the nurse supervises care of a client who is receiving enteral feeding via a nasogastric tube the nurse determines that care is appropriate if which o

ATI RN

ATI RN Custom Exams Set 3

1. The nurse supervises care of a client who is receiving enteral feeding via a nasogastric tube. The nurse determines that care is appropriate if which of the following is observed? (Select all that apply)

A. The nursing assistant aspirates and measures the amount of the gastric aspirate
B. The nursing assistant elevates the head of the client’s bed 30 degrees
C. The nursing assistant warms the formula to room temperature
D. B, C

Correct answer: D

Rationale: Elevating the head of the bed to 30 degrees reduces the risk of aspiration by promoting proper digestion and preventing reflux. Warming the formula to room temperature is essential to prevent discomfort and complications. Aspirating and measuring the gastric aspirate is not a recommended nursing action for monitoring enteral feeding via a nasogastric tube, as it can introduce the risk of introducing contaminants into the feeding tube. Therefore, choices A and B are incorrect, making choice D the correct answer.

2. Which laboratory data indicate the client’s pancreatitis is improving?

A. The amylase and lipase serum levels are decreased
B. The white blood cell count (WBC) is decreased
C. The conjugated and unconjugated bilirubin levels are decreased
D. The blood urea nitrogen (BUN) serum level is decreased

Correct answer: A

Rationale: The correct answer is A. Amylase and lipase are enzymes specifically related to pancreatitis. A decrease in their serum levels indicates improvement in pancreatitis. White blood cell count (WBC), choices C and D, are not direct markers for pancreatitis improvement. Bilirubin levels, choice C, are more related to liver function rather than pancreatitis. Blood urea nitrogen (BUN) level, choice D, is a marker for kidney function, not pancreatitis.

3. Are M6 practical nurses utilized in field units with patient holding capabilities?

A. Yes
B. No
C. -
D. -

Correct answer: A

Rationale: Yes, M6 practical nurses are utilized in field units with patient holding capabilities. These nurses play a crucial role in providing care and support in various healthcare settings. Given this context, the correct answer is 'Yes.' Choice B, 'No,' is incorrect because M6 practical nurses can indeed work in field units with patient holding capabilities, as stated in the extract. Choices C and D are not applicable in this question.

4. Which of the following is NOT one of the major duties of the M6 practical nurse?

A. Performing preventive, therapeutic, and emergency nursing care procedures
B. Managing other paraprofessional personnel
C. Managing ward or unit operations
D. Implementing Level II through Level IV CSH operations

Correct answer: D

Rationale: The correct answer is D because implementing Level II through Level IV CSH operations is not a major duty of the M6 practical nurse. A practical nurse's major duties include performing preventive, therapeutic, and emergency nursing care procedures (Choice A), managing other paraprofessional personnel (Choice B), and managing ward or unit operations (Choice C). These duties are more aligned with the responsibilities of a practical nurse, emphasizing patient care and coordination within a healthcare setting.

5. Which situation(s) are classified as natural disasters?

A. Blizzards
B. Blizzards, Volcanic eruptions
C. Volcanic eruptions
D. Structural collapse

Correct answer: B

Rationale: Blizzards and volcanic eruptions are classified as natural disasters because they are caused by natural forces beyond human control. In contrast, structural collapses are typically a result of man-made factors, making them not classified as natural disasters. Therefore, the correct answer is B.