ATI RN
VATI ATI Comprehensive Predictor 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who had a partial laryngectomy and is receiving continuous enteral feedings at 65 mL/hr through a gastrostomy tube. Which of the following findings requires immediate intervention by the nurse?
Correct Answer: B
Rationale:
Correct
Answer: B
Rationale:
1. The client lying in a supine position increases the risk of aspiration due to the potential for reflux or regurgitation of feedings.
2. Aspiration can lead to serious complications such as pneumonia or respiratory distress.
3. The nurse should immediately reposition the client to prevent aspiration.
4. The other choices do not pose immediate life-threatening risks and can be addressed in a timely manner to ensure client safety.
Summary:
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Choice A: High gastric residual volume may indicate delayed gastric emptying but does not require immediate intervention unless it persists.
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Choice C: Turning off the infusion pump temporarily is not ideal but does not pose an immediate threat to the client's safety.
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Choice D: Ensuring proper labeling of feeding supplies is important for infection control but does not require immediate intervention for client safety.
Question 2 of 5
Correct Answer:
Rationale:
Question 3 of 5
Correct Answer:
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Question 4 of 5
Correct Answer:
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Question 5 of 5
Correct Answer:
Rationale: