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 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.
Question 2 of 5
A nurse specializing in care of older adults speaks to a group of nursing students about that population's challenge with obtaining sufficient nutrition. Which points will the nurse include in the discussion? Select all that apply.
Correct Answer: B,C,D,F
Rationale: Older adults face challenges like tooth loss (
B), constipation from decreased peristalsis (
C), taste changes favoring sweets (
D), and decreased caloric but increased nutrient needs (F). BMR decreases with age (
A), and thirst sensation diminishes (E).
Question 3 of 5
A nurse in the intensive care unit is reviewing diagnostic studies to evaluate a patient's nutritional status. What findings consistent with inadequate nutrition require intervention by the nurse? Select all that apply.
Correct Answer: A,B,D
Rationale: Decreased hemoglobin (
A), low prealbumin (
B), and anemia (
D) indicate inadequate nutrition, requiring intervention. Increased transferrin (
C) is not typical of malnutrition, and elevated lymphocytes (E) suggest infection, not nutritional deficiency.
Question 4 of 5
A nurse plans to administer a bolus tube feeding for a patient but is unable to aspirate gastric contents due to a clogged tube. What action will the nurse take next?
Correct Answer: A
Rationale: Using warm water or air with gentle pressure (
A) is the first step to unclog a feeding tube. Using a stylet (
B) risks tube damage, cola (
C) is ineffective, and replacing the tube (
D) is a last resort.
Question 5 of 5
A nurse performs presurgical assessments of patients in an ambulatory care center. Which patient assessment requires collaboration with the surgeon, as the procedure could need to be postponed?
Correct Answer: C
Rationale: Ginkgo biloba and aspirin (
C) increase bleeding risk, potentially requiring surgical postponement. Veganism (
A), nutritional drinks (
B), and breastfeeding (
D) do not typically affect surgical outcomes unless severe deficiencies exist.