Question 1

An appropriate technique for nasogastric (NG)tube insertion is for the nurse to:

Accepted Answer

A) position the patient supine. 
B) apply oil-based lubricant to the plastic tube. 
C) advance the tube while the patient swallows. 
D) measure the tube length from the nose to the sternum. 
A) position the patient supine. 
B) apply oil-based lubricant to the plastic tube. 
C) advance the tube while the patient swallows. 
D) measure the tube length from the nose to the sternum. C

Question 2

The nurse,physician,and dietitian collaborate to select an enteral feeding formula for the patient.Their decision should be based on which of the following?

Accepted Answer

A) Protein requirements of the patient 
B) Digestive ability of the patient 
C) Amount of lactose required 
D) The patient's disease process 
A) Protein requirements of the patient 
B) Digestive ability of the patient 
C) Amount of lactose required 
D) The patient's disease process A,B

Question 3

The nurse is preparing to administer an enteral feeding for the patient.The patient has been on enteral feedings for 2 days.The nurse knows that the most appropriate technique for implementing enteral feeding is:

Accepted Answer

A) weighing the patient weekly. 
B) measuring the gastric residual every hour. 
C) changing the formula every 12 hours in an open system. 
D) leaving the formula in place in an open system for up to 24 hours. 
A) weighing the patient weekly. 
B) measuring the gastric residual every hour. 
C) changing the formula every 12 hours in an open system. 
D) leaving the formula in place in an open system for up to 24 hours. C

Question 4

Before insertion of a nasogastric (NG)tube,of which finding should the physician be notified?

Accepted Answer

A) Patent nares 
B) Absent bowel sounds 
C) Evident gag reflex 
D) Impaired swallowing 
A) Patent nares 
B) Absent bowel sounds 
C) Evident gag reflex 
D) Impaired swallowing

Question 5

The nurse is caring for a patient with an enteral feeding tube in place.The nurse assesses for pulmonary aspiration as the main complication related to feeding tubes.Other complications include which of the following?

Accepted Answer

A) Infection 
B) Diarrhea 
C) Tube clogging 
D) Tube dislodgment 
A) Infection 
B) Diarrhea 
C) Tube clogging 
D) Tube dislodgment

Question 6

The nurse is checking gastric residual on a patient who has a continuously running tube feeding and finds that the patient has a 600-mL gastric residual volume (GRV).How should the nurse respond?

Accepted Answer

A) Stop the tube feeding. 
B) Slow the tube feeding. 
C) Continue the tube feeding at the same rate. 
D) Increase the rate of the tube feeding. 
A) Stop the tube feeding. 
B) Slow the tube feeding. 
C) Continue the tube feeding at the same rate. 
D) Increase the rate of the tube feeding.

Question 7

Which evaluation indicates that placement of a nasogastric or enteric tube is correct?

Accepted Answer

A) Nasointestinal aspirate with a pH of less than 6 
B) Pleural fluid pH of less than 6 
C) Gastric aspirate with a pH of 5 or less after patient fasting 
D) Gastric aspirate with a pH of 4 and continuous tube feedings 
A) Nasointestinal aspirate with a pH of less than 6 
B) Pleural fluid pH of less than 6 
C) Gastric aspirate with a pH of 5 or less after patient fasting 
D) Gastric aspirate with a pH of 4 and continuous tube feedings

Question 8

The nurse is caring for a patient in a chronic vegetative state with inadequate gastric emptying.The nurse would anticipate finding in a ________ tube placed to assist with this patient's nutritional needs.

Accepted Answer

The answer of The nurse is caring for a patient...

Question 9

The nurse determines that a nasogastric (NG)tube needs irrigation when she:

Accepted Answer

A) obtains more than 200 mL of residual volume. 
B) obtains a small amount of thin watery residual. 
C) does not encounter resistance when aspirating the residual. 
D) obtains an unusually thick secretions. 
A) obtains more than 200 mL of residual volume. 
B) obtains a small amount of thin watery residual. 
C) does not encounter resistance when aspirating the residual. 
D) obtains an unusually thick secretions.

Question 10

The nurse has inserted a nasogastric (NG)feeding tube.The feeding tube has a stylet in place to aid insertion.What should the nurse do once the tube is in place?

Accepted Answer

A) Remove the stylet immediately. 
B) Reinsert the stylet if the radiograph determines incorrect placement. 
C) Fasten the end of the NG tube to the patient's gown using tape and a safety pin. 
D) Leave the stylet in place and obtain a chest/abdomen radiograph. 
A) Remove the stylet immediately. 
B) Reinsert the stylet if the radiograph determines incorrect placement. 
C) Fasten the end of the NG tube to the patient's gown using tape and a safety pin. 
D) Leave the stylet in place and obtain a chest/abdomen radiograph.

Question 11

The nurse would anticipate the need for an enteral access device in which of the following patients?

Accepted Answer

A) Patient whose bowel sounds have not yet returned after abdominal surgery 
B) Patient recently diagnosed with a cerebrovascular accident (CV
A)  
C) Patient who dislikes the taste of agency meals 
D) Patient who suffers from severe acute dysphagia 
A) Patient whose bowel sounds have not yet returned after abdominal surgery 
B) Patient recently diagnosed with a cerebrovascular accident (CV
A)  
C) Patient who dislikes the taste of agency meals 
D) Patient who suffers from severe acute dysphagia

Question 12

The nurse is caring for a patient who is receiving continuous tube feedings.What must the nurse do to care for this patient?

Accepted Answer

A) Verify tube position every 4 to 6 hours. 
B) Obtain a radiograph every 4 to 12 hours. 
C) Instill air into the stomach via the tube and listen for bubbles. 
D) Do not worry about tube placement because the tube has already been determined to be in the right place. 
A) Verify tube position every 4 to 6 hours. 
B) Obtain a radiograph every 4 to 12 hours. 
C) Instill air into the stomach via the tube and listen for bubbles. 
D) Do not worry about tube placement because the tube has already been determined to be in the right place.

Question 13

Which technique is appropriate for providing intermittent tube feeding once placement of the tube has been checked?

Accepted Answer

A) Cooling the formula 
B) Lowering the head of the bed 
C) Allowing the bag to empty gradually over 30 to 45 minutes 
D) Adding food coloring to detect aspiration 
A) Cooling the formula 
B) Lowering the head of the bed 
C) Allowing the bag to empty gradually over 30 to 45 minutes 
D) Adding food coloring to detect aspiration

Question 14

What is an appropriate amount of nasogastric irrigant for an adult patient?

Accepted Answer

A) 1 to 2 mL 
B) 30 mL 
C) 5 to 15 mL 
D) 250 mL 
A) 1 to 2 mL 
B) 30 mL 
C) 5 to 15 mL 
D) 250 mL

Question 15

The nurse is initiating a continuous tube feeding for a patient who has a gastrostomy tube.Which of the following procedures indicates proper practice?

Accepted Answer

A) Allow the container to empty gradually over 60 minutes. 
B) Change the bag every 24 hours. 
C) Do not use water to flush the tube. 
D) Quickly increase the rate of administration. 
A) Allow the container to empty gradually over 60 minutes. 
B) Change the bag every 24 hours. 
C) Do not use water to flush the tube. 
D) Quickly increase the rate of administration.

Question 16

The nurse has just inserted a nasogastric (NG)feeding tube into a patient.What should the nurse do to definitely ascertain that the tube is in the stomach or in the intestine?

Accepted Answer

A) Test the pH of the contents. 
B) Use a carbon dioxide sensor. 
C) Lower the head of the bed to 15 degrees. 
D) Obtain an order for a chest radiograph. 
A) Test the pH of the contents. 
B) Use a carbon dioxide sensor. 
C) Lower the head of the bed to 15 degrees. 
D) Obtain an order for a chest radiograph.

Question 17

The nurse is caring for a patient with a nasogastric tube in place.What interventions would the nurse perform to reduce the risk of clogging the feeding tube?
a.Use the smallest barrel syringe possible to reduce the pressure in the tube.
b.Mix medication with feedings to thoroughly dilute the medication.
c.Flush the tube liberally with water before,between,and after each medication instillation.
d.Use the largest barrel syringe possible to reduce the pressure in the tube.
e.Crush solid medications thoroughly and mix them in water before administration.

Accepted Answer

The answer of The nurse is caring for a patient...

Question 18

Of the patients listed below,which would be a candidate for nasoenteric feeding tube placement?

Accepted Answer

A) Post-motor vehicle accident victim with a broken nose and jaw 
B) Patient with a bleeding ulcer and possible esophageal varices 
C) Elderly patient with a diagnosis of failure to thrive and an inability to chew 
D) Patient with an esophageal tumor 
A) Post-motor vehicle accident victim with a broken nose and jaw 
B) Patient with a bleeding ulcer and possible esophageal varices 
C) Elderly patient with a diagnosis of failure to thrive and an inability to chew 
D) Patient with an esophageal tumor

Question 19

The nurse is checking the residual volume on a patient who is getting intermittent tube feedings via his NG tube.Which of the following may indicate that the patient has started to bleed again?

Accepted Answer

A) The nurse obtains brown aspirate. 
B) The nurse notices that the abdomen is distended. 
C) The nurse obtains red aspirate. 
D) The nurse notices severe respiratory distress. 
A) The nurse obtains brown aspirate. 
B) The nurse notices that the abdomen is distended. 
C) The nurse obtains red aspirate. 
D) The nurse notices severe respiratory distress.

Question 20

A tube passed through the nose or mouth with the end terminating in the stomach or the small bowel,and used in feeding the patient for short periods is known as a _____________.

Accepted Answer

nasogastri

Exam 32: Enteral Nutrition

An appropriate technique for nasogastric (NG)tube insertion is for the nurse to:

The nurse,physician,and dietitian collaborate to select an enteral feeding formula for the patient.Their decision should be based on which of the following?

The nurse is preparing to administer an enteral feeding for the patient.The patient has been on enteral feedings for 2 days.The nurse knows that the most appropriate technique for implementing enteral feeding is:

Before insertion of a nasogastric (NG)tube,of which finding should the physician be notified?

The nurse is caring for a patient with an enteral feeding tube in place.The nurse assesses for pulmonary aspiration as the main complication related to feeding tubes.Other complications include which of the following?

The nurse is checking gastric residual on a patient who has a continuously running tube feeding and finds that the patient has a 600-mL gastric residual volume (GRV).How should the nurse respond?

Which evaluation indicates that placement of a nasogastric or enteric tube is correct?

The nurse is caring for a patient in a chronic vegetative state with inadequate gastric emptying.The nurse would anticipate finding in a ________ tube placed to assist with this patient's nutritional needs.

The nurse determines that a nasogastric (NG)tube needs irrigation when she:

The nurse has inserted a nasogastric (NG)feeding tube.The feeding tube has a stylet in place to aid insertion.What should the nurse do once the tube is in place?

The nurse would anticipate the need for an enteral access device in which of the following patients?

The nurse is caring for a patient who is receiving continuous tube feedings.What must the nurse do to care for this patient?

Which technique is appropriate for providing intermittent tube feeding once placement of the tube has been checked?

What is an appropriate amount of nasogastric irrigant for an adult patient?

The nurse is initiating a continuous tube feeding for a patient who has a gastrostomy tube.Which of the following procedures indicates proper practice?

The nurse has just inserted a nasogastric (NG)feeding tube into a patient.What should the nurse do to definitely ascertain that the tube is in the stomach or in the intestine?

Of the patients listed below,which would be a candidate for nasoenteric feeding tube placement?

The nurse is checking the residual volume on a patient who is getting intermittent tube feedings via his NG tube.Which of the following may indicate that the patient has started to bleed again?

A tube passed through the nose or mouth with the end terminating in the stomach or the small bowel,and used in feeding the patient for short periods is known as a _____________.

Using Evidence in Practice

Admitting, transfer, and Discharge

Communication and Collaboration

Documentation and Informatics

Vital Signs

Health Assessment

Specimen Collection

Diagnostic Procedures

Medical Asepsis

Sterile Technique

Safe Patient Handling, transfer, and Positioning

Exercise Mobility

Support Surfaces and Special Beds

Patient Safety

Disaster Preparedness

Pain Management

Palliative Care

Personal Hygiene and Bed Making

Care of the Eye and Ear

Safe Medication Preparation

Administration of Nonparenteral Medications

Administration of Parenteral Medications

Oxygen Therapy

Performing Chest Physiotherapy

Airway Management

Cardiac Care

Closed Chest Drainage Systems

Emergency Measure for Life Support

Intravenous and Vascular Access Therapy

Blood Therapy

Oral Nutrition

Parenteral Nutrition

Urinary Elimination

Bowel Elimination and Gastric Intubation

Ostomy Care

Preoperative and Postoperative Care

Intraoperative Care

Pressure Injury Prevention and Care

Wound Care and Irrigations

Dressings,bandages,and Binders

Therapeutic Use of Heat and Cold

Home Care Safety

Home Care Teaching

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