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ATI SM 3.1: Enteral Tube Feeding EXAM 2024 AND PRACTICE QUESTIONS |ACCURATE ANSWERS| VERIFIED FOR GUARANTEED PASS |GRADED A |NEW VERSION$25.49
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ATI SM 3.1: Enteral Tube Feeding EXAM
2024 AND PRACTICE QUESTIONS
|ACCURATE ANSWERS| VERIFIED FOR
GUARANTEED PASS |GRADED A |NEW
VERSION
A nurse is inserting a small-bore feeding tube. Before initiating the feeding, the nurse should
take which of the following actions to verify placement?
A. Measure the pH of gastric aspirate.
B. Auscultate the epigastric area while injecting air.
C. Obtain an x-ray.
D. Place the open end of the tube in a cup of water.
- ANSWER C. Obtain an x-ray.
Rationale: Obtaining an x-ray is the only reliable method for verifying initial placement of a
small-bore feeding tube.
A nurse is caring for a client who has a dysfunctional gastrointestinal tract and requires enteral
feeding. Which of the following formulas should the nurse administer to the client?
A. Modular
B. Elemental
C. Polymeric
D. Specialty
- ANSWER B. Elemental
,Rationale: Elemental formulas contain predigested nutrients that are easy for a partially
functional gastrointestinal tract to absorb.
A nurse is caring for a client who has a paralytic ileus and requires nutritional support for
approximately 2 weeks. Which of the following types of feeding tubes should the nurse
anticipate the provider to prescribe?
A. Nasogastric tube
B. Nasointestinal tube
C. Percutaneous endoscopic gastrostomy tube
D. Percutaneous endoscopic jejunostomy tube
- ANSWER B. Nasointestinal tube
Rationale: A nasointestinal tube allows post-pyloric feeding by depositing enteral formula
directly into the intestines. This is an appropriate choice for a pt who lacks stomach motility
(paralytic ileus) & requires short-term (less than 4 weeks) enteral feeding.
A nurse is inserting a nasogastric tube for a pt & asks the pt to flex their head toward their chest
after the tube passes through the nasopharynx. This action facilitates proper insertion of the
tube by achieving which of the following?
A. Closing off the glottis
B. Preventing curling of the tube in the mouth
C. Allowing the client to breathe through the mouth
D. Opening the lower esophageal sphincter
- ANSWER A. Closing off the glottis
Rationale: This action prohibits the tube from entering the trachea by closing it off and opening
the esophagus.
, To determine the length of a nasointestinal tube to insert, a nurse should measure the distance
from the tip of the client's nose to the earlobe & from the earlobe to the...
A. Umbilicus
B. Xiphoid process
C. Manubrium plus 10 to 20 cm more
D. Xiphoid process plus 20 to 30 cm more
- ANSWER D. Xiphoid process plus 20 to 30 cm more
Rationale: Measuring from the tip of nose to earlobe to xiphoid process approximates the
distance from nose to stomach for 98% of clients.
For duodenal or jejunal placement, an additional 20 to 30 cm is required.
A nurse is caring for a group of clients. The nurse should identify that which of the following
clients requires an enteral tube feeding?
A. A client who has a paralytic ileus
B. A client who has recently experienced facial trauma
C. A client who has dysphagia
D. A client who has a decreased appetite
- ANSWER C. A client who has dysphagia
Rationale: The nurse should identify that a client who is unable to swallow oral nutrition can
benefit from enteral feedings.
A nurse is preparing to administer a continuous enteral tube feeding to a client. The nurse
should take which of the following actions to prevent a complication of the tube feeding?
A. Limit the time the formula hangs to 8 hr.
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