ATI RN
ATI Nurs100102 Fundamentals Retake Questions
Extract:
Question 1 of 5
A nurse is caring for a client who receives intermittent enteral feedings through an NG tube. Before administering a feeding, the nurse should measure the gastric residual for which of the following purposes?
Correct Answer: A
Rationale: Measuring gastric residual identifies delayed emptying, reducing aspiration risk, unlike removing acid, assessing electrolytes, or confirming placement.
Question 2 of 5
A nurse is caring for a client who is postoperative following abdominal surgery. The surgeon initially prescribes a clear liquid diet. Which of the following items should the nurse include on the client's lunch tray?
Correct Answer: D
Rationale: Cranberry juice is clear and suitable, unlike yogurt, sherbet, or carrot juice (not clear liquids).
Question 3 of 5
A nurse is assessing a client's ability to ambulate with crutches using a three-point gait. Which of the following actions should the nurse identify as a risk to the client's safety?
Correct Answer: D
Rationale: Partial weight on the affected leg risks injury in a three-point gait, unlike tripod stance, handgrip pressure, or flexed elbows.
Question 4 of 5
A nurse is preparing to administer three liquid medications to a client who has an NG feeding tube with continuous enteral feedings. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Flushing with 30 ml water clears the tube, preventing blockages, unlike flat bed position, mixing meds, or using tap water.
Question 5 of 5
A nurse is admitting a client who has a wound infected with vancomycin-resistant enterococci (VRE). Which of the following types of precautions should the nurse plan to initiate?
Correct Answer: C
Rationale: Contact precautions prevent VRE spread via direct/indirect contact, unlike airborne, protective, or droplet precautions.