24 hours after creation of colostomy nurse violy is correct if she identify that the normal appearance of the stoma is
Logo

Nursing Elites

ATI RN

ATI Nutrition Practice Test A 2019

1. 24 hours after the creation of a colostomy, what should Nurse Violy identify as the normal appearance of the stoma?

Correct answer: A

Rationale: Following colostomy surgery, a healthy stoma should appear pink, moist, and slightly protruding from the abdomen, which is why option 'A' is the correct answer. A gray stoma (choice 'B') could indicate poor blood supply or necrosis, which is a serious complication. A dry stoma (choice 'C') is also not normal as it should be moist; a dry stoma may suggest dehydration or other complications. While a stoma can appear red (choice 'D'), this is not typically the normal color; it should usually be pink. Therefore, it's important for healthcare professionals to correctly identify the normal and abnormal appearances of a stoma to ensure proper patient care.

2. A mother asks about healthy snacks for her three children under 4 years old. All are wise choices the dental hygienist can recommend, except one. Which is the exception?

Correct answer: D

Rationale: Nuts and seeds pose a choking hazard for children under 4 years old, making them an unsafe snack choice for young children. While low-fat milk or yogurt, whole-grain cereals, and raw vegetable sticks are healthy snack options suitable for children under 4 years old, nuts and seeds should be avoided due to the risk of choking, especially in young children who may not have fully developed chewing abilities.

3. Which of the following foods provides the most protein?

Correct answer: A

Rationale: The correct answer is 'Beans.' Beans are a rich source of plant-based protein, making them the best option among the listed foods for protein content. Red peppers, asparagus, and celery are not significant sources of protein compared to beans, hence they are incorrect choices for this question.

4. A healthcare professional has just inserted an NG tube for a client who is to start enteral tube feedings. Which of the following actions should the healthcare professional take to verify tube placement?

Correct answer: B

Rationale: Obtaining an abdominal x-ray is the most accurate method to verify the correct placement of an NG tube. Measuring the tube length is not a reliable method to confirm placement as it may vary among individuals. Flushing the tube with water and auscultating the client's lungs are not definitive methods to ensure proper NG tube placement.

5. What is the primary function of a written nursing care plan?

Correct answer: D

Rationale: A written nursing care plan fundamentally serves to facilitate the development of a nursing diagnosis. This procedure involves analyzing patient data and identifying health problems that nurses can address independently. This analysis then aids in determining the most appropriate nursing interventions for the identified health issues. Although evaluating the achievement of nursing care goals is an important aspect, it is not the primary function of a nursing care plan. Similarly, while delivering quality nursing care is crucial, it is a broader concept that includes many other facets beyond just the initial nursing diagnosis and interventions.

Similar Questions

Which is most likely to initiate periodontal disease?
Stimulates secretion of bicarbonate ions and digestive enzymes from the pancreas to the small intestine:
Which medical condition is characterized by symptoms such as oral candidiasis, hairy leukoplakia, herpetic ulcerations, Kaposi's sarcoma, xerostomia, and severe periodontal disease?
A nurse is educating the parent of a preschool-age child about nutrition. Which is the best snack choice for the nurse to recommend to the parent?
Which bond is formed by a positively charged metal ion and negatively charged nonmetal ion?

Access More Features

ATI RN Basic
$69.99/ 30 days

ATI RN Premium
$149.99/ 90 days

Other Courses