Complete Question Bank

ATI RN · ATI Medical Surgical · Med-Surg Gastrointestinal NCLEX Questions

Full Question & Rationale Repository

Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The patient presents with jaundice and itching, steatorrhea, and liver enlargement. This patient has also had ulcerative colitis for several years. What diagnosis should the nurse expect for this patient?

A. Cirrhosis

B. Acute liver failure

C. Hepatorenal syndrome

D. Primary sclerosing cholangitis

Expert Explanatory Rationale

Correct Answer: Primary sclerosing cholangitis

Question 2 of 5

The nurse is monitoring a client diagnosed with peptic ulcer disease. She is observing this nonsurgical client for any sign of medical complications. Which of the following assessment measures is the most useful?

A. Assessing the client's bowel patterns and stool characteristics

B. Evaluating the client's skin for signs of infections

C. Evaluating the emotional status

D. Assessing the vital signs and fluid status

Expert Explanatory Rationale

Correct Answer: Assessing the vital signs and fluid status

Question 3 of 5

The nurse evaluates that management of the patient with upper GI bleeding is effective when assessment and laboratory findings reveal which result?

A. Hematocrit (Hct) of 35%

B. Urinary output of 20 mL/hr

C. Decreasing blood urea nitrogen (BUN)

D. Urine specific gravity of 1.030

Expert Explanatory Rationale

Correct Answer: Decreasing blood urea nitrogen (BUN)

Question 4 of 5

Which of the following instructions should a nurse provide a client with an ileostomy when using the catheter?

A. Avoid warming the catheter before inserting it into the ileal pouch.

B. Report if there is resistance when the catheter reaches the nipple valve.

C. Avoid coughing when the catheter is being inserted into the ileal pouch.

D. Clean catheter with soapy water and store it in a plastic bag after use.

Expert Explanatory Rationale

Correct Answer: Report if there is resistance when the catheter reaches the nipple valve.

Question 5 of 5

Priority Decision: A patient with ulcerative colitis has a total proctocolectomy with formation of a terminal ileum stom What is the most important nursing intervention for this patient postoperatively?

A. Measure the ileostomy output to determine the status of the patient's fluid balance.

B. Change the ileostomy appliance every 3 to 4 hours to prevent leakage of drainage onto the skin.

C. Emphasize that the ostomy is temporary and the ileum will be reconnected when the large bowel heals.

D. Teach the patient about the high-fiber, low-carbohydrate diet required to maintain normal ileostomy drainage.

Expert Explanatory Rationale

Correct Answer: Measure the ileostomy output to determine the status of the patient's fluid balance.

Ready to Guarantee Your Result?

Start Your ATI RN Preparation Journey Today

Access over 300,000 verified practice questions, comprehensive subject diagnostic exams, and timed clinical simulations engineered for success.

Browse Other Nursing Exams