ATI/NCLEX Nutrition Review: Preventing Aspiration, Assisting with Eating and Feeding, Glucose Monitoring, Enteral Nutrition & Parenteral Nutrition

A nurse observes a client with a nasogastric tube exhibiting difficulty breathing, wheezing, and a productive cough after a tube feeding. After stopping the feeding, what is the priority nursing action?

A client with dysphagia is prescribed thickened liquids. Which instruction is most important for the nurse to provide to the client and their caregiver?

A client receiving continuous enteral feedings begins to exhibit increased heart rate, decreased oxygen saturation, and audible wheezing. What is the initial nursing intervention?

Which action is most crucial for the nurse to implement when caring for a client receiving total parenteral nutrition (TPN)?

A nurse is planning care for a client with dysphagia who requires assistance with feeding. Which intervention is most crucial to include in the care plan?

A nurse is preparing to administer insulin to a client with diabetes. Which action is most important for the nurse to take to ensure accurate dosing?

What is the primary reason for confirming nasogastric (NG) tube placement via x-ray before initiating feedings?

A client receiving enteral nutrition develops a fever of 38.2°C (100.8°F), has increased respiratory rate, and new onset of crackles in the lungs. What is the nurse's priority intervention?

A client with a history of aspiration pneumonia is prescribed a modified diet with honey-thick liquids. Which observation during mealtime requires immediate intervention?

A nurse is caring for a client receiving total parenteral nutrition (TPN). Which laboratory value requires immediate notification of the health care provider?

The nurse is preparing to administer a bolus feeding via a nasogastric tube. After aspirating the gastric contents, the pH is 5.5. What is the most appropriate nursing action?

A nurse is caring for a client with a gastrostomy tube (G-tube). Prior to administering medication through the tube, what is the most critical step to ensure client safety?

A client with diabetes receives rapid-acting insulin at 0700. At what time should the nurse closely monitor for potential hypoglycemia?

What is the most appropriate needle angle for administering insulin subcutaneously to a client with very little subcutaneous tissue?

A nurse is teaching a client about the supraglottic swallow technique. Which statement indicates the client understands the instructions?

Following the completion of a continuous enteral feeding, what is the most important action for the nurse to take to maintain tube patency and reduce bacterial contamination?

Which instruction should a nurse provide to assistive personnel (AP) when assisting a client with a high aspiration risk during meal times?

A client receiving total parenteral nutrition (TPN) suddenly develops shortness of breath, chest pain, and becomes diaphoretic. What is the nurse’s first action?

A nurse is caring for a client with a nasojejunal (NJ) tube. Which intervention is most important when administering medications through this tube?

A nurse is teaching a client about the chin-tuck swallowing technique. What is the primary reason for using this technique?

A client with diabetes is prescribed insulin glargine (long-acting insulin) once daily. What should the nurse emphasize when teaching the client about this medication?

A nurse is preparing to administer a bolus enteral feeding to a client via a nasogastric tube. Which step is essential to perform immediately before initiating the feeding?

What is the most important nursing consideration when initiating parenteral nutrition for a client?

Which finding requires the most immediate intervention by the nurse when caring for a client receiving total parenteral nutrition (TPN)?

A nurse notes that the skin around a client’s gastrostomy tube (G-tube) insertion site is red, warm to the touch, and has purulent drainage. What is the priority nursing intervention?

A nurse is preparing to administer insulin lispro to a client with type 1 diabetes. Which statement is most important to include in the client education regarding this medication?

A client with dysphagia is prescribed the Mendelsohn maneuver by a speech therapist. Which of the following statements explains the purpose of this technique?

A nurse is caring for a client receiving enteral feedings who develops diarrhea. Which action should the nurse take first?

A nurse is preparing to administer a dose of insulin intravenously. Which type of insulin is appropriate for IV administration?

A client is admitted with a small bowel obstruction. The provider prescribes insertion of a nasogastric tube with low intermittent suction. What is the primary goal of this intervention?

A client receiving continuous enteral feeding develops a distended abdomen and reports discomfort. What is the nurse’s priority intervention?

A nurse is preparing to administer total parenteral nutrition (TPN) through a central venous catheter. What is most important for the nurse to do during the administration?

A client with a history of repeated aspiration pneumonia is scheduled for a percutaneous endoscopic gastrostomy (PEG) tube placement. What pre-procedure instruction needs reinforcing?

A client with diabetes reports feeling shaky and sweaty. The nurse checks the client’s blood glucose level, which is 60 mg/dL. After providing 15 grams of carbohydrates, how long should the nurse wait before rechecking the blood glucose level?

A nurse is teaching a client who is beginning enteral feedings at home. Which statement indicates understanding?

A client receiving continuous enteral feedings via a nasogastric tube exhibits a sudden onset of agitation, increased respiratory rate, and new-onset coarse crackles bilaterally. Which of the following actions is the most critical for the nurse to perform first?

A client with a history of stroke is undergoing a swallowing evaluation. The speech therapist recommends the 'chin-tuck' technique. Which statement best explains the physiological rationale for this technique?

A client receiving total parenteral nutrition (TPN) complains of sudden onset of thirst, headache, and blurred vision. The nurse notes a rapid heart rate and elevated blood pressure. Which complication should the nurse suspect first?

A nurse is preparing to administer insulin to a client with a blood glucose of 350 mg/dL. The insulin order reads: 'Administer insulin lispro 0.1 units/kg subcutaneously.' The client weighs 220 lbs. How many units of insulin lispro should the nurse administer?

A client with a newly placed nasojejunal (NJ) tube is ordered to receive continuous enteral feedings. Which strategy is most effective in preventing potential complications associated with NJ tube feedings?

A client receiving total parenteral nutrition (TPN) through a central venous catheter develops a sudden onset of fever, chills, and hyperglycemia. Blood cultures are drawn, and antibiotics are prescribed. What is the most important subsequent nursing action related to the TPN administration?

A client with type 1 diabetes is prescribed a basal-bolus insulin regimen consisting of insulin glargine (Lantus) and insulin lispro (Humalog). The client reports consistently elevated blood glucose levels before lunch, despite appropriate insulin administration and diet. Which adjustment to the insulin regimen should the nurse anticipate the health care provider will most likely make?

A nurse is caring for a client receiving enteral nutrition who develops a serum sodium level of 155 mEq/L. Which intervention is most appropriate to address this electrolyte imbalance?

A client with dysphagia has been prescribed honey-thick liquids. Which observation during mealtime warrants immediate intervention by the nurse?

A client with a history of gastroparesis is receiving continuous enteral feedings via a gastrostomy tube. The nurse aspirates 300 mL of gastric residual volume prior to administering the next scheduled feeding. According to evidence-based practice, what is the most appropriate nursing action?

A client with type 1 diabetes is admitted to the hospital for diabetic ketoacidosis (DKA). The physician orders an insulin drip to be initiated at 0.1 units/kg/hour. The client weighs 150 lbs. The pharmacy prepares an insulin drip with 100 units of regular insulin in 100 mL of normal saline. At what rate (mL/hour) should the nurse set the infusion pump?

A nurse is developing a plan of care for a client with a nasogastric tube who is at high risk for aspiration. Which intervention is most crucial to include in the plan of care to minimize the risk of aspiration pneumonia?

A client receiving continuous total parenteral nutrition (TPN) abruptly develops diaphoresis, tremors, and altered mental status. The nurse suspects hypoglycemia. After obtaining a blood glucose level of 50 mg/dL, what is the most appropriate initial intervention?

A client with a long-standing history of dysphagia is undergoing a percutaneous endoscopic gastrostomy (PEG) tube placement. During the pre-procedure teaching, which statement by the client indicates a need for further education?

A client with a nasogastric tube develops persistent, non-productive coughing fits following medication administration. The nurse confirms correct tube placement and patency. What is the most appropriate action?