Before administering a tube feeding to an infant,

ATI LPN

ATI LPN Test Bank

Before administering a tube feeding to an infant, the nurse should

A. Irrigate the tube with water B. Place baby in recumbent position C. Provide a pacifier D. Slowly instill 10 ml of formula

Correct Answer: C

Rationale: A pacifier C soothes the infant during feeding, per document 1.

The most critical factor post-cleft lip repair is

A. Reducing oral secretions B. IV infusion C. Maintaining patent airway D. Preventing vomiting

Correct Answer: C

Rationale: Patent airway C prevents respiratory distress, per document p13, 3.

Immediate action for a child with severe diarrhea and vomiting includes select all

A. Keep child warm B. Prepare IV trolley C. Reassure mother D. Start oral rehydration

Correct Answer: D

Rationale: Warmth A, IV prep B, reassurance C, oral rehydration D I, II, III, IV, per document p17, 9.

An infant with pyloric stenosis will exhibit

A. Abdominal mass after feeding B. Diarrhea C. Fever D. Projectile vomiting

Correct Answer: D

Rationale: Projectile vomiting D is a hallmark of pyloric stenosis, per document p21, .

The most important nursing action for a child with a tracheostomy is

A. Cleaning the site B. Monitoring airway C. Providing humidification D. All of the above

Correct Answer: D

Rationale: All D ensure tracheostomy care, per document p27, 7.

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