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
After administering an enteral feeding, a nurse evaluates the patient's tolerance of the feeding. Which findings suggesting intolerance require collaboration with the dietician and health care provider? Select all that apply.
Correct Answer: A,D,F
Rationale: Nausea/vomiting (
A), high gastric residual (
D), and abdominal pain/distention (F) indicate feeding intolerance, requiring collaboration to adjust the feeding plan. Weight gain (
B) is expected, normal bowel sounds (
C) suggest normal function, and absence of diarrhea/constipation (E) indicates tolerance.
Question 2 of 5
A nurse is feeding an older adult patient with dementia. What intervention will best promote nutritional intake?
Correct Answer: A
Rationale: Stroking the chin (
A) promotes swallowing in dementia patients, aiding nutritional intake. Varying meal locations/times (
B) can confuse patients, a full tray (
C) may overwhelm, and avoiding snacks (
D) risks inadequate intake given small meal consumption.
Question 3 of 5
A patient with COPD is experiencing anorexia and weight loss. Which intervention would be most helpful in stimulating appetite in this patient?
Correct Answer: B
Rationale: Familiar foods from home (
B) can stimulate appetite in a COPD patient with anorexia. Pain medication post-meals (
A) is irrelevant without pain, nebulizer treatments before meals (
C) may fatigue the patient, and reinforcing eating (
D) doesn't address appetite.
Question 4 of 5
A nurse is feeding a patient who is experiencing dysphagia. Which nursing intervention will best prevent aspiration?
Correct Answer: B
Rationale: Semi-Fowler position (
B) keeps the patient upright, reducing aspiration risk in dysphagia. Feeding solids first (
A) doesn't prevent aspiration, a rest period (
C) aids swallowing but is secondary, and straws (
D) increase aspiration risk.
Question 5 of 5
During interprofessional rounds, the charge nurse and health care provider evaluate patients to determine their need for parenteral nutrition (PN). Which patients will be identified as candidates for this type of nutritional support? Select all that apply.
Correct Answer: A,B,F
Rationale: PN is indicated for intractable diarrhea (
A), malabsorption in celiac disease (
B), and inadequate oral intake in burns (F), as these conditions prevent adequate enteral nutrition. Short-term underweight patients (
C) and comatose patients (
D) are better suited for enteral feeding, and force-feeding anorexic patients (E) is unethical.