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ATI RN · Gastrointestinal Systems · Gastrointestinal System ATI

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

George has a T tube in place after gallbladder surgery. Before discharge, what information or instructions should be given regarding the T tube drainage?

A. If there is any drainage, notify the surgeon immediately.

B. The drainage will decrease daily until the bile duct heals.

C. First, the drainage is dark green; then it becomes dark yellow.

D. If the drainage stops, milk the tube toward the puncture wound.

Expert Explanatory Rationale

Correct Answer: The drainage will decrease daily until the bile duct heals.

Question 2 of 5

Kevin has a history of peptic ulcer disease and vomits coffee-ground emesis. What does this indicate?

A. He has fresh, active upper GI bleeding.

B. He needs immediate saline gastric lavage.

C. His gastric bleeding occurred 2 hours earlier.

D. He needs a transfusion of packed RBCs.

Expert Explanatory Rationale

Correct Answer: His gastric bleeding occurred 2 hours earlier.

Question 3 of 5

Your patient Maria takes NSAIDS for her degenerative joint disease, has developed peptic ulcer disease. Which drug is useful in preventing NSAID-induced peptic ulcer disease?

A. Calcium carbonate (Tums)

B. Famotidine (Pepcid)

C. Misoprostol (Cytotec)

D. Sucralfate (Carafate)

Expert Explanatory Rationale

Correct Answer: Misoprostol (Cytotec)

Question 4 of 5

Christina is receiving an enteral feeding that requires a concentration of 80ml of supplement mixed with 20 ml of water. How much water do you mix with an 8 oz (240ml) can of feeding?

A. 60 ml.

B. 70 ml.

C. 80 ml.

D. 90 ml.

Expert Explanatory Rationale

Correct Answer: 60 ml.

Question 5 of 5

You're patient, post-op drainage of a pelvic abscess secondary to diverticulitis, begins to cough violently after drinking water. His wound has ruptured and a small segment of the bowel is protruding. What's your priority?

A. Ask the patient what happened, call the doctor, and cover the area with a water-soaked bedsheet.

B. Obtain vital signs, call the doctor, and obtain emergency orders.

C. Have a CAN hold the wound together while you obtain vital signs, call the doctor and flex the patient's knees.

D. Have the doctor called while you remain with the patient, flex the patient's knees, and cover the wound with sterile towels soaked in sterile saline solution.

Expert Explanatory Rationale

Correct Answer: Have the doctor called while you remain with the patient, flex the patient's knees, and cover the wound with sterile towels soaked in sterile saline solution.

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