ATI NASOGASTRIC INTUBATION ACTUAL
TEST QUESTIONS WITH COMPLETE
ANSWER GUIDE
●● A nurse is caring for a patient who has a NG tube connected to
suction. Which of the following should indicate to the nurse that the tube
has become occluded?
Answer: Patient's report of nausea. — Tubes connected to suction
decompress the GI tract. This is needed when peristalsis is absent. If
gastric secretions are unable to move through the GI tract and if the NG
tube is unable to evacuate the stomach due to an occlusion, N/V will
result.
●● During report, a nurse is informed that a patient has a nasogastric
tube connected to continuous suction. The nurse should recognize that
this patient must have which of the following types of tube?
Answer: Salem sump. — A Salem sump is the only type of tube that
allow for continuous suction. The tube has two lumens; one removes
gastric contents and the other serves as an air vent. The vent allows air to
enter the stomach, allowing the tube to float freely and preventing
damage to the gastric mucosa.
●● A patient recovering from gastric surgery remains NPO and has a NG
tube connected to suction. Which of the following actions should the
nurse take to prevent dry mucous membranes?
, Answer: Provide frequent mouth care. — Frequent mouth care (brushing
teeth, oral swab) is a nursing intervention that prevents mucous
membranes from becoming dry and irritated.
●● When checking for NG tube placement, the nurse should conduct
which of the following procedure?
Answer: Aspirate stomach contents and check the pH. — Checking the
pH of stomach contents is the recommended method for checking tube
placement. Instilling air into the tube and listening for a whooshing
sound is no longer considered safe practice for checking tube placement.
●● A nurse should recognize that NG intubation is indicated to relive
gastric distention for which of the following patients?
Answer: A 40-year-old patient with a postoperative bowel obstruction.
— A NG tube should be placed for decompression for the removal of
secretions. This will assist in relieving abdominal distention.
●● A nurse is caring for a patient who has a newly inserted NG tube.
Which of the following methods is appropriate for verifying the initial
placement?
Answer: X-ray examination of the chest and abdomen. — X-ray
examination is the gold standard for confirming the initial placement of
a NG tube.
●● Gastric decompression
TEST QUESTIONS WITH COMPLETE
ANSWER GUIDE
●● A nurse is caring for a patient who has a NG tube connected to
suction. Which of the following should indicate to the nurse that the tube
has become occluded?
Answer: Patient's report of nausea. — Tubes connected to suction
decompress the GI tract. This is needed when peristalsis is absent. If
gastric secretions are unable to move through the GI tract and if the NG
tube is unable to evacuate the stomach due to an occlusion, N/V will
result.
●● During report, a nurse is informed that a patient has a nasogastric
tube connected to continuous suction. The nurse should recognize that
this patient must have which of the following types of tube?
Answer: Salem sump. — A Salem sump is the only type of tube that
allow for continuous suction. The tube has two lumens; one removes
gastric contents and the other serves as an air vent. The vent allows air to
enter the stomach, allowing the tube to float freely and preventing
damage to the gastric mucosa.
●● A patient recovering from gastric surgery remains NPO and has a NG
tube connected to suction. Which of the following actions should the
nurse take to prevent dry mucous membranes?
, Answer: Provide frequent mouth care. — Frequent mouth care (brushing
teeth, oral swab) is a nursing intervention that prevents mucous
membranes from becoming dry and irritated.
●● When checking for NG tube placement, the nurse should conduct
which of the following procedure?
Answer: Aspirate stomach contents and check the pH. — Checking the
pH of stomach contents is the recommended method for checking tube
placement. Instilling air into the tube and listening for a whooshing
sound is no longer considered safe practice for checking tube placement.
●● A nurse should recognize that NG intubation is indicated to relive
gastric distention for which of the following patients?
Answer: A 40-year-old patient with a postoperative bowel obstruction.
— A NG tube should be placed for decompression for the removal of
secretions. This will assist in relieving abdominal distention.
●● A nurse is caring for a patient who has a newly inserted NG tube.
Which of the following methods is appropriate for verifying the initial
placement?
Answer: X-ray examination of the chest and abdomen. — X-ray
examination is the gold standard for confirming the initial placement of
a NG tube.
●● Gastric decompression
