ATI LPN
ATI LPN NS 117 Fundamentals Exam Questions
Extract:
Client who is preoperative for a sigmoid colostomy
Question 1 of 5
A nurse is assisting with teaching a client who is preoperative for a sigmoid colostomy. Which of the following statements should the nurse include?
Correct Answer: D
Rationale: A sigmoid colostomy stoma is in the left lower abdomen (
D). A purple stoma (
A) indicates ischemia, B is false as stomas lack pain receptors, and C is incorrect as sigmoid colostomies produce formed stool.
Extract:
Client reports constipation
Question 2 of 5
A nurse is reinforcing teaching with a client has reports constipation. Which of the following should the nurse discuss as causes of constipation? (Select all that apply.)
Correct Answer: A,C,E
Rationale: A: Ignoring urges leads to harder stools. C: Overuse of laxatives causes dependence, reducing motility. E: Low fluids harden stools. B promotes motility, preventing constipation. D, with adequate fluids, alleviates it.
Extract:
Client who has respiratory acidosis
Question 3 of 5
A nurse is collecting data on a client who has respiratory acidosis. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Lethargy (
B) results from CO2 buildup impairing brain oxygenation in respiratory acidosis. A indicates alkalosis, C and D are unrelated to this condition.
Extract:
Client who has circulatory overload
Question 4 of 5
A nurse is collecting data on a client who has circulatory overload. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Tachycardia (
C) occurs as the heart compensates for increased volume in circulatory overload. A, B, and D contrast with expected findings like hypertension and weight gain.
Extract:
None
Question 5 of 5
A charge nurse in a long-term care facility is observing another nurse who is inserting an indwelling urinary catheter into a female client. Which of the following actions by the nurse should prompt the charge nurse to intervene?
Correct Answer: B
Rationale: Using the dominant hand to separate labia (
B) contaminates the sterile hand, risking infection. A, C, and D are correct sterile technique steps.