ATI LPN
Fundamentals of Nursing Oxygenation Practice Questions Questions
Question 1 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 2 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 3 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.
Question 4 of 5
A patient with a history of smoking reports shortness of breath. Which condition is most likely?
Correct Answer: B
Rationale: Emphysema, a COPD type, is strongly linked to smoking and causes shortness of breath due to alveolar destruction, unlike asthma (allergy-related), pneumothorax (lung collapse), or pulmonary edema (fluid-related).
Question 5 of 5
A patient with a chest tube reports sudden dyspnea. What is the priority action?
Correct Answer: A
Rationale: Sudden dyspnea with a chest tube suggests blockage or disconnection. Checking patency ensures proper lung re-expansion and oxygenation, taking priority over pain meds, oxygen increase, or repositioning.