ATI LPN
ATI LPN Med Surg Exam 7 Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for an infant who has inadequate motility of part of the intestine resulting in a mechanical obstruction. The nurse should identify this finding as a manifestation of which of the following disorders?
Correct Answer: C
Rationale: The correct answer is Hirschsprung's disease (
A), not C. Hirschsprung's disease involves absent ganglion cells, causing impaired peristalsis and obstruction. Pyloric stenosis causes gastric obstruction, Crohn's is inflammatory, and enterocolitis is not congenital. The document's answer is incorrect; A is the rationale-based answer.
Question 3 of 5
The nurse has been assigned to provide care for four clients on the day shift. After hearing the 1500 hand-off report, which client does the nurse prioritize to see first?
Correct Answer: B
Rationale: Tachycardia and restlessness post-liver biopsy suggest possible internal bleeding, a life-threatening complication requiring immediate assessment. Pain, diarrhea, and minor drainage are less urgent.
Question 4 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 5 of 5
The nurse is completing preoperative teaching on a client. Which of the following response should the nurse offer to a client who asks why he's having a total colectomy with ileostomy formation to treat his ulcerative colitis?
Correct Answer: D
Rationale:
Total colectomy removes the colon and rectum, curing ulcerative colitis by eliminating the diseased tissue. The ileostomy is often permanent, produces liquid stool, and does not reduce rectal stools.