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Practice Question

A nurse is checking for proper placement of a feeding tube. Which of the following methods is the most reliable for verification of tube placement?

Answer Choices:

Correct Answer:

Request a chest x-ray

Rationale:

💎 The most reliable method to verify feeding tube placement is a chest/abdominal x-ray. This ensures the tube is in the stomach or small intestine, not in the respiratory tract.

💎 While checking pH of gastric aspirate can help, it is not as accurate as radiographic confirmation, especially in patients on acid-suppressing medications.

💎 Auscultating for air insufflation (the “whoosh test”) is not reliable and is no longer recommended because it cannot rule out misplacement in the lungs or esophagus.

💎 Measuring bilirubin in aspirate is not a standard or reliable method for confirming placement.

💎 Since misplaced tubes can cause serious complications such as aspiration pneumonia or lung injury, an x-ray remains the gold standard for safe practice.

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This question is from PN fundamentals 2023 (ATI) which contains 67 questions.

More Questions from This Exam
A nurse is reinforcing teaching with a newly licensed nurse about HIPAA. Which of the following actions should the nurse include as a violation of HIPAA? 

Answer Choices:

A. Describing a client's status to a nurse who will assume care
B. Discussing a client's treatment plan at the nurses' station
C. Discussing a client's care with their legal guardian
D. Allowing a client to access their medical records
A nurse is caring for a client who was recently admitted to hospice care and tells the nurse, "I am going to die and my family is hoping for a cure. I am mad that they behave like everything will be fine." Which of the following responses should the nurse make? 

Answer Choices:

A. "It sounds like you have given up and want to stay mad at your family."
B. "You are feeling angry that your family continues to wish for a cure?"
C. "Why do you think they don't know what's happening?"
D. "I think you and I need to talk about your anger with your family."
A nurse at a long-term care facility is reinforcing teaching with a newly licensed nurse about the proper use of restraints. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

Answer Choices:

A. Pad bony prominences before applying a restraint.
B. Observe the client's skin integrity every 2 hr
C. Ensure that 2 fingers can be placed between the restraint and the client
D. Use a square knot to secure the client's restraint to the bed.
E. Tie the ends of the restraint to the client's bed rail.
From Exam
PN fundamentals 2023 (ATI)

67 Questions

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Question Details
  • Category: LPN Nursing Exam(s)
  • Subcategory: LPN ATI Exams
  • Domain: Fundamentals of Nursing
  • Answer Choices: 4
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