ATI LPN
Fundamentals of Nursing Oxygenation Practice Questions Questions
Question 1 of 5
A nurse is administering 1 L of 0.9% sodium chloride to a client who is postoperative and has fluid volume deficit. Which of the following changes should the nurse identify as an indication that the treatment was successful?
Correct Answer: C
Rationale: Decrease in heart rate. Fluid volume deficit causes an increase in RR with correction it should return to range, capillary refill will return, and hematocrit should decrease.
Question 2 of 5
Your patient had an ileostomy placed 2 weeks ago. Which bowel pattern would be expected for this patient?
Correct Answer: C
Rationale: An ileostomy involves the diversion of the ileum (small intestine) to an external stoma, resulting in frequent, liquid output because the large intestine, which absorbs water and forms stool, is bypassed. Two weeks post-surgery, the output typically occurs every 2-3 hours as the small intestine adapts, though it may vary with diet and fluid intake. Continuous output (A) might occur initially but not typically after adaptation. Once per day (B) mimics normal bowel patterns, not ileostomy. Continent, controlled output (D) applies to procedures like a continent ileostomy (e.g., Kock pouch), not a standard ileostomy.
Question 3 of 5
A nurse applies padded boots to maintain the foot in dorsiflexion to a client who is comatose. The nurse is protecting the client from:
Correct Answer: B
Rationale: Padded boots prevent foot drop in immobile clients. Ulcers (A) require pressure relief. Pooling (C) and BP changes (D) are unrelated.
Question 4 of 5
The type of stool that will be expelled into the ostomy bag by a client who has undergone surgery for an ileostomy will be:
Correct Answer: A
Rationale: Ileostomy stool is liquid due to bypassing the large intestine. Bloody (B) and mucus-filled (C) aren’t typical. Semi-formed (D) suits colostomies.
Question 5 of 5
A nurse is caring for a patient prescribed continuous cardiac monitoring for heart dysrhythmias. Which rhythm will cause the nurse concern?
Correct Answer: C
Rationale: Ventricular tachycardia is a potentially fatal dysrhythmia requiring immediate intervention due to ineffective cardiac output. Sinus rhythm is normal, atrial fibrillation is manageable, and premature atrial contractions are typically benign.