ATI LPN
Foundations and Adult Health Nursing Test Bank
Chapter 15 Questions
Question 1 of 5
When explaining the difference between a colostomy and an ileostomy the nurse explains which of the following about an ileostomy?
Correct Answer: B
Rationale: The ileostomy is higher in the GI tract and drains semiliquid stool. The ileostomy is very similar in appearance to the colostomy, may not be permanent, and needs a pouch.
Question 2 of 5
Before inserting a nasogastric tube what measurement should the nurse take?
Correct Answer: A
Rationale: The measurement is from the tip of the nose to the ear lobe to the xiphoid process.
Question 3 of 5
The nurse administers an enema to a patient as ordered. What should be documented?
Correct Answer: A,B,C,D,E,F
Rationale: Following an enema date, time, type and volume of enema, temperature of solution, characteristics of results and how patient tolerated procedure should all be documented.
Question 4 of 5
What would be the correct explanation of catheter care?
Correct Answer: A
Rationale: The first 2 in of the catheter should be cleaned with soap and water every shift or more often if the patient is incontinent. Alcohol and lotions are contraindicated. Catheter care should be done every shift.
Question 5 of 5
Bladder training is initiated on a patient preparing for discharge to home from an acute care setting. When should voiding times be scheduled?
Correct Answer: C,D,E
Rationale: Typical voiding times are upon rising, before each meal, and at bedtime. When initiating bladder training the nurse should assist the patient to void as scheduled, check the patient for wetness periodically, and remind or assist the patient to the toilet as scheduled.