ATI RN
ATI Nutrition 2024 NGN Exam Questions
Question 1 of 5
A nurse is reviewing the medication administration record for a client who is 2 days postoperative following abdominal surgery. The nurse should recognize that which of the following medications places the client at risk for wound dehiscence?
Correct Answer: C
Rationale: In this scenario, the correct answer is C) Prednisone. Prednisone is a corticosteroid that can impair wound healing by suppressing the immune response and reducing collagen synthesis. This places the client at risk for wound dehiscence, which is the separation of the surgical incision before it has fully healed. Option A) Omeprazole is a proton pump inhibitor used to reduce stomach acid production and does not directly impact wound healing or increase the risk of dehiscence in this context. Option B) Zolmitriptan is a medication used to treat migraines and does not have a direct effect on wound healing or dehiscence risk postoperatively. Option D) Verapamil is a calcium channel blocker used to treat hypertension and cardiac conditions. It does not interfere with wound healing or increase the risk of wound dehiscence. In an educational context, understanding the effects of different medications on wound healing is crucial for nurses caring for postoperative patients. Knowledge of which medications can impair wound healing helps nurses identify and prevent complications such as wound dehiscence, ultimately improving patient outcomes. It highlights the importance of medication review and assessment in postoperative care to ensure optimal recovery for surgical patients.
Question 2 of 5
A nurse is planning care for a client who reports increasing difficulty swallowing food. Which of the following interventions should the nurse plan to take?
Correct Answer: C
Rationale: In this scenario, the correct answer is C) Encourage the client to rest prior to mealtimes. This is the most appropriate intervention because difficulty swallowing food, also known as dysphagia, can be exacerbated by fatigue or weakness. By encouraging the client to rest before meals, the nurse is helping to ensure that the client has the energy and stamina needed to eat comfortably and safely. Option A) Turn on the client's television during meals is incorrect because distractions such as television can actually worsen swallowing difficulties by diverting the client's attention away from the act of eating, leading to potential choking or aspiration. Option B) Placing the client into a semi-reclining position for meals is also incorrect as this position can increase the risk of aspiration, especially in individuals with swallowing difficulties. The upright position is generally recommended for clients with dysphagia to aid in safe swallowing. Option D) Encouraging the client to use a straw when drinking liquids is not the best intervention for someone experiencing difficulty swallowing food. Straws can sometimes increase the risk of aspiration in individuals with dysphagia as they bypass the natural mechanisms in the mouth that help protect the airway during swallowing. Educationally, it is crucial for nurses to understand the implications of dysphagia and how to provide appropriate care for clients experiencing this condition. By selecting the most suitable interventions like encouraging rest before meals, nurses can help promote safe and effective eating experiences for their clients with swallowing difficulties.
Question 3 of 5
A nurse is caring for a client who is receiving a continuous enteral tube feeding and reports cramping and abdominal distention. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: In this scenario, the correct action for the nurse to take is option A: Check for gastric residual. When a client on continuous enteral feeding experiences cramping and distention, it is essential to assess for gastric residual volume to determine if the client is tolerating the feeding adequately. High residual volumes can indicate feeding intolerance, possibly leading to abdominal discomfort and distention. Option B: Applying low intermittent suction is not appropriate in this situation as it is typically used for nasogastric tube decompression, not for assessing feeding tolerance. Option C: Increasing the rate of the feeding is contraindicated when the client is already experiencing symptoms of feeding intolerance as it can worsen the situation. Option D: Requesting a higher-fat formula is not the immediate action needed when the client is experiencing cramping and abdominal distention. Checking for gastric residual will provide crucial information to guide further interventions. Educationally, understanding the importance of monitoring gastric residual volumes in clients on enteral feedings is crucial for nurses caring for patients with altered nutritional needs. It helps in assessing the adequacy of the feeding regimen and preventing complications related to feeding intolerance. Regular assessment and appropriate interventions based on findings are key components of safe and effective enteral feeding management.
Question 4 of 5
A nurse is reviewing the laboratory findings of a client who has heart failure. Which of the following findings indicates that the client is experiencing fluid volume excess?
Correct Answer: A
Rationale: In the context of a client with heart failure, fluid volume excess is a common concern due to the heart's decreased ability to effectively pump blood. The correct answer is A) BUN 8 mg/dL because a low blood urea nitrogen (BUN) level indicates dilution of urea in excess fluid, which is consistent with fluid volume excess. Explanation for why the other options are incorrect: - Option B) Hgb 15 g/dL: Hemoglobin level is not typically used to indicate fluid volume status. - Option C) Creatinine 0.8 mg/dL: Creatinine level is more related to kidney function rather than fluid volume status. - Option D) Sodium 140 mEq/L: Normal sodium levels do not necessarily indicate fluid volume status. Educational context: Understanding laboratory findings in clients with heart failure is crucial for nurses to assess and manage fluid volume status effectively. Low BUN levels can indicate fluid retention, which may worsen heart failure symptoms and lead to complications. Nurses need to be able to interpret these findings to provide appropriate interventions such as fluid restriction or diuretic therapy to manage fluid volume excess in clients with heart failure.
Question 5 of 5
A nurse is preparing to remove a client's clogged NG tube prior to re-inserting a new tube. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: In this scenario, the correct action for the nurse to take first is option D: Disconnect the tube from the suction source. This is crucial because before removing the clogged NG tube, it is essential to first disconnect it from the suction source to prevent injury or aspiration of gastric contents into the lungs during removal. Option A, assisting the client to blow her nose, is incorrect as it is not a necessary step in the process of removing a clogged NG tube. Option B, asking the client to take a deep breath and hold it, is also incorrect as it does not address the immediate safety concern of disconnecting the tube from the suction source. Option C, pinching the proximal end of the tube, is incorrect as well because this step should be taken after disconnecting the tube from the suction source to prevent spillage of gastric contents. In an educational context, it is important for nurses to understand the proper sequence of steps when dealing with NG tubes to ensure patient safety and prevent complications. Emphasizing the correct order of actions in scenarios like tube removal can help nurses provide effective and safe care to their patients.