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  • September 14, 2024
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ATI GI Quiz 2024 Questions and Answers with complete

solution


A nurse is teaching a client with Barrett's esophagus who is scheduled to undergo an

esophagogastroduodenoscopy (EGD). Which of the following statements should the

nurse include in the teaching?

A.

"This procedure is performed to measure the presence of acid in your esophagus."

B.

"This procedure can determine how well the lower part of your esophagus works."

C.

"This procedure is performed while you are under general anesthesia."

D.

"This procedure can determine if you have colon cancer." - Correct Answer: B.

"This procedure can determine how well the lower part of your esophagus works."



An EGD is useful in determining the function of the esophageal lining and the extent of

inflammation, potential scarring, and strictures.

Incorrect Answers:A. A pH probe study, which involves the insertion of a specially

designed probe into the distal esophagus, is performed to monitor for the presence of

acid in the normally alkaline esophagus.

C. An EGD is performed while the client receives moderate sedation.

,D. A colonoscopy is performed to detect colon cancer.



A nurse is caring for a client who has acute pancreatitis. Which of the following serum

laboratory values should return to the expected reference range within 72 hr of

treatment beginning?

A.

Aldolase

B.

Lipase

C.

Amylase

D.

Lactic dehydrogenase - Correct Answer: C.

Amylase



Pancreatitis is the most common diagnosis for marked elevations in serum amylase.

Serum amylase begins to increase about 3 to 6 hours following the onset of acute

pancreatitis. The amylase level peaks in 20 to 30 hours and returns to the expected

reference range within 2 to 3 days.

Incorrect Answers:A. Elevated aldolase levels are caused by inflammation of the

muscles, also known as myositis. Aldolase levels are not affected by pancreatic

disorders.

,B. Lipase levels in clients who have pancreatitis increase after a rise in serum amylase

and stay elevated for up to 14 days longer than amylase levels.

D. Lactic dehydrogenase (LDH) increases are typically seen in clients who have

anemia, leukemia, or liver damage.



A nurse is assessing a client who has a bleeding duodenal ulcer. Which of the following

findings should the nurse expect?

A.

Emesis with a coffee-ground appearance

B.

Increased blood pressure

C.

Decreased heart rate

D.

Bright green stools - Correct Answer: A.

Emesis with a coffee-ground appearance



The nurse should expect a client who has a bleeding duodenal ulcer to have emesis

that resembles coffee-grounds or is bright red in color. Hematemesis indicates upper

gastrointestinal bleeding, occurring at or above the duodenojejunal junction.

Incorrect Answers:B. A client who has a bleeding duodenal ulcer will have a decreased

blood pressure due to bleeding and fluid loss.

, C. A client who has a bleeding duodenal ulcer will have a decreased heart rate due to

bleeding and fluid loss.

D. A client who has a bleeding duodenal ulcer will have melena stools, which are tarry

or dark in color and sticky.



A nurse is providing teaching to the guardian of a child who has celiac disease. Which

of the following foods should the nurse instruct the guardian to omit from the child's

diet?

A.

Cornflakes

B.

Reduced-fat milk

C.

Canned fruits

D.

Wheat bread - Correct Answer: D.

Wheat bread



Clients who have celiac disease should eliminate as much gluten as possible from their

diets. Wheat, rye, and barley contain gluten and should be eliminated from the diet of a

child who has celiac disease.

Incorrect Answers:A. Cornflakes do not contain gluten and do not have to be omitted

from the diet of a child who has celiac disease.

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