NGN ATI RN Fundamentals Exam 2023 B Version 1| Questions and Verified Answers| 100% Correct| A Grade
QUESTION
A nurse is caring for a client who
... [Show More] requires an NG tube for stomach decompression. Which of the following actions should the nurse take when inserting the NG tube?
Position the client with the head of the bed elevated to 30° prior to insertion of the NG tube.
Remove the NG tube if the client begins to gag or choke.
Apply suction to the NG tube prior to insertion.
Have the client take sips of water to promote insertion of the NG tube into the esophagus.
Answer:
Correct Answer:
Have the client take sips of water to promote insertion of the NG tube into the esophagus.
Taking sips of water as the NG tube passes through the oropharynx will close the epiglottis over the trachea and prevent the tube from passing into the trachea.
Incorrect Answer:
Position the client with the head of the bed elevated to 30° prior to insertion of the NG tube.
The client should be sitting in high-Fowler's position with the head of the bed elevated to 90° to reduce the risk for aspiration.
Remove the NG tube if the client begins to gag or choke.
The nurse should withdraw the NG tube slightly, not remove it, if the client gags or chokes to reduce the risk of injury to the client.
Apply suction to the NG tube prior to insertion.
The nurse should not apply suction until the NG tube is in place with x-ray verification of its position in order to reduce the risk of injury to the client.
QUESTION
A nurse is caring for a client who has recently started using a behind-the-ear hearing aid. Which of the following statements should the nurse identify as an indication that the client understands the use of this assistive device?
"This type of hearing aid does not allow for fine tuning of volume."
"I shouldn't have trouble keeping the hearing aid in place during exercise."
"I expect to hear a whistling sound when I first insert the hearing aid."
"I will be sure to remove my hearing aid before taking a shower."
Answer:
Correct Answer:
"I will be sure to remove my hearing aid before taking a shower."
Clients should remove any hearing devices before showering because exposure to water can damage them.
Incorrect Answer:
"This type of hearing aid does not allow for fine tuning of volume."
A behind-the-ear hearing aid allows for fine tuning of the volume of the device. It is useful for clients who have mild to severe hearing loss.
"I shouldn't have trouble keeping the hearing aid in place during exercise."
Physical activity can easily dislodge this type of hearing aid.
"I expect to hear a whistling sound when I first insert the hearing aid."
Whistling during insertion can be a sign that the hearing aid does not fit properly. A buildup of cerumen or fluid in the ear can also cause a whistling sound.
QUESTION
A nurse is providing discharge instructions to a client who will be using a walker. Which of the following statements by the client indicates the teaching has been effective?
"I will use an extension cord so I can watch television in the living room."
"I will hire someone to trim the tree that overhangs the front porch stairs."
"I will place my alarm clock on my bedroom dresser."
"I will replace the old throw rug in the kitchen with a new one."
Answer:
Correct Answer:
"I will hire someone to trim the tree that overhangs the front porch stairs."
Clearing stairwells of any object that could cause the client to trip or the need to bend over will decrease the risk for falls.
Incorrect Answer:
"I will use an extension cord so I can watch television in the living room."
Extension cords should only be used when necessary and not on a daily basis due to the risk of the client tripping over the cord.
"I will place my alarm clock on my bedroom dresser."
Placing frequently used items such as an alarm clock, glasses, or tissues should be placed on the client's night stand within reach to prevent the client from falling in the night.
"I will replace the old throw rug in the kitchen with a new one."
Using throw rugs increases the client's risk for falls, as it creates a tripping and slipping hazard for the client.
QUESTION
A nurse is caring for a client who has a respiratory infection. Which of the following techniques should the nurse use when performing nasotracheal suctioning for the client?
Insert the suction catheter while the client is swallowing.
Apply intermittent suction when withdrawing the catheter.
Place the catheter in a location that is clean and dry for later use.
Hold the suction catheter with their clean, nondominant hand.
Answer:
Correct Answer:
Apply intermittent suction when withdrawing the catheter.
The nurse should apply intermittent suction during the withdrawal of the catheter to prevent injury to the mucosa. However, suctioning continuously for more than 10 seconds can cause cardiopulmonary compromise.
Incorrect Answer:
Insert the suction catheter while the client is swallowing.
The nurse should insert the suction catheter while the client is inhaling to avoid inserting the catheter into the esophagus.
Place the catheter in a location that is clean and dry for later use.
The nurse should discard the suction catheter after use to eliminate the risk of reintroducing pathogens into the respiratory tract.
Hold the suction catheter with their clean, nondominant hand.
The nurse should hold the suction catheter with their dominant hand after donning a sterile glove.
QUESTION
A nurse is reviewing evidence-based practice principles about administration of oxygen therapy with a newly licensed nurse. Which of the following actions should the nurse include?
Regulate the flow rate by aligning the rate with the top of the ball inside the flow meter.
Regulate oxygen via nasal cannula at a flow rate of no more than 6 L/min.
Make sure the reservoir bag of a partial rebreathing mask remains deflated.
Use petroleum jelly to lubricate the client's nares, face, and lips.
Answer:
Correct Answer:
Regulate oxygen via nasal cannula at a flow rate of no more than 6 L/min.
Evidence-based practice supports a flow rate of 1 to 6 L/min via nasal cannula. Rates above 6 L/min have a drying effect and force clients to swallow air excessively without increasing their fraction of inspired oxygen (FiO2).
Incorrect Answer:
Regulate the flow rate by aligning the rate with the top of the ball inside the flow meter.
The nurse should regulate the oxygen flow rate by aligning the rate on the flow meter with the middle of the silver ball inside the meter.
Make sure the reservoir bag of a partial rebreathing mask remains deflated.
The reservoir bag should inflate by one-third to one-half with inspiration. If it remains deflated, it indicates that clients are breathing in too much of the carbon dioxide they exhale.
Use petroleum jelly to lubricate the client's nares, face, and lips.
Evidence-based practice supports the use of a water-soluble lubricant to protect the client's skin from the drying effects of oxygen.
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