ATI LPN
ATI LPN Med Surg Exam 7 Questions
Extract:
Question 1 of 5
A nurse is teaching a client who is preoperative for a sigmoid colostomy. Which of the following statements should the nurse include?
Correct Answer: B
Rationale: A sigmoid colostomy is located in the left lower abdomen, producing formed stool. A purple stoma indicates ischemia, and the stoma itself is not painful due to lack of nerve endings.
Question 2 of 5
The nurse is performing an abdominal assessment on a patient who just returned from surgery following a colon resection. The nurse identifies that bowel sounds are not audible. Which action by the nurse would be most appropriate?
Correct Answer: C
Rationale: Absent bowel sounds are expected post-colon resection due to postoperative ileus. Documentation is appropriate, with continued monitoring. Peer validation or immediate provider notification is unnecessary unless other concerning symptoms arise.
Question 3 of 5
A nurse is reinforcing teaching with a client who has a new prescription for phenazopyridine. The nurse should reinforce to the client to expect which of the following while taking this medication?
Correct Answer: B
Rationale: Phenazopyridine causes harmless reddish-orange urine discoloration, a common side effect clients should be aware of.
Question 4 of 5
The nurse is reviewing the client's medical record and notes a diagnosis of Hirschsprung's Disease. Which of the following correlates to this illness?
Correct Answer: D
Rationale: Hirschsprung's disease involves absent ganglion cells in the intestine, impairing peristalsis and causing obstruction. Other options describe volvulus, strictures, or intussusception.
Question 5 of 5
A nurse is caring for a client who is 1 day postoperative following a left radical mastectomy. Which of the following client behaviors should alert the nurse that the client is having difficulty adjusting to the loss of her breast?
Correct Answer: A
Rationale: Refusing to look at the incision suggests difficulty accepting the body change, indicating potential body image issues or emotional distress.