MED/SURG FINAL: ATI QUESTIONS &
MODULE QUESTIONS
What6is6the6cause6of6a6'non-mechanical'6bowel6obstruction?
A.6A6tumor6or6twisting6of6the6bowel.6
B.6Constipation.6
C.6General6anesthesia,6narcotics,6and6handling6of6the6bowel6during6surgery.6
D.6Adhesions6-6ans--✔✔C
What6should6the6nurse6advise6a6pt.6who6has6diverticulosis6to6eat?
A.6High6fiber6foods.6
B.6Low6fiber6foods.6
C.6Low6carb6foods.6
D.6High6carb6foods6-6ans--✔✔A
What6should6the6nurse6advise6a6pt.6who6has6diverticulitis6to6eat?
A.6High6fiber6foods.6
B.6Low6fiber6foods.6
C6.Low6carb6foods.6
D.6High6carb6foods6-6ans--✔✔B
Which6of6the6following6is6an6appropriate6nursing6intervention6for6a6patient6who6has6ha
d6an6EGD?
A.6Give6food6and6water6as6soon6as6the6test6is6completed.6
B.6Enemas6until6clear.6
C.6Monitor6for6hemorrhage6r/t6organ6perforation.6
D.6Administer6a6sedative.6-6ans--✔✔C
Which6of6the6following6is6an6appropriate6nursing6intervention6for6a6pt.6who6has6GERD
?
A.6Advise6pt.6to6remain6upright6after6meals.6
B.6Withhold6fluids6during6meal6time.6
C.6Administer6the6appropriate6immunoglobulin.6
D.6Give6the6prescribed6steroids6with6half6a6glass6of6milk.6-6ans--✔✔A
Which6of6the6following6is6a6priority6for6a6pt.6who6is6hemorrhaging6from6a6perforated6du
odenal6ulcer?
A.6Administer6the6sedative6prior6to6the6PY6test.6
, B.6Monitor6for6shock.6
C.6Position6the6pt.6on6his6back6with6a6pillow6under6his6right6ribs6and6his6right6hand6un
der6his6head.6
D.6Guiac6his6stool.6-6ans--✔✔B
Which6of6the6following6should6the6nurse6advise6a6pt6who6has6ulcerative6colitis6to6call6t
he6doctor6for?
6A.6Occasional6abdominal6cramping6
6B.6Nine6mucousy6bloody6stools6per6day.6
6C.6Signs6of6colon6perforation6and6peritonitis.6
6D.6Diarrhea6-6ans--✔✔C
Which6of6the6following6promotes6rest6and6healing6of6the6bowel6in6a6pt.6who6has6ulcer
ative6colitis?
6A.High6fiber6diet6
6B.6Maintaining6NPO6status6as6ordered6
6C.6Low6carb6diet6
6D.6Avoiding6licorice6and6caffeine6-6ans--✔✔B
Which6of6the6following6nursing6diagnosis6might6be6appropriate6for6a6pt6with6ulcerative6
colitis?
6A.6Pain6R/T6the6passage6of6stones.6
6B.6Risk6for6injury6from6falling6R/T6dizziness6and6low6BP6immediately6after6meals.6
6C.6Fatigue6R/T6blood6loss6caused6by6frequent6bloody6stools.6
6D.6Risk6of6injury6R/T6auto6digestion6of6the6pancreas.6-6ans--✔✔C
A6nurse6is6providing6teaching6for6a6client6who6has6a6new6diagnosis6of6dumping6syndr
ome6following6gastric6surgery.6Which6of6the6following6should6be6included6in6the6teachi
ng?
A.6Eat6three6moderate-sized6meals6a6day.
B.6Drink6at6least6one6glass6of6water6with6each6meal.6
C.6Eat6a6bedtime6snack6that6contains6a6milk6product.6
D.6Increase6protein6in6the6diet6-6ans--✔✔D
A6nurse6is6completing6discharge6teaching6for6a6client6who6has6an6infection6due6to6Heli
cobacter6pylori6(H.6pylori).6Which6of6the6following6statements6by6the6client6indicates6u
nderstanding6of6the6teaching?
A.6"I6will6continue6my6prescription6for6corticosteroids."
B.6"I6will6schedule6a6CT6scan6to6monitor6improvement."
C.6"I6will6take6a6combination6of6medications6for6treatment."
D.6"I6will6have6my6throat6swabbed6to6recheck6for6this6bacteria.6-6ans--✔✔C
A6nurse6is6providing6discharge6teaching6to6a6client6who6has6a6new6prescription6for6alu
minum6hydroxide6(Amphojel).6The6nurse6should6advise6the6client6to
A.6take6the6medication6with6food.
B.6monitor6for6diarrhea.
MODULE QUESTIONS
What6is6the6cause6of6a6'non-mechanical'6bowel6obstruction?
A.6A6tumor6or6twisting6of6the6bowel.6
B.6Constipation.6
C.6General6anesthesia,6narcotics,6and6handling6of6the6bowel6during6surgery.6
D.6Adhesions6-6ans--✔✔C
What6should6the6nurse6advise6a6pt.6who6has6diverticulosis6to6eat?
A.6High6fiber6foods.6
B.6Low6fiber6foods.6
C.6Low6carb6foods.6
D.6High6carb6foods6-6ans--✔✔A
What6should6the6nurse6advise6a6pt.6who6has6diverticulitis6to6eat?
A.6High6fiber6foods.6
B.6Low6fiber6foods.6
C6.Low6carb6foods.6
D.6High6carb6foods6-6ans--✔✔B
Which6of6the6following6is6an6appropriate6nursing6intervention6for6a6patient6who6has6ha
d6an6EGD?
A.6Give6food6and6water6as6soon6as6the6test6is6completed.6
B.6Enemas6until6clear.6
C.6Monitor6for6hemorrhage6r/t6organ6perforation.6
D.6Administer6a6sedative.6-6ans--✔✔C
Which6of6the6following6is6an6appropriate6nursing6intervention6for6a6pt.6who6has6GERD
?
A.6Advise6pt.6to6remain6upright6after6meals.6
B.6Withhold6fluids6during6meal6time.6
C.6Administer6the6appropriate6immunoglobulin.6
D.6Give6the6prescribed6steroids6with6half6a6glass6of6milk.6-6ans--✔✔A
Which6of6the6following6is6a6priority6for6a6pt.6who6is6hemorrhaging6from6a6perforated6du
odenal6ulcer?
A.6Administer6the6sedative6prior6to6the6PY6test.6
, B.6Monitor6for6shock.6
C.6Position6the6pt.6on6his6back6with6a6pillow6under6his6right6ribs6and6his6right6hand6un
der6his6head.6
D.6Guiac6his6stool.6-6ans--✔✔B
Which6of6the6following6should6the6nurse6advise6a6pt6who6has6ulcerative6colitis6to6call6t
he6doctor6for?
6A.6Occasional6abdominal6cramping6
6B.6Nine6mucousy6bloody6stools6per6day.6
6C.6Signs6of6colon6perforation6and6peritonitis.6
6D.6Diarrhea6-6ans--✔✔C
Which6of6the6following6promotes6rest6and6healing6of6the6bowel6in6a6pt.6who6has6ulcer
ative6colitis?
6A.High6fiber6diet6
6B.6Maintaining6NPO6status6as6ordered6
6C.6Low6carb6diet6
6D.6Avoiding6licorice6and6caffeine6-6ans--✔✔B
Which6of6the6following6nursing6diagnosis6might6be6appropriate6for6a6pt6with6ulcerative6
colitis?
6A.6Pain6R/T6the6passage6of6stones.6
6B.6Risk6for6injury6from6falling6R/T6dizziness6and6low6BP6immediately6after6meals.6
6C.6Fatigue6R/T6blood6loss6caused6by6frequent6bloody6stools.6
6D.6Risk6of6injury6R/T6auto6digestion6of6the6pancreas.6-6ans--✔✔C
A6nurse6is6providing6teaching6for6a6client6who6has6a6new6diagnosis6of6dumping6syndr
ome6following6gastric6surgery.6Which6of6the6following6should6be6included6in6the6teachi
ng?
A.6Eat6three6moderate-sized6meals6a6day.
B.6Drink6at6least6one6glass6of6water6with6each6meal.6
C.6Eat6a6bedtime6snack6that6contains6a6milk6product.6
D.6Increase6protein6in6the6diet6-6ans--✔✔D
A6nurse6is6completing6discharge6teaching6for6a6client6who6has6an6infection6due6to6Heli
cobacter6pylori6(H.6pylori).6Which6of6the6following6statements6by6the6client6indicates6u
nderstanding6of6the6teaching?
A.6"I6will6continue6my6prescription6for6corticosteroids."
B.6"I6will6schedule6a6CT6scan6to6monitor6improvement."
C.6"I6will6take6a6combination6of6medications6for6treatment."
D.6"I6will6have6my6throat6swabbed6to6recheck6for6this6bacteria.6-6ans--✔✔C
A6nurse6is6providing6discharge6teaching6to6a6client6who6has6a6new6prescription6for6alu
minum6hydroxide6(Amphojel).6The6nurse6should6advise6the6client6to
A.6take6the6medication6with6food.
B.6monitor6for6diarrhea.
