ATI ADULT MEDICAL-SURGICAL
NURSING: GI EXAM QUESTIONS WITH
RIGHT ACTUAL ANSWERS .
A nurse is reviewing bowel prep using polyethylene glycol with a client scheduled for a
colonoscopy. Which of the following instructions should the nurse include?
A. Check with the provider about taking current medications when consuming bowel prep.
B. Consume a normal diet until starting the bowel prep.
C. Expect the bowel prep to not begin acting until the day after all the prep is consumed.
D. Discontinue the bowel prep once feces start to be expelled. - Correct Answer -A.
CORRECT: Instruct the client to check with the provider about taking current medication,
because some medications can be withheld when taking polyethylene glycol due to their lack
of absorption.
B. Instruct the client to consume a clear liquid diet prior to starting the bowel prep.
C. Instruct the client that the actions of polyethylene glycol begin within 2 to 3 hr after
consumption.
D. Instruct the client to consume the full amount prescribed.
A nurse is having difficulty arousing a client following an esophagogastroduodenoscopy
(EGD). Which of the following is the priority action by the nurse?
A. Assess the client's airway.
B. Allow the client to sleep.
C. Prepare to administer an antidote to the sedative.
D. Evaluate preprocedure laboratory findings. - Correct Answer -A. CORRECT: When using
the airway, breathing, and circulation priority-setting framework, assessing and maintaining
an open airway is the priority action the nurse should take.
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,B. Continue to allow the client to rest. However, another action is the priority.
C. Prepare to administer an antidote to the sedative used during the procedure. However,
another action is the priority.
D. Evaluate the preprocedure laboratory findings. However, another action is the priority.
A nurse in a clinic is instructing a client about a fecal occult blood test, which requires
mailing three specimens. Which of the following statements
by the client indicates understanding?
A. "I will continue taking my warfarin while I complete these tests."
B. "I'm glad I don't have to follow any special diet at this time."
C. "This test determines if I have parasites in my bowel."
D. "This is an easy way to screen for colon cancer." - Correct Answer -A. Clients are
instructed to stop taking anticoagulants prior to obtaining stool specimens for fecal occult
blood testing because they can interfere with the results.
B. Clients are instructed to avoid consuming red meat, chicken, and fish prior to obtaining
stool specimens for fecal occult blood testing because this can interfere with the results.
C. Fecal occult blood testing does not identify parasites present in stool.
D. CORRECT: Fecal occult blood testing is a screening procedure for colon cancer.
A nurse is teaching a client who will undergo a sigmoidoscopy. Which of the following
information about the procedure should the nurse include? (Select all that apply.)
A. Increased flatulence can occur following the procedure.
B. NPO status should be maintained preprocedure.
C. Conscious sedation is used.
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, D. Repositioning will occur throughout the procedure.
E. Fluid intake is limited the day after the procedure. - Correct Answer -A. CORRECT:
Teach the client that increased flatulence can occur due to the instillation of air during the
procedure.
B. CORRECT: Instruct the client to remain NPO after midnight the night before the
procedure.
C. Inform the client that sedation is not indicated for a sigmoidoscopy.
D. Inform the client that the position to lie for the procedure is on the left side.
E. Instruct the client to increase, not limit fluid intake following the procedure.
A nurse is reviewing the health record of a client who has a suspected tumor of the jejunum.
The nurse should expect a prescription for which of the following tests? (Select all that
apply.)
A. Blood alpha-fetoprotein
B. Endoscopic retrograde cholangiopancreatography (ERCP)
C. Gastrointestinal x-ray with contrast
D. Small bowel capsule endoscopy (M2A)
E. Colonoscopy - Correct Answer -A. Blood alpha-fetoprotein is a laboratory test used in
cases of suspected liver cancer.
B. An ERCP is used to visualize the duodenum, biliary ducts, gall bladder, liver, and
pancreas.
C. CORRECT: A gastrointestinal x-ray with contrast involves the client drinking barium,
which is then traced through the small intestine to the junction with the colon. This would
identify a tumor in the jejunum.
D. CORRECT: M2A is a procedure in which the client swallows a capsule with a glass of
water for a video enteroscopy to visualize the entire small bowel over an 8-hr period.
3
NURSING: GI EXAM QUESTIONS WITH
RIGHT ACTUAL ANSWERS .
A nurse is reviewing bowel prep using polyethylene glycol with a client scheduled for a
colonoscopy. Which of the following instructions should the nurse include?
A. Check with the provider about taking current medications when consuming bowel prep.
B. Consume a normal diet until starting the bowel prep.
C. Expect the bowel prep to not begin acting until the day after all the prep is consumed.
D. Discontinue the bowel prep once feces start to be expelled. - Correct Answer -A.
CORRECT: Instruct the client to check with the provider about taking current medication,
because some medications can be withheld when taking polyethylene glycol due to their lack
of absorption.
B. Instruct the client to consume a clear liquid diet prior to starting the bowel prep.
C. Instruct the client that the actions of polyethylene glycol begin within 2 to 3 hr after
consumption.
D. Instruct the client to consume the full amount prescribed.
A nurse is having difficulty arousing a client following an esophagogastroduodenoscopy
(EGD). Which of the following is the priority action by the nurse?
A. Assess the client's airway.
B. Allow the client to sleep.
C. Prepare to administer an antidote to the sedative.
D. Evaluate preprocedure laboratory findings. - Correct Answer -A. CORRECT: When using
the airway, breathing, and circulation priority-setting framework, assessing and maintaining
an open airway is the priority action the nurse should take.
1
,B. Continue to allow the client to rest. However, another action is the priority.
C. Prepare to administer an antidote to the sedative used during the procedure. However,
another action is the priority.
D. Evaluate the preprocedure laboratory findings. However, another action is the priority.
A nurse in a clinic is instructing a client about a fecal occult blood test, which requires
mailing three specimens. Which of the following statements
by the client indicates understanding?
A. "I will continue taking my warfarin while I complete these tests."
B. "I'm glad I don't have to follow any special diet at this time."
C. "This test determines if I have parasites in my bowel."
D. "This is an easy way to screen for colon cancer." - Correct Answer -A. Clients are
instructed to stop taking anticoagulants prior to obtaining stool specimens for fecal occult
blood testing because they can interfere with the results.
B. Clients are instructed to avoid consuming red meat, chicken, and fish prior to obtaining
stool specimens for fecal occult blood testing because this can interfere with the results.
C. Fecal occult blood testing does not identify parasites present in stool.
D. CORRECT: Fecal occult blood testing is a screening procedure for colon cancer.
A nurse is teaching a client who will undergo a sigmoidoscopy. Which of the following
information about the procedure should the nurse include? (Select all that apply.)
A. Increased flatulence can occur following the procedure.
B. NPO status should be maintained preprocedure.
C. Conscious sedation is used.
2
, D. Repositioning will occur throughout the procedure.
E. Fluid intake is limited the day after the procedure. - Correct Answer -A. CORRECT:
Teach the client that increased flatulence can occur due to the instillation of air during the
procedure.
B. CORRECT: Instruct the client to remain NPO after midnight the night before the
procedure.
C. Inform the client that sedation is not indicated for a sigmoidoscopy.
D. Inform the client that the position to lie for the procedure is on the left side.
E. Instruct the client to increase, not limit fluid intake following the procedure.
A nurse is reviewing the health record of a client who has a suspected tumor of the jejunum.
The nurse should expect a prescription for which of the following tests? (Select all that
apply.)
A. Blood alpha-fetoprotein
B. Endoscopic retrograde cholangiopancreatography (ERCP)
C. Gastrointestinal x-ray with contrast
D. Small bowel capsule endoscopy (M2A)
E. Colonoscopy - Correct Answer -A. Blood alpha-fetoprotein is a laboratory test used in
cases of suspected liver cancer.
B. An ERCP is used to visualize the duodenum, biliary ducts, gall bladder, liver, and
pancreas.
C. CORRECT: A gastrointestinal x-ray with contrast involves the client drinking barium,
which is then traced through the small intestine to the junction with the colon. This would
identify a tumor in the jejunum.
D. CORRECT: M2A is a procedure in which the client swallows a capsule with a glass of
water for a video enteroscopy to visualize the entire small bowel over an 8-hr period.
3
