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
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.
Question 2 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 3 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 4 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 5 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.