ATI LPN
Fundamentals of Nursing: The Art and Science of Person-Centered Care Tenth, North American Edition
Chapter 37 : Nutrition Questions
Question 1 of 5
A nurse is feeding a patient who reports feeling nauseated and unable to eat what is being offered. What would be the most appropriate initial action of the nurse in this situation?
Correct Answer: A
Rationale: Removing the tray (
A) is the initial action to reduce nausea triggered by food odors. Administering an antiemetic (
B) or exploring reasons (
C) follows, and high-calorie snacks (
D) may worsen nausea.
Question 2 of 5
A nurse is receiving report on a patient with alcoholism who will be transferred to the medical-surgical unit. Due to long-term alcohol exposure, the nurse plans for administration of which nutrient?
Correct Answer: A
Rationale: B vitamins (
A) are depleted in alcoholism due to their role in alcohol metabolism, necessitating supplementation. Lipids (
B), fluids (
C), and vitamin C (
D) are not directly linked to alcohol's nutritional impact.
Question 3 of 5
A nursing student is caring for a patient who had a gastrostomy tube placement 12 hours ago. Which action by the student is correct?
Correct Answer: A
Rationale: Using a cotton-tipped applicator with sterile saline (
A) is correct for cleaning a new gastrostomy site. Soap and water (
B) is used after healing, frequent disk adjustment (
C) is unnecessary, gauze taping (
D) risks moisture retention, and residuals (E, F) are not routinely checked this early.
Question 4 of 5
A nurse is assessing a patient who has been NPO (nothing by mouth) prior to abdominal surgery. The patient is ordered a clear liquid diet for breakfast, to advance to a house diet as tolerated. Which assessment would indicate to the nurse that the patient's diet should not be advanced?
Correct Answer: D
Rationale: Fullness and diarrhea (
D) indicate intolerance to the clear liquid diet, suggesting the diet should not advance. Consuming 75% of liquids (
A), hunger (
B), and normal abdominal findings (
C) support diet advancement.
Question 5 of 5
A patient hospitalized for a stroke has a prescription for continuous tube feedings through a small-bore nasogastric tube. Following tube placement, which action by the nurse best confirms correct tube placement?
Correct Answer: D
Rationale: X-ray validation (
D) is the most accurate method to confirm nasogastric tube placement. Auscultation (
A) is unreliable, pH measurement (
B) is secondary, and residual measurement (
C) doesn't confirm placement.