ATI LPN
Foundations and Adult Health Nursing Test Bank
Chapter 45 Questions
Question 1 of 5
The nurse clarifies that the end product of food is absorbed and put into the bloodstream by which anatomical feature?
Correct Answer: B
Rationale: The inner surface of the small intestine contains millions of tiny, fingerlike projections called villi, which contain small blood vessels. They are responsible for absorbing the products of digestion.
Question 2 of 5
A 56-year-old man is admitted to the emergency room with an acute attack of diverticulitis. The patient has a temperature of 102°F, and has an elevated white count. Which assessment would alert the nurse to impending septic shock?
Correct Answer: C
Rationale: The patient with diverticulitis who has fever and an elevated white count has an infection that could lead to septic shock, which will present as tachycardia and hypotension.
Question 3 of 5
Because bowel contents from an ileostomy are virtually liquid, which does the nurse expect to see in the plan of care?
Correct Answer: C
Rationale: The nurse should assess the peristomal skin for impairment of integrity. The fecal material is liquid and has a potential for severe skin excoriation from the digestive enzymes.
Question 4 of 5
The home health nurse caring for a patient who has dysarthria related to radiation therapy for an oral cancer would recommend that the family provide which device?
Correct Answer: A
Rationale: The provision of an alternative method of communicating will lessen the frustration of the patient who has trouble speaking understandably. The call bell would be helpful also, but without a way to communicate, the bell is not as essential as a method of communication.
Question 5 of 5
Which recommendation is most appropriate for a patient who has had an esophageal dilation related to achalasia?
Correct Answer: C
Rationale: The patient should drink fluid with each meal to increase lower esophageal pressure to push food into the stomach.