ATI RN
ATI Pediatric Nursing n100 Exam Questions
Extract:
A client who is one day post op after having abdominal surgery.
Question 1 of 5
The nurse is caring for a client who is one day post op after having abdominal surgery. While auscultating bowel sounds for a full one minute, the nurse hears 3 bowel sounds. The nurse would chart this as bowel sounds.
Correct Answer: C
Rationale: The correct answer is C: hypoactive. After abdominal surgery, it is common for bowel sounds to decrease due to the effects of anesthesia, pain medications, and reduced gastrointestinal motility. Hearing only 3 bowel sounds in one minute indicates decreased bowel activity, which is classified as hypoactive. This can be a sign of postoperative ileus, which is a temporary delay in gastrointestinal function.
Choices A (hyperactive) and B (active) are incorrect as they indicate increased bowel sounds, which would not be expected postoperatively.
Choice D (absent) is also incorrect because hearing any bowel sounds, even if decreased, indicates some level of bowel activity.
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Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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