NSGl 3100/l NSG3100l Finall Exam–l
Fundamentall Conceptsl &l Skillsl forl
Nursingl Practicel Il Review|l Galenl (Latestl
2026/l 2027l Update)l 100%l Verifiedl
Questionsl &l Answersl |l Gradel A
Q:l Whatl isl dysphagial andl whatl canl causel it?
Answer:
Difficultyl inl swallowingl thatl mayl resultl froml anl obstruction,l residuall effectsl ofl al CVA,l
neurologicl damage,l orl psychologicall disorders.
Q:l Whatl arel signsl andl symptomsl ofl dysphagia?
Answer:
Coughing,l incompletel lipl closure,l poorl tonguel control,l excessivel chewing,l gagging,l
pocketingl food,l orl refusall tol eat.
Q:l Whatl positioningl isl importantl forl al patientl withl dysphagia?
Answer:
Elevatel thel headl ofl thel bedl atl leastl 30l tol 45l degrees.
Q:l Whatl swallowingl precautionl isl usedl forl al patientl withl one-sidedl weakness?
Answer:
Havel thel patientl turnl thel headl tol thel affectedl sidel tol assistl inl airwayl protection.
Q:l Whatl swallowingl techniquel mayl helpl preventl aspiration?
Answer:
Chin-tucking.
,Q:l Whatl shouldl thel nursel dol ifl assistivel devicesl arel beingl usedl forl swallowing?
Answer:
Followl thel occupationall orl nutritionl therapyl guidelinesl orl thel manufacturer'sl instructions.
Q:l Howl shouldl thel nursel positionl themselvesl duringl feedingl forl al patientl withl
impairedl swallowing?
Answer:
Positionl yourselfl sol thatl thel patientl canl seel you.
Q:l Howl muchl timel shouldl bel allowedl forl eachl meall forl al patientl withl impairedl
swallowing?
Answer:
Atl leastl 30l minutesl forl eachl meal.
Q:l Whatl sizel bitesl shouldl bel offeredl tol al patientl withl impairedl swallowing?
Answer:
Smalll bitesl (½l tol 1l teaspoon).
Q:l Howl longl shouldl thel nursel waitl betweenl bitesl forl al patientl withl impairedl
swallowing?
Answer:
Waitl atl leastl 10l secondsl betweenl bites.
Q:l Howl shouldl foodl andl fluidsl bel givenl tol al patientl withl impairedl swallowing?
Answer:
Alternatel foodl withl fluids.
Q:l Whyl shouldl unnecessaryl usel ofl strawsl bel avoidedl inl patientsl withl impairedl
swallowing?
Answer:
,Tol preventl airl ingestion.
Q:l Whatl shouldl thel nursel observel tol verifyl swallowing?
Answer:
Observel forl thel risel andl falll ofl thel patient'sl larynx.
Q:l Whyl shouldl thel nursel checkl thel mouthl frequentlyl inl al patientl withl impairedl
swallowing?
Answer:
Tol preventl retentionl ofl foodl inl thel cheeksl (pocketing).
Q:l Whyl isl collaborationl withl al registeredl dietitianl helpfull forl patientsl onl speciall
diets?
Answer:
Itl helpsl providel nutritionall supportl whilel addressingl medicall orl surgicall conditions.
Q:l Whol typicallyl ordersl al speciall dietl forl thel patient?
Answer:
Thel PCPl typicallyl ordersl al speciall diet.
Q:l Whenl mayl advancementl froml onel levell ofl speciall dietl tol thel nextl occur?
Answer:
Atl thel discretionl ofl thel nurse,l oftenl includedl inl thel patient'sl order.
Q:l Whyl shouldl alll patientsl receivel anl initiall nutritionl screening?
Answer:
Tol identifyl thosel atl riskl forl malnutritionl orl diet-relatedl complications.
Q:l Whatl shouldl bel consideredl inl al comprehensivel nutritionall assessmentl forl patientsl
onl speciall diets?
, Answer:
Culturall andl religiousl preferences,l financiall ability,l andl physicall limitations.
Q:l Whyl shouldl thel nursel collaboratel closelyl withl al dietitianl forl patientsl onl speciall
diets?
Answer:
Tol determinel thel appropriatel dietl typel andl texturel modifications.
Q:l Whatl shouldl thel nursel monitorl tol evaluatel thel effectivenessl ofl al speciall diet?
Answer:
Monitorl thel patient'sl weight,l intakel andl output,l andl relevantl labl values.
Q:l Whyl isl correctl positioningl importantl forl patientsl onl speciall diets,l especiallyl thosel
withl dysphagia?
Answer:
Tol reducel thel riskl ofl aspiration.
Q:l Whatl mealtimel supportl mayl patientsl withl physicall limitationsl need?
Answer:
Assistancel duringl mealtimes.
Q:l Howl shouldl thel nursel assistl al patientl withl unilaterall weaknessl duringl meals?
Answer:
Placel utensilsl onl theirl strongerl sidel andl assistl withl eatingl froml thatl side.
Q:l Whatl swallowingl precautionsl shouldl bel usedl whenl servingl foodl tol patientsl withl
swallowingl problems?
Answer:
Ensurel foodl isl cutl intol bite-sizedl piecesl andl thel appropriatel consistencyl isl served.
Q:l Whatl swallowingl techniquesl shouldl bel encouragedl forl patientsl withl dysphagia?
Fundamentall Conceptsl &l Skillsl forl
Nursingl Practicel Il Review|l Galenl (Latestl
2026/l 2027l Update)l 100%l Verifiedl
Questionsl &l Answersl |l Gradel A
Q:l Whatl isl dysphagial andl whatl canl causel it?
Answer:
Difficultyl inl swallowingl thatl mayl resultl froml anl obstruction,l residuall effectsl ofl al CVA,l
neurologicl damage,l orl psychologicall disorders.
Q:l Whatl arel signsl andl symptomsl ofl dysphagia?
Answer:
Coughing,l incompletel lipl closure,l poorl tonguel control,l excessivel chewing,l gagging,l
pocketingl food,l orl refusall tol eat.
Q:l Whatl positioningl isl importantl forl al patientl withl dysphagia?
Answer:
Elevatel thel headl ofl thel bedl atl leastl 30l tol 45l degrees.
Q:l Whatl swallowingl precautionl isl usedl forl al patientl withl one-sidedl weakness?
Answer:
Havel thel patientl turnl thel headl tol thel affectedl sidel tol assistl inl airwayl protection.
Q:l Whatl swallowingl techniquel mayl helpl preventl aspiration?
Answer:
Chin-tucking.
,Q:l Whatl shouldl thel nursel dol ifl assistivel devicesl arel beingl usedl forl swallowing?
Answer:
Followl thel occupationall orl nutritionl therapyl guidelinesl orl thel manufacturer'sl instructions.
Q:l Howl shouldl thel nursel positionl themselvesl duringl feedingl forl al patientl withl
impairedl swallowing?
Answer:
Positionl yourselfl sol thatl thel patientl canl seel you.
Q:l Howl muchl timel shouldl bel allowedl forl eachl meall forl al patientl withl impairedl
swallowing?
Answer:
Atl leastl 30l minutesl forl eachl meal.
Q:l Whatl sizel bitesl shouldl bel offeredl tol al patientl withl impairedl swallowing?
Answer:
Smalll bitesl (½l tol 1l teaspoon).
Q:l Howl longl shouldl thel nursel waitl betweenl bitesl forl al patientl withl impairedl
swallowing?
Answer:
Waitl atl leastl 10l secondsl betweenl bites.
Q:l Howl shouldl foodl andl fluidsl bel givenl tol al patientl withl impairedl swallowing?
Answer:
Alternatel foodl withl fluids.
Q:l Whyl shouldl unnecessaryl usel ofl strawsl bel avoidedl inl patientsl withl impairedl
swallowing?
Answer:
,Tol preventl airl ingestion.
Q:l Whatl shouldl thel nursel observel tol verifyl swallowing?
Answer:
Observel forl thel risel andl falll ofl thel patient'sl larynx.
Q:l Whyl shouldl thel nursel checkl thel mouthl frequentlyl inl al patientl withl impairedl
swallowing?
Answer:
Tol preventl retentionl ofl foodl inl thel cheeksl (pocketing).
Q:l Whyl isl collaborationl withl al registeredl dietitianl helpfull forl patientsl onl speciall
diets?
Answer:
Itl helpsl providel nutritionall supportl whilel addressingl medicall orl surgicall conditions.
Q:l Whol typicallyl ordersl al speciall dietl forl thel patient?
Answer:
Thel PCPl typicallyl ordersl al speciall diet.
Q:l Whenl mayl advancementl froml onel levell ofl speciall dietl tol thel nextl occur?
Answer:
Atl thel discretionl ofl thel nurse,l oftenl includedl inl thel patient'sl order.
Q:l Whyl shouldl alll patientsl receivel anl initiall nutritionl screening?
Answer:
Tol identifyl thosel atl riskl forl malnutritionl orl diet-relatedl complications.
Q:l Whatl shouldl bel consideredl inl al comprehensivel nutritionall assessmentl forl patientsl
onl speciall diets?
, Answer:
Culturall andl religiousl preferences,l financiall ability,l andl physicall limitations.
Q:l Whyl shouldl thel nursel collaboratel closelyl withl al dietitianl forl patientsl onl speciall
diets?
Answer:
Tol determinel thel appropriatel dietl typel andl texturel modifications.
Q:l Whatl shouldl thel nursel monitorl tol evaluatel thel effectivenessl ofl al speciall diet?
Answer:
Monitorl thel patient'sl weight,l intakel andl output,l andl relevantl labl values.
Q:l Whyl isl correctl positioningl importantl forl patientsl onl speciall diets,l especiallyl thosel
withl dysphagia?
Answer:
Tol reducel thel riskl ofl aspiration.
Q:l Whatl mealtimel supportl mayl patientsl withl physicall limitationsl need?
Answer:
Assistancel duringl mealtimes.
Q:l Howl shouldl thel nursel assistl al patientl withl unilaterall weaknessl duringl meals?
Answer:
Placel utensilsl onl theirl strongerl sidel andl assistl withl eatingl froml thatl side.
Q:l Whatl swallowingl precautionsl shouldl bel usedl whenl servingl foodl tol patientsl withl
swallowingl problems?
Answer:
Ensurel foodl isl cutl intol bite-sizedl piecesl andl thel appropriatel consistencyl isl served.
Q:l Whatl swallowingl techniquesl shouldl bel encouragedl forl patientsl withl dysphagia?
