NR 224 Exam 3 Practice Questions | ATI Fundamentals | NG Tube Med Administration, Catheter Care & Ostomy Management | Verified Answers & Rationales | Graded A+

Ace your nursing finals with these NR 224 Exam 3 Practice Questions, specifically designed for ATI Fundamentals success. This comprehensive document features verified questions and answers with in-depth rationales for critical nursing skills. Master high-yield topics including NG tube medication administration, the proper technique for nasal decongestant drops, and urinary catheter maintenance to prevent CAUTIs. Additionally, students will find essential teaching points for ileostomy and stoma care, including skin barrier application and drainage expectations. Whether you are focused on sterile field protocols, eye drop instillation, or bowel elimination interventions, this study guide provides the clinical accuracy needed to excel in your proctored assessments and the 2026 NCLEX-RN. Optimize your study time with this expert-level nursing test bank and practice key. NR 224 Exam 3 Practice Questions | ATI Fundamentals Verified Answers & Rationales | Graded A+ 1. A nurse is preparing to administer three liquid medications to a client with an NG tube with intermittent suction. Which of the following actions should the nurse take? A) Mix the three medications together prior to administering. The nurse should administer each medication separately and flush the tube with 15 to 30 mL of sterile water to ensure the client receives the entire dose. B) Dilute each medication with 10 mL of tap water. If the nurse needs to further dilute the medication because it is viscous, the nurse should only use sterile water because tap water can contain contaminants that can adversely interact with the medication. C) Reattach the suction directly after administering the medication. The nurse should clamp the tube for 20 to 30 min after administering the medication to allow time for the client to absorb it and not lose it by suction. D) Pinch the tube prior to attaching the medication syringe. After detaching the NG tube from the suction tubing, the nurse should pinch or kink the tube to prevent distention from air entering the tube. 2. A nurse is administering nasal decongestant drops for a client. Which of the following actions should the nurse take? A) Tell the client to blow her nose gently before the instillation. Prior to instillation, the nurse should instruct the client to blow her nose gently. This action will help remove any secretions or crusts that could interfere with the distribution and absorption of the medication. B) Assist the client to a side-lying position. The nurse should assist the client to lie supine for a nasal instillation. C) Hold the dropper 2 cm (1 in) above the naris. The nurse should hold the dropper 1 cm (1/2 in) above each naris before instilling the drops. D) Instruct the client to stay in the same position for 2 min. The client should stay in the same position for 5 min to make sure the drops do not run out when the she sits or stands up. 3. A nurse is caring for a client that was ordered a stool specimen collected. Which of the following actions should the nurse take when obtaining the specimen? A) Use a sterile swab to obtain the specimen. The nurse should collect the specimen using a non-sterile object, usually a tongue blade. A sterile swab is used if a culture is to be obtained.B) Place the specimen in a sterile container. A sterile container is not necessary. The nurse should collect the specimen in a dry container free of urine. C) Label the paper bag in which specimen container is placed.The nurse should label the specimen container and place it in a clean, plastic biohazard bag which is also labeled. This ensures proper identification and prevents contamination and spillage during transport. D) Send specimen container immediately to the lab. The nurse should label the specimen contain and send it immediately to the laboratory. A delay in transport can result in altered laboratory findings. 4. A nurse is reviewing a client's admission record. The nurse notes that there are prescriptions for several medications. Which of the following factors should the nurse recognize is of primary consideration when determining the schedule of administration? A) Institutional policies regarding routine medication administration times B) Specific characteristics of the medications C) Schedule of administration that the client follows at home D) Time at which the medication can be available from the pharmacy 5. A nurse is discussing good food choices with a client who is recovering from an exacerbation of inflammatory bowel disease and is to start a low-lactose diet. Which of the following foods is the best choice for the client? A) Soy milk B) Cheddar cheese C) Low-fat yogurt D) Cottage cheese 6. A nurse is preparing an instruction plan for a client with chronic constipation secondary to irregular bowel habits. Which of the following should the nurse plan to include in the instructions? A) The client should drink two to three 8 oz glasses of water each day. A client with chronic constipation should increase water intake to at least eight 8 oz glasses daily. B) The client should follow a high-fiber diet to establish bowel regularity. The client with chronic constipation should consume a diet with high-fiber food sources, including bran and complex carbohydrates. C) The client should try to take in all of the required dietary fiber with the morning meal. To achieve maximum benefit, fiber intake should be spread throughout the day. D) The client should be taught that the goal of therapy is to have a bowel movement daily. Daily bowel movements are not necessary provided the stools are not hard and dry. 7. A nurse is assessing a client who is 3 days postoperative following abdominal surgery and notes the absence of bowel sounds, abdominal distention, and the client passing no flatus. Which of the following conditions should the nurse suspect? A) Ulcerative colitisB) Cholecystitis C) Paralytic ileus D) Wound dehiscence 8. A nurse is providing preoperative instruction to a client undergoing an open bowel resection at 1300 next week. Which of the following statements by the client indicates the need for further instructions? A) "I will be able to eat solid food when I wake up from anesthesia." Clients who undergo open abdominal surgery will usually have an NG tube in place. The client will remain NPO until the nurse removes the tube. Once the nurse removes the tube, the client can start to drink clear liquids and progress to more solid fluids as the client is able to tolerate them. B) "I will have a glass of juice the morning of my surgery." Clients who are to undergo surgery will have a fluid and food restriction that may include easily digested food up to 6 hr before surgery and clear liquids. such as tea, coffee, or other clear juices up to 2 hr before surgery. C) "I understand what risks I can expect with this surgery." The provider should inform the client about the purpose of the surgery, the risks, intended benefits, and advantages and disadvantages of alternative treatments. D) "I will take time to relax if I get nervous the night before surgery." Perioperative preparation before surgery helps to minimize anxiety and misunderstanding. 9. A nurse is instructing a group of clients regarding nutrition. The teaching should state that which of the following groups of foods contains the highest level of carbohydrates? A) Milk, eggs, and cheese B) Butter, oils, and avocados C) Rice, potatoes, and oranges D) Chicken, green beans, and apples 10. A nurse is instructing a group of clients about nutrition and eating foods high in iron. The nurse should include that which of the following aids in the absorption of iron? A) Fiber Although fiber is important in the overall digestive process, it does not enhance the body’s absorption of iron. B) Vitamin A Although Vitamin A is important in overall health, it does not enhance the body’s absorption of iron. C) Vitamin C Vitamin C enhances the body’s absorption of iron. D) Oxalates Oxalates found in foods, such as spinach, might impair the absorption of iron.11. A. A slice of cheese B. A jam sandwich C. A cup of plain popcorn D. A small container of applesauce 12. A nurse is caring for a client who reports taking bisacodyl to promote a daily bowel movement. Which of the following assessment questions should be the nurse's priority? A. "What do your bowel movements look like?" B. "How long have you been taking the bisacodyl?" Bisocodyl is a stimulant laxative indicated for short-term use due to a risk of dependency. It is important for the nurse to determine the history, specifically the length of time the client has relied on this medication for bowel elimination. 13. A nurse is completing a client's history and physical examination. Which information would the nurse document as subjective data? A) Blood pressure Objective data include information the nurse can observe or measure. The nurse can measure the client's blood pressure. B) Cyanosis Objective data include information the nurse can observe or measure. The nurse can observe cyanosis. C) Nausea Subjective data include information that only the client can perceive and report. The nurse cannot determine that the client feels nauseated. D) Petechiae Objective data include information the nurse can observe or measure. The nurse can observe petechiae. 14. A nurse is preparing to administer a pre-packaged oral medication to a client and complete the final medication check. At which of the following times or places should the nurse perform this final check? A) At the client's bedside before administration The nurse should perform the final medication check at the client's bedside while reviewing the package's label. B) In the area where the nurse obtained the medication This is the location of the first and second medication check. C) At the time of documentation D. "How often do you have a bowel movement?" C. "Do you take the bisacodyl with a glass of milk?" diet. Which of the following food choices by the client indicates the need for further teaching?11. A nurse is teaching a client about snacks that are appropriate on a low-fat, low-sodium, and low-colesterol1 oz ice pop: 1 oz = 30 mL The nurse should not document giving the medication until after she gives it to the client. At that time, it would be too late to avoid any errors. D) At the nurses' station while reviewing the health care provider's prescription At this time, the nurse has not yet obtained the medication, so it cannot be checked. 15. A nurse is caring for a child who is on a clear liquid diet. At lunch, the child consumed ½ cup of juice, 3 oz gelatin, 1 oz of an ice pop, and 20 mL ginger ale. How many mL should the nurse record as the child's fluid intake? A) mL Correct To determine the amount of intake the nurse should first convert each source of intake to the same unit of measurement (mL): ½ cup of juice: 1 cup = 8 oz ½ cup (8 oz ÷ 2) = 4 oz 1 oz = 30 mL 4 oz x 30 = 120 mL ½ cup = 120 mL 3 oz gelatin: 1 oz = 30 mL 3 oz x 30 = 90 mL 20 mL of ginger ale Then, the nurse should total the amounts: 120 mL + 90 mL + 30 mL + 20 mL = 260 mL To determine the amount of intake the nurse should first convert each source of intake to the same unit of measurement (mL): ½ cup of juice: 1 cup = 8 oz ½ cup (8 oz ÷ 2) = 4 oz 1 oz = 30 mL 4 oz x 30 = 120 mL ½ cup = 120 mL 3 oz gelatin: 1 oz = 30 mL 3 oz x 30 = 90 mL 1 oz ice pop: 1 oz = 30 mL20 mL of ginger ale Then, the nurse should total the amounts: 120 mL + 90 mL + 30 mL + 20 mL = 260 mL 16. A nurse is caring for a client following the surgical placement of a colostomy. Which of the following statements indicates the client understands the dietary instructions? A) “Eating yogurt can help decrease the amount of gas that I have.” The client who has a colostomy can include yogurt into his diet to help reduce odors and intestinal gas. B) “I should eliminate pasta from my diet so that I don’t have as many loose stools.” The client who has a colostomy should include pasta and other sources of fiber into his diet to help control loose stools. C) “My largest meal of the day should be in the evening.” The client who has a colostomy should have his largest meal of the day in the middle of the day to help decrease the amount of stool produced during the hours of sleep. D) “Carbonated beverages can help control odor.” The client who has a colostomy should avoid carbonated beverages due to the increased production of intestinal gas. 17. A nurse is caring for a client that is postoperative following abdominal surgery. The surgeon initially prescribes a clear liquid diet. Which of the following items should the nurse include on the client's lunch tray? A) Lemon sherbet Lemon sherbet is an acceptable component of a full liquid diet, not a clear liquid diet. B) Plain yogurt Plain yogurt is an acceptable component of a full liquid diet, not a clear liquid diet. C) Cranberry juice Cranberry juice is an acceptable component of a clear liquid diet, along with apple juice and grape juice. D) Carrot juice Carrot juice is an acceptable component of a full liquid diet, not a clear liquid diet. 18. A nurse is providing dietary instructions for a Asian-American client and is gazing at the floor during the instructions. Which of the following actions should the nurse take to demonstrate culturally sensitive nursing care? A) Stop the instructions to see what is on the floor. Stopping the instructions to look at the floor might offend the client and draw attention away from the dietary instructions. B) Emphasize the significance of the information.Although the information is important, the nurse should approach the client with sensitivity and demonstrate knowledge of differing cultural practices. It might sound like scolding to tell the client how important it is to pay attention. C) Move closer to the client for eye contact. The client might perceive this action as aggressive, impolite, or disrespectful. The nurse should avoid eye contact, close personal space, and touching the client unless the client gives the nurse permission. The nurse should accommodate the client’s cultural practice and beliefs unless they are in direct conflict with safe and effective care. D) Continue with the discussion A client from this culture might consider direct eye contact, close personal space, and touching to be impolite, aggressive, or disrespectful. By remaining silent and avoiding eye contact, the client could be demonstrating respect for the nurse. The nurse should continue with the dietary teaching while also avoiding eye contact and assess comprehension throughout the discussion. 19. A nurse is caring for a client with an indwelling urinary catheter. Which of the following actions should the nurse take to prevent infection? A) Replace the catheter every 3 days. The nurse should avoid routine catheter changes. The catheter should be changed only to correct a problem, such as a leakage or a blockage. B) Check the catheter tubing for kinks or twisting. The nurse should check the catheter for twisting or kinks in the tubing. These obstructions can affect the flow of urine causing pooling in the tubing that could backflow into the bladder. C) Irrigate the catheter once each shift. The nurse should avoid irrigation of the catheter unless there is an obstruction. D) Clean the perineal area with an antiseptic solution daily. The nurse should clean the perineal area with soap and water at least twice per day. 20. A nurse is developing an instruction plan for a client with an ileostomy and will require stoma care. Which of the following information should the nurse include? A) Empty the pouch when it is 1/2 full. The nurse should instruct the client to empty the pouch when it is 1/3 to 1/2 full. B) Hold pressure on the skin barrier for 10 to 15 sec to secure the seal. The nurse should instruct the client to hold pressure for 30 sec to seal the skin barrier onto the skin. C) Clean the peristomal skin four times a day. The nurse should tell the client to cleanse the peristomal skin each time the ostomy pouch is changed, which can vary from 5 to 10 days. D) Expect firm fecal content. The nurse should tell the client to expect continuous liquid fecal content from an ileostomy.