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ATI Lower GI MC Questions /Lower GI 4/20_Cloned_Assessment 1>answered, Exams of Nursing

Harvard UniversityNursing

ATI Lower GI MC Questions /Lower GI 4/20_Cloned_Assessment 1>answered

Typology: Exams

2024/2025

Available from 05/02/2022

Joejoski
Joejoski 🇺🇸

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Lower GI 4/20_Cloned_Assessment 1
1.A nurse is discussing good food choices with a client who is recovering from an exacerbation of
inflammatory bowel disease and is to start a low-lactose diet. Which of the following foods is the best
choice for the client?
A. Soy milk
B. Cheddar cheese
C. Low-fat yogurt
D. Cottage cheese
2.A nurse is caring for a client who is being admitted for an acute exacerbation of ulcerative
colitis. Which of the following actions should the nurse take first?
A. Review the client's electrolyte values.
B. Check the client's perianal skin integrity.
C. Investigate the client's emotional concerns.
D. Obtain a dietary history from the client.
3.A nurse is admitting a client with suspected appendicitis. Identify where the nurse will palpate to
assess for pain at McBurney's point. (Selectable areas, or “Hot Spots,” are outlined in the artwork
below. Select only the outlined area that corresponds to your answer.)
Answers cannot be displayed for this alternate item format.
Page 1 of 12
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Download ATI Lower GI MC Questions /Lower GI 4/20_Cloned_Assessment 1>answered and more Exams Nursing in PDF only on Docsity!

1.A nurse is discussing good food choices with a client who is recovering from an exacerbation of inflammatory bowel disease and is to start a low-lactose diet. Which of the following foods is the best choice for the client? A. Soy milk B. Cheddar cheese C. Low-fat yogurt D. Cottage cheese 2.A nurse is caring for a client who is being admitted for an acute exacerbation of ulcerative colitis. Which of the following actions should the nurse take first? A. Review the client's electrolyte values. B. Check the client's perianal skin integrity. C. Investigate the client's emotional concerns. D. Obtain a dietary history from the client. 3.A nurse is admitting a client with suspected appendicitis. Identify where the nurse will palpate to assess for pain at McBurney's point. (Selectable areas, or “Hot Spots,” are outlined in the artwork below. Select only the outlined area that corresponds to your answer.) Answers cannot be displayed for this alternate item format.

4.A nurse is completing dietary teaching on consuming a low fiber diet with a client who has ulcerative colitis. Which of the following foods should be eliminated in the client’s diet? A. Cooked cabbage B. Dried apricots C. Ripe bananas D. Ice cream 5.A nurse is providing teaching about ileostomy care to a client. Which of the following statements by the client indicates a need for further teaching? A. "I will empty my pouch when it becomes 1/3 full." B. "I will be certain to take enteric-coated medications." C. "I will change my entire pouch system at least weekly." D. "I will use caution when eating high fiber foods." 6.A nurse is caring for a client who has ulcerative colitis and is teaching the client about the common link with Crohn's disease. Which of the following information should the nurse include? A. Both are inflammatory B. Both begin in the rectum C. Both manifest fistula formation D. Both require frequent surgery 7.A nurse is planning care for a client who has diverticulitis. Which of the following menu selections should the nurse include in the plan? A. Turkey sandwich with celery sticks B. Sliced ham with green salad C. Pork tenderloin with green peas D. Grilled chicken breast with white rice

  1. A nurse is providing teaching to a client with a colostomy about appropriate food choices. Which of the following foods should the nurse include in the teaching? A. Eggs B. Dried peas C. Pasta D. Dried fruits
  2. A nurse is developing a teaching plan for a client who has an ileostomy and will require stoma care. Which of the following information should the nurse include? A. Empty the pouch when it is 1/2 full. B. Hold pressure on the skin barrier for 10 to 15 sec to secure the seal. C. Clean the peristomal skin four times a day. D. Expect firm fecal content.
  3. A nurse in a PACU is assessing a client who has a newly created colostomy. Which of the following findings should the nurse report to the provider? A. Stoma oozing red drainage B. Shiny, moist stoma C. Purplish-colored stoma D. Rosebud-like stoma orifice
  4. A nurse is assessing a client who has a colostomy. Which of the following findings should the nurse report to the provider? A. The stool is yellow-green. B. The ostomy is draining frequently. C. The stoma is pale in color. D. The skin around the stoma is red.
  1. 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? A. "You can expect fecal output within 24 hours." B. "You will need to increase your dietary intake of raw vegetables." C. "You can expect the stoma to be purplish in color for the first week." D. "You may experience a small amount of bleeding around the stoma."
  2. A nurse is teaching a client who has constipation. Which of the following should the nurse discuss as causes of constipation? (Select all that apply.) A. Excessive laxative use B. Ignoring the urge to defecate C. Inadequate fluid intake D. Increased fiber in the diet E. Increased activity
  3. A nurse is preparing a teaching plan for a client who has chronic constipation secondary to irregular bowel habits. Which of the following should the nurse plan to include in the teaching? A. The client should drink two to three 8 oz glasses of water each day. B. The client should follow a high-fiber diet to establish bowel regularity. C. The client should try to take in all of the required dietary fiber with the morning meal. D. The client should be taught that the goal of therapy is to have a bowel movement daily.
  1. A nurse is assessing a client who reports frequent vomiting and diarrhea for the past 3 days. Which of the following findings should the nurse expect? (Select all that apply.) A. Poor skin turgor B. Bradycardia C. Hypotension D. Pale yellow urine E. Flat neck veins
  2. A nurse is providing instructions for a 52-year-old client who is scheduled for a colonoscopy. The client reports that he has not had the procedure before and is very anxious about feeling pain during the procedure. Which of the following responses by the nurse is appropriate? A. "Don't worry; most clients dislike the prep more than the procedure itself." B. "Before the examination, your provider will give you a sedative that will make you sleepy." C. "I know you’re anxious, but this procedure is recommended for people your age." D. "After you have signed the consent form, we can talk more about this."
  3. A nurse is providing instructions about bowel cleansing with polyethylene glycol-electrolyte solution (PEG) for a client who is going to have a colonoscopy. Which of the following information should the nurse include? A. "To prevent dehydration, drink an additional liter of fluid during preparation time." B. "Expect bowel movements to begin 3 hr following completion of solution." C. "Abdominal bloating might occur." D. "Drink 400 mL every hour until bowel movements are clear."
  4. A nurse is assisting a group of clients in an outpatient clinic. For which of the following clients should the nurse anticipate scheduling a colonoscopy? A. 56-year-old who had a colonoscopy 6 years ago B. 34-year-old who reports a new onset of constipation C. 32-year-old who has a sister who died of colon cancer D. 51-year-old who is being seen for an annual physical examination
  1. A nurse is assessing a client who received IV conscious sedation for a colonoscopy. Which of the following findings indicated that the client is ready for discharge? A. The client is restless. B. The client is cooperative and oriented. C. The client shows a brisk response to stimulus. D. The client shows a sluggish response to stimulus.
  2. A nurse is caring for a client who has a prescription for a stool test for guaiac. The nurse understands the purpose of the test is to check the stool for which of the following substances? A. Steatorrhea B. Blood C. Bacteria D. Parasites
  3. A nurse is caring for a client who needs a stool specimen collected. Which of the following actions should the nurse take when obtaining the specimen? A. Use a sterile swab to obtain the specimen. B. Place the specimen in a sterile container. C. Label the paper bag in which specimen container is placed. D. Send specimen container immediately to the lab.
  4. A nurse is admitting a client who was prescribed antibiotic therapy and now has a Clostridium difficile infection. Which of the following actions should the nurse take? A. Disinfect equipment in the client's room daily. B. Place the client in a protective environment. C. Use alcohol hand sanitizer after completing tasks for the client. D. Have the client wear a mask when out of the room.
  1. A nurse is caring for an older adult client who has had surgery for an intestinal obstruction and has an NG tube to wall suction. Which of the following interventions should the nurse include in the client's postoperative plan of care? (Select all that apply.) A. Discontinue suction when assessing for peristalsis B. Irrigate the NG tube with 0.9% sodium chloride irrigation solution. C. Place sequential compression devices on the bilateral lower extremities. D. Reposition the client from side to side every 2 hr. E. Encourage the use of an incentive spirometer every 2 hr while the client is awake.
  2. A nurse is reviewing the medication list for a client who has a new diagnosis of a small bowel obstruction. The nurse should withhold which of the following medications? A. Senna B. Ibuprofen C. Omeprazole D. Zolpidem
  3. A nurse is teaching a client who has a prescription of a nasogastric tube (NG) to treat a pyloric obstruction. Which of the following rationales for the use of the nasogastric tube should the nurse include in the teaching? A. Determine the pH of the gastric secretions. B. Supply nutrients via tube feedings. C. Decompress the stomach. D. Administer medications.
  1. A nurse is caring for a client who has nausea and a prescription for metoclopramide intermittent IV bolus every 4 hr as needed. The client asks the nurse how metoclopramide will relieve her nausea. Which of the following explanations should the nurse provide? A. "The medication relieves nausea by promoting gastric emptying." B. "The medication works by decreasing gastric acid secretions." C. "The medication relieves nausea by slowing peristalsis." D. "The medication works by relaxing gastric muscles."
  2. A nurse is teaching a client how to do fecal occult blood testing. Which of the following statements by the client indicates a need for further teaching? A. "I will continue my low-dose aspirin therapy regimen." B. "I will refrain from eating raw fruits and vegetables." C. "I will avoid steak and other red meats." D. "I will continue taking my Coumadin as prescribed."
  3. A nurse is teaching a client who has a new prescription for docusate. Which of the following information should the nurse include in the teaching? A. "Do not take this medication before bedtime." B. "Take the medication with a full glass of water." C. "Expect abdominal pain with this medication." D. "Take this medication on an empty stomach."
  4. A nurse is caring for a client who is postoperative following abdominal surgery. Which of the following findings should indicate to the nurse the client's peristalsis is returning? A. Hypoactive bowel sounds in two quadrants B. Request for a cup of tea and some toast C. Passage of flatus D. Abdominal distention