ATI RN
ATI RN Fundamentals 2019 with NGN - Exam 2 Questions
Question 1 of 5
A nurse is caring for a client who is receiving enteral feedings via an NG tube. Which of the following actions should the nurse take prior to administering the formula?
Correct Answer: B
Rationale:
Correct
Answer: B. Check for gastric residual volume.
Rationale: Before administering enteral feedings, it is crucial to check for gastric residual volume to assess stomach contents and ensure proper absorption and prevent complications like aspiration. This step helps determine if the previous feeding has been digested and if the client is ready for the next feeding. It also helps in avoiding overfeeding and helps in monitoring the client's tolerance to the enteral feeding.
Summary of Other
Choices:
A: Encouraging the client to take sips of water is not directly related to administering enteral feedings and may not be necessary before administering the formula.
C: Flushing the tube with sterile 0.9% sodium chloride irrigation is not necessary prior to administering the formula unless there are specific instructions from the healthcare provider.
D: Encouraging the client to breathe deeply and cough is unrelated to the administration of enteral feedings and would not be a necessary step before administering the formula.
Question 2 of 5
A nurse is planning to provide discharge instructions to a client who does not speak the same language as the nurse. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Arrange for a video conference with an interpreter who speaks the client's language. This option ensures accurate communication and understanding between the nurse and the client. Using an interpreter via video conference allows for real-time translation, ensuring that the client receives the necessary discharge instructions accurately. Option A may not guarantee accurate translation, as the assistive personnel may not be fluent in the client's language. Option B involves a family member, which may lead to misinterpretation or bias. Option D relies on visual aids but does not guarantee full comprehension. Option C is the most effective and reliable method for overcoming the language barrier in this scenario.
Question 3 of 5
A nurse is planning care for a client who is scheduled for an intravenous pyelogram. Which of the following actions is appropriate for the nurse to include?
Correct Answer: C
Rationale: The correct answer is C: Assist the client with a bowel cleansing. Before an intravenous pyelogram (IVP), a bowel cleansing is necessary to ensure clear visualization of the urinary system. This helps prevent obscuring the images with fecal material. Administering oral contrast (choice
A) is incorrect as it is typically used for other imaging procedures. Monitoring for pain in the suprapubic region (choice
B) is not directly related to the preparation for an IVP. Ensuring the client is free of metal objects (choice
D) is important for MRI scans but not specifically for an IVP.
Question 4 of 5
A nurse is providing instruction to a client who has diabetes mellitus about foot care. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C because applying lotion to the feet while avoiding the area between the toes is important for clients with diabetes to prevent moisture buildup and reduce the risk of fungal infections. Using lotion helps keep the skin moisturized and prevents dryness and cracking. This statement shows an understanding of proper foot care to maintain foot health.
Choice A is incorrect because using a pumice stone can cause skin irritation and should be avoided in diabetic foot care.
Choice B is incorrect as going barefoot increases the risk of injury and infection.
Choice D is incorrect as using a heating pad can lead to burns due to reduced sensation in diabetic feet.
Question 5 of 5
A nurse is caring for a client with a pressure ulcer. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Keep the ulcer moist with a hydrogel dressing. This helps maintain a moist wound environment, promoting healing. Dry gauze dressing (
A) can stick to the wound and cause trauma during removal. Cleaning with hydrogen peroxide (
C) can be cytotoxic and delay healing. Positioning the client directly on the ulcer (
D) can increase pressure and worsen the condition.