ATI MATERNAL NEW BORN OB EXAM VERIFIED
QUESTIONS AND ANSWERS GUARANTEEED 100%
ACCURATE 2025/2026 FEEDBACK
,33. The nurse is caring for a patient receiving total parenteral nutrition (TPN).
Which action will the nurse take?
a. Run lipids for no longer than 24 hours.
b. Take down a running bag of TPN after 36 hours.
c. Clean injection port with alcohol 5 seconds before and after use.
Wear a sterile mask when changing the central venous catheter
d. dressing.
ANS: D
During central venous catheter dressing changes, always use a sterile mask and
gloves, and assess insertion sites for signs and symptoms of infection. To avoid
infection, change the TPN infusion tubing every 24 hours, and do not hang a
single container of PN for longer than 24 hours or lipids longer than 12 hours.
34. The patient is having at least 75% of nutritional needs met by enteral
feeding, so the health care provider has ordered the parenteral nutrition (PN) to
be discontinued. However, the nurse notices that the PN infusion has fallen
behind. What should the nurse do?
a. Increase the rate to get the volume caught up before discontinuing.
b. Stop the infusion as ordered.
, c. Taper infusion gradually.
d. Hang 5% dextrose.
ANS: C
Sudden discontinuation of PN can cause hypoglycemia. PN must be tapered off.
Usually, 10% dextrose is infused when PN solution is suddenly discontinued. Too
rapid administration of hypertonic dextrose (PN) can result in an osmotic diuresis
and dehydration. If an infusion falls behind schedule, the nurse should not
increase
311
the rate in an attempt to catch up.
35. The patient is on parenteral nutrition and is lethargic. The patient reports
thirst and headache and has had increased urination. Which problem does the
nurse prepare to address?
a. Hyperglycemia
b. Hypoglycemia
c. Hypercapnia
d. Hypocapnia
ANS: A
Signs and symptoms of hyperglycemia are thirst, headache, lethargy, and
increased urination. Hypocapnia is not associated with parenteral nutrition.
Hypercapnia increases oxygen consumption and increases CO2 levels.
Ventilatordependent patients are at greatest risk for this. Hypoglycemia is
characterized by diaphoresis, shakiness, confusion, and loss of consciousness.
36. In providing diabetic teaching for a patient with type 1 diabetes mellitus,
which instructions will the nurse provide to the patient?
a. Insulin is the only consideration that must be taken into account.
QUESTIONS AND ANSWERS GUARANTEEED 100%
ACCURATE 2025/2026 FEEDBACK
,33. The nurse is caring for a patient receiving total parenteral nutrition (TPN).
Which action will the nurse take?
a. Run lipids for no longer than 24 hours.
b. Take down a running bag of TPN after 36 hours.
c. Clean injection port with alcohol 5 seconds before and after use.
Wear a sterile mask when changing the central venous catheter
d. dressing.
ANS: D
During central venous catheter dressing changes, always use a sterile mask and
gloves, and assess insertion sites for signs and symptoms of infection. To avoid
infection, change the TPN infusion tubing every 24 hours, and do not hang a
single container of PN for longer than 24 hours or lipids longer than 12 hours.
34. The patient is having at least 75% of nutritional needs met by enteral
feeding, so the health care provider has ordered the parenteral nutrition (PN) to
be discontinued. However, the nurse notices that the PN infusion has fallen
behind. What should the nurse do?
a. Increase the rate to get the volume caught up before discontinuing.
b. Stop the infusion as ordered.
, c. Taper infusion gradually.
d. Hang 5% dextrose.
ANS: C
Sudden discontinuation of PN can cause hypoglycemia. PN must be tapered off.
Usually, 10% dextrose is infused when PN solution is suddenly discontinued. Too
rapid administration of hypertonic dextrose (PN) can result in an osmotic diuresis
and dehydration. If an infusion falls behind schedule, the nurse should not
increase
311
the rate in an attempt to catch up.
35. The patient is on parenteral nutrition and is lethargic. The patient reports
thirst and headache and has had increased urination. Which problem does the
nurse prepare to address?
a. Hyperglycemia
b. Hypoglycemia
c. Hypercapnia
d. Hypocapnia
ANS: A
Signs and symptoms of hyperglycemia are thirst, headache, lethargy, and
increased urination. Hypocapnia is not associated with parenteral nutrition.
Hypercapnia increases oxygen consumption and increases CO2 levels.
Ventilatordependent patients are at greatest risk for this. Hypoglycemia is
characterized by diaphoresis, shakiness, confusion, and loss of consciousness.
36. In providing diabetic teaching for a patient with type 1 diabetes mellitus,
which instructions will the nurse provide to the patient?
a. Insulin is the only consideration that must be taken into account.
