ATI MED-SURG TEST BANK EXAM WITH
QUESTIONS AND CORRECT ANSWERS
LATEST UPDATED
The nurse working with older clients understands age-related changes in the
gastrointestinal system. Which changes does this include? (Select all that
apply.) a. Decreased hydrochloric acid production
b. Diminished sensation that can lead to constipation
c. Fat not digested as well in older adults
d. Increased peristalsis in the large intestine
e. Pancreatic vessels become calcified - a,b,c,e
The nurse working in the gastrointestinal clinic sees clients who are anemic. What are
common causes for
which the nurse assesses in these clients? (Select all that apply.) a.
Colon cancer
b. Diverticulitis
c. Inflammatory bowel disease
d. Peptic ulcer disease
e. Pernicious anemia - a,b,c,d
A client had an endoscopic retrograde cholangiopancreatography (ERCP). The nurse
instructs the client and
family about the signs of potential complications, which include what problems? (Select
all that apply.) a. Cholangitis
b. Pancreatitis
c. Perforation
d. Renal lithiasis
e. Sepsis - a,b,c,e
The nurse working with clients who have gastrointestinal problems knows that which
laboratory values are
,related to what organ dysfunctions? (Select all that apply.) a.
Alanine aminotransferase: biliary system
b. Ammonia: liver
c. Amylase: liver
d. Lipase: pancreas
e. Urine urobilinogen: stomach - b,d
After teaching a client with irritable bowel syndrome (IBS), a nurse assesses the clients
understanding.
Which menu selection indicates that the client correctly understands the dietary
teaching?
a. Ham sandwich on white bread, cup of applesauce, glass of diet cola
b. Broiled chicken with brown rice, steamed broccoli, glass of apple juice
c. Grilled cheese sandwich, small banana, cup of hot tea with lemon
d. Baked tilapia, fresh green beans, cup of coffee with low-fat milk - b
A nurse assesses a client who is prescribed alosetron (Lotronex). Which assessment
question should the nurse ask this client?
a. Have you been experiencing any constipation?
b. Are you eating a diet high in fiber and fluids?
c. Do you have a history of high blood pressure?
d. What vitamins and supplements are you taking? - a
After teaching a client who has a femoral hernia, the nurse assesses the clients
understanding. Which statement indicates the client needs additional teaching
related to the proper use of a truss?
a. I will put on the truss before I go to bed each night.
b. Ill put some powder under the truss to avoid skin irritation.
c. The truss will help my hernia because I cant have surgery.
d. If I have abdominal pain, Ill let my health care provider know right away. - a
A nurse assesses a client who is recovering from a hemorrhoidectomy that was done
the day before. The
nurse notes that the client has lower abdominal distention accompanied by dullness to
percussion over the distended area. Which action should the nurse take? a. Assess
the clients heart rate and blood pressure.
b. Determine when the client last voided.
c. Ask if the client is experiencing flatus
d. Auscultate all quadrants of the clients abdomen - b
A nurse assesses clients at a community health center. Which client is at highest risk for
the development of colorectal cancer?
a. A 37-year-old who drinks eight cups of coffee daily
,b. A 44-year-old with irritable bowel syndrome (IBS)
c. A 60-year-old lawyer who works 65 hours per week
d. A 72-year-old who eats fast food frequently - D
A nurse assessing a client with colorectal cancer auscultates high-pitched bowel sounds
and notes the presence of visible peristaltic waves. Which action should the nurse take?
a. Ask if the client is experiencing pain in the right shoulder.
b. Perform a rectal examination and assess for polyps.
c. Contact the provider and recommend computed tomography.
d. Administer a laxative to increase bowel movement activity. - C
A nurse prepares a client for a colonoscopy scheduled for tomorrow. The client states,
My doctor told me
that the fecal occult blood test was negative for colon cancer. I dont think I need the
colonoscopy and would like to cancel it. How should the nurse respond?
a. Your doctor should not have given you that information prior to the colonoscopy.
b. The colonoscopy is required due to the high percentage of false negatives with the
blood test.
c. A negative fecal occult blood test does not rule out the possibility of colon cancer.
d. I will contact your doctor so that you can discuss your concerns about the procedure.
-c
The student nurse studying the gastrointestinal system understands that chyme refers
to what?
a. Hormones that reduce gastric acidity
b. Liquefied food ready for digestion
c. Nutrients after being absorbed
d. Secretions that help digest food - b
A client scheduled for a percutaneous transhepatic cholangiography (PTC) denies
allergies to medication.
What action by the nurse is best?
a. Ask the client about shellfish allergies.
b. Document this information on the chart.
c. Ensure that the client has a ride home.
d. Instruct the client on bowel preparation. - A
A client is having an esophagogastroduodenoscopy (EGD) and has been given
midazolam hydrochloride
(Versed). The clients respiratory rate is 8 breaths/min. What action by the nurse is best?
a. Administer naloxone (Narcan).
b. Call the Rapid Response Team.
c. Provide physical stimulation.
, d. Ventilate with a bag-valve-mask. - C
client is scheduled for a colonoscopy and the nurse has provided instructions on the
bowel cleansing regimen. What statement by the client indicates a need for further
teaching?
a. Its a good thing I love orange and cherry gelatin
b. My spouse will be here to drive me home.
c. I should refrigerate the GoLYTELY before use.
d. I will buy a case of Gatorade before the prep. -
A client had a colonoscopy and biopsy yesterday and calls the gastrointestinal clinic to
report a spot of bright red blood on the toilet paper today. What response by the nurse
is best? a. Ask the client to call back if this happens again today.
b. Instruct the client to go to the emergency department.
c. Remind the client that a small amount of bleeding is possible.
d. Tell the client to come in to the clinic this afternoon. - c
An older client has had an instance of drug toxicity and asks why this happens, since
the client has been on this medication for years at the same dose. What response
by the nurse is best? a. Changes in your liver cause drugs to be metabolized
differently.
b. Perhaps you dont need as high a dose of the drug as before.
c. Stomach muscles atrophy with age and you digest more slowly.
d. Your body probably cant tolerate as much medication anymore. - A
To promote comfort after a colonoscopy, in what position does the nurse place the
client?
a. Left lateral
b. Prone
c. Right lateral
d. Supine - A
A nurse is examining a client reporting right upper quadrant (RUQ) abdominal pain.
What technique should the nurse use to assess this clients abdomen? a.
Auscultate after palpating.
b. Avoid any palpation.
c. Palpate the RUQ first.
d. Palpate the RUQ last. - D
A client presents to the emergency department reporting severe abdominal pain. On
assessment, the nurse finds a bulging, pulsating mass in the abdomen. What action by
the nurse is the priority? a. Auscultate for bowel sounds.
QUESTIONS AND CORRECT ANSWERS
LATEST UPDATED
The nurse working with older clients understands age-related changes in the
gastrointestinal system. Which changes does this include? (Select all that
apply.) a. Decreased hydrochloric acid production
b. Diminished sensation that can lead to constipation
c. Fat not digested as well in older adults
d. Increased peristalsis in the large intestine
e. Pancreatic vessels become calcified - a,b,c,e
The nurse working in the gastrointestinal clinic sees clients who are anemic. What are
common causes for
which the nurse assesses in these clients? (Select all that apply.) a.
Colon cancer
b. Diverticulitis
c. Inflammatory bowel disease
d. Peptic ulcer disease
e. Pernicious anemia - a,b,c,d
A client had an endoscopic retrograde cholangiopancreatography (ERCP). The nurse
instructs the client and
family about the signs of potential complications, which include what problems? (Select
all that apply.) a. Cholangitis
b. Pancreatitis
c. Perforation
d. Renal lithiasis
e. Sepsis - a,b,c,e
The nurse working with clients who have gastrointestinal problems knows that which
laboratory values are
,related to what organ dysfunctions? (Select all that apply.) a.
Alanine aminotransferase: biliary system
b. Ammonia: liver
c. Amylase: liver
d. Lipase: pancreas
e. Urine urobilinogen: stomach - b,d
After teaching a client with irritable bowel syndrome (IBS), a nurse assesses the clients
understanding.
Which menu selection indicates that the client correctly understands the dietary
teaching?
a. Ham sandwich on white bread, cup of applesauce, glass of diet cola
b. Broiled chicken with brown rice, steamed broccoli, glass of apple juice
c. Grilled cheese sandwich, small banana, cup of hot tea with lemon
d. Baked tilapia, fresh green beans, cup of coffee with low-fat milk - b
A nurse assesses a client who is prescribed alosetron (Lotronex). Which assessment
question should the nurse ask this client?
a. Have you been experiencing any constipation?
b. Are you eating a diet high in fiber and fluids?
c. Do you have a history of high blood pressure?
d. What vitamins and supplements are you taking? - a
After teaching a client who has a femoral hernia, the nurse assesses the clients
understanding. Which statement indicates the client needs additional teaching
related to the proper use of a truss?
a. I will put on the truss before I go to bed each night.
b. Ill put some powder under the truss to avoid skin irritation.
c. The truss will help my hernia because I cant have surgery.
d. If I have abdominal pain, Ill let my health care provider know right away. - a
A nurse assesses a client who is recovering from a hemorrhoidectomy that was done
the day before. The
nurse notes that the client has lower abdominal distention accompanied by dullness to
percussion over the distended area. Which action should the nurse take? a. Assess
the clients heart rate and blood pressure.
b. Determine when the client last voided.
c. Ask if the client is experiencing flatus
d. Auscultate all quadrants of the clients abdomen - b
A nurse assesses clients at a community health center. Which client is at highest risk for
the development of colorectal cancer?
a. A 37-year-old who drinks eight cups of coffee daily
,b. A 44-year-old with irritable bowel syndrome (IBS)
c. A 60-year-old lawyer who works 65 hours per week
d. A 72-year-old who eats fast food frequently - D
A nurse assessing a client with colorectal cancer auscultates high-pitched bowel sounds
and notes the presence of visible peristaltic waves. Which action should the nurse take?
a. Ask if the client is experiencing pain in the right shoulder.
b. Perform a rectal examination and assess for polyps.
c. Contact the provider and recommend computed tomography.
d. Administer a laxative to increase bowel movement activity. - C
A nurse prepares a client for a colonoscopy scheduled for tomorrow. The client states,
My doctor told me
that the fecal occult blood test was negative for colon cancer. I dont think I need the
colonoscopy and would like to cancel it. How should the nurse respond?
a. Your doctor should not have given you that information prior to the colonoscopy.
b. The colonoscopy is required due to the high percentage of false negatives with the
blood test.
c. A negative fecal occult blood test does not rule out the possibility of colon cancer.
d. I will contact your doctor so that you can discuss your concerns about the procedure.
-c
The student nurse studying the gastrointestinal system understands that chyme refers
to what?
a. Hormones that reduce gastric acidity
b. Liquefied food ready for digestion
c. Nutrients after being absorbed
d. Secretions that help digest food - b
A client scheduled for a percutaneous transhepatic cholangiography (PTC) denies
allergies to medication.
What action by the nurse is best?
a. Ask the client about shellfish allergies.
b. Document this information on the chart.
c. Ensure that the client has a ride home.
d. Instruct the client on bowel preparation. - A
A client is having an esophagogastroduodenoscopy (EGD) and has been given
midazolam hydrochloride
(Versed). The clients respiratory rate is 8 breaths/min. What action by the nurse is best?
a. Administer naloxone (Narcan).
b. Call the Rapid Response Team.
c. Provide physical stimulation.
, d. Ventilate with a bag-valve-mask. - C
client is scheduled for a colonoscopy and the nurse has provided instructions on the
bowel cleansing regimen. What statement by the client indicates a need for further
teaching?
a. Its a good thing I love orange and cherry gelatin
b. My spouse will be here to drive me home.
c. I should refrigerate the GoLYTELY before use.
d. I will buy a case of Gatorade before the prep. -
A client had a colonoscopy and biopsy yesterday and calls the gastrointestinal clinic to
report a spot of bright red blood on the toilet paper today. What response by the nurse
is best? a. Ask the client to call back if this happens again today.
b. Instruct the client to go to the emergency department.
c. Remind the client that a small amount of bleeding is possible.
d. Tell the client to come in to the clinic this afternoon. - c
An older client has had an instance of drug toxicity and asks why this happens, since
the client has been on this medication for years at the same dose. What response
by the nurse is best? a. Changes in your liver cause drugs to be metabolized
differently.
b. Perhaps you dont need as high a dose of the drug as before.
c. Stomach muscles atrophy with age and you digest more slowly.
d. Your body probably cant tolerate as much medication anymore. - A
To promote comfort after a colonoscopy, in what position does the nurse place the
client?
a. Left lateral
b. Prone
c. Right lateral
d. Supine - A
A nurse is examining a client reporting right upper quadrant (RUQ) abdominal pain.
What technique should the nurse use to assess this clients abdomen? a.
Auscultate after palpating.
b. Avoid any palpation.
c. Palpate the RUQ first.
d. Palpate the RUQ last. - D
A client presents to the emergency department reporting severe abdominal pain. On
assessment, the nurse finds a bulging, pulsating mass in the abdomen. What action by
the nurse is the priority? a. Auscultate for bowel sounds.
