NGN ATI NUTRITION ONLINE PRACTICE
2024/2025 B BOTH QUESTIONS AND
ANSWERS WITH RATIONABLE GRADED A+
A nurse is caring for a patient who is receiving positive end-expiratory pressure (PEEP) via mechanical
ventilation. The nurse should monitor the patient for which of the following adverse effects of PEEP?
Hypoxemia
Tension pneumothorax
Malignant hypertension
Atelectasis - --------ACCURATE ---------------Tension pneumothorax
The nurse should identify that tension pneumothorax is a possible adverse effect of PEEP. The nurse
should monitor the patient's lung sounds hourly for indications of a tension pneumothorax, such as
tracheal deviation, absent breath sounds, and distended neck veins.
A nurse is providing information to a patient immediately before his scheduled Romberg test. Which of
the following statements should the nurse make?
"You will be standing with your feet 1 foot apart."
"You will place and hold your hands on your hips."
"I will be standing across the room from you to evaluate your sense of balance."
,"I will be checking you once with your eyes open and once with them closed." -----------CORRECT
ANSWER -----"I will be checking you once with your eyes open and once with them closed."
The nurse should inform the patient that the Romberg test will be performed once with eyes open and
once with eyes closed. A Romberg test is performed to assess balance and motor function.
A nurse is caring for a patient who is postoperative following administration of general anesthesia. - -----
-- ACCURATE ------------ Upon recognizing and analyzing the patient cues of tachycardia, tachypnea,
hypotension, and irregular heart rhythm, the nurse's priority hypothesis should be that this patient is
most likely experiencing malignant hyperthermia and that it is important to generate solutions and
take actions that will correct dysrhythmias, provide oxygen to tissues, correct electrolyte imbalances,
and reverse metabolic and respiratory acidosis.
Therefore, the nurse should prepare to administer dantrolene and administer oxygen.
The nurse should monitor the PCO2 level on the patient's ABGs for hypercapnia and observe the patient
for muscle rigidity of the jaw and chest muscles.
A nurse is caring for a patient who has a fecal impaction. Which of the following actions should the nurse
take when digitally evacuating the stool?
Place the patient in the lithotomy position.
Elicit a vagal response by performing gentle rectal stimulation.
Administer oral bisacodyl 30 min prior to the procedure.
Insert a lubricated gloved finger and advance along the rectal wall------------ ACCURATE Insert a
lubricated gloved finger and advance along the rectal wall.
The nurse should insert a lubricated gloved finger and advance it along the rectal wall when digitally
evacuating stool.
,A nurse is caring for a patient who is in the fourth stage of labor and is receiving oxytocin via continuous
IV infusion. Which of the following assessments is the nurse's priority?
Amount of vaginal bleeding
Amount of urinary output
Pain level
Fundal height - --------ACCURATE -------------- Amount of vaginal bleeding
The first action the nurse should take using the nursing process is to assess the amount of vaginal
bleeding. A patient who is in the fourth stage of labor is at risk for hemorrhage, so assessing the
amount of vaginal bleeding is the nurse's priority.
A nurse is caring for a patient who is pregnant.
The nurse is providing discharge teaching to the patient.
For each discharge instruction, click to specify if each action is recommended or contraindicated for the
patient.
Nursing action
Drink warm ginger ale when nauseated.
Eat every 2 to 3 hr.
Alternate eating solid foods and liquids.
Increase intake of high-fat foods. - --------ACCURATE --------------- Recommended
Drink warm ginger ale when nauseated.
Eat every 2 to 3 hr.
Alternate eating solid foods and liquids.
, Contraindicated
Increase intake of high-fat foods.
When taking action and providing discharge teaching for a patient who has hyperemesis gravidarum, the
nurse should recommend the patient should eat every 2 to 3 hr to avoid having an empty stomach, which
can increase nausea. The patient should separate liquids from solids every 2 to 3 hr to help minimize
nausea. The patient should eat foods high in protein that are low in fat. Warm ginger ale or ginger tea can
also decrease nausea.
A nurse is providing dietary teaching to a patient who has a new prescription for phenelzine. Which of
the following food recommendations should the nurse make? (Select all that apply.) Broccoli
Yogurt
Pepperoni pizza
Cream cheese
Bologna sandwich - --------ACCURATE --------------- Broccoli is correct. Patients who take phenelzine, an
MAOI, should not eat foods that contain tyramine. Broccoli does not contain tyramine.
Yogurt is correct. Patients who take phenelzine, an MAOI, should not eat foods that contain tyramine.
Yogurt contains little or no tyramine.
Cream cheese is correct. Patients who take phenelzine, an MAOI, should not eat foods that contain
tyramine. Cream cheese contains little or no tyramine.
A nurse is preparing to transfer a patient from the ICU to the medical floor. The patient was recently
weaned from mechanical ventilation following a pneumonectomy. Which of the following information
should the nurse include in the change-of-shift report?
The last time the provider evaluated the patient
The patient's most recent ventilator settings
The time of the patient's last dose of pain medication
2024/2025 B BOTH QUESTIONS AND
ANSWERS WITH RATIONABLE GRADED A+
A nurse is caring for a patient who is receiving positive end-expiratory pressure (PEEP) via mechanical
ventilation. The nurse should monitor the patient for which of the following adverse effects of PEEP?
Hypoxemia
Tension pneumothorax
Malignant hypertension
Atelectasis - --------ACCURATE ---------------Tension pneumothorax
The nurse should identify that tension pneumothorax is a possible adverse effect of PEEP. The nurse
should monitor the patient's lung sounds hourly for indications of a tension pneumothorax, such as
tracheal deviation, absent breath sounds, and distended neck veins.
A nurse is providing information to a patient immediately before his scheduled Romberg test. Which of
the following statements should the nurse make?
"You will be standing with your feet 1 foot apart."
"You will place and hold your hands on your hips."
"I will be standing across the room from you to evaluate your sense of balance."
,"I will be checking you once with your eyes open and once with them closed." -----------CORRECT
ANSWER -----"I will be checking you once with your eyes open and once with them closed."
The nurse should inform the patient that the Romberg test will be performed once with eyes open and
once with eyes closed. A Romberg test is performed to assess balance and motor function.
A nurse is caring for a patient who is postoperative following administration of general anesthesia. - -----
-- ACCURATE ------------ Upon recognizing and analyzing the patient cues of tachycardia, tachypnea,
hypotension, and irregular heart rhythm, the nurse's priority hypothesis should be that this patient is
most likely experiencing malignant hyperthermia and that it is important to generate solutions and
take actions that will correct dysrhythmias, provide oxygen to tissues, correct electrolyte imbalances,
and reverse metabolic and respiratory acidosis.
Therefore, the nurse should prepare to administer dantrolene and administer oxygen.
The nurse should monitor the PCO2 level on the patient's ABGs for hypercapnia and observe the patient
for muscle rigidity of the jaw and chest muscles.
A nurse is caring for a patient who has a fecal impaction. Which of the following actions should the nurse
take when digitally evacuating the stool?
Place the patient in the lithotomy position.
Elicit a vagal response by performing gentle rectal stimulation.
Administer oral bisacodyl 30 min prior to the procedure.
Insert a lubricated gloved finger and advance along the rectal wall------------ ACCURATE Insert a
lubricated gloved finger and advance along the rectal wall.
The nurse should insert a lubricated gloved finger and advance it along the rectal wall when digitally
evacuating stool.
,A nurse is caring for a patient who is in the fourth stage of labor and is receiving oxytocin via continuous
IV infusion. Which of the following assessments is the nurse's priority?
Amount of vaginal bleeding
Amount of urinary output
Pain level
Fundal height - --------ACCURATE -------------- Amount of vaginal bleeding
The first action the nurse should take using the nursing process is to assess the amount of vaginal
bleeding. A patient who is in the fourth stage of labor is at risk for hemorrhage, so assessing the
amount of vaginal bleeding is the nurse's priority.
A nurse is caring for a patient who is pregnant.
The nurse is providing discharge teaching to the patient.
For each discharge instruction, click to specify if each action is recommended or contraindicated for the
patient.
Nursing action
Drink warm ginger ale when nauseated.
Eat every 2 to 3 hr.
Alternate eating solid foods and liquids.
Increase intake of high-fat foods. - --------ACCURATE --------------- Recommended
Drink warm ginger ale when nauseated.
Eat every 2 to 3 hr.
Alternate eating solid foods and liquids.
, Contraindicated
Increase intake of high-fat foods.
When taking action and providing discharge teaching for a patient who has hyperemesis gravidarum, the
nurse should recommend the patient should eat every 2 to 3 hr to avoid having an empty stomach, which
can increase nausea. The patient should separate liquids from solids every 2 to 3 hr to help minimize
nausea. The patient should eat foods high in protein that are low in fat. Warm ginger ale or ginger tea can
also decrease nausea.
A nurse is providing dietary teaching to a patient who has a new prescription for phenelzine. Which of
the following food recommendations should the nurse make? (Select all that apply.) Broccoli
Yogurt
Pepperoni pizza
Cream cheese
Bologna sandwich - --------ACCURATE --------------- Broccoli is correct. Patients who take phenelzine, an
MAOI, should not eat foods that contain tyramine. Broccoli does not contain tyramine.
Yogurt is correct. Patients who take phenelzine, an MAOI, should not eat foods that contain tyramine.
Yogurt contains little or no tyramine.
Cream cheese is correct. Patients who take phenelzine, an MAOI, should not eat foods that contain
tyramine. Cream cheese contains little or no tyramine.
A nurse is preparing to transfer a patient from the ICU to the medical floor. The patient was recently
weaned from mechanical ventilation following a pneumonectomy. Which of the following information
should the nurse include in the change-of-shift report?
The last time the provider evaluated the patient
The patient's most recent ventilator settings
The time of the patient's last dose of pain medication
