ATI RN
ATI Nutrition 2024 NGN Exam
1. A nurse is caring for four clients. The nurse should plan to administer total parenteral nutrition for which of the following clients?
- A. A client who is postoperative following a laminectomy and is receiving IV PCA
- B. A client who has dysphagia and does not recognize his family
- C. A client who has COPD and is going home with oxygen
- D. A client who has colon cancer and will undergo a hemicolectomy
Correct answer: D
Rationale: Total parenteral nutrition (TPN) is essential for clients undergoing significant surgical procedures like a hemicolectomy to ensure they receive adequate nutrition when oral intake is not possible.
2. A nurse is caring for a client who is receiving a continuous enteral tube feeding and reports cramping and abdominal distention. Which of the following actions should the nurse take?
- A. Check for gastric residual.
- B. Apply low intermittent suction.
- C. Increase the rate of the feeding.
- D. Request a higher-fat formula.
Correct answer: A
Rationale: Checking for gastric residual can help identify the cause of cramping and abdominal distention during enteral feedings.
3. A nurse is preparing to administer a gavage feeding via nasogastric tube to a preterm newborn who is receiving supplemental oxygen. Which of the following actions should the nurse take?
- A. Stabilize the tube with tape to the newborn’s forehead.
- B. Remove supplemental oxygen during the feeding.
- C. Measure the stomach aspirate prior to the feeding.
- D. Place the newborn on her left side for 30 min after the feeding.
Correct answer: C
Rationale: Measuring the stomach aspirate prior to the feeding is essential to ensure proper placement and function of the NG tube.
4. A nurse is teaching a parent about appropriate snack choices for her 9-month-old infant. Which of the following food choices should the nurse recommend?
- A. Skim milk
- B. Unsalted popcorn
- C. Graham crackers
- D. Raw carrots
Correct answer: C
Rationale: Graham crackers are an appropriate snack choice for a 9-month-old infant due to their texture and ease of consumption.
5. A nurse is reviewing the medication administration record for a client who is 2 days postoperative following abdominal surgery. The nurse should recognize that which of the following medications places the client at risk for wound dehiscence?
- A. Omeprazole
- B. Zolmitriptan
- C. Prednisone
- D. Verapamil
Correct answer: C
Rationale: Prednisone is a corticosteroid that can impair wound healing and increase the risk of wound dehiscence.
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