ATI RN
ATI RN Fundamental Proctored Exam With NGN Graded Questions
Extract:
Question 1 of 5
A nurse is delivering an enteral feeding to a client who has an NG tube in place for intermittent feedings. When the client asks why water is necessary after the formula drains, the nurse should respond:
Correct Answer: A
Rationale:
Correct Answer: A - Water helps clear the tube so it doesn't get clogged.
Rationale: Flushing the NG tube with water after delivering enteral feeding helps prevent clogging by clearing any residual formula from the tube. This practice ensures the tube remains patent, allowing for proper delivery of feedings and preventing complications such as blockages or infections.
Summary of other choices:
B: Flushing does not impact the tube's placement.
C: While hydration is important, the primary purpose of flushing is tube maintenance, not fluid intake.
D: Flushing does not affect the concentration of the formula.
Question 2 of 5
A nurse is caring for an older adult client who lives alone & is to be discharged in 3 days. He states that it is difficult to prepare adequate nutritious meals at home for just 1 person. To which of the following members of the health care team should the nurse refer him?
Correct Answer: D
Rationale:
Correct Answer: D (Social worker)
Rationale: The social worker is the most appropriate referral for the older adult facing difficulty in preparing nutritious meals. Social workers can assess the client's social needs, such as access to community resources, meal delivery services, or support groups. They can also help with financial assistance or other social services to ensure the client's well-being.
Summary of other choices:
A: Registered dietitian - While a dietitian can provide nutritional guidance, the client's issue is not solely about dietary recommendations but also about access to nutritious meals.
B: Occupational therapist - OTs focus on assisting clients with daily living activities and functional independence, not specifically addressing the client's meal preparation concerns.
C: Physical therapist - PTs focus on rehabilitation and physical function, not directly related to the client's nutritional challenges.
Question 3 of 5
A nurse is caring for a client who has been sitting in a chair for 3 hours. Which of the following problems is the client at risk for developing?
Correct Answer: C
Rationale: The correct answer is C: Pressure ulcer. Prolonged sitting can lead to decreased blood flow and pressure on bony prominences, increasing the risk of pressure ulcers. Stasis of secretions (
A) may occur but is not directly related to sitting position. Muscle atrophy (
B) is more common with immobility. Fecal impaction (
D) is a risk with immobility but not specific to sitting for an extended period.
Question 4 of 5
A client who had abdominal surgery 24 hr ago reports a pulling sensation & pain in his surgical incision. The nurse checks the client's surgical wound and finds the wound separated with viscera protruding. Which of the following interventions is appropriate? Select all.
Correct Answer: A, D
Rationale:
Correct Answer: A, D
Rationale:
A: Covering the area with saline-soaked sterile dressings helps to protect the exposed tissues from further contamination and dehydration.
D: Positioning the client supine with hips & knees bent helps reduce tension on the wound site and prevent further protrusion of viscera.
Incorrect
Choices:
B: Applying an abdominal binder snugly can increase pressure on the wound site, potentially worsening the separation and protrusion.
C: Using sterile gloves to apply pressure may further damage the exposed tissues and should be avoided.
E: Offering a warm beverage is not appropriate in this emergency situation and does not address the immediate need for wound management.
Question 5 of 5
A nurse is assessing a client who has an acute respiratory infection that puts her at risk for hypoxemia. Which of the following findings are early indications that should alert the nurse that the client is developing hypoxemia? Select all.
Correct Answer: A,B,E
Rationale: The correct answers are A, B, and E. Restlessness is an early indication of hypoxemia because the body is trying to compensate for decreased oxygen levels. Tachypnea (rapid breathing) is the body's response to hypoxemia to increase oxygen intake. Pallor is a sign of decreased oxygen saturation in the blood. Bradycardia and confusion are not typically early signs of hypoxemia, as the body usually increases heart rate to compensate for low oxygen levels, and confusion is a later sign indicating severe hypoxemia.