Term2 1212 Exam 1 Questions and
Answers.
In advancing the NG tube, which technique provides the safest outcome?
A. Check the tube placement by instilling air and auscultating over the stomach.
B. Rotate the tube if resistance is felt.
C. Start with the patient's head flexed.
D. Advance the tube in between swallows. - Answer B. Rotate the tube if resistance is felt.
Resistance is encountered during urinary catheterization of a male patient. Which action should
the nurse take?
A. Apply force to insert the catheter farther.
B. Ask the patient to take slow, deep breaths.
C. Ask the patient to breathe quickly through the mouth.
D. Remove the catheter immediately. - Answer Ask the patient to take slow, deep breaths.
The Levin tube and the Salem sump tube are used most commonly for stomach decompression.
Which of the following statements about these tubes is true? (Select all that apply.)
A. Levin tubes have a blue "pigtail" that functions as an air vent.
B. The Salem sump tube has a blue "pigtail" that functions as an air vent.
C. The Salem sump is preferred for stomach decompression.
D. The blue air vent should not be used for irrigation.
E.These tubes are inserted as a sterile procedure. - Answer B. The Salem sump tube has a blue
"pigtail" that functions as an air vent.
C. The Salem sump is preferred for stomach decompression.
D. The blue air vent should not be used for irrigation.
The nurse is assisting the physician during the insertion of a central line into the subclavian vein.
How should the nurse cleanse the area?
A. With antimicrobial solution that must be dabbed dry with a sterile towel
B. With alcohol in a circular motion for 5 minutes
C. With chlorhexidine in a back and forth scrubbing motion
D. With chlorhexidine followed by alcohol in a back and forth scrubbing motion - Answer C.
With chlorhexidine in a back and forth scrubbing motion
, The nurse is caring for a patient who has a central venous catheter (CVC). Which nursing
intervention is the most important for the nurse to include in the patient's plan of care?
A. Label each new dressing with the date, time, and nurse's initials.
B. Ensure that the CVC is discontinued as soon as possible.
C. Use strict sterile procedure when performing dressing changes.
D. Carefully document all assessments of the catheter site. - Answer C. Use strict sterile
procedure when performing dressing changes.
The nurse is caring for a patient who has an indwelling urinary catheter. Which intervention is
most important to include in this patient's plan of care?
A. Maintaining tension on the tubing
B. Cleaning in a circular motion from the meatus down the catheter
C. Keeping the drainage bag on the bed or attached to the side rails
D.Emptying the urinary collection bag every 24 hours - Answer B. Cleaning in a circular motion
from the meatus down the catheter
The nurse is planning care for a 12-year-old female patient who needs a Foley catheter inserted.
It is most important for the nurse to use a catheter of which size?
A. 8 to 10 Fr
B. 5 to 6 French (Fr)
C. 12 Fr
D. 14 to 16 Fr - Answer C. 12 french
The nurse is preparing to draw blood from a central venous access device for blood cultures.
Which of the following steps is part of that process?
A. Slowly aspirate 5 mL of blood and discard the syringe.
B. Apply sterile gloves.
C. Use the distal lumen to draw blood.
D. Flush the port with 5 to 10 mL of 0.9% sodium chloride. - Answer C. Use the distal lumen to
draw blood.
The nurse notes that urine does not flow after a female patient is catheterized. The nurse
believes that the catheter has been placed into the vagina. Which action should the nurse take?
A. Irrigate the catheter with saline.
B. Leave the catheter in place and insert another one.
C. Remove the catheter and reinsert it.
D. Insert the catheter 9 to 10 inches farther into the patient to verify that it is in the vagina. -
Answer B. Leave the catheter in place and insert another one.
Answers.
In advancing the NG tube, which technique provides the safest outcome?
A. Check the tube placement by instilling air and auscultating over the stomach.
B. Rotate the tube if resistance is felt.
C. Start with the patient's head flexed.
D. Advance the tube in between swallows. - Answer B. Rotate the tube if resistance is felt.
Resistance is encountered during urinary catheterization of a male patient. Which action should
the nurse take?
A. Apply force to insert the catheter farther.
B. Ask the patient to take slow, deep breaths.
C. Ask the patient to breathe quickly through the mouth.
D. Remove the catheter immediately. - Answer Ask the patient to take slow, deep breaths.
The Levin tube and the Salem sump tube are used most commonly for stomach decompression.
Which of the following statements about these tubes is true? (Select all that apply.)
A. Levin tubes have a blue "pigtail" that functions as an air vent.
B. The Salem sump tube has a blue "pigtail" that functions as an air vent.
C. The Salem sump is preferred for stomach decompression.
D. The blue air vent should not be used for irrigation.
E.These tubes are inserted as a sterile procedure. - Answer B. The Salem sump tube has a blue
"pigtail" that functions as an air vent.
C. The Salem sump is preferred for stomach decompression.
D. The blue air vent should not be used for irrigation.
The nurse is assisting the physician during the insertion of a central line into the subclavian vein.
How should the nurse cleanse the area?
A. With antimicrobial solution that must be dabbed dry with a sterile towel
B. With alcohol in a circular motion for 5 minutes
C. With chlorhexidine in a back and forth scrubbing motion
D. With chlorhexidine followed by alcohol in a back and forth scrubbing motion - Answer C.
With chlorhexidine in a back and forth scrubbing motion
, The nurse is caring for a patient who has a central venous catheter (CVC). Which nursing
intervention is the most important for the nurse to include in the patient's plan of care?
A. Label each new dressing with the date, time, and nurse's initials.
B. Ensure that the CVC is discontinued as soon as possible.
C. Use strict sterile procedure when performing dressing changes.
D. Carefully document all assessments of the catheter site. - Answer C. Use strict sterile
procedure when performing dressing changes.
The nurse is caring for a patient who has an indwelling urinary catheter. Which intervention is
most important to include in this patient's plan of care?
A. Maintaining tension on the tubing
B. Cleaning in a circular motion from the meatus down the catheter
C. Keeping the drainage bag on the bed or attached to the side rails
D.Emptying the urinary collection bag every 24 hours - Answer B. Cleaning in a circular motion
from the meatus down the catheter
The nurse is planning care for a 12-year-old female patient who needs a Foley catheter inserted.
It is most important for the nurse to use a catheter of which size?
A. 8 to 10 Fr
B. 5 to 6 French (Fr)
C. 12 Fr
D. 14 to 16 Fr - Answer C. 12 french
The nurse is preparing to draw blood from a central venous access device for blood cultures.
Which of the following steps is part of that process?
A. Slowly aspirate 5 mL of blood and discard the syringe.
B. Apply sterile gloves.
C. Use the distal lumen to draw blood.
D. Flush the port with 5 to 10 mL of 0.9% sodium chloride. - Answer C. Use the distal lumen to
draw blood.
The nurse notes that urine does not flow after a female patient is catheterized. The nurse
believes that the catheter has been placed into the vagina. Which action should the nurse take?
A. Irrigate the catheter with saline.
B. Leave the catheter in place and insert another one.
C. Remove the catheter and reinsert it.
D. Insert the catheter 9 to 10 inches farther into the patient to verify that it is in the vagina. -
Answer B. Leave the catheter in place and insert another one.
