ATI CBC Level 2 Test Questions With
Verified Answers
postop nursing actions for a TURP-correct-answer-- placement of an indwelling
three way catheter (for urine and continuous bladder irrigation)
- monitor for bleeding (bright red bleeding, report to provider)
- ambulate as soon as possible
- expected output is 150-200 ml every 3-4 hours
client education for a TURP-correct-answer-- avoid heavy lifting
- drink 12 or more 8 oz glasses of water each day
- avoid NSAIDs due to increased risk for bleeding
- avoid bladder stimulants
incisional hernia-correct-answer-- post surgical complication due to inadequate
healing of the incisional site from malnutrition, infection, or obesity
risk factors for a hernia-correct-answer-- male
- advanced age
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- increased intra-abdominal pressure due to pregnancy or obesity
- genetics
expected findings of a hernia-correct-answer-- protrusion or lump at involved site
(groin area, umbilicus, healed incision)
post op client education for a hernia-correct-answer-- avoid increased intra-
abdominal pressure for 2-3 weeks
- apply ice and report redness or swelling
- prevent constipation by increasing dietary fiber and fluids
irritable bowel syndrome-correct-answer-- causes changes in bowel function
(chronic diarrhea, constipation, bloating, abdominal pain)
health promotion for IBS-correct-answer-- avoid foods that trigger exacerbation
(dairy, wheat, corn, fried foods, alcohol, spicy foods)
- avoid alcohol and caffeine
- consume 2-3 L of fluid per day
- increase fiber (30-40 g/day)
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expected findings of IBS-correct-answer-- cramping pain in abdomen
- abdominal pain (left lower quadrant)
- nausea with meals or passing stool
- anorexia
- abdominal bloating
- belching
- diarrhea
- constipation
intestinal obstruction-correct-answer-- mechanical (blocked by something such as
tumors, adhesions, hernias, diverticulitis)
- non-mechanical (diminished peristalsis within the bowel such as paralytic ileus
post op)
expected findings of a small bowel obstruction-correct-answer-- severe fluid and
electrolyte imbalance
- metabolic alkalosis
- visible peristaltic waves
- epigastric or upper abdominal distention
- abdominal pain, discomfort
- profuse, sudden projectile vomiting with fecal odor
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expected findings of a large bowel obstruction-correct-answer-- minor fluid and
electrolyte imbalance
- metabolic acidosis
- significant lower abdominal distention
- intermittent abdominal cramping
- infrequent vomiting
- diarrhea or ribbon-like stools around an impaction
nursing care for a nonmechanical bowel obstruction-correct-answer-- nothing by
mouth with bowel rest
- assess bowel sounds
- provide oral hygiene
- administer IV fluid and electrolyte replacement (potassium)
- encourage ambulation
- place in semi-fowler's
abdominal ascites-correct-answer-- abnormal accumulation of protein rich fluid in
the abdominal cavity most often caused by cirrhosis of the liver
- increased abdominal girth and distention
- compromised lung expansion