ATI RN
ATI Fundamentals Carugda Custom Exam Questions
Extract:
Question 1 of 5
A charge nurse is observing a nurse administer intermittent tube feedings via an NG tube to a client. Which of the following actions by the nurse should prompt the charge nurse to intervene?
Correct Answer: A
Rationale: Supine positioning (
A) during feeding increases aspiration risk requiring intervention. Tap water irrigation (
B) is less ideal but acceptable gravity feeding (
C) is standard and 50 mL residual (D E) may be acceptable depending on protocol.
Question 2 of 5
A nurse is assisting with teaching a client about dietary choices. Which of the following should be included in the teaching?
Correct Answer: D
Rationale: High fiber cereals (D E) promote bowel regularity lower cholesterol and stabilize blood sugar making them ideal for healthy dietary choices. Ground beef (
A) is high in saturated fats and raw vegetables (
B) and fruits with skin (
C) require thorough washing which wasn’t specified.
Question 3 of 5
A nurse is reviewing the laboratory values of a patient receiving total parenteral nutrition (TPN). The glucose is 72 mg/dL,chloride is 100 mEq/L,sodium is 138 mEq/L,and potassium is 3.0 mEq/L. What action should the nurse plan to take?
Correct Answer: C
Rationale: Low potassium (3.0 mEq/L normal 3.5-5.0) requires replacement (
C). Glucose (72 mg/dL) chloride (100 mEq/L) and sodium (138 mEq/L) are normal so glucagon (
A) stopping TPN (
B) or checking Chvostek’s (D for hypocalcemia) are unnecessary.
Question 4 of 5
A nurse is contributing to the plan of care for a client who is postoperative following peritoneal lavage for peritonitis. The client has a nasogastric tube to low-intermittent suction and closed-suction drains in place. Which of the following interventions should the nurse include in the plan?
Correct Answer: C
Rationale: High Fowler’s position (C 45-60 degrees) reduces abdominal pressure promotes lung expansion and prevents aspiration aiding recovery. Tap water irrigation (
A) risks infection daily girth measurement (
B) is insufficient for rapid changes and ambulation (
D) may dislodge drains or cause discomfort early post-surgery.
Question 5 of 5
The nurse is caring for a client who has a bowel obstruction and a new prescription for the insertion of a nasogastric tube. Which of the following interventions should the nurse take when inserting the nasogastric tube?
Correct Answer: C
Rationale: Chin-to-chest and swallowing (
C) facilitate NG tube passage by opening the esophagus. Supine position (
A) risks aspiration withdrawing for gagging (
B) is unnecessary and measuring to the umbilicus (D E) is incorrect; use nose-earlobe-xiphoid.