Questions 78

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ATI Adult Med Surg Nurs 4292 Exam Questions

Extract:


Question 1 of 5

A nurse is planning care for a client who is receiving enteral feedings through a nasogastric (NG) tube. Which of the following actions should the nurse plan to take first?

Correct Answer: B

Rationale: Aspirating the client's stomach contents is the first action the nurse should take to confirm correct placement of the NG tube before administering feeding.

Question 2 of 5

A client who has a recent closed head injury reports a severe headache and is restless. Which of the following is an appropriate nursing intervention?

Correct Answer: B

Rationale: Elevating the HOB decreases intracranial pressure which may be causing the headache.

Question 3 of 5

A nurse is preparing to instill 840 mL of enteral nutrition via a client's gastrostomy tube over a 24-hour period using an infusion pump. The nurse should set the infusion pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: 35

Rationale: Calculation: 840 mL ÷ 24 hours = 35 mL/hr

Question 4 of 5

A nurse is reviewing the laboratory test results from a client who has acute kidney injury (AKI). Which of the following electrolyte imbalances should the nurse expect?

Correct Answer: C

Rationale: Hyperkalemia is expected in AKI due to impaired renal potassium excretion.

Question 5 of 5

A nurse is monitoring an older adult female client who had a myocardial infarction (MI) for the development of an acute kidney injury (AKI). Which of the following findings indicate an increased risk of acute kidney injury (AKI)?

Correct Answer: D

Rationale: Elevated creatinine indicates renal impairment and increased AKI risk post-MI.

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