NSG 3800 Exam 3 Review Exam Questions
With Correct Answers
A |client |receiving |tube |feedings |is |experiencing |diarrhea. |The |nurse |and |the |health |care |
provider |suspects |that |the |client |is |experiencing |dumping |syndrome. |What |intervention |is |
most |appropriate?
A) |Stop |the |tube |feed |and |aspirate |stomach |contents.
B) |Increase |the |hourly |feed |rate |so |it |finishes |earlier.
C. |Keep |the |client |in |semi-Fowler |position |for |1 |hour |after |feedings
D) |Administer |fluid |replacement |by |IV. |- |CORRECT |ANSWER✔✔-C. |Keep |the |client |in |semi-
Fowler |position |for |1 |hour |after |feedings
A |nurse |is |admitting |a |client |to |the |postsurgical |unit |following |a |gastrostomy. |When |planning |
assessments, |the |nurse |should |be |aware |of |what |potential |postoperative |complication |of |a |
gastrostomy?
A) |Premature |removal |of |the |G |tube
B) |Bowel |perforation
C) |Constipation
D) |Development |of |peptic |ulcer |disease |(PUD) |- |CORRECT |ANSWER✔✔-A) |Premature |removal |
of |the |G |tube
A |nurse |is |providing |care |for |a |client |with |a |diagnosis |of |late-stage |Alzheimer |disease.
The |client |has |just |returned |to |the |medical |unit |to |begin |supplemental |feedings |through |an |
NG |tube. |Which |of |the |nurse's |assessments |addresses |this |client's |most |significant |potential |
complication |of |feeding?
, A) |Frequent |assessment |of |the |client's |abdominal |girth
B) |Assessment |for |hemorrhage |from |the |nasal |insertion |site
C) |Frequent |lung |auscultation
D) |Vigilant |monitoring |of |the |frequency |and |character |of |bowel |movements |- |CORRECT |
ANSWER✔✔-C) |Frequent |lung |auscultation
The |nurse |is |caring |for |a |client |who |has |a |nasogastric |tube |that |has |been |in |place |for |2 |days. |
Before |administering |a |scheduled |feeding, |the |nurse |should
A) |ensure |that |the |client |has |recently |voided.
B) |administer |30 |to |45 |mL |of |water |to |confirm |placement. |
C) |position |the |client |upright. |
D) |perform |a |focused |gastrointestinal |assessment. |- |CORRECT |ANSWER✔✔-C) |position |the |
client |upright
A |client's |enteral |feedings |have |been |determined |to |be |too |concentrated |based |on |the |client's
|development |of |dumping |syndrome. |What |physiologic |phenomenon |caused |this |client's |
complication |of |enteral |feeding?
A) |Increased |gastric |secretion |of |HCl |and |gastrin |because |of |high |osmolality |of |feeds.
B) |Entry |of |large |amounts |of |water |into |the |small |intestine |because |of |osmotic |pressure
C) |Mucosal |irritation |of |the |stomach |and |small |intestine |by |the |high |concentration |of |the |feed
D) |Acid-base |imbalance |resulting |from |the |high |volume |of |solutes |in |the |feed |- |CORRECT |
ANSWER✔✔-B) |Entry |of |large |amounts |of |water |into |the |small |intestine |because |of |osmotic |
pressure
A |client |with |dysphagia |is |scheduled |for |percutaneous |endoscopic |gastrostomy |(PEG) |tube |
insertion |and |asks |the |nurse |how |the |tube |will |stay |in |place. |What |is |the |nurse's |best |
response?
A) |Adhesive |holds |a |flange |in |place |against |the |abdominal |skin.
With Correct Answers
A |client |receiving |tube |feedings |is |experiencing |diarrhea. |The |nurse |and |the |health |care |
provider |suspects |that |the |client |is |experiencing |dumping |syndrome. |What |intervention |is |
most |appropriate?
A) |Stop |the |tube |feed |and |aspirate |stomach |contents.
B) |Increase |the |hourly |feed |rate |so |it |finishes |earlier.
C. |Keep |the |client |in |semi-Fowler |position |for |1 |hour |after |feedings
D) |Administer |fluid |replacement |by |IV. |- |CORRECT |ANSWER✔✔-C. |Keep |the |client |in |semi-
Fowler |position |for |1 |hour |after |feedings
A |nurse |is |admitting |a |client |to |the |postsurgical |unit |following |a |gastrostomy. |When |planning |
assessments, |the |nurse |should |be |aware |of |what |potential |postoperative |complication |of |a |
gastrostomy?
A) |Premature |removal |of |the |G |tube
B) |Bowel |perforation
C) |Constipation
D) |Development |of |peptic |ulcer |disease |(PUD) |- |CORRECT |ANSWER✔✔-A) |Premature |removal |
of |the |G |tube
A |nurse |is |providing |care |for |a |client |with |a |diagnosis |of |late-stage |Alzheimer |disease.
The |client |has |just |returned |to |the |medical |unit |to |begin |supplemental |feedings |through |an |
NG |tube. |Which |of |the |nurse's |assessments |addresses |this |client's |most |significant |potential |
complication |of |feeding?
, A) |Frequent |assessment |of |the |client's |abdominal |girth
B) |Assessment |for |hemorrhage |from |the |nasal |insertion |site
C) |Frequent |lung |auscultation
D) |Vigilant |monitoring |of |the |frequency |and |character |of |bowel |movements |- |CORRECT |
ANSWER✔✔-C) |Frequent |lung |auscultation
The |nurse |is |caring |for |a |client |who |has |a |nasogastric |tube |that |has |been |in |place |for |2 |days. |
Before |administering |a |scheduled |feeding, |the |nurse |should
A) |ensure |that |the |client |has |recently |voided.
B) |administer |30 |to |45 |mL |of |water |to |confirm |placement. |
C) |position |the |client |upright. |
D) |perform |a |focused |gastrointestinal |assessment. |- |CORRECT |ANSWER✔✔-C) |position |the |
client |upright
A |client's |enteral |feedings |have |been |determined |to |be |too |concentrated |based |on |the |client's
|development |of |dumping |syndrome. |What |physiologic |phenomenon |caused |this |client's |
complication |of |enteral |feeding?
A) |Increased |gastric |secretion |of |HCl |and |gastrin |because |of |high |osmolality |of |feeds.
B) |Entry |of |large |amounts |of |water |into |the |small |intestine |because |of |osmotic |pressure
C) |Mucosal |irritation |of |the |stomach |and |small |intestine |by |the |high |concentration |of |the |feed
D) |Acid-base |imbalance |resulting |from |the |high |volume |of |solutes |in |the |feed |- |CORRECT |
ANSWER✔✔-B) |Entry |of |large |amounts |of |water |into |the |small |intestine |because |of |osmotic |
pressure
A |client |with |dysphagia |is |scheduled |for |percutaneous |endoscopic |gastrostomy |(PEG) |tube |
insertion |and |asks |the |nurse |how |the |tube |will |stay |in |place. |What |is |the |nurse's |best |
response?
A) |Adhesive |holds |a |flange |in |place |against |the |abdominal |skin.
