ATI: Adult Medical Surgical Gastrointestinal Exam Practice Questions and Answers 100% Pas

ATI: Adult Medical Surgical Gastrointestinal Exam Practice Questions and Answers 100% Pass A nurse is caring for a client who is scheduled to undergo a liver biopsy for a suspected malignancy. Which of the following laboratory findings should the nurse monitor prior to the procedure? A. Prothrombin time B. Serum lipase C. Bilirubin D. Calcium - ANSWER-A. Prothrombin time A major complication following a liver biopsy is hemorrgage. Many clients who have liver disease have clotting defects and are at risk for bleeding. A nurse is checking who was admitted with a bowel obstruction. The client reports severe abdominal pain. Which of the following findings should indicate to the nurse that a possible bowel perforation has occurred? A. Elevated blood pressure B. Bowel sounds increased in frequency and pitch C. Rigid abdomen Copyright ©SOPHIABENNETT 2025 ACADEMIC YEARALL RIGHTS RESERVED. Page 2/10 D. Emesis of undigested food - ANSWER-C. Rigid abdomen Abdominal tenderness and rigidity occur with a bowel perforation. As fluid escapes into the peritoneal cavity, there is a reduction in circulating blood volume and a lowered blood pressure, or hypotension results A nurse is assisting with the card of a client who is receiving total parenteral nutrition (TPN) therapy and has just returned to the room following physical therapy. The nurse notes that the infusion pump for the client's TPN is turned off. After restarting the infusion pump, the nurse should monitor the client for which of the following findings? A. Hypertension B. Excessive thirst C. Fever D. Diaphoresis - ANSWER-D. Diaphoresis The nurse should recognize that the client has the potential for the development of hypoglycemia due to the sudden withdrawal of the TPN solution. A nurse is assisting with the admission of a client who has bleeding esophageal varices. The nurse should anticipate a prescription for which of the following medications? A. Famotidine B. Esomeprazole C. Vasopressin Copyright ©SOPHIABENNETT 2025 ACADEMIC YEARALL RIGHTS RESERVED. Page 3/10 D. Omeprazole - ANSWER-C. Vasopressin Vasopressin constricts the splanchnic bed and decreases portal pressure. It also constricts the distal esophageal and proximal gastric veins, which reduces inflow into the portal system and is used to treat bleeding varices. A nurse is caring for client who has a percutaneous endoscopic gastronomy (PEG) tube and is receiving intermittent feedings. Prior to initiating the feeding, which of the following actions should the nurse take first? A. Flush the tube with water B. Place the client in semi-Folwer's position C. Cleanse the skin around the tube site D. Aspirate the tube prior to each feeding - ANSWER-B. Place the client in semi- Folwer's position The nurse should apply the ABC priority-setting framework A nurse is collecting data from a client who is experiencing perforation of a peptic ulcer. Which of the following manifestations should the nurse expect? A. Decreased heart rate B. Yellowing of the skin C. Increased blood pressure Copyright ©SOPHIABENNETT 2025 ACADEMIC YEARALL RIGHTS RESERVED. Page 4/10 D. Board-like abdomen - ANSWER-D. Board-like abdomen The nurse should expect the client who is experiencing perforation of a peptic ulcer to exhibit manifestations of a board-like abdomen and severe pain in the abdomen or back that radiates to the right shoulder A nurse is caring for a client who has acute pancreatitis. Which of the following serum laboratory values should the nurse anticipate returning to the expected reference range within 72 hr after treatment begins? A. Aldolase B. Lipase C. Amylase D. Lactic dehydrogenase - ANSWER-C. Amylase Pancreatitis is the most common diagnosis for marked elevations of serum amylase. Serum amylase begins to increase about 3 to 6 hr following the onset of acute pancreatitis. A nurse is caring for a client who has celiac disease. Which of the following foods should the nurse remove from the client's meal tray? A. Wheat toast B. Tapioca pudding C. Hard-boiled eggs Copyright ©SOPHIABENNETT 2025 ACADEMIC YEARALL RIGHTS RESERVED. Page 5/10 D. Mashed potatoes - ANSWER-A. Wheat toast - celiac disease is an autoimmune disorder characterized by a permanent intolerance to wheat A nurse is assisting with the admission of the client who has fulminant hepatic failure. Which of the following procedures should the nurse expect for this client? A. Endoscopic sclerotherapy B. Liver lobectomy C. Liver transplant D. Transjugular intrahepatic portal-systemic shunt placement - ANSWER-C. Liver transplant A nurse is collecting data from a client who has chronic p