ATI RN · Gastrointestinal System Nursing Exam Questions
Question 1 of 118
The client has had a new colostomy created 2 days earlier. The client is beginning to pass malodorous flatus from the stoma. The nurse interprets that
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 2 of 118
Accumulation of excess fluid in the peritoneal cavity is called
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Question 3 of 118
The nurse is caring for a patient receiving chemotherapy. Which of the following signs indicates that the patient is developing a complication from the chemotherapy?
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 4 of 118
Gastric enzymes are secreted by the _____ cells.
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Question 5 of 118
A nurse is performing an assessment on a client with a suspected diagnosis of acute pancreatitis. The nurse assesses the client, knowing that which of the following is a hallmark sign of this disorder?
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 6 of 118
A nurse is providing teaching to a client who has a new colostomy. Which of the following information should the nurse include in the teaching?
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Question 7 of 118
The nurse is monitoring a client for the early signs and symptoms for dumping syndrome. Which symptom indicates this occurrence?
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 8 of 118
The exocrine pancreas secretes the following enzymes except:
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Question 9 of 118
Fatty acids and glycerol are released when _____ are broken down by liver or muscle cells.
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 10 of 118
A nurse is providing the client with biliary obstruction a simple overview of the anatomy of the liver and gallbladder. The nurse tells the client that normally the liver stores bile in the gallbladder, which is connected to the liver by the?
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 11 of 118
Chemical digestion of protein begins in the:
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Question 12 of 118
A client has been diagnosed with gastroesophageal reflux disease. The nurse interprets that the client has dysfunction of which of the following parts of the digestive system?
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 13 of 118
Where are most digestive enzymes activated?
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Question 14 of 118
The nurse is preparing to discontinue a client's nasogastric tube. The client is positioned properly, and the tube has been flushed with 15 mL of air to clear secretions. Before removing the tube, the nurse makes which statement to the client?
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Question 15 of 118
The nurse has provided home care instructions to a client who had a subtotal gastrectomy. The nurse instructs the client regarding the signs and symptoms associated with dumping syndrome. Which of the following signs and symptoms, if identified by the client, indicates an understanding of this potential complication following gastrointestinal surgery?
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 16 of 118
The nurse is obtaining a history of a patient with hepatitis Which question is most appropriate for the nurse to ask?
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 17 of 118
The nurse has given instructions to the client with an ileostomy about foods to eat to thicken the stool. The nurse determines that the client needs further instructions if the client stated to eat which of the following foods to make the stool less watery?
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 18 of 118
You are taking an initial history for a client seeking surgical treatment for obesity. Which of the following should be called to the attention of the surgeon before proceeding with additional history or physical assessment?
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 19 of 118
What may occur with failure of the sodium-potassium pump during severe protein depletion?
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 20 of 118
A nurse is reviewing the results of serum laboratory studies drawn on a client who is suspected of having hepatitis. The nurse interprets that an elevation in which of the following studies is the most specific indicator of the disease?
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Question 21 of 118
The defaecation reflex:
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Question 22 of 118
A client is visited by the dietitian following a colostomy procedure. Which of the following is the primary nutrition concern for this type of client?
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 23 of 118
A client with ulcerative colitis is diagnosed with a mild case of the disease. The nurse doing dietary teaching gives the client examples of foods to eat that represent which of the following therapeutic diets?
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 24 of 118
You have the following symptoms: sudden abdominal pain, slight fever, loss of appetite, and nausea. You may have
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 25 of 118
The nurse is caring for a client who underwent a subtotal gastrectomy. To manage dumping syndrome, the nurse should advise the client to:
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 26 of 118
A client had an abdominal perineal resection with a colostomy 4 days ago and is ready for discharge. Which of the following would be an appropriate expected outcome at this point?
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 27 of 118
The nurse is performing an assessment on a client with acute pancreatitis who was admitted to the hospital. Which of the following assessment questions most specifically would elicit information regarding the pain that is associated with acute pancreatitis?
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Question 28 of 118
During an abdominal assessment, a nurse finds pulsation between the umbilicus and pubis on a client. What finding should be reported to the physician?
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Question 29 of 118
Which nursing measure would be most effective in helping the client cough and deep breathe after a cholecystectomy?
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 30 of 118
Which neurotransmitter is involved in the regulation of many of the secretory cells of the gastric (stomach) mucosa?
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 31 of 118
The client with a new colostomy is concerned about the odor from stool from the ostomy drainage bag. The nurse teaches the client to include which of the following foods in the diet to reduce odor?
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 32 of 118
Where does the absorption of most nutrients take place?
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 33 of 118
A nurse is caring for a client who has just returned from the operating room following the creation of a colostomy. The nurse is assessing the drainage in the pouch attached to the site where the colostomy was formed and notes serosanguineous drainage. Which nursing action is most appropriate based on this assessment?
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 34 of 118
Priority Decision: During care of the severely obese patient
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 35 of 118
The stomach produces acids, which denature protein, and popsin that digests protein. The cell membranes of the epithelial cells lining the stomach contain protein. The protein in the epithelial cells are not denatured or digested because
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 36 of 118
A client has a nasogastric tube inserted at the time of abdominal perineal resection with permanent colostomy. This tube will most likely be removed when the client demonstrates:
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 37 of 118
The client with a colostomy has an order for irrigation of the colostomy. The nurse uses which solution for the irrigation?
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 38 of 118
A nurse is providing instructions to a client who will collect a stool specimen for occult blood. The nurse instructs the client to avoid which of the following for 3 days before the collection of the stool specimen?
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 39 of 118
Which cells secrete hydrochloric acid in the stomach?
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 40 of 118
Which of the following techniques would the nurse use first to determine if a nasogastric tube is positioned in the stomach?
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 41 of 118
The nurse is caring for a client with an exacerbation of ulcerative colitis. Which of the following nursing measures should be included in the client's plan of care?
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 42 of 118
Which of the following nursing measures would be inappropriate when caring for a client with a Cantor tube?
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 43 of 118
When assessing the client with celiac disease, the nurse can expect to find which of the following?
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Question 44 of 118
Of the following signs and symptoms of bowel obstruction, which is related primarily to small bowel obstruction rather than large bowel obstruction?
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 45 of 118
A client is suspected of having hepatitis. Which diagnostic test results will assist in confirming this diagnosis?
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 46 of 118
Before administering an intermittent tube feeding through a nasogastric tube, the nurse assesses for gastric residual. The nurse understands that this procedure is important to
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 47 of 118
The nurse aspirates 40 mL of undigested formula from the client's nasogastric tube. Before administering an intermittent tube feeding, the nurse understands that the 40 mL of gastric aspirate should be
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 48 of 118
A nurse orientee is preparing to insert a nasogastric tube, and a nurse educator is observing the procedure. Which of the following supplies if obtained by the nurse orientee would indicate a need for further education regarding this procedure?
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 49 of 118
A patient with advanced cirrhosis has a nursing diagnosis of imbalanced nutrition: less than body requirements related to anorexia and inadequate food intake. What would be an appropriate midday snack for the patient?
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 50 of 118
The nurse is planning to teach the client with gastroesophageal reflux disease about substances that will increase the lower esophageal sphincter pressure. Which of the following items would the nurse include on this list?
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 51 of 118
A nurse is preparing to remove a nasogastric tube from a client. The nurse would instruct the client to do which of the following just before the nurse removes the tube?
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 52 of 118
Concerning mass peristalsis, all are correct Except:
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 53 of 118
Which of the following expected outcomes would be appropriate for the client who has ulcerative colitis?
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 54 of 118
A nurse is giving dietary instructions to a client who has a new colostomy. The nurse encourages the client to eat foods representing which of the following diets for the first 4 to 6 weeks postoperatively?
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Question 55 of 118
Serologic findings in viral hepatitis include both the presence of viral antigens and antibodies produced in response to the viruses. What laboratory result indicates that the nurse is immune to HBV after vaccination?
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Question 56 of 118
Which of these statements about reflexes in the GI tract is false?
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Question 57 of 118
Which of the following activities should the nurse encourage the client with a peptic ulcer to avoid?
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 58 of 118
A nurse is inserting a nasogastric tube in an adult client. During the procedure, the client begins to cough and has difficulty breathing. Which of the following is the most appropriate nursing action?
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Question 59 of 118
Which single statement below, about the stomach, is actually correct?
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Question 60 of 118
Which organ produces and secretes bile?
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Question 61 of 118
The nurse is irrigating a client's colostomy when she complains of abdominal cramping after receiving about 100 mL of the irrigating solution. What should the nurse's first response be in this situation?
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Question 62 of 118
What must the nurse do to care for a T-tube in a patient following a cholecystectomy?
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Question 63 of 118
The nurse provides discharge instructions to a patient with hepatitis B. Which of the following statements, if made by the patient, would indicate the need for further instruction?
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Question 64 of 118
A nurse is reviewing the orders of a client admitted to the hospital with a diagnosis of acute pancreatitis. Select the interventions that the nurse would expect to be prescribed for the client.
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Question 65 of 118
A client is admitted with a diagnosis of ulcerative colitis. Which of the following symptoms should the nurse expect the client to report when responding to questions about his bowel elimination pattern?
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Question 66 of 118
A home care nurse is visiting a client with a diagnosis of pernicious anemia that developed as a result of gastric surgery. The nurse instructs the client that because the stomach lining produces a decreased amount of intrinsic factor in this disorder, the client will need
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 67 of 118
A nurse has been caring for a client with a Sengstaken-Blakemore tube. The physician arrives on the nursing unit and deflates the esophageal balloon. The nurse should monitor the client most closely for which of the following?
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Question 68 of 118
Which information will the nurse provide for a patient with newly diagnosed gastroesophageal reflux disease (GERD)?
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Question 69 of 118
The nurse is caring for a client on the first postoperative day following a surgical repair of an abdominal aortic aneurysm. Which nursing diagnosis is the most important for this client?
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Question 70 of 118
A client with a history of gastric ulcer suddenly complains of a sharp-severe pain in the mid epigastric area, which then spreads over the entire abdomen. The client's abdomen is rigid and board-like to palpation, and the client obtains most comfort from lying in the knee-chest position. The nurse calls the physician immediately suspecting that the client is experiencing which of the following complications of peptic ulcer disease?
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Question 71 of 118
The client with Crohn's disease has a nursing diagnosis of Acute Pain. The nurse would teach the client to avoid which of the following in managing this problem?
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Question 72 of 118
The client is admitted to the hospital with viral hepatitis, complaining of 'no appetite' and 'losing my taste for food.' To provide adequate nutrition, the nurse would instruct the client to
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Question 73 of 118
A nurse is providing care for a client who had a laparoscopic cholecystectomy. Which of the following is an appropriate nursing action?
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Question 74 of 118
Vasopressin (Pitressin) therapy is prescribed for a client with a diagnosis of bleeding esophageal varices. The nurse is preparing to administer the medication to the client. Which of the following essential items is needed during the administration of this medication?
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Question 75 of 118
The nurse is doing preoperative teaching with the client who is about to undergo creation of a Kock pouch. The nurse interprets that the client has the best understanding of the nature of the surgery if the client makes which of the following statements?
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Question 76 of 118
When a patient returns to the clinical unit after an abdominal-perineal resection (APR), what should the nurse expect?
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Question 77 of 118
The nurse assesses the client's understanding of the relationship between body position and gastroesophageal reflux. Which response would indicate that the client understands measures to avoid problems with reflux while sleeping?
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Question 78 of 118
The important enzymes present in Pancreatic juice are :
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Question 79 of 118
The nurse is caring for a client admitted to the hospital with a suspected diagnosis of acute appendicitis. Which of the following laboratory results would the nurse expect to note if the client indeed has appendicitis?
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Question 80 of 118
A nurse is assigned to a 40-year-old client who has a diagnosis of chronic pancreatitis. The nurse reviews the laboratory result, anticipating a laboratory report that indicates a serum amylase level of
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Question 81 of 118
A Penrose drain is in place on the first postoperative day following a cholecystectomy. Serosanguineous drainage is noted on the dressing covering the drain. Which nursing intervention is most appropriate?
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Question 82 of 118
Which method is preferred for immediate treatment of an acute episode of constipation?
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Question 83 of 118
Cholestyramine resin (Questran Light) is prescribed for the client with an elevated serum cholesterol level. The nurse would instruct the client to take the medication
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Question 84 of 118
The nurse provides medication instructions to a client with peptic ulcer disease. Which statement, if made by the client, indicates best understanding of the medication therapy?
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Question 85 of 118
The nurse is preparing a discharge teaching plan for the client who had an umbilical hernia repair. Which of the following would the nurse include in the plan?
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Question 86 of 118
The term gastrointestinal (GI) tract refers to the
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Question 87 of 118
A client with viral hepatitis states, 'I am so yellow.' The nurse most appropriately would
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Question 88 of 118
Which of the following diagnostic tests can be given to a client who cannot retain dye tablets given to test his gallbladder?
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Question 89 of 118
The nurse has inserted a nasogastric tube to the level of the oropharynx and has repositioned the client's head in a flexed-forward position. The client has been asked to begin swallowing. The nurse starts slowly to advance the nasogastric tube with each swallow. The client begins to cough, gag, and choke. Which nursing action would least likely result in proper tube insertion and promote client relaxation?
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Question 90 of 118
Which of the following nursing interventions should have the highest priority during the first hour after the admission of a client with cholecystitis who is experiencing pain, nausea, and vomiting?
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Question 91 of 118
A nurse is developing a teaching plan for the client with viral hepatitis. The nurse plans to tell the client which of the following in the teaching session?
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Question 92 of 118
The client with cirrhosis has ascites and excess fluid volume. Which measure will the nurse include in the plan of care for this client?
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Question 93 of 118
What is the function of bile in digestion?
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Question 94 of 118
Regarding deglutition (swallowing):
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Question 95 of 118
When preparing the client with hepatitis A for extended convalescence, the nurse teaches the client about problems that may occur. The nurse knows that the client has understood the teaching when he says that he is most likely to have difficulty:
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Question 96 of 118
Nursing management of the patient with chronic gastritis includes teaching the patient to
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Question 97 of 118
A client returns from surgery with a sigmoid colostomy. An ostomy appliance is attached. The priority nursing diagnosis for daily observation and care is:
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Question 98 of 118
A 30-year-old woman is admitted to the hospital with complaints of severe abdominal cramping and diarrhea. The nurse evaluates the effectiveness of the patient's intravenous therapy. Which of the following laboratory tests BEST reflects hydration status?
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Question 99 of 118
Which of these statements about bile is true?
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Question 100 of 118
Bacteria and other foreign material absorbed by the small intestine are destroyed by ______ cells found lining the hepatic sinusoids.
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Question 101 of 118
A nurse teaches a preoperative client about the nasogastric tube that will be inserted in preparation for surgery. The nurse determines that the client understands when the tube will be removed in the postoperative period when the client states
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Question 102 of 118
The carcinoid syndrome is likely to occur with carcinoid tumors:
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Question 103 of 118
The home care nurse is visiting a client with a diagnosis of pernicious anemia that developed as a result of gastric surgery. The nurse instructs the client that because the stomach lining produces a decreased amount of intrinsic factor in this disorder, the client will need
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Question 104 of 118
The nurse is caring for a client following a Billroth II procedure. On review of the postoperative orders, which of the following if prescribed, should the nurse question and verify?
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 105 of 118
Which of the following instructions should the nurse provide to a client who is asymptomatic of colonic cancer, but whose stool test results are positive for blood?
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 106 of 118
A client is scheduled for an abdominal perineal resection with permanent colostomy. Which of the following measures would most likely be included in the plan for the client's preoperative preparation?
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 107 of 118
Which of the following is correct regarding the cells of the gastric pit?
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 108 of 118
A client who has had gastrectomy is not producing sufficient intrinsic factor. The nurse interprets that the client has lost the ability to absorb cyanocobalamin (vitamin B12) in the
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 109 of 118
Which of the following expected outcomes would be most appropriate for a client with peptic ulcer disease? The client will:
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 110 of 118
Na+ and other carrier ions facilitate absorption of
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 111 of 118
To prevent gastroesophageal reflux in a client with hiatal hernia, the nurse should provide which discharge instructions?
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 112 of 118
The client with chronic pancreatitis needs information on dietary modification to manage the health problem. The nurse teaches the client to limit which of the following items in the diet?
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 113 of 118
The salivary gland which is mixed but produces more serous than mucous secretions and whose duct opens inferiorly in the floor of the oral cavity next to the frenulum of the tongue is the ______ salivary gland.
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 114 of 118
A client with viral hepatitis is discussing with the nurse the need to avoid alcohol and states, 'I'm not sure I can avoid alcohol.' The most appropriate response is
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 115 of 118
The nurse is assessing a 71-year-old female client with ulcerative colitis. Which assessment finding related to the family will have the greatest impact on the client's rehabilitation after discharge?
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 116 of 118
After gastric resection surgery, which of the following signs and symptoms would alert the nurse to the development of a leaking anastomosis?
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 117 of 118
A nurse is developing a plan of care for a client who will be returning to a nursing unit following a percutaneous transhephatic cholangiogram. The nurse includes which intervention in the postprocedure plan of care?
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ATI RN · Gastrointestinal System Nursing Exam Questions
Question 118 of 118
Lactulose (Chronulac) is prescribed for a client with a diagnosis of hepatic encephalopathy. The nurse would determine that this medication has had a therapeutic effect if which of the following is noted?
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