ATI ENTERAL TUBE FEEDING EXAM ACTUAL EXAM 120
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES|AGRADE
Enteral nutrition - ANSWER: Nutrients given via the GI tract, preferred method of
meeting nutritional needs
Parenteral Nutrition - ANSWER: Nutrients given by means other than the GI tract;
nutrients given through the veins of the circulatory system, rather than through the
digestive system
Nasogastric tube - ANSWER: Pliable, hollow tube, inserted through a client's nose,
through the nasopharynx and oropharynx, and terminates in the client's stomach
Small bore feeding tube - ANSWER: Smaller diameter feeding tube, typically 8 to 12
Fr and 36 to 44 inches long, more comfortable for the client, used for short-term
enteral feedings and medication administration, more likely to become clogged
because they are small bore
Salem sump tube - ANSWER: Larger diameter feeding tube, typically greater than 12
Fr, used for gastric decompression or removal of gastric secretions, this tube has 2
lumens, one of which is an air vent, less likely to become clogged as it is larger in
diameter
Levin tube - ANSWER: Larger diameter feeding tube, typically 12 Fr and above, used
for gastric decompression or removal of gastric secretions, this tube has 1 lumen and
holes near the tip of the tube, less likely to become clogged as it is larger in diameter
Percutaneous endoscopic gastronomy tube - ANSWER: A tube that is endoscopically
placed tube that terminates in the stomach, may be used for long-term enteral
feeding
Percutaneous endoscopic jejunostomy tube - ANSWER: An endoscopically placed
tube that terminates in the jejunum, may be used for long-term enteral feeding, less
risk for aspiration than a G-tube
Water flush - ANSWER: The delivery of a bolus of water through a tube or line to
ensure
patency of that tube or line and to ensure complete delivery of all fluids in the lumen
Gastric decompression - ANSWER: The removal of pressure in the stomach caused by
an excess of gas or fluid
Lavage - ANSWER: The irrigation or "washing out" of a body cavity
Patent - ANSWER: Not blocked, open, free of obstruction
, Open-system feeding - ANSWER: Method of tube feeding that uses and open-top
container or syringe for administration; enteral feedings for open systems are
provided in flip-top cans or powdered formulas that are reconstituted with water,
should have no more than 8-12 hours of formula poured at one time, bag and tubing
should be replaced every 24 hours
Closed-system feeding - ANSWER: Method of tube feeding that uses a prefilled
container of enteral feeding solution that is spiked with enteral tubing and attached
to the enteral; access device, can hang safely for 48 hours if sterile technique is used
Gastronomy tube - ANSWER: Also known as a G-tube, a surgically-placed hollow tube
that terminates in the stomach, may be used for long-term enteral feeding
Aspirate - ANSWER: To remove, or withdraw, a substance or material
Residual volume - ANSWER: Remaining volume, that which is left behind
Jejunostomy tube - ANSWER: Also known as a J-tube, a surgically-placed hollow tube
that terminates in the jejunum, may be used for long-term enteral feeding, less risk
for aspiration than a G-tube
A, B, D -ANSWER: Enteral nutrition refers to nutrients provided to clients via which
routes? Select all that apply
A. nasogastric tube (NG tube)
B. gastric tube (G-tube)
C. intravenously (IV)
D. jejunal tube (J-tube)
True - ANSWER: T or F?
Enteral nutrition is preferred over parenteral nutrition as the method of meeting
nutritional needs if the client's GI tract is functioning normally.
False - ANSWER: T or F?
Enteral tube feedings must always occur in a hospital setting.
False - ANSWER: T or F?
Verification of enteral feeding tube placement via X-ray is optional .
True - ANSWER: T or F?
Tube feedings are typically started at full strength at slow rates.
True - ANSWER: T or F?
Signs of intolerance to tube feedings include: high gastric residuals, nausea,
cramping, vomiting, and diarrhea.
True - ANSWER: T or F?
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES|AGRADE
Enteral nutrition - ANSWER: Nutrients given via the GI tract, preferred method of
meeting nutritional needs
Parenteral Nutrition - ANSWER: Nutrients given by means other than the GI tract;
nutrients given through the veins of the circulatory system, rather than through the
digestive system
Nasogastric tube - ANSWER: Pliable, hollow tube, inserted through a client's nose,
through the nasopharynx and oropharynx, and terminates in the client's stomach
Small bore feeding tube - ANSWER: Smaller diameter feeding tube, typically 8 to 12
Fr and 36 to 44 inches long, more comfortable for the client, used for short-term
enteral feedings and medication administration, more likely to become clogged
because they are small bore
Salem sump tube - ANSWER: Larger diameter feeding tube, typically greater than 12
Fr, used for gastric decompression or removal of gastric secretions, this tube has 2
lumens, one of which is an air vent, less likely to become clogged as it is larger in
diameter
Levin tube - ANSWER: Larger diameter feeding tube, typically 12 Fr and above, used
for gastric decompression or removal of gastric secretions, this tube has 1 lumen and
holes near the tip of the tube, less likely to become clogged as it is larger in diameter
Percutaneous endoscopic gastronomy tube - ANSWER: A tube that is endoscopically
placed tube that terminates in the stomach, may be used for long-term enteral
feeding
Percutaneous endoscopic jejunostomy tube - ANSWER: An endoscopically placed
tube that terminates in the jejunum, may be used for long-term enteral feeding, less
risk for aspiration than a G-tube
Water flush - ANSWER: The delivery of a bolus of water through a tube or line to
ensure
patency of that tube or line and to ensure complete delivery of all fluids in the lumen
Gastric decompression - ANSWER: The removal of pressure in the stomach caused by
an excess of gas or fluid
Lavage - ANSWER: The irrigation or "washing out" of a body cavity
Patent - ANSWER: Not blocked, open, free of obstruction
, Open-system feeding - ANSWER: Method of tube feeding that uses and open-top
container or syringe for administration; enteral feedings for open systems are
provided in flip-top cans or powdered formulas that are reconstituted with water,
should have no more than 8-12 hours of formula poured at one time, bag and tubing
should be replaced every 24 hours
Closed-system feeding - ANSWER: Method of tube feeding that uses a prefilled
container of enteral feeding solution that is spiked with enteral tubing and attached
to the enteral; access device, can hang safely for 48 hours if sterile technique is used
Gastronomy tube - ANSWER: Also known as a G-tube, a surgically-placed hollow tube
that terminates in the stomach, may be used for long-term enteral feeding
Aspirate - ANSWER: To remove, or withdraw, a substance or material
Residual volume - ANSWER: Remaining volume, that which is left behind
Jejunostomy tube - ANSWER: Also known as a J-tube, a surgically-placed hollow tube
that terminates in the jejunum, may be used for long-term enteral feeding, less risk
for aspiration than a G-tube
A, B, D -ANSWER: Enteral nutrition refers to nutrients provided to clients via which
routes? Select all that apply
A. nasogastric tube (NG tube)
B. gastric tube (G-tube)
C. intravenously (IV)
D. jejunal tube (J-tube)
True - ANSWER: T or F?
Enteral nutrition is preferred over parenteral nutrition as the method of meeting
nutritional needs if the client's GI tract is functioning normally.
False - ANSWER: T or F?
Enteral tube feedings must always occur in a hospital setting.
False - ANSWER: T or F?
Verification of enteral feeding tube placement via X-ray is optional .
True - ANSWER: T or F?
Tube feedings are typically started at full strength at slow rates.
True - ANSWER: T or F?
Signs of intolerance to tube feedings include: high gastric residuals, nausea,
cramping, vomiting, and diarrhea.
True - ANSWER: T or F?
