ATI MEDICAL SURGICAL FINAL EXAM QUESTIONS &MODULE
QUESTIONS |ACTUAL EXAM QUESTIONS AND WELL VERIFIED
ANSWERS | FREQUENTLY MOST TESTED QUESTIONS AND WELL
UPDATED |LATEST EXAM AND NEWEST VERSION!!!
What is the cause of a 'non-mechanical' bowel obstruction?
A. A tumor or twisting of the bowel.
B. Constipation.
C. General anesthesia, narcotics, and handling of the bowel during surgery.
D. Adhesions
ANS:<< C
What should the nurse advise a pt. who has diverticulosis to eat?
A. High fiber foods.
B. Low fiber foods.
C. Low carb foods.
D. High carb foods
ANS:<< A
Which of the following is an appropriate nursing intervention for a pt. who has
GERD?
A. Advise pt. to remain upright after meals.
B. Withhold fluids during meal time.
C. Administer the appropriate immunoglobulin.
D. Give the prescribed steroids with half a glass of milk.
ANS:<< A
What should the nurse advise a pt. who has diverticulitis to eat?
A. High fiber foods.
B. Low fiber foods.
C .Low carb foods.
D. High carb foods
ANS:<< B
,Which of the following is an appropriate nursing intervention for a patient who
has had an EGD?
A. Give food and water as soon as the test is completed.
B. Enemas until clear.
C. Monitor for hemorrhage r/t organ perforation.
D. Administer a sedative.
ANS:<< C
Which of the following is a priority for a pt. who is hemorrhaging from a
perforated duodenal ulcer?
A. Administer the sedative prior to the PY test.
B. Monitor for shock.
C. Position the pt. on his back with a pillow under his right ribs and his right
hand under his head.
D. Guiac his stool.
ANS:<< B
Which of the following should the nurse advise a pt who has ulcerative colitis to
call the doctor for?
A. Occasional abdominal cramping
B. Nine mucousy bloody stools per day.
C. Signs of colon perforation and peritonitis.
D. Diarrhea
ANS:<< C
Which of the following promotes rest and healing of the bowel in a pt. who has
ulcerative colitis?
A.High fiber diet
B. Maintaining NPO status as ordered
C. Low carb diet
D. Avoiding licorice and caffeine
ANS:<< B
Which of the following nursing diagnosis might be appropriate for a pt with
ulcerative colitis?
A. Pain R/T the passage of stones.
B. Risk for injury from falling R/T dizziness and low BP immediately after meals.
C. Fatigue R/T blood loss caused by frequent bloody stools.
D. Risk of injury R/T auto digestion of the pancreas.
,ANS:<< C
A nurse is providing teaching for a client who has a new diagnosis of dumping
syndrome following gastric surgery. Which of the following should be included in
the teaching?
A. Eat three moderate-sized meals a day.
B. Drink at least one glass of water with each meal.
C. Eat a bedtime snack that contains a milk product.
D. Increase protein in the diet
ANS:<< D
A nurse is completing discharge teaching for a client who has an infection due
to Helicobacter pylori (H. pylori). Which of the following statements by the client
indicates understanding of the teaching?
A. "I will continue my prescription for corticosteroids."
B. "I will schedule a CT scan to monitor improvement."
C. "I will take a combination of medications for treatment."
D. "I will have my throat swabbed to recheck for this bacteria.
ANS:<< C
A nurse is providing discharge teaching to a client who has a new prescription
for aluminum hydroxide (Amphojel). The nurse should advise the client to
A. take the medication with food.
B. monitor for diarrhea.
C. wait 1 to 2 hr before taking other oral medications.
D. maintain a low-fiber diet.
ANS:<< C
A nurse is planning care for a client who has a small bowel instruction and a
nasogastric (NG) tube in place. Which of the following nursing interventions
should be included in the plan of care? (Select all that apply.)
A. Subtract the NG drainage from the client's output.
B. Irrigate the NG tube every 8 hr.
C. Assess bowel sounds.
D. Provide oral hygiene every 2 hr.
E. Clamp the NG tube during ambulation.
ANS:<< C, D, E
A nurse is providing discharge teaching to a client who is postoperative
following open cholecystectomy with T-tube placement. Which of the following
, instructions should the nurse include in the teaching? (Select all that apply.)
A. Take baths rather than showers.
B. Clamp T-tube for 1 to 2 hr before and after meals.
C. Keep the drainage system above the level of the gallbladder.
D. Expect to have constipation.
E. Empty drainage bag every 8 hr.
ANS:<< B, E
A nurse is reviewing nutrition teaching for a client who has cholecystitis. Which
of the following food choices can trigger cholecystitis?
A. Brownie with nuts
B. Bowl of mixed fruit
C. Grilled turkey
D. Baked potato
ANS:<< A
A nurse is completing preoperative teaching for a client who will undergo a
laparoscopic cholecystectomy. Which of the following should be included in the
teaching?
A. "The scope will be passed through your rectum."
B. "You may have shoulder pain after surgery."
C. "The T-tube will remain in place for 1 to 2 weeks."
D. "You should limit how often you walk for 1 to 2 weeks."
ANS:<< B
A nurse is completing an assessment of a client who has a gastric ulcer. Which
of the following are
expected findings?
(Select all that apply.)
A. Client reports pain relieved by eating.
B. Client states that pain often occurs at night.
C. Client reports a sensation of bloating.
D. Client states that pain occurs 1⁄2 to 1 hr after a meal.
E. Client experiences pain upon palpation of the epigastric region.
ANS:<< C, D, E
A nurse is completing discharge teaching with a client who has Crohn's disease.
Which of the following instructions should the nurse include in the teaching?
A. Decrease intake of calorie‐dense foods.
B. Drink canned protein supplements.
QUESTIONS |ACTUAL EXAM QUESTIONS AND WELL VERIFIED
ANSWERS | FREQUENTLY MOST TESTED QUESTIONS AND WELL
UPDATED |LATEST EXAM AND NEWEST VERSION!!!
What is the cause of a 'non-mechanical' bowel obstruction?
A. A tumor or twisting of the bowel.
B. Constipation.
C. General anesthesia, narcotics, and handling of the bowel during surgery.
D. Adhesions
ANS:<< C
What should the nurse advise a pt. who has diverticulosis to eat?
A. High fiber foods.
B. Low fiber foods.
C. Low carb foods.
D. High carb foods
ANS:<< A
Which of the following is an appropriate nursing intervention for a pt. who has
GERD?
A. Advise pt. to remain upright after meals.
B. Withhold fluids during meal time.
C. Administer the appropriate immunoglobulin.
D. Give the prescribed steroids with half a glass of milk.
ANS:<< A
What should the nurse advise a pt. who has diverticulitis to eat?
A. High fiber foods.
B. Low fiber foods.
C .Low carb foods.
D. High carb foods
ANS:<< B
,Which of the following is an appropriate nursing intervention for a patient who
has had an EGD?
A. Give food and water as soon as the test is completed.
B. Enemas until clear.
C. Monitor for hemorrhage r/t organ perforation.
D. Administer a sedative.
ANS:<< C
Which of the following is a priority for a pt. who is hemorrhaging from a
perforated duodenal ulcer?
A. Administer the sedative prior to the PY test.
B. Monitor for shock.
C. Position the pt. on his back with a pillow under his right ribs and his right
hand under his head.
D. Guiac his stool.
ANS:<< B
Which of the following should the nurse advise a pt who has ulcerative colitis to
call the doctor for?
A. Occasional abdominal cramping
B. Nine mucousy bloody stools per day.
C. Signs of colon perforation and peritonitis.
D. Diarrhea
ANS:<< C
Which of the following promotes rest and healing of the bowel in a pt. who has
ulcerative colitis?
A.High fiber diet
B. Maintaining NPO status as ordered
C. Low carb diet
D. Avoiding licorice and caffeine
ANS:<< B
Which of the following nursing diagnosis might be appropriate for a pt with
ulcerative colitis?
A. Pain R/T the passage of stones.
B. Risk for injury from falling R/T dizziness and low BP immediately after meals.
C. Fatigue R/T blood loss caused by frequent bloody stools.
D. Risk of injury R/T auto digestion of the pancreas.
,ANS:<< C
A nurse is providing teaching for a client who has a new diagnosis of dumping
syndrome following gastric surgery. Which of the following should be included in
the teaching?
A. Eat three moderate-sized meals a day.
B. Drink at least one glass of water with each meal.
C. Eat a bedtime snack that contains a milk product.
D. Increase protein in the diet
ANS:<< D
A nurse is completing discharge teaching for a client who has an infection due
to Helicobacter pylori (H. pylori). Which of the following statements by the client
indicates understanding of the teaching?
A. "I will continue my prescription for corticosteroids."
B. "I will schedule a CT scan to monitor improvement."
C. "I will take a combination of medications for treatment."
D. "I will have my throat swabbed to recheck for this bacteria.
ANS:<< C
A nurse is providing discharge teaching to a client who has a new prescription
for aluminum hydroxide (Amphojel). The nurse should advise the client to
A. take the medication with food.
B. monitor for diarrhea.
C. wait 1 to 2 hr before taking other oral medications.
D. maintain a low-fiber diet.
ANS:<< C
A nurse is planning care for a client who has a small bowel instruction and a
nasogastric (NG) tube in place. Which of the following nursing interventions
should be included in the plan of care? (Select all that apply.)
A. Subtract the NG drainage from the client's output.
B. Irrigate the NG tube every 8 hr.
C. Assess bowel sounds.
D. Provide oral hygiene every 2 hr.
E. Clamp the NG tube during ambulation.
ANS:<< C, D, E
A nurse is providing discharge teaching to a client who is postoperative
following open cholecystectomy with T-tube placement. Which of the following
, instructions should the nurse include in the teaching? (Select all that apply.)
A. Take baths rather than showers.
B. Clamp T-tube for 1 to 2 hr before and after meals.
C. Keep the drainage system above the level of the gallbladder.
D. Expect to have constipation.
E. Empty drainage bag every 8 hr.
ANS:<< B, E
A nurse is reviewing nutrition teaching for a client who has cholecystitis. Which
of the following food choices can trigger cholecystitis?
A. Brownie with nuts
B. Bowl of mixed fruit
C. Grilled turkey
D. Baked potato
ANS:<< A
A nurse is completing preoperative teaching for a client who will undergo a
laparoscopic cholecystectomy. Which of the following should be included in the
teaching?
A. "The scope will be passed through your rectum."
B. "You may have shoulder pain after surgery."
C. "The T-tube will remain in place for 1 to 2 weeks."
D. "You should limit how often you walk for 1 to 2 weeks."
ANS:<< B
A nurse is completing an assessment of a client who has a gastric ulcer. Which
of the following are
expected findings?
(Select all that apply.)
A. Client reports pain relieved by eating.
B. Client states that pain often occurs at night.
C. Client reports a sensation of bloating.
D. Client states that pain occurs 1⁄2 to 1 hr after a meal.
E. Client experiences pain upon palpation of the epigastric region.
ANS:<< C, D, E
A nurse is completing discharge teaching with a client who has Crohn's disease.
Which of the following instructions should the nurse include in the teaching?
A. Decrease intake of calorie‐dense foods.
B. Drink canned protein supplements.
