ATI RN MEDICAL SURGICAL Gastrointestinal targeted
EXAM 2024 ACTUAL EXAM COMPLETE 40 QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS
/ALREADY GRADED A+
1.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
Rationale: A board-like , distended abdomen, accompanied by extreme
pain and tenderness, is an expected finding for a client who has
peritonitis.
RATIONALES:
Bloody diarrhea
- Bloody diarrhea is an expected finding for a client who has colorectal
cancer.
Periumbilical cyanosis
- Periumbilical cyanosis is an expected finding for a client who has
pancreatitis.
Increased bowel sounds
- Diminished bowel sounds is an expected finding for a client who has
To get this or any other Exam contact ()
, peritonitis.
2.A nurse is assessing a client who has acute hepatitis B. Which of
the following findings should the nurse expect?
- Joint pain
- Obstipation
- Abdominal distention
- Periumbilical discoloration: Joint pain
Rationale: Joint pain is an expected finding in a client who has acute
hepatitis B.
RATIONALES:
Obstipation
- Obstipation, or failure to pass stools, is an expected finding in a client
who has a
complete bowel obstruction.
Abdominal distention
- Abdominal distention is an expected finding in a client who has a
small bowel obstruction.
Periumbilical discoloration
- Periumbilical discoloration is an expected finding in a client who has
intraperitoneal bleeding.
3.A nurse is reviewing laboratory values of a client who has colorectal
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, 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
Rationale: A hemoglobin level of 9.1 g/dL is below the expected referenc
range. Decreased hemoglobin is an expected finding in a client who has
colorectal cancer due to occult intestinal bleeding.
RATIONALES:
Negative fecal occult blood test
- A positive fecal occult blood test is an expected finding for a client who
has colorectal cancer because colorectal cancer causes bleeding in the
gastrointestinal tract.
Decreased serum carcinoembryonic antigen (CEA) level
- An elevated CEA level is an expected finding for a client who has
colorectal cancer.
Hematocrit 43%
- A hematocrit level of 43% is within the expected reference range. The
nurse should expect a decreased hematocrit level for a client who has
colorectal cancer due to occult intestinal bleeding.
4.A nurse is developing a plan of care for a client who has cirrhosis and
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, ascites. Which of the following interventions should the nurse include in
the
plan?
- Measure the client's abdominal girth daily
- Check mental status once daily
- Provide a daily intake of 4 g of sodium for the client.
- Assess the client's breath sounds every 12 hr.: Measure the client's
abdominal girth daily
Rationale: The nurse should measure the client's abdominal girth and
weigh the client daily to monitor the amount of fluid accumulation in the
abdomen and the effectiveness of treatment measures.
RATIONALES:
Check mental status once daily
- A client who has cirrhosis is at risk for hepatic encephalopathy. The
nurse should assess the client's mental status every 4 to 8 hr.
Provide a daily intake of 4 g of sodium for the client.
- A client who has cirrhosis can have edema and ascites and is usually
prescribed a 1 to 2 g sodium-restricted diet to prevent ascites.
Assess the client's breath sounds every 12 hr.
- A client who has cirrhosis is at risk for dyspnea due to ascites. The
nurse should monitor the client's breath sounds every 4 to 8 hr.
5.A nurse is providing discharge teaching for a client who has chronic
To get this or any other Exam contact ()
EXAM 2024 ACTUAL EXAM COMPLETE 40 QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS
/ALREADY GRADED A+
1.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
Rationale: A board-like , distended abdomen, accompanied by extreme
pain and tenderness, is an expected finding for a client who has
peritonitis.
RATIONALES:
Bloody diarrhea
- Bloody diarrhea is an expected finding for a client who has colorectal
cancer.
Periumbilical cyanosis
- Periumbilical cyanosis is an expected finding for a client who has
pancreatitis.
Increased bowel sounds
- Diminished bowel sounds is an expected finding for a client who has
To get this or any other Exam contact ()
, peritonitis.
2.A nurse is assessing a client who has acute hepatitis B. Which of
the following findings should the nurse expect?
- Joint pain
- Obstipation
- Abdominal distention
- Periumbilical discoloration: Joint pain
Rationale: Joint pain is an expected finding in a client who has acute
hepatitis B.
RATIONALES:
Obstipation
- Obstipation, or failure to pass stools, is an expected finding in a client
who has a
complete bowel obstruction.
Abdominal distention
- Abdominal distention is an expected finding in a client who has a
small bowel obstruction.
Periumbilical discoloration
- Periumbilical discoloration is an expected finding in a client who has
intraperitoneal bleeding.
3.A nurse is reviewing laboratory values of a client who has colorectal
To get this or any other Exam contact ()
, 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
Rationale: A hemoglobin level of 9.1 g/dL is below the expected referenc
range. Decreased hemoglobin is an expected finding in a client who has
colorectal cancer due to occult intestinal bleeding.
RATIONALES:
Negative fecal occult blood test
- A positive fecal occult blood test is an expected finding for a client who
has colorectal cancer because colorectal cancer causes bleeding in the
gastrointestinal tract.
Decreased serum carcinoembryonic antigen (CEA) level
- An elevated CEA level is an expected finding for a client who has
colorectal cancer.
Hematocrit 43%
- A hematocrit level of 43% is within the expected reference range. The
nurse should expect a decreased hematocrit level for a client who has
colorectal cancer due to occult intestinal bleeding.
4.A nurse is developing a plan of care for a client who has cirrhosis and
To get this or any other Exam contact ()
, ascites. Which of the following interventions should the nurse include in
the
plan?
- Measure the client's abdominal girth daily
- Check mental status once daily
- Provide a daily intake of 4 g of sodium for the client.
- Assess the client's breath sounds every 12 hr.: Measure the client's
abdominal girth daily
Rationale: The nurse should measure the client's abdominal girth and
weigh the client daily to monitor the amount of fluid accumulation in the
abdomen and the effectiveness of treatment measures.
RATIONALES:
Check mental status once daily
- A client who has cirrhosis is at risk for hepatic encephalopathy. The
nurse should assess the client's mental status every 4 to 8 hr.
Provide a daily intake of 4 g of sodium for the client.
- A client who has cirrhosis can have edema and ascites and is usually
prescribed a 1 to 2 g sodium-restricted diet to prevent ascites.
Assess the client's breath sounds every 12 hr.
- A client who has cirrhosis is at risk for dyspnea due to ascites. The
nurse should monitor the client's breath sounds every 4 to 8 hr.
5.A nurse is providing discharge teaching for a client who has chronic
To get this or any other Exam contact ()
