2024 ATI FUNDAMENTALS FINAL EXAM
TEST BANK | 230 PRACTICE
QUESTIONS AND CORRECT ANSWERS
| ALREADY GRADED A+ | LATEST
RELEASE
A nurse should recognize that nasogastric intubation is indicated to relieve
gastric distention for which patient ------CORRECT ANSWER---------------40
year old patient w/ a postoperative bowel obstruction
A nurse is caring for a patient who has a newly inserted nasogastric tube.
Which method is appropriate for verifying the initial placement ------
CORRECT ANSWER---------------X-Ray examination of the chest and
abdomen (it's the gold standard)
A nurse is performing a nasogastric intubation. Which of the following
actions should the nurse take immediately after inserting the tube to the
predetermined length ------CORRECT ANSWER---------------Inspect the
oropharynx with a penlight and a tongue blade
During report, a nurse is informed that a patient has a nasogastric tube
connected to continuous suction. The nurse should recognize that this
patient must have which types of tube ------CORRECT ANSWER--------------
-Salem sump
A patient recovering from gastric surgery remains NPO and has a
nasogastric tube connected to suction. Which of the following actions
,should the nurse take to prevent dry mucous membranes ------CORRECT
ANSWER---------------Provide frequent mouth care
What should not be used for a patient who is NPO status and just
underwent gastric surgery ------CORRECT ANSWER---------------Throat
lozenges
When using chilled normal saline solution during gastric lavage, nurse
should watch for which of the following complications ------CORRECT
ANSWER---------------Hypothermia
Iced normal saline can cause a rapid loss of what ------CORRECT
ANSWER---------------Electrolytes
A nurse is caring for an unconscious patient. Which of the following
statements by the nurse indicates an understanding of providing good oral
hygiene for the patient ------CORRECT ANSWER---------------"I'll swab the
patient's mouth with diluted hydrogen peroxide."
What is not appropriate for oral hygiene for a patient that removes moisture
from the oral cavity and that damages tooth enamel ------CORRECT
ANSWER---------------Lemon-glycerin swabs
When planning morning hygiene care for a postoperative patient, which of
the following actions should the nurse include ------CORRECT ANSWER----
-----------Ask the patient in what order she typically performs her morning
routine
,A nurse is caring for an adult patient who is NPO. The patient is refusing
oral care. Which of the following is appropriate by the nurse ------
CORRECT ANSWER---------------"Oral care is still important even though
you are not eating."
Why is it important to perform oral care ------CORRECT ANSWER------------
---To help reduce oral bacteria and keep the oral cavity moist
A nurse is caring for a patient who is on long-term bed rest and requires
frequent linen changes due to excess diaphoresis. Which of the following is
the priority rationale for frequent linen changes ------CORRECT ANSWER--
-------------Moisture from excessive diaphoresis can cause skin breakdown
A nurse observes an assistive personnel (AP) make a client's bed while the
client is out of the room. Which of the following actions by the AP is
appropriate for this task ------CORRECT ANSWER---------------The AP
reuses the patient's blanket and spread
Making a clients bed does not require what ------CORRECT ANSWER-------
--------Documentation
While performing a complete bed bath for a patient, the nurse should ------
CORRECT ANSWER---------------Raise the room temperature
Why should soap not be added to the water in the basin when giving a bed
bath ------CORRECT ANSWER---------------Irritation to the eyes can occur
, What is the nurse going to do when giving a patient a tub bath ------
CORRECT ANSWER---------------First, nurse will gather all necessary
supplies. Second, prepare the room by placing a rubber mat on the rub
floor to prevent the patient from slipping and falling. Third, nurse will assist
patient into the bathroom and give instructions regarding the use of bars to
prevent slipping and falling when entering or exiting the bathtub. Lastly,
nurse will instruct patient to remain in tub for no longer than 20 min due to
possibility of vasodilation from warm water, which can cause light-
headedness or dizziness.
A nurse is assisting a patient with personal hygiene care. Which of the
following actions by the nurse will reduce the risk of infection ------
CORRECT ANSWER---------------Cleaning the lease-soiled areas prior to
cleaning the most-soiled areas
How should a bed bath be given ------CORRECT ANSWER---------------
Using long, firm strokes and proceeding from the distal to the proximal
areas
A nurse is caring for a patient who has impaired swallowing due to a
cerebralvascular accident. Which of the following interventions should the
nurse use to assist the patient with feeding ------CORRECT ANSWER-------
--------elevate the head of the bed 45 to 90 degrees
A nurse should recognize that which of the following is correct regarding
albumin levels as a diagnostic marker for nutritional status ------CORRECT
ANSWER---------------Albumin level is a poor short-term indicator poor
short-term indicator of protein status
TEST BANK | 230 PRACTICE
QUESTIONS AND CORRECT ANSWERS
| ALREADY GRADED A+ | LATEST
RELEASE
A nurse should recognize that nasogastric intubation is indicated to relieve
gastric distention for which patient ------CORRECT ANSWER---------------40
year old patient w/ a postoperative bowel obstruction
A nurse is caring for a patient who has a newly inserted nasogastric tube.
Which method is appropriate for verifying the initial placement ------
CORRECT ANSWER---------------X-Ray examination of the chest and
abdomen (it's the gold standard)
A nurse is performing a nasogastric intubation. Which of the following
actions should the nurse take immediately after inserting the tube to the
predetermined length ------CORRECT ANSWER---------------Inspect the
oropharynx with a penlight and a tongue blade
During report, a nurse is informed that a patient has a nasogastric tube
connected to continuous suction. The nurse should recognize that this
patient must have which types of tube ------CORRECT ANSWER--------------
-Salem sump
A patient recovering from gastric surgery remains NPO and has a
nasogastric tube connected to suction. Which of the following actions
,should the nurse take to prevent dry mucous membranes ------CORRECT
ANSWER---------------Provide frequent mouth care
What should not be used for a patient who is NPO status and just
underwent gastric surgery ------CORRECT ANSWER---------------Throat
lozenges
When using chilled normal saline solution during gastric lavage, nurse
should watch for which of the following complications ------CORRECT
ANSWER---------------Hypothermia
Iced normal saline can cause a rapid loss of what ------CORRECT
ANSWER---------------Electrolytes
A nurse is caring for an unconscious patient. Which of the following
statements by the nurse indicates an understanding of providing good oral
hygiene for the patient ------CORRECT ANSWER---------------"I'll swab the
patient's mouth with diluted hydrogen peroxide."
What is not appropriate for oral hygiene for a patient that removes moisture
from the oral cavity and that damages tooth enamel ------CORRECT
ANSWER---------------Lemon-glycerin swabs
When planning morning hygiene care for a postoperative patient, which of
the following actions should the nurse include ------CORRECT ANSWER----
-----------Ask the patient in what order she typically performs her morning
routine
,A nurse is caring for an adult patient who is NPO. The patient is refusing
oral care. Which of the following is appropriate by the nurse ------
CORRECT ANSWER---------------"Oral care is still important even though
you are not eating."
Why is it important to perform oral care ------CORRECT ANSWER------------
---To help reduce oral bacteria and keep the oral cavity moist
A nurse is caring for a patient who is on long-term bed rest and requires
frequent linen changes due to excess diaphoresis. Which of the following is
the priority rationale for frequent linen changes ------CORRECT ANSWER--
-------------Moisture from excessive diaphoresis can cause skin breakdown
A nurse observes an assistive personnel (AP) make a client's bed while the
client is out of the room. Which of the following actions by the AP is
appropriate for this task ------CORRECT ANSWER---------------The AP
reuses the patient's blanket and spread
Making a clients bed does not require what ------CORRECT ANSWER-------
--------Documentation
While performing a complete bed bath for a patient, the nurse should ------
CORRECT ANSWER---------------Raise the room temperature
Why should soap not be added to the water in the basin when giving a bed
bath ------CORRECT ANSWER---------------Irritation to the eyes can occur
, What is the nurse going to do when giving a patient a tub bath ------
CORRECT ANSWER---------------First, nurse will gather all necessary
supplies. Second, prepare the room by placing a rubber mat on the rub
floor to prevent the patient from slipping and falling. Third, nurse will assist
patient into the bathroom and give instructions regarding the use of bars to
prevent slipping and falling when entering or exiting the bathtub. Lastly,
nurse will instruct patient to remain in tub for no longer than 20 min due to
possibility of vasodilation from warm water, which can cause light-
headedness or dizziness.
A nurse is assisting a patient with personal hygiene care. Which of the
following actions by the nurse will reduce the risk of infection ------
CORRECT ANSWER---------------Cleaning the lease-soiled areas prior to
cleaning the most-soiled areas
How should a bed bath be given ------CORRECT ANSWER---------------
Using long, firm strokes and proceeding from the distal to the proximal
areas
A nurse is caring for a patient who has impaired swallowing due to a
cerebralvascular accident. Which of the following interventions should the
nurse use to assist the patient with feeding ------CORRECT ANSWER-------
--------elevate the head of the bed 45 to 90 degrees
A nurse should recognize that which of the following is correct regarding
albumin levels as a diagnostic marker for nutritional status ------CORRECT
ANSWER---------------Albumin level is a poor short-term indicator poor
short-term indicator of protein status
