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RN TARGETED MEDICAL SURGICAL
GASTROINTESTINAL (ATI) EXAM 2025 |
LATEST ACTUAL QUESTIONS WITH ANSWERS
A nurse is providing dietary teaching for a client who has a new diagnosis of celiac
disease. Which of the following statements by the client indicates an
understanding of the teaching?
- "I can return to my regular diet when I am free of symptoms."
- "I will need to avoid taking vitamin supplements while on this diet."
- "I will eats beans to ensure I get enough fiber in my diet."
- "I need to avoid drinking liquids with my meals while on this diet." - correct-
answer-"I will eats beans to ensure I get enough fiber in my diet."
Rationale: Clients who have celiac disease must maintain a gluten-free diet, which
eliminates fiber-rich whole wheat products. Clients should eat beans, nuts, fruits,
and vegetables to ensure an adequate intake of fiber.
RATIONALES:
"I can return to my regular diet when I am free of symptoms."
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- Celiac disease is an autoimmune disorder that causes changes to the intestinal
mucosa, resulting in an intolerance to gluten, which is found in wheat, barley, and
rye. The client should continue to avoid eating foods that contain gluten even
when free of symptoms.
"I will need to avoid taking vitamin supplements while on this diet."
- Clients who have celiac disease are at risk for malabsorption of vitamins and
minerals; therefore, the client should continue taking vitamin and mineral
supplements.
"I need to avoid drinking liquids with my meals while on this diet."
- Clients who have dumping syndrome should avoid drinking liquids with their
meals to slow the movement of food through the intestinal tract. Clients who have
celiac disease do not need to refrain from drinking liquids with meals.
A nurse is providing dietary teaching for a client who has chronic pancreatitis.
Which of the following food selections by the client indicates an understanding of
the teaching?
- 8 oz (0.24 L) whole milk
- One slice of beef bologna
- 1 oz (28.3 g) cheddar
- 1 cup (0.24 L) sliced banana - correct-answer-1 cup (0.24 L) sliced banana
Rationale: Foods that are high in fat can cause diarrhea for clients who have
pancreatitis. One cup of sliced banana, which contains 0.49 g of fat, is a low-fat
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food option. Clients who have pancreatitis should consume a high-protein and
low-fat diet with an adequate amount of carbohydrates and calories.
RATIONALES:
8 oz (0.24 L) whole milk
- The nurse should inform the client that high-fat foods, such as whole milk,
should be avoided because foods that are high in fat can cause diarrhea. A cup of
whole milk contains 7.93 g of fat. The nurse should recommend fat-free milk.
One slice of beef bologna
- The nurse should inform the client that high-fat foods, such as bologna, should
be avoided because foods that are high in fat can cause diarrhea. One slice of beef
bologna contains 7.84 g of fat.
1 oz (28.3 g) cheddar
- The nurse should inform the client that high-fat foods, such as cheddar cheese,
should be avoided because foods that are high in fat can cause diarrhea. An ounce
of cheddar cheese contains 9.33 g of total fat.
A nurse is assessing a client who has Crohn's disease. Which of the following
findings should the nurse expect?
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- Fatty diarrheal stools
- Hyperkalemia
- Weight gain
- Sharp epigastric pain - correct-answer-Fatty diarrheal stools
Rationale: Steatorrhea, or fatty stool, is an expected finding in a client who has
Crohn's disease.
RATIONALES:
Hyperkalemia
- Hypokalemia is an expected finding in a client who has Crohn's disease.
Weight gain
- Weight loss is an expected finding in a client who has Crohn's disease.
Sharp epigastric pain
- Abdominal pain in the right lower quadrant is an expected finding in a client who
has Crohn's disease.
RN TARGETED MEDICAL SURGICAL
GASTROINTESTINAL (ATI) EXAM 2025 |
LATEST ACTUAL QUESTIONS WITH ANSWERS
A nurse is providing dietary teaching for a client who has a new diagnosis of celiac
disease. Which of the following statements by the client indicates an
understanding of the teaching?
- "I can return to my regular diet when I am free of symptoms."
- "I will need to avoid taking vitamin supplements while on this diet."
- "I will eats beans to ensure I get enough fiber in my diet."
- "I need to avoid drinking liquids with my meals while on this diet." - correct-
answer-"I will eats beans to ensure I get enough fiber in my diet."
Rationale: Clients who have celiac disease must maintain a gluten-free diet, which
eliminates fiber-rich whole wheat products. Clients should eat beans, nuts, fruits,
and vegetables to ensure an adequate intake of fiber.
RATIONALES:
"I can return to my regular diet when I am free of symptoms."
,2|Page
- Celiac disease is an autoimmune disorder that causes changes to the intestinal
mucosa, resulting in an intolerance to gluten, which is found in wheat, barley, and
rye. The client should continue to avoid eating foods that contain gluten even
when free of symptoms.
"I will need to avoid taking vitamin supplements while on this diet."
- Clients who have celiac disease are at risk for malabsorption of vitamins and
minerals; therefore, the client should continue taking vitamin and mineral
supplements.
"I need to avoid drinking liquids with my meals while on this diet."
- Clients who have dumping syndrome should avoid drinking liquids with their
meals to slow the movement of food through the intestinal tract. Clients who have
celiac disease do not need to refrain from drinking liquids with meals.
A nurse is providing dietary teaching for a client who has chronic pancreatitis.
Which of the following food selections by the client indicates an understanding of
the teaching?
- 8 oz (0.24 L) whole milk
- One slice of beef bologna
- 1 oz (28.3 g) cheddar
- 1 cup (0.24 L) sliced banana - correct-answer-1 cup (0.24 L) sliced banana
Rationale: Foods that are high in fat can cause diarrhea for clients who have
pancreatitis. One cup of sliced banana, which contains 0.49 g of fat, is a low-fat
,3|Page
food option. Clients who have pancreatitis should consume a high-protein and
low-fat diet with an adequate amount of carbohydrates and calories.
RATIONALES:
8 oz (0.24 L) whole milk
- The nurse should inform the client that high-fat foods, such as whole milk,
should be avoided because foods that are high in fat can cause diarrhea. A cup of
whole milk contains 7.93 g of fat. The nurse should recommend fat-free milk.
One slice of beef bologna
- The nurse should inform the client that high-fat foods, such as bologna, should
be avoided because foods that are high in fat can cause diarrhea. One slice of beef
bologna contains 7.84 g of fat.
1 oz (28.3 g) cheddar
- The nurse should inform the client that high-fat foods, such as cheddar cheese,
should be avoided because foods that are high in fat can cause diarrhea. An ounce
of cheddar cheese contains 9.33 g of total fat.
A nurse is assessing a client who has Crohn's disease. Which of the following
findings should the nurse expect?
, 4|Page
- Fatty diarrheal stools
- Hyperkalemia
- Weight gain
- Sharp epigastric pain - correct-answer-Fatty diarrheal stools
Rationale: Steatorrhea, or fatty stool, is an expected finding in a client who has
Crohn's disease.
RATIONALES:
Hyperkalemia
- Hypokalemia is an expected finding in a client who has Crohn's disease.
Weight gain
- Weight loss is an expected finding in a client who has Crohn's disease.
Sharp epigastric pain
- Abdominal pain in the right lower quadrant is an expected finding in a client who
has Crohn's disease.
