ATI RN
ATI Fundamentals Carugda Custom Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a patient in a long-term care facility who is receiving enteral feedings via an NG tube. Which of the following actions should the nurse complete prior to administering the tube feeding?
Correct Answer: A ,B ,C
Rationale: The correct actions are A, B, and C. Auscultating stomach sounds ensures proper placement of the NG tube to prevent aspiration. Warming the formula to body temperature prevents discomfort and potential complications. Assisting the client to sit upright promotes safe and effective feeding. Discarding residual gastric contents is unnecessary and may lead to nutrient loss. The other choices are not essential steps in ensuring the safe administration of enteral feedings.
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: The correct answer is D: High fiber cereals because they are a good source of dietary fiber, which aids in digestion, helps maintain a healthy weight, and reduces the risk of chronic diseases like heart disease and diabetes. Ground beef (
A) may be high in saturated fat, raw vegetables (
B) may be difficult to digest for some individuals, and fruit with the skin (
C) may contain pesticides or be difficult to digest. High fiber cereals (E) is a repetition of the correct answer, making it redundant.
Question 3 of 5
A nurse is caring for an older adult client. The client has an increased risk for dehydration due to which of the following physiological changes that can occur with aging?
Correct Answer: D
Rationale: The correct answer is D: Decrease in kidney function. As individuals age, the kidneys may lose some of their ability to concentrate urine, leading to decreased water retention and increased risk of dehydration. This physiological change can result in older adults being more susceptible to dehydration.
A: Decrease in systolic blood pressure is not directly related to dehydration risk in older adults.
B: Increase in saliva production does not directly impact the risk of dehydration in older adults.
C: Increase in percentage of body water would actually lower the risk of dehydration, so this is not the correct choice.
E: Duplicate of D: Decrease in kidney function.
In summary, choice D is correct because decreased kidney function in older adults can lead to impaired water retention and increased risk of dehydration, while the other choices are not directly related to the risk of dehydration in this population.
Question 4 of 5
An LPN is reviewing the laboratory test results for a client who has an elevated temperature. The nurse should identify which of the following findings is a manifestation of dehydration?
Correct Answer: B
Rationale: The correct answer is B: Urine specific gravity of 1.035. A high urine specific gravity indicates concentrated urine, which is a common finding in dehydration due to insufficient fluid intake or excessive fluid loss. Dehydration leads to the kidneys conserving water, resulting in concentrated urine with a higher specific gravity.
Incorrect Answers:
A: Bicarbonate level 60 mosm/kg - Elevated bicarbonate levels are more indicative of metabolic alkalosis, not dehydration.
C: Blood sodium 50 meq/L - Low blood sodium levels are seen in hyponatremia, not dehydration.
D: Blood creatinine 0.6 mg/dL - Creatinine levels are not typically affected by dehydration.
E: Blood creatinine 0.6 mg/dL - Duplicate answer.
Question 5 of 5
Among the following,which is not a clinical finding of a severely dehydrated patient?
Correct Answer: B
Rationale: The correct answer is B: Pitting edema. Severe dehydration leads to intravascular volume depletion, causing skin pallor, cool skin, tachycardia, thready pulse, and concentrated urine with high blood sodium. Pitting edema is not a typical finding in severe dehydration as it is more commonly seen in conditions like heart failure or kidney disease where there is excess fluid accumulation in the body.
Therefore, the absence of pitting edema in a severely dehydrated patient is expected.