ATI NURSING GI SYSTM EXAM 2026-2027
WITH ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
|CURRENTLY TESTING QUESTIONS AND
SOLUTIONS|ALREADY GRADED
A+|NEWEST|BRAND NEW VERSION
!!|GUARANTEED PASS
A nurse is caring for a client who has fulminant hepatic failure. Which of the following
procedures should the nurse anticipate for this client?
A.
Endoscopic sclerotherapy
B.
Liver lobectomy
C.
Liver transplant
D.
Transjugular intrahepatic portal-systemic shunt placement
Correct Answer: C.
Liver transplant
Fulminant hepatic failure, most often caused by viral hepatitis, is characterized by the
development of hepatic encephalopathy within weeks of the onset of disease in a client
without prior evidence of hepatic dysfunction. Mortality remains high, even with treatment
modalities such as blood or plasma exchanges, charcoal hemoperfusion, and corticosteroids.
Consequently, liver transplantation has become the treatment of choice for these clients.
Incorrect Answers:A. Endoscopic sclerotherapy is the injection of a sclerotherapy agent during
an endoscopy to target esophageal varices that are actively bleeding. This promotes
thrombosis, which eventually leads to sclerosis.
B. A liver lobectomy is used for localized cancer of a lobe of the liver. This is not appropriate
for a client experiencing rapidly progressive liver failure.
D. A transjugular intrahepatic portal-systemic shunt is placed to treat esophageal varices
through a stent into the portal vein. The stent serves as a shunt between the portal circulation
1|Page
,and the hepatic vein, thereby reducing portal hypertension. It is not used for fulminant
hepatic failure.
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
Correct Answer: A.
Prothrombin time
A major complication following a liver biopsy is hemorrhage. Many clients who have liver
disease have clotting defects and are at risk of bleeding. In addition to prothrombin time (PT),
activated partial thromboplastin time (aPTT) and platelet count should be monitored. Liver
dysfunction causes the production of blood clotting factors to be reduced, which leads to an
increased incidence of bruising, nosebleeds, bleeding from wounds, and gastrointestinal
bleeding. This is due to a deficient absorption of vitamin K from the gastrointestinal tract
caused by the inability of liver cells to use vitamin K to make prothrombin.
Incorrect Answers:B. Serum lipase is monitored to detect pancreatic disease and does not
need to be assessed prior to this procedure.
C. Bilirubin is monitored to detect biliary obstruction and does not need to be assessed prior
to this procedure.
D. Calcium is monitored to detect kidney failure or pancreatitis and does not need to be
assessed prior to this procedure.
A nurse is caring for a client who is NPO and has an NG tube to suction. When the client reports
nausea, which of the following actions should the nurse take?
A.
Irrigate the tube with normal saline solution
B.
Provide oral hygiene
C.
2|Page
,Clamp the tube for 30 min
D.
Increase the amount of suction
Correct Answer: A.
Irrigate the tube with normal saline solution
When a client with an NG tube develops nausea, the nurse should first attempt to irrigate the
tube to determine patency. If the tube is not patent, gastric pressure cannot decrease, and
the steady or increasing pressure can cause nausea.
Incorrect Answers:B. Although oral hygiene is an appropriate comfort measure for a client
who is NPO, it will not eliminate the client's nausea.
C. Clamping the NG tube will likely worsen the client's nausea.
D. Increasing the suction can either be ineffective or increase the risk of tissue injury.
A nurse is teaching a newly licensed nurse about caring for a client who is scheduled for an
esophagogastric balloon tamponade tube to treat bleeding esophageal varices. Which of the
following pieces of information should the nurse include in the teaching?
A.
The client will be placed on mechanical ventilation prior to this procedure.
B.
The tube will be inserted into the client's trachea.
C.
The client will receive a bowel preparation with cathartics prior to this procedure.
D.
The tube allows the application of a ligation band to the bleeding varices.
Correct Answer: A.
The client will be placed on mechanical ventilation prior to this procedure.
The client will require intubation and mechanical ventilation prior to this procedure to protect
the airway.
Incorrect Answers:B. The tube is inserted through the client's nose or mouth into the client's
stomach to stop the bleeding in the esophageal varices.
C. A client will receive a bowel preparation with cathartics prior to a colonoscopy, not an
esophagogastric balloon tamponade tube.
D. The tube is use to provide pressure to the varices to stop the bleeding. An endoscopic
variceal ligation involves the application of a ligation band to the bleeding varices.
3|Page
, A nurse is caring for a client who has abdominal pain and possible pancreatitis. Which of the
following laboratory results should the nurse identify as an indication of pancreatitis?
A.
Decreased white blood cell (WBC) count
B.
Increased albumin level
C.
Increased serum lipase level
D.
Decreased blood glucose level
Correct Answer: C.
Increased serum lipase level
Due to the release of lipase into the pancreas and autodigestion, pancreatitis causes an
increased serum lipase level.
Incorrect Answers:A. With pancreatitis, the WBC count increases because of the inflammatory
process.
B. Pancreatitis decreases the albumin level as a result of the inflammatory process.
D. With pancreatitis, blood glucose is elevated due to a drop in insulin production.
A nurse is caring for 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
Correct Answer: D.
Diaphoresis
The nurse should recognize that this client has the potential to develop hypoglycemia due to
the sudden withdrawal of the TPN solution. In addition to diaphoresis, other potential
4|Page
WITH ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
|CURRENTLY TESTING QUESTIONS AND
SOLUTIONS|ALREADY GRADED
A+|NEWEST|BRAND NEW VERSION
!!|GUARANTEED PASS
A nurse is caring for a client who has fulminant hepatic failure. Which of the following
procedures should the nurse anticipate for this client?
A.
Endoscopic sclerotherapy
B.
Liver lobectomy
C.
Liver transplant
D.
Transjugular intrahepatic portal-systemic shunt placement
Correct Answer: C.
Liver transplant
Fulminant hepatic failure, most often caused by viral hepatitis, is characterized by the
development of hepatic encephalopathy within weeks of the onset of disease in a client
without prior evidence of hepatic dysfunction. Mortality remains high, even with treatment
modalities such as blood or plasma exchanges, charcoal hemoperfusion, and corticosteroids.
Consequently, liver transplantation has become the treatment of choice for these clients.
Incorrect Answers:A. Endoscopic sclerotherapy is the injection of a sclerotherapy agent during
an endoscopy to target esophageal varices that are actively bleeding. This promotes
thrombosis, which eventually leads to sclerosis.
B. A liver lobectomy is used for localized cancer of a lobe of the liver. This is not appropriate
for a client experiencing rapidly progressive liver failure.
D. A transjugular intrahepatic portal-systemic shunt is placed to treat esophageal varices
through a stent into the portal vein. The stent serves as a shunt between the portal circulation
1|Page
,and the hepatic vein, thereby reducing portal hypertension. It is not used for fulminant
hepatic failure.
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
Correct Answer: A.
Prothrombin time
A major complication following a liver biopsy is hemorrhage. Many clients who have liver
disease have clotting defects and are at risk of bleeding. In addition to prothrombin time (PT),
activated partial thromboplastin time (aPTT) and platelet count should be monitored. Liver
dysfunction causes the production of blood clotting factors to be reduced, which leads to an
increased incidence of bruising, nosebleeds, bleeding from wounds, and gastrointestinal
bleeding. This is due to a deficient absorption of vitamin K from the gastrointestinal tract
caused by the inability of liver cells to use vitamin K to make prothrombin.
Incorrect Answers:B. Serum lipase is monitored to detect pancreatic disease and does not
need to be assessed prior to this procedure.
C. Bilirubin is monitored to detect biliary obstruction and does not need to be assessed prior
to this procedure.
D. Calcium is monitored to detect kidney failure or pancreatitis and does not need to be
assessed prior to this procedure.
A nurse is caring for a client who is NPO and has an NG tube to suction. When the client reports
nausea, which of the following actions should the nurse take?
A.
Irrigate the tube with normal saline solution
B.
Provide oral hygiene
C.
2|Page
,Clamp the tube for 30 min
D.
Increase the amount of suction
Correct Answer: A.
Irrigate the tube with normal saline solution
When a client with an NG tube develops nausea, the nurse should first attempt to irrigate the
tube to determine patency. If the tube is not patent, gastric pressure cannot decrease, and
the steady or increasing pressure can cause nausea.
Incorrect Answers:B. Although oral hygiene is an appropriate comfort measure for a client
who is NPO, it will not eliminate the client's nausea.
C. Clamping the NG tube will likely worsen the client's nausea.
D. Increasing the suction can either be ineffective or increase the risk of tissue injury.
A nurse is teaching a newly licensed nurse about caring for a client who is scheduled for an
esophagogastric balloon tamponade tube to treat bleeding esophageal varices. Which of the
following pieces of information should the nurse include in the teaching?
A.
The client will be placed on mechanical ventilation prior to this procedure.
B.
The tube will be inserted into the client's trachea.
C.
The client will receive a bowel preparation with cathartics prior to this procedure.
D.
The tube allows the application of a ligation band to the bleeding varices.
Correct Answer: A.
The client will be placed on mechanical ventilation prior to this procedure.
The client will require intubation and mechanical ventilation prior to this procedure to protect
the airway.
Incorrect Answers:B. The tube is inserted through the client's nose or mouth into the client's
stomach to stop the bleeding in the esophageal varices.
C. A client will receive a bowel preparation with cathartics prior to a colonoscopy, not an
esophagogastric balloon tamponade tube.
D. The tube is use to provide pressure to the varices to stop the bleeding. An endoscopic
variceal ligation involves the application of a ligation band to the bleeding varices.
3|Page
, A nurse is caring for a client who has abdominal pain and possible pancreatitis. Which of the
following laboratory results should the nurse identify as an indication of pancreatitis?
A.
Decreased white blood cell (WBC) count
B.
Increased albumin level
C.
Increased serum lipase level
D.
Decreased blood glucose level
Correct Answer: C.
Increased serum lipase level
Due to the release of lipase into the pancreas and autodigestion, pancreatitis causes an
increased serum lipase level.
Incorrect Answers:A. With pancreatitis, the WBC count increases because of the inflammatory
process.
B. Pancreatitis decreases the albumin level as a result of the inflammatory process.
D. With pancreatitis, blood glucose is elevated due to a drop in insulin production.
A nurse is caring for 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
Correct Answer: D.
Diaphoresis
The nurse should recognize that this client has the potential to develop hypoglycemia due to
the sudden withdrawal of the TPN solution. In addition to diaphoresis, other potential
4|Page
