ATI RN
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RN ATI Fundamentals of Nursing Questions
Extract:
Question
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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: C
Rationale: Measuring gastric residual (
C) assesses stomach emptying to prevent complications from overfeeding. Other choices are incorrect purposes.
Question 2 of 5
A nurse is planning care for a client who has a decreased level of consciousness. The client is receiving continuous enteral feedings via a gastrostomy tube due to an inability to swallow. Which of the following is the priority action by the nurse?
Correct Answer: A
Rationale: Observing respiratory status (
A) is the priority due to aspiration risk in decreased consciousness. Other actions are secondary.
Question 3 of 5
The family of an older adult client brings him to the emergency department after finding him wandering outside. During the initial assessment.the nurse notes that the client flinches when she palpates his abdomen yet responds to questions only by nodding and smiling. Which of the following factors should the nurse identify as a likely explanation for the client's behavior?
Correct Answer: B
Rationale: Confusion (
B) explains wandering limited verbal response and flinching common in delirium or dementia.
Choices A,C,D and E/F do not fully account for all behaviors.
Question 4 of 5
A nurse accidentally sticks her hand with a syringe needle after administering an IM injection to a client. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Washing the puncture site immediately with soap and water minimizes infection risk.
Choices A C and D are subsequent steps.
Question 5 of 5
A nurse is caring for a client who has hypernatremia and requires IV fluid therapy due to his NPO status. Which of the following solutions should the nurse prepare to infuse for this client?
Correct Answer: B
Rationale: 0.45% sodium chloride (
B) is hypotonic helping to dilute excess sodium in hypernatremia. Other solutions may worsen the condition.