a nurse is reviewing the medication administration record for a client who is 2 days postoperative following abdominal surgery the nurse should recogn
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Nursing Elites

ATI RN

ATI Nutrition 2024 NGN Exam

1. 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?

Correct answer: C

Rationale: Prednisone is a corticosteroid that can impair wound healing and increase the risk of wound dehiscence.

2. A nurse is providing dietary teaching to a client who has a new diagnosis of gastroesophageal reflux disease. Which of the following foods or beverages should the nurse recommend to minimize heartburn?

Correct answer: D

Rationale: The correct answer is D: Potatoes. Potatoes are bland and less likely to relax the lower esophageal sphincter, making them a good choice for minimizing heartburn in clients with GERD. Choices A, B, and C are incorrect. Orange juice and peppermint can exacerbate GERD symptoms due to their acidic or relaxing effects on the esophageal sphincter. Decaffeinated coffee, although lower in caffeine, is still acidic and can trigger heartburn in individuals with GERD.

3. 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?

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.

4. A nurse has just inserted an NG tube for a client who is to start enteral tube feedings. Which of the following actions should the nurse 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.

5. A nurse is caring for four clients. The nurse should plan to administer total parenteral nutrition for which of the following clients?

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.

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