NURS 3028 NUTRITION SAMPLE QUESTIONS AND ANSWERS 2025

NURS 3028 NUTRITION SAMPLE QUESTIONS AND ANSWERS 2025 What might the nurse do to reduce the patient's discomfort before inserting a nasogastric tube? a. Examine each naris for patency and skin breakdown. b. Place the patient in the high Fowler's position. c. Anesthetize the throat. d. Have the patient take a few sips of water. - Correct Ans-a. Examine each naris for patency and skin breakdown. Why does the nurse elevate the head of the bed to 30 degrees for a patient receiving an intermittent tube feeding? a. Elevating the head of the bed reduces the risk for aspiration. b. Proper elevation of the head of the bed promotes the patient's digestion. c. Acid reflux is reduced when the head of the bed is elevated at least 30 degrees. d. Nutrients are absorbed more efficiently when the head of the bed is elevated. - Correct Ans-a. Elevating the head of the bed reduces the risk for aspiration. What patient care might the nurse delegate to nursing assistive personnel (NAP) when a patient's nasogastric tube is removed? a. Assessing the patient for abdominal distention b. Providing the patient with mouth care c. Documenting tube removal d. Checking for bowel sounds - Correct Ans-b. Providing the patient with mouth care Which nursing action is appropriate when feeding gastric residual is 50 mL? a. Return it to the stomach via the feeding tube. b. Dispose of the residual contents down the commode. c. Discard the stomach contents as a liquid biohazard. d. Return half of the volume to the stomach, and discard the rest. - Correct Ans-a. Return it to the stomach via the feeding tube. What is the proper response to the nurse's observation that the patient's closed-system enteral feeding has 150 mL of formula remaining and that the infusion order rate is for 50 mL/hr? a. Recalculate the present drip factor for accuracy. Nurs 3028 Nurs 3028 b. Terminate the fluid, and prepare to hang a new bag of formula. c. Plan to check the feeding for completion within the next 3 hours. d. Check with the pharmacy to see if the formula has been hanging too long. - Correct Ans-c. Plan to check the feeding for completion within the next 3 hours. Which intervention might the nurse delegate to nursing assistive personnel (NAP) when inserting a nasogastric tube? a. Positioning the patient in a high-Fowler's position b. Assessing the patient's abdomen for bowel sounds c. Determining any history of unexplained nosebleeds d. Educating the patient about the need for the intervention - Correct Ans-a. Positioning the patient in a high-Fowler's position What will the nurse need before removing a patient's nasogastric tube? a. Evidence of hypoactive bowel sounds in all quadrants b. Absence of abdominal pain and distention c. Assurance that the patient can pass flatus d. A health care provider's order - Correct Ans-d. A health care provider's order After unsuccessfully attempting to flush a nasogastric (NG) tube with water, what is the most appropriate action for the nurse to take? a. Flush the tube with ginger ale. b. Use apple juice to flush the tube. c. Obtain a product designed to unclog NG tubes. d. Force-flush the system with sterile normal saline. - Correct Ans-c. Obtain a product designed to unclog NG tubes. How might the nurse minimize the patient's anxiety when removing a nasogastric tube? a. Administer a mild sedative prescribed by the patient's health care provider. b. Ask the patient's caregiver to emotionally support the patient during the removal. c. Provide reassurance of what will happen during the procedure and talk the patient through the process. d. Instruct the patient to take deep, calming breaths while revisiting a pleasant memory. - Correct Ans-c. Provide reassurance of what will happen during the procedure and talk the patient through the process. How could the nurse assess the patency of a nasogastric (NG) tube being used for enteral nutrition? a. Elevate the head of the patient's bed to at least 30 degrees. b. Use an intravenous fluid infusion set. c. Check the gastric residual volume. Nurs 3028 Nurs 3028 d. Monitor the amount of intake the patient tolerates in an 8-hour period. - Correct Ans c. Check the gastric residual volume. Which patient does not have a medical condition that contraindicates placement of a nasogastric tube? a. A 28-year-old patient who fractured a femur after heavy drinking b. A 73-year-old patient who is on anticoagulation therapy. c. A 54-year-old patient who broke a cheekbone in a fall d. A 67-year-old patient with a history of unexplained nosebleeds - Correct Ans-a. A 28 year-old patient who fractured a femur after heavy drinking Why does the nurse kink the nasogastric tube before removing it from a patient? a. To suppress the cough reflex b. To keep any fluid from flowing out c. To hinder the gag reflex d. To prevent transmission of microorganisms - Correct Ans-b. To keep any fluid from flowing out What would the nurse do if he or she encountered resistance when inserting a nasogastric tube? a. Ask the patient to cough. b. Withdraw the tube to the nasopharynx. c. Encourage the patient to swallow. d. Instruct the patient to hyperextend the neck. - Correct Ans-b. Withdraw the tube to the nasopharynx. What would minimize the nurse's risk for contamination during the removal of a nasogastric tube? a. Wearing treatment gloves b. Providing the patient with an emesis basin c. Protecting the patient's chest with an absorbent towel d. Discarding any soiled tissues in the biohazard receptacle - Correct Ans-a. Wearing treatment gloves What would the nurse do if he or she were not able to insert a nasogastric tube in either of a patient's nares? a. Ask another nurse to attempt the insertion. b. Document the attempts in the patient's medical record. c. Notify the physician that the attempts were unsuccessful. d. Allow the patient to rest for 30 minutes before resuming the process. - Correct Ans-c. Notify the physician that the attempts were unsuccessful.