ATI Gastrointestinal Targeted Exam 2023 with complete
solution
A nurse is providing discharge teaching for a client who has GERD. Which of the
following statements by the client indicates an understanding of the teaching?
-"I will decrease the amount of carbonated beverages I drink."
-"I will avoid drinking liquids for 30 minutes after taking a chewable antacid
tablet."
-"I will eat a snack before going to bed."
-"I will lie down for at least 30 minutes after eating each meal."
"I will decrease the amount of carbonated beverages I drink."
The nurse should instruct the client to limit or eliminate fatty foods, coffee, cola, tea,
carbonated beverages, and chocolate from his diet because they irritate the lining of the
stomach.
A nurse is teaching a client how to prepare for a colonoscopy. Which of the
following instructions should the nurse include in the teaching?
-Begin drinking the oral liquid preparation for bowel cleansing on the morning of
the procedure.
-Drink full liquids for breakfast the day of the procedure, and then take nothing by
mouth for 2 hr prior to the procedure.
-Drink clear liquids for 24 hr prior to the procedure, and then take nothing by
mouth for 6 hr before the procedure.
-Drink the oral liquid preparation for bowel cleansing slowly.
Drink clear liquids for 24 hr prior to the procedure, and then take nothing by mouth for 6
hr before the procedure.
The nurse should instruct the client to drink clear liquids for 24 hr prior to the
colonoscopy to promote adequate bowel cleansing. Maintaining NPO status for 4 to 6 hr
prior to the colonoscopy preserves the bowel's cleansed state.
A nurse is admitting a client who has acute pancreatitis. Which of the following
actions should the nurse take first?
-Insert a nasogastric tube for the client
-Administer ceftazidime to the client
-Identify the client's current level of pain
-Instruct the client to remain NPO
Identify the client's current level of pain.
The first action the nurse should take when using the nursing process is to assess the
client. Clients who have acute pancreatitis often have severe abdominal pain. By
assessing the client's level of pain, the nurse can identify the need for and implement
interventions to alleviate the client's pain.
, A nurse is assessing a client who has appendicitis. Which of the following
findings should the nurse expect? (Select all that apply)
-Oral temperature 38.4° C (101.1° F)
-WBC 6,000/mm3
-Bloody diarrhea
-Nausea and vomiting
-Right lower quadrant pain
-Oral temperature 38.4° C (101.1° F)
-Nausea and vomiting
-Right lower quadrant pain
A nurse is providing discharge for a client who has peptic ulcer disease and a
new prescription for famotidine. Which of the following statements by the client
indicates an understanding of the teaching?
-"I should take this medication at bedtime."
-"I should expect this medication to discolor my stools."
-"I will drink iced tea with my meals and snacks."
-"I will monitor my blood glucose level regularly while taking this medication."
"I should take this medication at bedtime."
The nurse should instruct the client to take the medication at bedtime to inhibit the
action of histamine at the H2-receptor site in the stomach.
A nurse is reviewing the laboratory values of a client who has colorectal cancer.
Which of the following findings should the nurse expect?
-Negative fecal occult blood test
-Decreased serum carcinoembryonic antigen (CEA) level
-Hematocrit 43%
-Hemoglobin 9.1 g/dL
Hemoglobin 9.1 g/dL
A hemoglobin level of 9.1 g/dL is below the expected reference range. Decreased
hemoglobin is an expected finding in a client who has colorectal cancer due to occult
intestinal bleeding.
A nurse is assessing a client who has peritonitis. Which of the following findings
should the nurse expect?
-Bloody diarrhea
-Board-like abdomen
-Periumbilical cyanosis
-Increased bowel sounds
Board-like abdomen
A board-like, distended abdomen, accompanied by extreme pain and tenderness, is an
expected finding in a client who has peritonitis.
solution
A nurse is providing discharge teaching for a client who has GERD. Which of the
following statements by the client indicates an understanding of the teaching?
-"I will decrease the amount of carbonated beverages I drink."
-"I will avoid drinking liquids for 30 minutes after taking a chewable antacid
tablet."
-"I will eat a snack before going to bed."
-"I will lie down for at least 30 minutes after eating each meal."
"I will decrease the amount of carbonated beverages I drink."
The nurse should instruct the client to limit or eliminate fatty foods, coffee, cola, tea,
carbonated beverages, and chocolate from his diet because they irritate the lining of the
stomach.
A nurse is teaching a client how to prepare for a colonoscopy. Which of the
following instructions should the nurse include in the teaching?
-Begin drinking the oral liquid preparation for bowel cleansing on the morning of
the procedure.
-Drink full liquids for breakfast the day of the procedure, and then take nothing by
mouth for 2 hr prior to the procedure.
-Drink clear liquids for 24 hr prior to the procedure, and then take nothing by
mouth for 6 hr before the procedure.
-Drink the oral liquid preparation for bowel cleansing slowly.
Drink clear liquids for 24 hr prior to the procedure, and then take nothing by mouth for 6
hr before the procedure.
The nurse should instruct the client to drink clear liquids for 24 hr prior to the
colonoscopy to promote adequate bowel cleansing. Maintaining NPO status for 4 to 6 hr
prior to the colonoscopy preserves the bowel's cleansed state.
A nurse is admitting a client who has acute pancreatitis. Which of the following
actions should the nurse take first?
-Insert a nasogastric tube for the client
-Administer ceftazidime to the client
-Identify the client's current level of pain
-Instruct the client to remain NPO
Identify the client's current level of pain.
The first action the nurse should take when using the nursing process is to assess the
client. Clients who have acute pancreatitis often have severe abdominal pain. By
assessing the client's level of pain, the nurse can identify the need for and implement
interventions to alleviate the client's pain.
, A nurse is assessing a client who has appendicitis. Which of the following
findings should the nurse expect? (Select all that apply)
-Oral temperature 38.4° C (101.1° F)
-WBC 6,000/mm3
-Bloody diarrhea
-Nausea and vomiting
-Right lower quadrant pain
-Oral temperature 38.4° C (101.1° F)
-Nausea and vomiting
-Right lower quadrant pain
A nurse is providing discharge for a client who has peptic ulcer disease and a
new prescription for famotidine. Which of the following statements by the client
indicates an understanding of the teaching?
-"I should take this medication at bedtime."
-"I should expect this medication to discolor my stools."
-"I will drink iced tea with my meals and snacks."
-"I will monitor my blood glucose level regularly while taking this medication."
"I should take this medication at bedtime."
The nurse should instruct the client to take the medication at bedtime to inhibit the
action of histamine at the H2-receptor site in the stomach.
A nurse is reviewing the laboratory values of a client who has colorectal cancer.
Which of the following findings should the nurse expect?
-Negative fecal occult blood test
-Decreased serum carcinoembryonic antigen (CEA) level
-Hematocrit 43%
-Hemoglobin 9.1 g/dL
Hemoglobin 9.1 g/dL
A hemoglobin level of 9.1 g/dL is below the expected reference range. Decreased
hemoglobin is an expected finding in a client who has colorectal cancer due to occult
intestinal bleeding.
A nurse is assessing a client who has peritonitis. Which of the following findings
should the nurse expect?
-Bloody diarrhea
-Board-like abdomen
-Periumbilical cyanosis
-Increased bowel sounds
Board-like abdomen
A board-like, distended abdomen, accompanied by extreme pain and tenderness, is an
expected finding in a client who has peritonitis.
