ATI MED SURG EXAM 3 (GI) LATEST 2026 STUDY
QUESTIONS WITH CORRECT VERIFIED ANSWERS
100% GUARANTEED PASS | ASSURED A+
A charge nurse is teaching a group of unit nurses about a client who has chronic gastritis and is
scheduled for a selective vagotomy. Which statements by a unit nurse indicates understanding of
the purpose of the procedure? - Answer>>> "The client will have a reduction of gastric acid
secretions"
A nurse is assessing an older adult client in an extended care facility. The nurse should recognize
which of the following findings as a manifestation of an obstruction of the large intestine due to
a fecal impaction? - Answer>>> The client is having small frequent liquid stools
What symptoms will the abdomen experience during an ulcer perforation? - Answer>>> Severe
epigastric pain; rigid, board-like abdomen; hyperactive or diminished bowel sounds; rebound
tenderness
A nurse is assessing a client who has peritonitis. Which of the following findings should the
nurse expect? - Answer>>> B. Board-like abdomen
-A board-like, distended abdomen, accompanied by extreme pain and tenderness, is expected.
Bloody diarrhea = colorectal cancer, periumbilical cyanosis = pancreatitis, diminished bowel
sounds = peritonitis
What manifestations does a pt experience with duodenal ulcers? - Answer>>> Pain occurs 90
min-3 hrs after a meal; food relieves pain; often wake up during night because of pain;
hematemesis in those under 50; above 50, melena occurs instead
A nurse is reviewing the laboratory results of a client who has hepatic cirrhosis. Which of the
following laboratory findings should the nurse report to the provider? - Answer>>> D. Ammonia
180 mcg/dL
,-Above expected reference range of 10-80 mcg/dL. The RN should report an increased serum
ammonia level b/c it can indicate port-systemic encephalopathy.
A nurse is completing discharge teaching for a client who has an infection due to H. pylori.
Which statements by the client indicates understanding of the teaching? - Answer>>> "I will
take a combination of medications for treatment."
A nurse is completing an assessment of a client who has a gastric ulcer. Which findings should
the nurse expect? (sata) - Answer>>> -Client reports a sensation of bloating
-Client states that pain occurs 30 min to 1 hr after a meal
-Client experiences pain upon palpation of the epigastric region
A nurse is teaching a client who has a duodenal ulcer and a new prescription for esomeprazole.
Which information should the nurse include in the teaching? (sata) - Answer>>> Take the
medication 1 hr before a mealLimit NSAIDs when taking this medication
A nurse is assessing a client who has acute hepatitis B. Which of the following findings should
the nurse expect? - Answer>>> A. Joint pain
-Obstipation (failure to pass stools) = complete bowel obstruction, abdominal distention = small
bowel obstruction, periumbilical discoloration = intraperitoneal bleeding.
A client has a nasogastric (NG) tube after a Nissen fundoplication. The nurse answers the call
light and finds the client vomiting bright red blood with the NG tube lying on the floor. What
action should the nurse take first? - Answer>>> Put on a pair of gloves.
-To avoid exposure to blood and body fluids, the nurse first puts on a pair of gloves. Taking vital
signs and notifying the surgeon are also appropriate, but the nurse must protect himself or herself
first.
, A client has gastroesophageal reflux disease (GERD). The provider prescribes a proton pump
inhibitor. About what medication should the nurse anticipate teaching the client? - Answer>>>
Omeprazole (Prilosec)
After hiatal hernia repair surgery, a client is on IV pantoprazole (Protonix). The client asks the
nurse why this medication is given since there is no history of ulcers. What response by the nurse
is best? - Answer>>> It prevents stress-related ulcers.
The nurse is aware that which factors are related to the development of gastroesophageal reflux
disease (GERD)? (Select all that apply.) - Answer>>> a. Delayed gastric emptying
b. Eating large meals
c. Hiatal hernia
d. Obesity
A nurse is assessing a client who has upper gastrointestinal bleeding. Which of the following
findings should the nurse expect? - Answer>>> C. Hypotension
-Pt w/ upper GI bleeding is at risk for hemorrhagic shock. Hypotension, tachycardia, weak
peripheral pulses, and decreased hematocrit and hemoglobin levels are manifestations of
hemorrhagic shock.
A nurse is caring for a client who has ulcerative colitis. The client has had several exacerbations
over the past 3 years. Which of the following instructions should the nurse include in the plan of
care to minimize the risk of further exacerbations? (Select all that apply.) - Answer>>> A. Use
progressive relaxation techniques.D. Arrange activities to allow for daily rest periods.E. Restrict
intake of carbonated beverages.
-Progressive relaxation techniques (biofeedback) minimize stress (exacerbation), increased
dietary fiber causes diarrhea and cramping, dairy products are poorly tolerated and should be
avoided, daily rest periods decrease stress and increase intestinal motility, and pt needs to avoid
GI stimulants (carbonated beverages, nuts, peppers, and smoking).
QUESTIONS WITH CORRECT VERIFIED ANSWERS
100% GUARANTEED PASS | ASSURED A+
A charge nurse is teaching a group of unit nurses about a client who has chronic gastritis and is
scheduled for a selective vagotomy. Which statements by a unit nurse indicates understanding of
the purpose of the procedure? - Answer>>> "The client will have a reduction of gastric acid
secretions"
A nurse is assessing an older adult client in an extended care facility. The nurse should recognize
which of the following findings as a manifestation of an obstruction of the large intestine due to
a fecal impaction? - Answer>>> The client is having small frequent liquid stools
What symptoms will the abdomen experience during an ulcer perforation? - Answer>>> Severe
epigastric pain; rigid, board-like abdomen; hyperactive or diminished bowel sounds; rebound
tenderness
A nurse is assessing a client who has peritonitis. Which of the following findings should the
nurse expect? - Answer>>> B. Board-like abdomen
-A board-like, distended abdomen, accompanied by extreme pain and tenderness, is expected.
Bloody diarrhea = colorectal cancer, periumbilical cyanosis = pancreatitis, diminished bowel
sounds = peritonitis
What manifestations does a pt experience with duodenal ulcers? - Answer>>> Pain occurs 90
min-3 hrs after a meal; food relieves pain; often wake up during night because of pain;
hematemesis in those under 50; above 50, melena occurs instead
A nurse is reviewing the laboratory results of a client who has hepatic cirrhosis. Which of the
following laboratory findings should the nurse report to the provider? - Answer>>> D. Ammonia
180 mcg/dL
,-Above expected reference range of 10-80 mcg/dL. The RN should report an increased serum
ammonia level b/c it can indicate port-systemic encephalopathy.
A nurse is completing discharge teaching for a client who has an infection due to H. pylori.
Which statements by the client indicates understanding of the teaching? - Answer>>> "I will
take a combination of medications for treatment."
A nurse is completing an assessment of a client who has a gastric ulcer. Which findings should
the nurse expect? (sata) - Answer>>> -Client reports a sensation of bloating
-Client states that pain occurs 30 min to 1 hr after a meal
-Client experiences pain upon palpation of the epigastric region
A nurse is teaching a client who has a duodenal ulcer and a new prescription for esomeprazole.
Which information should the nurse include in the teaching? (sata) - Answer>>> Take the
medication 1 hr before a mealLimit NSAIDs when taking this medication
A nurse is assessing a client who has acute hepatitis B. Which of the following findings should
the nurse expect? - Answer>>> A. Joint pain
-Obstipation (failure to pass stools) = complete bowel obstruction, abdominal distention = small
bowel obstruction, periumbilical discoloration = intraperitoneal bleeding.
A client has a nasogastric (NG) tube after a Nissen fundoplication. The nurse answers the call
light and finds the client vomiting bright red blood with the NG tube lying on the floor. What
action should the nurse take first? - Answer>>> Put on a pair of gloves.
-To avoid exposure to blood and body fluids, the nurse first puts on a pair of gloves. Taking vital
signs and notifying the surgeon are also appropriate, but the nurse must protect himself or herself
first.
, A client has gastroesophageal reflux disease (GERD). The provider prescribes a proton pump
inhibitor. About what medication should the nurse anticipate teaching the client? - Answer>>>
Omeprazole (Prilosec)
After hiatal hernia repair surgery, a client is on IV pantoprazole (Protonix). The client asks the
nurse why this medication is given since there is no history of ulcers. What response by the nurse
is best? - Answer>>> It prevents stress-related ulcers.
The nurse is aware that which factors are related to the development of gastroesophageal reflux
disease (GERD)? (Select all that apply.) - Answer>>> a. Delayed gastric emptying
b. Eating large meals
c. Hiatal hernia
d. Obesity
A nurse is assessing a client who has upper gastrointestinal bleeding. Which of the following
findings should the nurse expect? - Answer>>> C. Hypotension
-Pt w/ upper GI bleeding is at risk for hemorrhagic shock. Hypotension, tachycardia, weak
peripheral pulses, and decreased hematocrit and hemoglobin levels are manifestations of
hemorrhagic shock.
A nurse is caring for a client who has ulcerative colitis. The client has had several exacerbations
over the past 3 years. Which of the following instructions should the nurse include in the plan of
care to minimize the risk of further exacerbations? (Select all that apply.) - Answer>>> A. Use
progressive relaxation techniques.D. Arrange activities to allow for daily rest periods.E. Restrict
intake of carbonated beverages.
-Progressive relaxation techniques (biofeedback) minimize stress (exacerbation), increased
dietary fiber causes diarrhea and cramping, dairy products are poorly tolerated and should be
avoided, daily rest periods decrease stress and increase intestinal motility, and pt needs to avoid
GI stimulants (carbonated beverages, nuts, peppers, and smoking).
