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ATI RN · Gastrointestinal Systems · ATI Gastrointestinal System Test

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

Before bowel surgery, Lee is to administer enemas until clear. During administration, he complains of intestinal cramps. What do you do next?

A. Discontinue the procedure.
B. Lower the height of the enema container.
C. Complete the procedure as quickly as possible.
D. Continue administration of the enema as ordered without making any adjustments.

Expert Explanatory Rationale

Correct Answer: Lower the height of the enema container.

Question 2 of 5

A patient who underwent abdominal surgery now has a gaping incision due to delayed wound healing. Which method is correct when you irrigate a gaping abdominal incision with sterile normal saline solution, using a piston syringe?

A. Rapidly instill a stream of irrigating solution into the wound.
B. Apply a wet-to-dry dressing to the wound after the irrigation.
C. Moisten the area around the wound with normal saline solution after the irrigation.
D. Irrigate continuously until the solution becomes clear or all of the solution is used.

Expert Explanatory Rationale

Correct Answer: Irrigate continuously until the solution becomes clear or all of the solution is used.

Question 3 of 5

A patient has an acute upper GI hemorrhage. Your interventions include:

A. Treating hypovolemia.
B. Treating hypervolemia.
C. Controlling the bleeding source.
D. Treating shock and diagnosing the bleeding source.

Expert Explanatory Rationale

Correct Answer: Treating shock and diagnosing the bleeding source.

Question 4 of 5

Michael, a 42 y.o. man is admitted to the med-surg floor with a diagnosis of acute pancreatitis. His BP is 136/76, pulse 96, Resps 22 and temp 101. His past history includes hyperlipidemia and alcohol abuse. The doctor prescribes an NG tube. Before inserting the tube, you explain the purpose to patient. Which of the following is a most accurate explanation?

A. It empties the stomach of fluids and gas.
B. It prevents spasms at the sphincter of Oddi.
C. It prevents air from forming in the small intestine and large intestine.
D. It removes bile from the gallbladder.

Expert Explanatory Rationale

Correct Answer: It empties the stomach of fluids and gas.

Question 5 of 5

Your teaching Anthony how to use his new colostomy. How much skin should remain exposed between the stoma and the ring of the appliance?

A. 1/16"
B. 1/4″
C. 1/2"
D. 1"

Expert Explanatory Rationale

Correct Answer: 1/16"

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