ATI RN
ATI RN Fundamentals Exam 3 Questions
Extract:
Question 1 of 5
The nurse is preparing to administer an enteral tube feeding to a client via a nasogastric tube. Which nursing action should be completed first?
Correct Answer: C
Rationale: Confirming nasogastric tube placement by aspirating stomach contents and checking pH (typically <5 for gastric placement) is the first step to ensure the tube is in the stomach not the lungs preventing aspiration. Allowing the formula to reach room temperature (
A) prevents discomfort but is secondary. Labeling the container (
B) ensures safety but follows placement confirmation. Assessing residual volume (
D) checks for gastric emptying but requires confirmed tube placement first.
Question 2 of 5
A client requires a type of therapy for the preservation,enhancement or restoration of movement. Which abbreviation would describe this type of discipline?
Correct Answer: B
Rationale: Physical therapy (PT) focuses on preserving enhancing or restoring movement through exercises and manual techniques. RT addresses respiratory issues STLP targets communication and OT focuses on daily activities.
Question 3 of 5
A client is admitted with a suspected opioid overdose and a respiratory rate of 6 breaths per minute. Which of the following data would the nurse anticipate? (SELECT ALL THAT APPLY)
Correct Answer: A,B
Rationale: "Opioid overdose causes hypoventilation leading to respiratory acidosis (low pH 7.29 high PaCO2 54). High pH (7.51) or low PaCO2 (31) suggest alkalosis and normal PaO2 (72) is not typically affected." Opioid overdose causes hypoventilation leading to respiratory acidosis (low pH 7.29 high PaCO2 54). High pH (7.51) or low PaCO2 (31) suggest alkalosis and normal PaO2 (72) is not typically affected.
Question 4 of 5
The nurse promotes good quality sleep for their clients based on the knowledge that sleep: (SELECT ALL THAT APPLY)
Correct Answer: C,D,E
Rationale: Sleep helps cope with stress by regulating stress hormones restores the mind and body through repair and memory consolidation and conserves energy by reducing metabolic rate. It increases pain tolerance and typically lowers blood pressure.
Question 5 of 5
A nurse is about to administer a bolus enteral feeding to a client who is on bedrest. How does the nurse position the client during the feeding?
Correct Answer: B
Rationale: Elevating the head of the bed to 30-45 degrees during enteral feeding reduces the risk of aspiration by promoting gastric emptying and preventing reflux. Other positions such as lying on the side or minimal elevation increase aspiration risk or are less effective.