Question 1

A nurse is instructing a family member who will be caring for a patient receiving enteral feedings after discharge to home. The nurse would emphasize:

Accepted Answer

A)  taping the gastrostomy tube so that it does not hang lower than the stomach. 
B)  discarding unused opened refrigerated formula after 3 to 4 days. 
C)  administering tube feedings while they are still cold from the refrigerator. 
D)  mixing all medications together for administration at the same time. 
A)  taping the gastrostomy tube so that it does not hang lower than the stomach. 
B)  discarding unused opened refrigerated formula after 3 to 4 days. 
C)  administering tube feedings while they are still cold from the refrigerator. 
D)  mixing all medications together for administration at the same time.

Question 2

The nurse caring for the patient receiving total parenteral nutrition (TPN) should monitor the flow rate every _____ hours.

Accepted Answer

A)  2 
B)  3 
C)  4 
D)  6 
A)  2 
B)  3 
C)  4 
D)  6

Question 3

A nurse positions a patient for the insertion of a nasogastric (NG) tube by:

Accepted Answer

A)  turning the patient to a right side-lying position. 
B)  sitting the patient upright and hyperextending the patient's head. 
C)  lowering the head of the bed to a flat position. 
D)  raising the head of the bed to 30 degrees. 
A)  turning the patient to a right side-lying position. 
B)  sitting the patient upright and hyperextending the patient's head. 
C)  lowering the head of the bed to a flat position. 
D)  raising the head of the bed to 30 degrees.

Question 4

A nurse giving a bolus feeding through a nasogastric tube with a syringe would: (Select all that apply.)

Accepted Answer

A)  pull up 50 mL of formula in the syringe. 
B)  lower the head of the bed to flat position. 
C)  allow feeding to flow in by gravity. 
D)  flush the tube with 50 mL of water. 
E)  check the position of the tube. 
A)  pull up 50 mL of formula in the syringe. 
B)  lower the head of the bed to flat position. 
C)  allow feeding to flow in by gravity. 
D)  flush the tube with 50 mL of water. 
E)  check the position of the tube.

Question 5

Because of the patient's dysphagia, the nurse recommends to the physician that the patient be placed on a Level II texture level diet, which means that the food is:

Accepted Answer

A)  thickened to prevent aspiration. 
B)  pureed to a pudding consistency. 
C)  mechanically altered, moist, minced helpings. 
D)  minced into bite-size pieces. 
A)  thickened to prevent aspiration. 
B)  pureed to a pudding consistency. 
C)  mechanically altered, moist, minced helpings. 
D)  minced into bite-size pieces.

Question 6

The nurse recommends to a patient who desires weight reduction to engage in a minimum of ______ minutes of exercise most days of the week.

Accepted Answer

30 minutes
Thirty minutes
Phys

Question 7

A nurse caring for a patient with bulimia should add to the care plan to assess for:

Accepted Answer

A)  hiding food in napkins or under plate. 
B)  inducing self to vomit. 
C)  refusal to eat. 
D)  flushing food down commode. 
A)  hiding food in napkins or under plate. 
B)  inducing self to vomit. 
C)  refusal to eat. 
D)  flushing food down commode.

Question 8

The nurse inserting an NG tube through the nostril into the back of the throat of a patient would instruct the patient to:

Accepted Answer

A)  hyperextend the head. 
B)  cough forcefully. 
C)  drop head forward and begin to swallow. 
D)  open mouth and extend tongue. 
A)  hyperextend the head. 
B)  cough forcefully. 
C)  drop head forward and begin to swallow. 
D)  open mouth and extend tongue.

Question 9

The correct anatomic landmarks to follow when inserting a nasogastric tube is to measure from the __________ to the ___________ and then to the ___________.

Accepted Answer

tip of the nose; tip

Question 10

Stopping the infusion and checking for residual, the nurse aspirates 155 mL of gastric contents. The nurse should next:

Accepted Answer

A)  replace the aspirate and continue with the feeding. 
B)  throw the aspirate away and flush the tubing. 
C)  replace the aspirate and stop feeding for 1 to 2 hours. 
D)  throw the aspirate away and stop feeding for 2 hours. 
A)  replace the aspirate and continue with the feeding. 
B)  throw the aspirate away and flush the tubing. 
C)  replace the aspirate and stop feeding for 1 to 2 hours. 
D)  throw the aspirate away and stop feeding for 2 hours.

Question 11

A patient who underwent surgery has an order to begin a clear-liquid diet and can be offered:

Accepted Answer

A)  tea with milk. 
B)  Jell-O. 
C)  cream soup. 
D)  fruit sherbet. 
A)  tea with milk. 
B)  Jell-O. 
C)  cream soup. 
D)  fruit sherbet.

Question 12

An outpatient clinic nurse assesses a blood glucose level of 75 mg/dL in a patient who has been on a low-carbohydrate diet for the last 10 days. The nurse should:

Accepted Answer

A)  notify the physician about the ineffectiveness of the diet. 
B)  document the finding. 
C)  suggest a moderate increase carbohydrate intake. 
D)  arrange a dietician consultation to discuss a more effective diet. 
A)  notify the physician about the ineffectiveness of the diet. 
B)  document the finding. 
C)  suggest a moderate increase carbohydrate intake. 
D)  arrange a dietician consultation to discuss a more effective diet.

Question 13

The nurse caring for a patient receiving enteral feedings would assess for tolerance of the feeding by monitoring:

Accepted Answer

A)  for gastric tube patency. 
B)  for duodenal tube patency. 
C)  for abdominal distention. 
D)  the rate of the feeding. 
A)  for gastric tube patency. 
B)  for duodenal tube patency. 
C)  for abdominal distention. 
D)  the rate of the feeding.

Question 14

Fluid overload is suspected in an 82-year-old patient who is receiving total parenteral nutritional therapy (TPN) when the nurse assesses: (Select all that apply.)

Accepted Answer

A)  excessive urine output. 
B)  increased pulse rate. 
C)  dyspnea. 
D)  hyperactive bowel sounds. 
E)  complaint of headache. 
A)  excessive urine output. 
B)  increased pulse rate. 
C)  dyspnea. 
D)  hyperactive bowel sounds. 
E)  complaint of headache.

Question 15

When the patient has just finished receiving a tube feeding, the nurse leaves the head of the patient's bed elevated for 30 to 60 minutes after feeding in order to:

Accepted Answer

A)  facilitate stomach emptying and prevent aspiration. 
B)  maintain skin integrity to the buttocks. 
C)  facilitate lung drainage and promote ventilation. 
D)  prevent feeding tube from clogging. 
A)  facilitate stomach emptying and prevent aspiration. 
B)  maintain skin integrity to the buttocks. 
C)  facilitate lung drainage and promote ventilation. 
D)  prevent feeding tube from clogging.

Question 16

A patient who is on a low-cholesterol diet verbalizes that he enjoys eating meats and doesn't intend to stop. The nurse's most helpful response would be, "You can enjoy your meat if you will concentrate on such meats as:

Accepted Answer

A)  broiled sirloin steak." 
B)  fried catfish." 
C)  baked turkey breast." 
D)  sausage patties." 
A)  broiled sirloin steak." 
B)  fried catfish." 
C)  baked turkey breast." 
D)  sausage patties."

Exam 27: Diet Therapy and Assisted Feeding

A nurse is instructing a family member who will be caring for a patient receiving enteral feedings after discharge to home. The nurse would emphasize:

The nurse caring for the patient receiving total parenteral nutrition (TPN) should monitor the flow rate every _____ hours.

A nurse positions a patient for the insertion of a nasogastric (NG) tube by:

A nurse giving a bolus feeding through a nasogastric tube with a syringe would: (Select all that apply.)

Because of the patient's dysphagia, the nurse recommends to the physician that the patient be placed on a Level II texture level diet, which means that the food is:

The nurse recommends to a patient who desires weight reduction to engage in a minimum of ______ minutes of exercise most days of the week.

A nurse caring for a patient with bulimia should add to the care plan to assess for:

The nurse inserting an NG tube through the nostril into the back of the throat of a patient would instruct the patient to:

The correct anatomic landmarks to follow when inserting a nasogastric tube is to measure from the __________ to the ___________ and then to the ___________.

Stopping the infusion and checking for residual, the nurse aspirates 155 mL of gastric contents. The nurse should next:

A patient who underwent surgery has an order to begin a clear-liquid diet and can be offered:

An outpatient clinic nurse assesses a blood glucose level of 75 mg/dL in a patient who has been on a low-carbohydrate diet for the last 10 days. The nurse should:

The nurse caring for a patient receiving enteral feedings would assess for tolerance of the feeding by monitoring:

Fluid overload is suspected in an 82-year-old patient who is receiving total parenteral nutritional therapy (TPN) when the nurse assesses: (Select all that apply.)

When the patient has just finished receiving a tube feeding, the nurse leaves the head of the patient's bed elevated for 30 to 60 minutes after feeding in order to:

A patient who is on a low-cholesterol diet verbalizes that he enjoys eating meats and doesn't intend to stop. The nurse's most helpful response would be, "You can enjoy your meat if you will concentrate on such meats as:

Nursing and the Health Care System

Concepts of Health, Illness, Stress, and Health Promotion

Legal and Ethical Aspects of Nursing

Nursing Process and Critical Thinking

Assessment, Nursing Diagnosis, and Planning

Implementation and Evaluation

Documentation of Nursing Care

Communication and the Nurse-Patient Relationship

Patient Teaching for Health Promotion

Delegation, Leadership, and Management

Growth and Development: Infancy Through Adolescence

Adulthood and the Family

Promoting Healthy Adaptation to Aging

Cultural and Spiritual Aspects of Patient Care

Loss, Grief, the Dying Patient, and Palliative Care

Infection Prevention and Control: Protective Mechanisms and Asepsis

Infection Prevention and Control in the Hospital and Home

Lifting, Moving, and Positioning Patients

Assisting with Hygiene, Personal Care, Skin Care, and the Prevention of Pressure Ulcers

Patient Environment and Safety

Measuring Vital Signs

Assessing Health Status

Admitting, Transferring, and Discharging Patients

Diagnostic Tests and Specimen Collection

Fluid, Electrolyte, and Acid–Base Balance

Concepts of Basic Nutrition and Cultural Considerations

Assisting with Respiration and Oxygen Delivery

Promoting Urinary Elimination

Promoting Bowel Elimination

Pain, Comfort, and Sleep

Complementary and Alternative Therapies

Pharmacology and Preparation for Drug Administration

Administering Oral, Topical, and Inhalant Medications

Administering Intradermal, Subcutaneous, and Intramuscular Injections

Administering Intravenous Solutions and Medications

Care of the Surgical Patient

Providing Wound Care and Treating Pressure Ulcers

Promoting Musculoskeletal Function

Common Physical Care Problems of the Elderly

Common Psychosocial Care Problems of the Elderly

Filters

The correct anatomic landmarks to follow when inserting a nasogastric tube is to measure from the ____ to the _ and then to the _______.