RN TARGETED MEDICAL SURGICAL
GASTROINTESTINAL (ATI) EXAM QUESTIONS AND
ANSWERS 100% CORRECT!!!!
,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 - ANSWER 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 peritonitis.
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 - ANSWER 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.
A nurse is developing a plan of care for a client who has cirrhosis and 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. - ANSWER 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.
GASTROINTESTINAL (ATI) EXAM QUESTIONS AND
ANSWERS 100% CORRECT!!!!
,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 - ANSWER 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 peritonitis.
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 - ANSWER 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.
A nurse is developing a plan of care for a client who has cirrhosis and 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. - ANSWER 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.
