Questions 7

ATI LPN

ATI LPN TextBook-Based Test Bank

Fundamentals of Nursing Care: Concepts, Connections & Skills

Chapter 24 Questions

Question 1 of 5

You are caring for a patient who is scheduled for surgery. Your teaching will include information about nutrition and healing. You will tell the patient which of the following macronutrients is required for tissue repair?

Correct Answer: D

Rationale: Protein is essential for tissue repair and wound healing, as it provides amino acids needed for cell regeneration and collagen formation.

Question 2 of 5

You are working in a pediatric clinic when the mother of a 15-year-old female patient calls with concerns about her daughter. Which behaviors she describes would alert you to a possible eating disorder?

Correct Answer: A,C,D

Rationale: Constant weight concern may indicate body image distortion, which is common in eating disorders such as anorexia nervosa. Excessive exercise can be a form of compensatory behavior often seen in both anorexia and bulimia, as individuals attempt to burn off calories consumed. A sore throat and indigestion may result from frequent vomiting, which is a classic sign of bulimia nervosa due to the irritation of the throat and esophagus by stomach acid.

Question 3 of 5

Critically ill, tube-fed patients should have the head of the bed raised to during feedings and for up to 1 hour after feedings.

Correct Answer: C

Rationale: Raising the head of the bed to 30-45 degrees during and after tube feedings reduces the risk of aspiration in critically ill patients.

Question 4 of 5

Which actions are taken to verify the correct placement of a small-bore NG tube immediately after insertion? (Rank your answers in the correct order.)

Order the Items

Source Container

Aspirate the gastric contents, check the pH of contents, and observe the color
Confirm the size of the feeding tube after taping
Place the distal end of the tube in a glass of water and observe for bubbles indicating air exchange
Take an x-ray
Flush the tube with 15 to 30 mL of water to ensure its correct placement

Correct Answer: D,A,B,E,C

Rationale:
To verify the correct placement of a small-bore NG tube immediately after insertion, the first and most important step is to obtain an x-ray, as this is the gold standard for confirming placement and must be completed before administering any feedings or medications. Once placement is confirmed radiographically, the nurse can then aspirate gastric contents, checking the pH (which should be between 1 and 5) and observing the color, which is typically grassy green, tan, or off-white, indicating gastric placement. Next, the nurse should confirm the tube size and ensure it is securely taped in place to prevent displacement. After verification, the nurse may flush the tube with 15 to 30 mL of water to confirm patency, but this is done only after placement is confirmed, not as a method of verification itself. The water bubble test, which involves placing the distal end of the tube in water to check for bubbles, is outdated and unreliable and should not be used in current clinical practice.

Question 5 of 5

As a home health nurse, you will be caring for the patients noted below. Which patient is at greatest risk for experiencing inadequate nutrition?

Correct Answer: B

Rationale: The 72-year-old widow post-CVA is at greatest risk due to potential swallowing difficulties (dysphagia) and limited ability to prepare meals independently.

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