abdomen
Answer:
To detect an ulceration in the stomach An EGD is used to visualize the esophagus,
stomach, and duodenum with a lighted tube to detect a tumor, ulceration, or
obstruction.
Question:
A nurse is teaching a client who has Barrett's esophagus and is scheduled to undergo an
esophagogastroduidenoscopy (EGD). Which of the following statements should the
nurse include in the teaching?
Answer:
- "This procedure is performed to measure the presence of acid in your esophagus."
Question:
- "This procedure can determine how well the lower part of your esophagus works."
- "This procedure is performed while you are under general anesthesia."
"This procedure can determine if you have colon cancer."
Answer:
"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.
Question:
A nurse is caring for a client who is dehydrated and is receiving continuous tube feeding
through a pump at 75 mL/hr. When the nurse assesses the client at 0800, which of the
following findings requires intervention by the nurse?
Answer:
- A full pitcher of water is sitting on the client's bedside table within the client's reach.
Answers
Question:
A nurse is caring for a client who has a percutaneous endoscopic gastrostomy (PEG)
tube and is receiving intermittent feedings. Prior to initiating the feeding, which of the
following actions should the nurse take first?
Answer:
- Flush the tube with water.
Question:
- Place the client in semi-Fowlers's position.
- Cleanse the skin around the tube site.
Aspirate the tube for residual contents.
Answer:
Place the client in semi-Fowlers's position. The nurse should apply the ABC
priority-setting framework. This framework emphasizes the basic core of human
functioning: having an open airway, being able to breathe in adequate amounts of
oxygen, and circulating oxygen to the body's organs via the blood. An alteration in any
of these can indicate a threat to life and is therefore the nurse's priority concern. When
applying the ABC prioritysetting framework, airway is always the highest priority
because the airway must be clear and open for oxygen exchange to occur. Breathing is
the second priority in the ABC priority-setting framework because adequate ventilatory
effort is essential for oxygen exchange to occur. Circulation is the third priority in the
ABC priority-setting framework because delivery of oxygen to critical organs only occurs
if the heart and blood vessels are capable of efficiently carrying oxygen to them. 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.
Question:
A nurse is caring for a client who is scheduled to undergo an
esophagogastroduodenoscopy (EGD). The nurse should identify that this procedure is
used to do which of the following?
Answer:
- To visualize polyps in the colon
, Question:
- To detect an ulceration in the stomach
- To identify an obstruction in the biliary tract
To determine the presence of free air in the abdomen
Answer:
To detect an ulceration in the stomach An EGD is used to visualize the esophagus,
stomach, and duodenum with a lighted tube to detect a tumor, ulceration, or
obstruction.
Question:
A nurse is teaching a client who has Barrett's esophagus and is scheduled to undergo an
esophagogastroduidenoscopy (EGD). Which of the following statements should the
nurse include in the teaching?
Answer:
- "This procedure is performed to measure the presence of acid in your esophagus."
Question:
- "This procedure can determine how well the lower part of your esophagus works."
- "This procedure is performed while you are under general anesthesia."
"This procedure can determine if you have colon cancer."
Answer:
"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.
Question:
A nurse is caring for a client who is dehydrated and is receiving continuous tube feeding
through a pump at 75 mL/hr. When the nurse assesses the client at 0800, which of the
following findings requires intervention by the nurse?
Answer:
- A full pitcher of water is sitting on the client's bedside table within the client's reach.
