ATI LPN
Foundations and Adult Health Nursing Test Bank
Chapter 49 Questions
Question 1 of 5
Which action is the purpose of the cilia?
Correct Answer: B
Rationale: The cilia are fine hairlike processes on the outer surfaces of small cells that produce a motion that sweeps the debris toward the nasal cavity. Large particles that are swept away stimulate the cough reflex, but not the cilia themselves.
Question 2 of 5
Which event happens when there is a decrease in the oxygen level in the blood?
Correct Answer: C
Rationale: The chemoreceptors in the carotid bodies and the aortic bodies send a message to the respiratory centers to modify respirations.
Question 3 of 5
A problem for the patient with a new laryngectomy would be feelings of isolation due to being unable to communicate verbally. Which nursing intervention is appropriate?
Correct Answer: B
Rationale: Provide patient with implements for communication. Rapidly completing care and provision of solitary activities does not reduce social isolation.
Question 4 of 5
A patient comes to the health nurse at the workplace with epistaxis. The patient reports frequent nosebleeds that have usually been controlled without intervention. Which assessment would be the most helpful after the nurse has stopped the bleeding?
Correct Answer: A
Rationale: Check the blood pressure for hypotension to assess for hypovolemic shock. Adults can lose as much as 1 L of blood in an hour with heavy epistaxis. In addition, epistaxis can be a complication of untreated hypertension.
Question 5 of 5
The nurse assessing an 11 year old who is having an asthma attack expects to hear which adventitious sounds?
Correct Answer: B
Rationale: The narrowed bronchioles characteristic of an asthma attack would produce wheezes, which are high-pitched whistling sounds.