ATI GI Questions.pdf

ATI GI Questions & Revised Correct
Answers PASSED!! all answered 100%
correct
Agnursegisgteachinggaboutgperniciousganemiagwithgagclientgwhoghasgchronicggastritis.gWhichgofgthegfollowin
gginformationgshouldgthegnursegincludegingthegteaching?

A.gPerniciousganemiagisgcausedgwhengthegcellsgproducingggastricgacidgaregdamaged.

B.gExpectgagmonthlyginjectiongofgvitamingB12.

C.gPlangtogtakegvitamingKgsupplements.

D.gPerniciousganemiagisgcausedgbygangincreasedgproductiongofgintrinsicgfactor.g-
ggCORRECTgANSWERS.gA.gDamagegtogparietalgcellsghasgoccurred,gwhichgleadsgtogperniciousganemiagandgcau

sesgagdecreasegofgthegintrinsicgfactorgbygthegstomachgparietalgcells.

B.gCORRECT:gThegnursegshouldgincludegingtheginformationgthatgthegclientgwillgreceivegagmonthlyginjectiongo
fgvitamingB12gtogtreatgperniciousganemiagduegtogagdecreasegofgthegintrinsicgfactorgbygthegstomachgparietalg
cells.

C.gVitamingKgsupplementsgareggivengtogclientsgwhoghavegagbleedinggdisorder.

D.gParietalgcellgdamagegresultsginginsufficientgproductiongofgintrinsicgfactorgbygthegstomachgparietalgcells.



Agnursegisgprovidinggdischargegteachinggtogagclientgwhoghasgagnewgprescriptiongforgaluminumghydroxide.g
Whichgofgthegfollowingginformationgshouldgthegnursegincludegingthegteaching?

A.gTakegthegmedicationgwithgfood.

B.gMonitorgforgdiarrhea.

C.gWaitg1ghrgbeforegtakinggothergoralgmedications.

D.gMaintaingaglow‐fibergdiet.g-
ggCORRECTgANSWERSA.gThegnursegshouldgadvisegthegclientgtogtakegaluminumghydroxidegongangemptygstom

ach.

B.gThegnursegshouldgincludegingthegteachinggthatgaluminumghydroxidegcangcausegconstipation.

C.gCORRECT:gThegnursegshouldgadvisegthegclientgnotgtogtakegoralgmedicationsgwithing1ghrgofgangantacid.

D.gThegnursegshouldgincludegingthegteachinggforgthegclientgtogincreasegdietarygfibergduegtogthegconstipating
geffectgofgthegmedication.

,.gAgnursegisgplanninggcaregforgagclientgwhoghasgacuteggastritis.gWhichgofgthegfollowinggnursinggintervention
sgshouldgthegnursegincludegingthegplangofgcare?g(Selectgallgthatgapply.)

A.gEvaluategintakegandgoutput.

B.gMonitorglaboratorygreportsgofgelectrolytes.

C.gProvidegthreeglargegmealsgagday.

D.gAdministergibuprofengforgpain.gE.gObservegstoolgcharacteristics.g-
ggCORRECTgANSWERSA.gCORRECT:gThegnursegshouldgevaluategthegclient'sgintakegandgoutputgtogpreventgele

ctrolyteglossgandgdehydration.

B.gCORRECT:gThegnursegshouldgmonitorgthegclient'sgelectrolyteglaboratorygvaluesgtogpreventgfluidglossgandg
dehydration.

C.gThegnursegshouldginstructgthegclientgtogeatgsmall,gfrequentgmeals.

D.gThegnursegshouldginstructgthegclientgtogavoidgtakinggibuprofen,gangNSAID,gbecausegofgitsgerosivegcapabil
ities.

E.gCORRECT:gThegnursegshouldginstructgthegclientgtogreportgtogthegproviderganygindicationgofgthegpresenceg
ofgbloodgingthegstools,gwhichgcangindicateggastrointestinalgbleeding.



Agnursegisgteachinggagclient

whoghasgagnewgprescriptiongforgfamotidine.gWhichgofgthegfollowinggstatementsgbygthegclientgindicatesgund
erstandinggofgthegteaching?

A.g"Thegmedicinegcoatsgtheglininggofgmygstomach."

B.g"Thegmedicationgshouldgstopgthegpaingrightgaway."

C."Igwillgtakegmygpillg1ghrgbeforegmeals."

D."Igwillgmonitorgforgbleedinggfromgmygnoseg-
ggCORRECTgANSWERSA.gFamotidinegdecreasesggastricgacidgoutput.gItgdoesgnotghavegagprotectivegcoatinggac

tion.

B.gThegclientgmightgneedgtogtakegfamotidinegforgseveralgdaysgbeforegpaingreliefgoccursgwhengstartinggthisgt
herapy.

C.gCORRECT:gThegclientgshouldgtakegfamotidineg1ghrgbeforegmealsgtogdecreasegheartburn,gacidgindigestion,
gandgsourgstomach.



D.gThegnursegshouldginstructgthegclientgtogmonitorgforgGIgbleedinggwhengtakinggfamotidine.



Agchargegnursegisgteachinggaggroupgofgunitgnursesgaboutgagclientgwhoghasgchronicggastritisgandgisgschedule
d

, forgagselectivegvagotomy.gWhichgofgthegfollowinggstatementsgbygagunitgnursegindicatesgunderstandinggofgt
hegpurposegofgthegprocedure?

A.g"Thegclientgwillghavegincreasedgduodenalggastricgemptying."

B.g"Thegclientgwillghavegagreductiongofggastricgacidgsecretions."

C."Thegclientgwillghavegangincreasegofggastricgmucusgsecretion."

D."Thegclientgwillghavegangincreasedgsecretiongofghydrogen/potassiumgATPasegenzymesg-
ggCORRECTgANSWERSA.gPyloroplastygwillgincreaseggastricgemptying,gwhichgisgperformedgtogwidengthegope

ninggfromgthegstomachgtogthegduodenum.

B.gCORRECT:gSelectivegvagotomygwillgreduceggastricgacidgsecretions.gC.gProstaglandinganaloggmedicationg
willgstimulategmucosal

protectiongandgdecreaseggastricgacidgsecretions.

D.gAghistamine2gantagonistgmedicationgwillginhibitggastricgsecretiongbyginhibitingghydrogen/potassiumgAT
Pasegenzymegsystemgingtheggastricgparietalgcells.



Agnursegingthegemergencygdepartmentgisgcompletinggangassessmentgofgagclientgwhoghasgsuspectedgstomac
hgperforationgduegtogagpepticgulcer.gWhichgofgthegfollowinggfindingsgshouldgthegnursegexpect?g(Selectgallgt
hatgapply.)

A.gRigidgabdomen

B.gTachycardia

C.gElevatedgbloodgpressure

D.gCircumoralgcyanosis

E.gReboundgtendernessg-
ggCORRECTgANSWERSA.gCORRECT:gManifestationsgofgperforationgincludegagrigid,gboard‐likegabdomen.



B.gCORRECT:gTachycardiagoccursgduegtoggastrointestinalgbleedinggthatgaccompaniesgagperforation.

C.gHypotensiongisgangexpectedgfindinggingagclientgwhoghasgagperforationgandgbleeding.

D.gCircumoralgcyanosisgisgnotgagmanifestationgofgperforation.

E.gCORRECT:gReboundgtendernessgisgangexpectedgfindinggingagclientgwhoghasgagperforation.



Agnursegisgteachinggagclientgwhoghasgagnewgdiagnosisgofgdumpinggsyndromegfollowingggastricgsurgery.gWhi
chgofgthegfollowingginformationgshould

thegnursegincludegingthegteaching?

A.gEatgthreegmoderate‐sizedgmealsgagday.