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NSG 320: Exam 3 Questions and
Answers Latest 2026
total perenteral nutrition (TPN)— Ans: entire nutrition is
inside an IV bag and goes right into the blood
what line is TPN given through— Ans: given CENTRAL
LINE! not peripheral IV
when are is central line feeding usually given— Ans: to a
client who is NPO (patients with pancreatitis and crohns)
How should TPN be administered and stopped?— Ans:
start and stop SLOW and GRADUALLY
patients receiving TPN are at high risk for— Ans: hyper
or hypoglycemia
how often should TPN tubing be changed?— Ans: every
24 hours
what should the nurse do if the TPN bag is almost empty,
but the next bag is not ready..— Ans: Hang 10% dextrose
water (to help avoid hypoglycemia)
nursing care for TPN— Ans: -daily weights
-monitor electrolytes and I&Os
-monitor GLUCOSE LEVELS
© 2025 All rights reserved
, 2 | Page
signs of hyperglycemia— Ans: Polydipsia, polyuria,
polyphagia, nausea, HA, abdominal pain
enteral feeding— Ans: Nutrients supplied to the
gastrointestinal tract orally or by feeding tube (NGT, PEG,
G-Tube)
Complications of enteral feeding— Ans: -tube
displacement
-clogged tubes
-aspiration
-abdominal distention
Refeeding syndrome— Ans: happens within 24-48 hours
of starting enteral or parenteral nutrition; giving too
much nutrition in a short amount of time
Refeeding Syndrome S/S— Ans: 24-48hrs of therapy d/t
fluid shifts: bradypnea, lethargy, confusion, weakness
how to avoid refeeding syndrome— Ans: give
GRADUALLY
increase calories SLOWLY
gastritis— Ans: inflammation/irritation of the lining of
the stomach
GERD— Ans: esophageal irritation by stomach acid that
travels into the esophagus
© 2025 All rights reserved
, 3 | Page
if GERD is not treated what can it lead to...— Ans:
barretts esophagus
Peptic Ulcer Disease— Ans: open sores/ulcers in the
lining of stomach or small intestine
gastric vs duodenal ulcers— Ans: Gastric = ulcer in the
stomach; Duodenal = ulcer in the small intestine
S/S of GERD— Ans: -dyspepsia "heartburn"
diet considerationf for GERD and PUD— Ans: -avoid
eating fried and fatty foods, citrus, dairy, chocolate,
peppermint/spearmint, caffeine (coffee)
-avoid spicy food
-no alcohol
-no caffeine
-no cigarettes
education for GERD— Ans: -no cigarettes and alcohol
-avoid eating before laying down (3 hours after meals)
-elevate HOB at night
-eat small meals (no bedtime snacks unless it is 3 hours
before bedtime)
common treatment for GERD— Ans: -antacids
© 2025 All rights reserved
NSG 320: Exam 3 Questions and
Answers Latest 2026
total perenteral nutrition (TPN)— Ans: entire nutrition is
inside an IV bag and goes right into the blood
what line is TPN given through— Ans: given CENTRAL
LINE! not peripheral IV
when are is central line feeding usually given— Ans: to a
client who is NPO (patients with pancreatitis and crohns)
How should TPN be administered and stopped?— Ans:
start and stop SLOW and GRADUALLY
patients receiving TPN are at high risk for— Ans: hyper
or hypoglycemia
how often should TPN tubing be changed?— Ans: every
24 hours
what should the nurse do if the TPN bag is almost empty,
but the next bag is not ready..— Ans: Hang 10% dextrose
water (to help avoid hypoglycemia)
nursing care for TPN— Ans: -daily weights
-monitor electrolytes and I&Os
-monitor GLUCOSE LEVELS
© 2025 All rights reserved
, 2 | Page
signs of hyperglycemia— Ans: Polydipsia, polyuria,
polyphagia, nausea, HA, abdominal pain
enteral feeding— Ans: Nutrients supplied to the
gastrointestinal tract orally or by feeding tube (NGT, PEG,
G-Tube)
Complications of enteral feeding— Ans: -tube
displacement
-clogged tubes
-aspiration
-abdominal distention
Refeeding syndrome— Ans: happens within 24-48 hours
of starting enteral or parenteral nutrition; giving too
much nutrition in a short amount of time
Refeeding Syndrome S/S— Ans: 24-48hrs of therapy d/t
fluid shifts: bradypnea, lethargy, confusion, weakness
how to avoid refeeding syndrome— Ans: give
GRADUALLY
increase calories SLOWLY
gastritis— Ans: inflammation/irritation of the lining of
the stomach
GERD— Ans: esophageal irritation by stomach acid that
travels into the esophagus
© 2025 All rights reserved
, 3 | Page
if GERD is not treated what can it lead to...— Ans:
barretts esophagus
Peptic Ulcer Disease— Ans: open sores/ulcers in the
lining of stomach or small intestine
gastric vs duodenal ulcers— Ans: Gastric = ulcer in the
stomach; Duodenal = ulcer in the small intestine
S/S of GERD— Ans: -dyspepsia "heartburn"
diet considerationf for GERD and PUD— Ans: -avoid
eating fried and fatty foods, citrus, dairy, chocolate,
peppermint/spearmint, caffeine (coffee)
-avoid spicy food
-no alcohol
-no caffeine
-no cigarettes
education for GERD— Ans: -no cigarettes and alcohol
-avoid eating before laying down (3 hours after meals)
-elevate HOB at night
-eat small meals (no bedtime snacks unless it is 3 hours
before bedtime)
common treatment for GERD— Ans: -antacids
© 2025 All rights reserved
