NU 311 exam 4 ENTERAL FEEDING Questions
and CORRECT Answers
Which of the following patients may benefit from enteral nutrition?
*A.* A patient who has a brain injury.
*B.* A patient with oral cancer.
*C.* A patient with paralytic ileus.
*D.* A patient with burns of the lower extremities.
*E.* A patient who had a CVA (stroke) and has dysphagia (difficulty swallowing). - CORRECT
ANSWERS *A.* A patient who has a brain injury. Correct
*B.* A patient with oral cancer. Correct
*D.* A patient with burns of the lower extremities. Correct
*E.* A patient who had a CVA (stroke) and has dysphagia (difficulty swallowing).
A group of nursing students are studying together. They are discussing the differences between
parenteral and enteral nutrition. Which statement, if made by one of the students, indicates further
instruction is needed?
*A.* Parenteral nutrition is the administration of nutrients directly into the GI tract by way of a
feeding tube." Correct
*B.* "Enteral nutrition is preferred because it is less expensive than parenteral nutrition and
maintains functioning of the gut."
*C.* "An example of the parenteral route is subcutaneous or IM injections, or the IV route."
Incorrect
*D.* "Gastric feedings may be given to patients with a low risk of aspiration. If there is a risk of
aspiration, jejunal feeding is the preferred method. Parenteral nutrition is provided if the patient's GI
tract is nonfunctional." - CORRECT ANSWERS *A.* Parenteral nutrition is the administration of
nutrients directly into the GI tract by way of a feeding tube." Correct
Which of the following accurately describes the greatest risk related to having a feeding tube?
*A.*Electrolyte imbalance.
*B.* Fluid volume overload.
*C.* Infection.
*D.* Aspiration. - CORRECT ANSWERS *D.* Aspiration.
, Enteral feedings may be administered by: (Select all that apply.)
*A.* Continuous feeding pump. Correct
*B.* Through a large vein.
*C.* Intermittent gravity drip. Correct
*D.* Through a central vascular access device.
*E.* Intravenously. - CORRECT ANSWERS *A.* Continuous feeding pump.
*C.* Intermittent gravity drip.
The health care provider has ordered an enteral feeding tube for an elderly patient. Which
statement, if made by the patient's family member, indicates further instruction is needed?
*A.* "The enteral feedings will help provide additional calories."
*B.* "The tube feedings are used to improve digestion."
*C.* "This will help prevent her from getting pneumonia again from choking." Incorrect *D.* "Tube
feedings are less likely to cause infection than getting nutrients by IV infusion." - CORRECT
ANSWERS *B.* "The tube feedings are used to improve digestion."
What determines approximate depth of insertion - CORRECT ANSWERS Measure distance
from tip of nose to earlobe to xyphoid process of sternum and mark tube with tape or indelible ink
What activates lubricant to facilitate passage of tube into GI tract? - CORRECT ANSWERS Dip
tube with surface lubricant into a glass of water
What ensures tube patency and aids in guide wire or stylet insertion? - CORRECT
ANSWERS Inject 10 mL of water from 30-mL or larger syringe into the feeding tube
What closes off glottis and reduces risk of tube entering trachea? - CORRECT ANSWERS Have
patient flex head toward chest after tube has passed through nasopharynx
What facilitates passage of tube past oropharynx; rotation decreases friction? - CORRECT
ANSWERS Have patient mouth breathe and swallow. Give small sips of water or ice chips when
possible. Advance tube as patient swallows. Rotate tube 180 degrees while inserting
The nurse is inserting an NG feeding tube for the first time. Which action, if made by the nurse,
indicates further instruction is needed?
and CORRECT Answers
Which of the following patients may benefit from enteral nutrition?
*A.* A patient who has a brain injury.
*B.* A patient with oral cancer.
*C.* A patient with paralytic ileus.
*D.* A patient with burns of the lower extremities.
*E.* A patient who had a CVA (stroke) and has dysphagia (difficulty swallowing). - CORRECT
ANSWERS *A.* A patient who has a brain injury. Correct
*B.* A patient with oral cancer. Correct
*D.* A patient with burns of the lower extremities. Correct
*E.* A patient who had a CVA (stroke) and has dysphagia (difficulty swallowing).
A group of nursing students are studying together. They are discussing the differences between
parenteral and enteral nutrition. Which statement, if made by one of the students, indicates further
instruction is needed?
*A.* Parenteral nutrition is the administration of nutrients directly into the GI tract by way of a
feeding tube." Correct
*B.* "Enteral nutrition is preferred because it is less expensive than parenteral nutrition and
maintains functioning of the gut."
*C.* "An example of the parenteral route is subcutaneous or IM injections, or the IV route."
Incorrect
*D.* "Gastric feedings may be given to patients with a low risk of aspiration. If there is a risk of
aspiration, jejunal feeding is the preferred method. Parenteral nutrition is provided if the patient's GI
tract is nonfunctional." - CORRECT ANSWERS *A.* Parenteral nutrition is the administration of
nutrients directly into the GI tract by way of a feeding tube." Correct
Which of the following accurately describes the greatest risk related to having a feeding tube?
*A.*Electrolyte imbalance.
*B.* Fluid volume overload.
*C.* Infection.
*D.* Aspiration. - CORRECT ANSWERS *D.* Aspiration.
, Enteral feedings may be administered by: (Select all that apply.)
*A.* Continuous feeding pump. Correct
*B.* Through a large vein.
*C.* Intermittent gravity drip. Correct
*D.* Through a central vascular access device.
*E.* Intravenously. - CORRECT ANSWERS *A.* Continuous feeding pump.
*C.* Intermittent gravity drip.
The health care provider has ordered an enteral feeding tube for an elderly patient. Which
statement, if made by the patient's family member, indicates further instruction is needed?
*A.* "The enteral feedings will help provide additional calories."
*B.* "The tube feedings are used to improve digestion."
*C.* "This will help prevent her from getting pneumonia again from choking." Incorrect *D.* "Tube
feedings are less likely to cause infection than getting nutrients by IV infusion." - CORRECT
ANSWERS *B.* "The tube feedings are used to improve digestion."
What determines approximate depth of insertion - CORRECT ANSWERS Measure distance
from tip of nose to earlobe to xyphoid process of sternum and mark tube with tape or indelible ink
What activates lubricant to facilitate passage of tube into GI tract? - CORRECT ANSWERS Dip
tube with surface lubricant into a glass of water
What ensures tube patency and aids in guide wire or stylet insertion? - CORRECT
ANSWERS Inject 10 mL of water from 30-mL or larger syringe into the feeding tube
What closes off glottis and reduces risk of tube entering trachea? - CORRECT ANSWERS Have
patient flex head toward chest after tube has passed through nasopharynx
What facilitates passage of tube past oropharynx; rotation decreases friction? - CORRECT
ANSWERS Have patient mouth breathe and swallow. Give small sips of water or ice chips when
possible. Advance tube as patient swallows. Rotate tube 180 degrees while inserting
The nurse is inserting an NG feeding tube for the first time. Which action, if made by the nurse,
indicates further instruction is needed?
