ATI RN
ATI Nutrition 2024 NGN Exam
1. A nurse is caring for a client with a major burn injury and is receiving TPN. Which of the following lab tests is the priority for the nurse to use to confirm the client is receiving adequate nutrition?
- A. Iron
- B. Magnesium
- C. Folic acid
- D. Prealbumin
Correct answer: D
Rationale: Prealbumin is a sensitive indicator of protein status and nutrition, making it a priority for assessing nutritional adequacy in clients receiving TPN.
2. A nurse is initiating continuous enteral feedings for a client who has a new gastrostomy tube. Which of the following actions should the nurse take?
- A. Measure the client’s gastric residual every 12 hr.
- B. Obtain the client’s electrolyte levels every 4 hr.
- C. Keep the client’s head elevated at 15* during feedings.
- D. Flush the client’s tube with 30 mL of water every 4 hr.
Correct answer: D
Rationale: Flushing the client's tube with 30 mL of water every 4 hours helps maintain tube patency and prevent blockages.
3. A nurse is caring for a client who has a small-bore jejunostomy and is receiving a continuous tube feeding with a high-viscosity formula. Which of the following actions should the nurse take to prevent the tubing from clogging?
- A. Replace the bag and tubing every 24 hr
- B. Flush the tubing with 10 mL water every 6 hr
- C. Admin the feeding by gravity drip
- D. Heat the formula prior to infusion
Correct answer: B
Rationale: Flushing the tubing with 10 mL of water every 6 hours helps prevent clogging when using high-viscosity formulas.
4. A nurse is caring for a client who is lactose intolerant. Which of the following clinical manifestations should the nurse assess be?
- A. Fever
- B. Blood stools
- C. Cramping
- D. Steatorrhea
Correct answer: C
Rationale: Cramping is a common clinical manifestation of lactose intolerance due to the inability to digest lactose properly.
5. A nurse is planning care for a client who practices Islam and is currently observing dietary restrictions for the month of Ramadan. Which of the following interventions should the nurse include in the plan of care?
- A. Remove beef products from the dietary plan
- B. Facilitate fasting during daylight hours
- C. Serve meat and dairy items separately
- D. Provide a strictly vegetarian diet on Fridays
Correct answer: B
Rationale: Facilitating fasting during daylight hours respects the dietary practices of clients observing Ramadan.
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