NSG 261 ATI Comp Test A Questions With Complete
Solutions
toddler with infectious gastroenteritis. what actions
Initiate oral rehydration therapy for the toddler.
MY ANSWER Infectious gastroenteritis can lead to
dehydration. The nurse should treat the toddler with oral
rehydration therapy to replace fluids lost by diarrhea. Soft or
pureed foods can be given along with the oral rehydration
therapy. After adequate rehydration has occurred, a regular diet
can be resumed.
--Include chicken broth in the toddler's diet.The nurse should
identify that chicken and beef broths contain excessive amounts
of sodium and very few carbohydrates.
--Feed the toddler the BRAT diet.The BRAT diet (bananas, rice,
applesauce, and toast) contains little nutritional value,
inadequate amounts of protein and electrolytes, and is high in
simple carbohydrates. It is contraindicated for a child who has
acute diarrhea.
--Offer the toddler flavored gelatin.Gelatin is high in
carbohydrates, low in electrolytes, and high in osmolality, which
can prolong diarrhea and electrolyte imbalance.
decreased visual acuity with cataracts. what change
Increased opacity of the lens
MY ANSWER A cataract is a cloudy or opaque area in the lens
of the eye that inhibits light penetration.
,--An increase in the intraocular pressureGlaucoma leads to an
increase in intraocular pressure, causing mild headaches and
foggy vision.
--Deterioration of the maculaMacular degeneration is caused by
deterioration of the macula, resulting in decreased central vision.
--Vitreous hemorrhageVitreous hemorrhage is bleeding
following damage of retinal blood vessels, which can occur due
to elevated blood pressure or uncontrolled diabetes mellitus.
performing gastric lavage with nasogastric tube
Use 0.9% sodium chloride for irrigation of the NG tube.The
nurse should use 0.9% sodium chloride, sterile water, or tap
water for irrigation of the client's NG tube.
--Instill chilled lavage solution into the client's NG tube.The
nurse should use lavage solution that is at room temperature to
reduce the risk of injury to the client.
--Attach the client's NG tube to low intermittent suction.After
instilling the lavage solution, the nurse should manually
withdraw the solution and blood from the client's NG tube.
--Instill the lavage solution into the client's NG tube in volumes
of 500 mL at a time.The nurse should instill the solution in
volumes of 200 to 300 mL at a time to reduce the risk of injury
to the client.
child with terminal illness and impending death
The family can have the child in an open casket without fearing
that the organ donation might disfigure the child's
, body.Removal of organs does not damage or violate the child's
body in a way that would prevent an open casket funeral.
--Choosing to donate organs can delay the timing of the child's
funeral.Organ donation does not affect or delay funeral time or
expenses.
--The family should understand that an autopsy is mandatory
prior to organ donation.For organ procurement to take place, the
organs must remain viable and the donor must remain alive until
the retrieval process is set to take place. A pathologist will
perform an autopsy following an unattended death, a suspicious
death, or at the request of the family following the death of the
individual.
--The nurse should introduce the option of organ donation to the
parents when first discussing the child's impending death. The
nurse should discuss organ donation with the parents separately
from discussions about the child's impending death.
a nurse is providing teaching to a client who is scheduled for
electroconvulsive therapy, what is an adverse effect
--AgitationAgitation is not an adverse effect of ECT.
--Post-treatment seizuresMY Although a client can experience a
seizure during ECT, seizures do not occur after treatment has
ended.
--Incontinence of the bowel and bladderIncontinence of the
bowel and bladder is not an adverse effect of ECT.
Solutions
toddler with infectious gastroenteritis. what actions
Initiate oral rehydration therapy for the toddler.
MY ANSWER Infectious gastroenteritis can lead to
dehydration. The nurse should treat the toddler with oral
rehydration therapy to replace fluids lost by diarrhea. Soft or
pureed foods can be given along with the oral rehydration
therapy. After adequate rehydration has occurred, a regular diet
can be resumed.
--Include chicken broth in the toddler's diet.The nurse should
identify that chicken and beef broths contain excessive amounts
of sodium and very few carbohydrates.
--Feed the toddler the BRAT diet.The BRAT diet (bananas, rice,
applesauce, and toast) contains little nutritional value,
inadequate amounts of protein and electrolytes, and is high in
simple carbohydrates. It is contraindicated for a child who has
acute diarrhea.
--Offer the toddler flavored gelatin.Gelatin is high in
carbohydrates, low in electrolytes, and high in osmolality, which
can prolong diarrhea and electrolyte imbalance.
decreased visual acuity with cataracts. what change
Increased opacity of the lens
MY ANSWER A cataract is a cloudy or opaque area in the lens
of the eye that inhibits light penetration.
,--An increase in the intraocular pressureGlaucoma leads to an
increase in intraocular pressure, causing mild headaches and
foggy vision.
--Deterioration of the maculaMacular degeneration is caused by
deterioration of the macula, resulting in decreased central vision.
--Vitreous hemorrhageVitreous hemorrhage is bleeding
following damage of retinal blood vessels, which can occur due
to elevated blood pressure or uncontrolled diabetes mellitus.
performing gastric lavage with nasogastric tube
Use 0.9% sodium chloride for irrigation of the NG tube.The
nurse should use 0.9% sodium chloride, sterile water, or tap
water for irrigation of the client's NG tube.
--Instill chilled lavage solution into the client's NG tube.The
nurse should use lavage solution that is at room temperature to
reduce the risk of injury to the client.
--Attach the client's NG tube to low intermittent suction.After
instilling the lavage solution, the nurse should manually
withdraw the solution and blood from the client's NG tube.
--Instill the lavage solution into the client's NG tube in volumes
of 500 mL at a time.The nurse should instill the solution in
volumes of 200 to 300 mL at a time to reduce the risk of injury
to the client.
child with terminal illness and impending death
The family can have the child in an open casket without fearing
that the organ donation might disfigure the child's
, body.Removal of organs does not damage or violate the child's
body in a way that would prevent an open casket funeral.
--Choosing to donate organs can delay the timing of the child's
funeral.Organ donation does not affect or delay funeral time or
expenses.
--The family should understand that an autopsy is mandatory
prior to organ donation.For organ procurement to take place, the
organs must remain viable and the donor must remain alive until
the retrieval process is set to take place. A pathologist will
perform an autopsy following an unattended death, a suspicious
death, or at the request of the family following the death of the
individual.
--The nurse should introduce the option of organ donation to the
parents when first discussing the child's impending death. The
nurse should discuss organ donation with the parents separately
from discussions about the child's impending death.
a nurse is providing teaching to a client who is scheduled for
electroconvulsive therapy, what is an adverse effect
--AgitationAgitation is not an adverse effect of ECT.
--Post-treatment seizuresMY Although a client can experience a
seizure during ECT, seizures do not occur after treatment has
ended.
--Incontinence of the bowel and bladderIncontinence of the
bowel and bladder is not an adverse effect of ECT.
