Question 1

Which action by the student nurse would cause the nursing instructor to intervene when administering medications through a feeding tube?

Accepted Answer

A)  Dissolving a patient's crushed medication in sterile water or saline 
B)  Crushing a patient's medications together to facilitate administration 
C)  Pouring the dissolved fluid/medication mixture into the feeding syringe to infuse by gravity 
D)  Elevating the head of the patient's bed 35 to 45 degrees to prevent aspiration 
A)  Dissolving a patient's crushed medication in sterile water or saline 
B)  Crushing a patient's medications together to facilitate administration 
C)  Pouring the dissolved fluid/medication mixture into the feeding syringe to infuse by gravity 
D)  Elevating the head of the patient's bed 35 to 45 degrees to prevent aspiration C

Question 2

Which statement is false regarding open tube feeding systems?

Accepted Answer

A)  They may be administered by syringe or feeding bag. 
B)  A feeding bag may hang 24 hours, but should be rinsed well between feedings. 
C)  The syringe used to administer bolus feedings must be replaced every 24 hours. 
D)  A ready-to-hang bottle may be used to administer feedings through an open system. 
A)  They may be administered by syringe or feeding bag. 
B)  A feeding bag may hang 24 hours, but should be rinsed well between feedings. 
C)  The syringe used to administer bolus feedings must be replaced every 24 hours. 
D)  A ready-to-hang bottle may be used to administer feedings through an open system. D

Question 3

Which of the following are disadvantages of gastrostomy tubes? Select all that apply.

Accepted Answer

A)  Requires smaller volumes of feeding due to small size of jejunum 
B)  Requires surgical procedure and incision are required 
C)  Highest risk of aspiration of any feeding system 
D)  Risk of infection at insertion site 
E)  May become dislodged 
A)  Requires smaller volumes of feeding due to small size of jejunum 
B)  Requires surgical procedure and incision are required 
C)  Highest risk of aspiration of any feeding system 
D)  Risk of infection at insertion site 
E)  May become dislodged B,D,E

Question 4

After initially verifying placement of a patient's feeding tube by x-ray, which methods should the nurse use to verify placement routinely at the bedside? Select all that apply.

Accepted Answer

A)  Checking the tube for carbon monoxide using a capnometer at least once per shift 
B)  Aspiration of stomach contents for greenish-brown fluid 
C)  Injecting a small volume of air while auscultating over the stomach area 
D)  Placing the end of the feeding tube into a cup of distilled water to check for bubbling 
E)  Repeating an x-ray prior to each feeding or at least daily to document placement 
A)  Checking the tube for carbon monoxide using a capnometer at least once per shift 
B)  Aspiration of stomach contents for greenish-brown fluid 
C)  Injecting a small volume of air while auscultating over the stomach area 
D)  Placing the end of the feeding tube into a cup of distilled water to check for bubbling 
E)  Repeating an x-ray prior to each feeding or at least daily to document placement

Question 5

A feeding tube that is placed directly into the stomach with the aid of an endoscope is called:

Accepted Answer

A)  A nasogastric tube 
B)  An orogastric tube 
C)  A percutaneous endoscopic gastrostomy (PEG) tube 
D)  A percutaneous endoscopic jejunostomy (PEJ) tube 
A)  A nasogastric tube 
B)  An orogastric tube 
C)  A percutaneous endoscopic gastrostomy (PEG) tube 
D)  A percutaneous endoscopic jejunostomy (PEJ) tube

Question 6

Which of the following is the most reliable method of verifying the correct placement of a feeding tube?

Accepted Answer

A)  Aspirating stomach contents 
B)  Checking the pH of stomach contents 
C)  Instilling air into the stomach while listening with a stethoscope 
D)  Through radiography (x-ray) 
A)  Aspirating stomach contents 
B)  Checking the pH of stomach contents 
C)  Instilling air into the stomach while listening with a stethoscope 
D)  Through radiography (x-ray)

Question 7

The nurse is checking the residual volume of tube feeding on a patient who is receiving continuous feeding at 40 mL/hr. After aspirating and noting that the patient has 120 mL residual feeding in the stomach, what should the nurse do? Select all that apply.

Accepted Answer

A)  Discard the aspirated feeding into the client's toilet using Standard Precautions. 
B)  Document the procedure and the amount of aspirate obtained. 
C)  Place the feeding infusion on hold. 
D)  Flush the feeding tube with tap water. 
E)  Return the aspirate to the stomach through the feeding tube. 
A)  Discard the aspirated feeding into the client's toilet using Standard Precautions. 
B)  Document the procedure and the amount of aspirate obtained. 
C)  Place the feeding infusion on hold. 
D)  Flush the feeding tube with tap water. 
E)  Return the aspirate to the stomach through the feeding tube.

Which action by the student nurse would cause the nursing instructor to intervene when administering medications through a feeding tube?

Which statement is false regarding open tube feeding systems?

Which of the following are disadvantages of gastrostomy tubes? Select all that apply.

After initially verifying placement of a patient's feeding tube by x-ray, which methods should the nurse use to verify placement routinely at the bedside? Select all that apply.

A feeding tube that is placed directly into the stomach with the aid of an endoscope is called:

Which of the following is the most reliable method of verifying the correct placement of a feeding tube?

The nurse is checking the residual volume of tube feeding on a patient who is receiving continuous feeding at 40 mL/hr. After aspirating and noting that the patient has 120 mL residual feeding in the stomach, what should the nurse do? Select all that apply.

Whole Numbers

Fractions

Decimals and Percents

Dimensional Analysis

Measures and Equivalents

Conversions

Safety Considerations in Medication Administration

Prescriptions and Medication Orders

Reading Medication Labels and Syringes

Reconstituting Parenteral Medications From a Powder

Calculations Using Weight and Body Surface Area

Intravenous Delivery Systems and Equipmen

Intravenous Calculations

Insulin Administration

Heparin Administration

Critical Care Dosage Calculations

Lifespan Considerations in Dosage Calculation

Filters

Exam 14: Enteral Tube Feedings

Which action by the student nurse would cause the nursing instructor to intervene when administering medications through a feeding tube?

Which statement is false regarding open tube feeding systems?

Which of the following are disadvantages of gastrostomy tubes? Select all that apply.

After initially verifying placement of a patient's feeding tube by x-ray, which methods should the nurse use to verify placement routinely at the bedside? Select all that apply.

A feeding tube that is placed directly into the stomach with the aid of an endoscope is called:

Which of the following is the most reliable method of verifying the correct placement of a feeding tube?

The nurse is checking the residual volume of tube feeding on a patient who is receiving continuous feeding at 40 mL/hr. After aspirating and noting that the patient has 120 mL residual feeding in the stomach, what should the nurse do? Select all that apply.

Whole Numbers

Fractions

Decimals and Percents

Dimensional Analysis

Measures and Equivalents

Conversions

Safety Considerations in Medication Administration

Prescriptions and Medication Orders

Reading Medication Labels and Syringes

Reconstituting Parenteral Medications From a Powder

Calculations Using Weight and Body Surface Area

Intravenous Delivery Systems and Equipmen

Intravenous Calculations

Insulin Administration

Heparin Administration

Critical Care Dosage Calculations

Lifespan Considerations in Dosage Calculation

Filters