ATI RN
Chapter 14 Nutrition and Fluid Balance Questions
Question 1 of 5
A nurse has assessed the residual amount before beginning a nasogastric tube feeding and has found 100 mL. What will the nurse do next?
Correct Answer: A
Rationale: 100 mL is typically within acceptable residual limits (often <200 mL), so feeding can proceed.
Question 2 of 5
A nurse reads the laboratory report for a patient and notes that the patient has hyponatremia. What physical assessment would be made?
Correct Answer: D
Rationale: Hyponatremia can cause neurological symptoms; palpating the sternum assesses for edema or related signs.
Question 3 of 5
A patient is taking a diuretic that increases her urinary output. What would be an appropriate nursing diagnosis on which to base a teaching plan?
Correct Answer: B
Rationale: Diuretics increase fluid loss, raising the risk of deficient fluid volume.
Question 4 of 5
A patient has an order to restrict fluids. What is one comfort measure nurses can implement for this patient to alleviate a common problem?
Correct Answer: D
Rationale: Oral hygiene relieves dry mouth, a common issue with fluid restriction.
Question 5 of 5
A woman has had her left breast removed for cancer. She also had an axillary node dissection on the left during surgery. How would this affect placement of an intravenous line?
Correct Answer: C
Rationale: Lymph node dissection increases infection risk (lymphedema), so the left arm is avoided.