ATI GI SYSTEM PRACTICE QUESTIONS WITH CORRECT ANSWERS RATED A.pdf

AdnursedisdteachingdadclientdwithdBarrett'sdesophagusdwhodisdscheduleddtodundergodandesophagogastrodu
odenoscopyd(EGD).dWhichdofdthedfollowingdstatementsdshoulddthednursedincludedindthedteaching?

A.

"Thisdproceduredisdperformeddtodmeasuredthedpresencedofdaciddindyourdesophagus."

B.

"Thisdproceduredcanddeterminedhowdwelldthedlowerdpartdofdyourdesophagusdworks."

C.

"Thisdproceduredisdperformeddwhiledyoudaredunderdgeneraldanesthesia."

D.

"Thisdproceduredcanddeterminedifdyoudhavedcolondcancer."d-ddCORRECTdANSWERSCorrectdAnswer:dB.

"Thisdproceduredcanddeterminedhowdwelldthedlowerdpartdofdyourdesophagusdworks."



AndEGDdisdusefuldinddeterminingdthedfunctiondofdthedesophagealdliningdanddthedextentdofdinflammation,dp
otentialdscarring,danddstrictures.

IncorrectdAnswers:A.dAdpHdprobedstudy,dwhichdinvolvesdthedinsertiondofdadspeciallyddesigneddprobedintodt
heddistaldesophagus,disdperformeddtodmonitordfordthedpresencedofdaciddindthednormallydalkalinedesophagu
s.

C.dAndEGDdisdperformeddwhiledthedclientdreceivesdmoderatedsedation.

D.dAdcolonoscopydisdperformeddtoddetectdcolondcancer.



Adnursedisdcaringdfordadclientdwhodhasdacutedpancreatitis.dWhichdofdthedfollowingdserumdlaboratorydvalues
dshoulddreturndtodthedexpecteddreferencedrangedwithind72dhrdofdtreatmentdbeginning?



A.

Aldolase

,B.

Lipase

C.

Amylase

D.

Lacticddehydrogenased-ddCORRECTdANSWERSCorrectdAnswer:dC.

Amylase



Pancreatitisdisdthedmostdcommonddiagnosisdfordmarkeddelevationsdindserumdamylase.dSerumdamylasedbeg
insdtodincreasedaboutd3dtod6dhoursdfollowingdthedonsetdofdacutedpancreatitis.dThedamylasedleveldpeaksdind2
0dtod30dhoursdanddreturnsdtodthedexpecteddreferencedrangedwithind2dtod3ddays.

IncorrectdAnswers:A.dElevateddaldolasedlevelsdaredcauseddbydinflammationdofdthedmuscles,dalsodknowndasd
myositis.dAldolasedlevelsdarednotdaffecteddbydpancreaticddisorders.

B.dLipasedlevelsdindclientsdwhodhavedpancreatitisdincreasedafterdadrisedindserumdamylasedanddstaydelevatedd
fordupdtod14ddaysdlongerdthandamylasedlevels.

D.dLacticddehydrogenased(LDH)dincreasesdaredtypicallydseendindclientsdwhodhavedanemia,dleukemia,dordlive
rddamage.



Adnursedisdassessingdadclientdwhodhasdadbleedingdduodenaldulcer.dWhichdofdthedfollowingdfindingsdshoulddt
hednursedexpect?

A.

Emesisdwithdadcoffee-grounddappearance

B.

Increaseddblooddpressure

C.

Decreaseddheartdrate

D.

Brightdgreendstoolsd-ddCORRECTdANSWERSCorrectdAnswer:dA.

Emesisdwithdadcoffee-grounddappearance

,Thednursedshoulddexpectdadclientdwhodhasdadbleedingdduodenaldulcerdtodhavedemesisdthatdresemblesdcoff
ee-
groundsdordisdbrightdreddindcolor.dHematemesisdindicatesdupperdgastrointestinaldbleeding,doccurringdatdord
abovedthedduodenojejunaldjunction.

IncorrectdAnswers:B.dAdclientdwhodhasdadbleedingdduodenaldulcerdwilldhavedaddecreaseddblooddpressuredd
uedtodbleedingdanddfluiddloss.

C.dAdclientdwhodhasdadbleedingdduodenaldulcerdwilldhavedaddecreaseddheartdratedduedtodbleedingdanddfluidd
loss.

D.dAdclientdwhodhasdadbleedingdduodenaldulcerdwilldhavedmelenadstools,dwhichdaredtarrydorddarkdindcolorda
nddsticky.



Adnursedisdprovidingdteachingdtodthedguardiandofdadchilddwhodhasdceliacddisease.dWhichdofdthedfollowingdfo
odsdshoulddthednursedinstructdthedguardiandtodomitdfromdthedchild'sddiet?

A.

Cornflakes

B.

Reduced-fatdmilk

C.

Canneddfruits

D.

Wheatdbreadd-ddCORRECTdANSWERSCorrectdAnswer:dD.

Wheatdbread



Clientsdwhodhavedceliacddiseasedshoulddeliminatedasdmuchdglutendasdpossibledfromdtheirddiets.dWheat,drye
,danddbarleydcontaindglutendanddshoulddbedeliminateddfromdtheddietdofdadchilddwhodhasdceliacddisease.

IncorrectdAnswers:A.dCornflakesddodnotdcontaindglutendandddodnotdhavedtodbedomitteddfromdtheddietdofdad
childdwhodhasdceliacddisease.

B.dMilkdisdgluten-freedandddoesdnotdhavedtodbedeliminateddfromdtheddietdofdadchilddwhodhasdceliacddisease.

C.dCanneddfruitsdwithoutdadditivesdaredgluten-
freedandddodnotdhavedtodbedeliminateddfromdtheddietdofdadchilddwhodhasdceliacddisease.

, Adnursedisdplanningdandin-
servicedtrainingdsessiondregardingdnutrition.dWhichdofdthedfollowingdmineralsdshoulddthednursedidentifydas
dinvolveddindoxygendtransportation?



A.

Zinc

B.

Iron

C.

Phosphorus

D.

Magnesiumd-ddCORRECTdANSWERSCorrectdAnswer:dB.

Iron



Irondtransportsdoxygendbydmeansdofdhemoglobindanddmyoglobin.dItdisdalsodadcomponentdofdenzymedsyste
ms.

IncorrectdAnswers:A.dZincdplaysdadroledindtissuedgrowthdanddwounddhealingdanddsupportsdimmunedfunctio
n,dbutditddoesdnotdaffectdoxygendtransport.

C.dPhosphorusdplaysdadroledindbonedanddteethdformationdanddenergydmetabolism,dbutditddoesdnotdaffectdo
xygendtransport.

D.dMagnesiumdaffectsdenzymedanddneurochemicaldactivitiesdanddthedexcitabilitydofdcardiacdanddskeletaldm
uscles,dbutditddoesdnotdaffectdoxygendtransport.



Adnursedisdpresentingdandin-
servicedtrainingdsessiondaboutdnutrition.dHowdmanydofdthedaminodacidsdmustdbedobtaineddfromddietarydin
take?

A.d6

B.d9

C.d11

D.d15d-ddCORRECTdANSWERSCorrectdAnswer:dB.

9