NSG 3800 Exam 3 Review UPDATED
QUESTIONS AND CORRECT ANSWERS
A client receiving tube feedings is experiencing diarrhea. The nurse and the health care provider
suspects that the client is experiencing dumping syndrome. What intervention is most appropriate?
A) Stop the tube feed and aspirate stomach contents.
B) Increase the hourly feed rate so it finishes earlier.
C. Keep the client in semi-Fowler position for 1 hour after feedings
D) Administer fluid replacement by IV. - CORRECT ANSWER C. Keep the client in semi-
Fowler position for 1 hour after feedings
A nurse is admitting a client to the postsurgical unit following a gastrostomy. When planning
assessments, the nurse should be aware of what potential postoperative complication of a
gastrostomy?
A) Premature removal of the G tube
B) Bowel perforation
C) Constipation
D) Development of peptic ulcer disease (PUD) - CORRECT ANSWER A) Premature removal
of the G tube
A nurse is providing care for a client with a diagnosis of late-stage Alzheimer disease.
The client has just returned to the medical unit to begin supplemental feedings through an NG tube.
Which of the nurse's assessments addresses this client's most significant potential complication of
feeding?
A) Frequent assessment of the client's abdominal girth
B) Assessment for hemorrhage from the nasal insertion site
C) Frequent lung auscultation
D) Vigilant monitoring of the frequency and character of bowel movements - CORRECT ANSWER
C) Frequent lung auscultation
, The nurse is caring for a client who has a nasogastric tube that has been in place for 2 days. Before
administering a scheduled feeding, the nurse should
A) ensure that the client has recently voided.
B) administer 30 to 45 mL of water to confirm placement.
C) position the client upright.
D) perform a focused gastrointestinal assessment. - CORRECT ANSWER C) position the
client upright
A client's enteral feedings have been determined to be too concentrated based on the client's
development of dumping syndrome. What physiologic phenomenon caused this client's complication
of enteral feeding?
A) Increased gastric secretion of HCl and gastrin because of high osmolality of feeds.
B) Entry of large amounts of water into the small intestine because of osmotic pressure
C) Mucosal irritation of the stomach and small intestine by the high concentration of the feed
D) Acid-base imbalance resulting from the high volume of solutes in the feed - CORRECT ANSWER
B) Entry of large amounts of water into the small intestine because of osmotic pressure
A client with dysphagia is scheduled for percutaneous endoscopic gastrostomy (PEG) tube insertion
and asks the nurse how the tube will stay in place. What is the nurse's best response?
A) Adhesive holds a flange in place against the abdominal skin.
B) A stitch holds the tube in place externally.
C) The tube is stitched to the abdominal skin externally and the stomach wall internally.
D) Internal and external fixation bolsters secure the tube against the stomach wall. - CORRECT
ANSWER D) Internal and external fixation bolsters secure the tube against the stomach wall.
A client is postoperative day 1 following gastrostomy. The nurse is planning interventions to address
the nursing diagnosis of Risk for Infection Related to Presence of Wound and Tube. What intervention
is most appropriate?
A) Administer antibiotics via the tube as prescribed.
B) Wash the area around the tube with soap and water daily.
C) Cleanse the skin within 2 cm of the insertion site with hydrogen peroxide once per shift.
D) Irrigate the skin surrounding the insertion site with normal saline before each use. - CORRECT
ANSWER B) Wash the area around the tube with soap and water daily.
QUESTIONS AND CORRECT ANSWERS
A client receiving tube feedings is experiencing diarrhea. The nurse and the health care provider
suspects that the client is experiencing dumping syndrome. What intervention is most appropriate?
A) Stop the tube feed and aspirate stomach contents.
B) Increase the hourly feed rate so it finishes earlier.
C. Keep the client in semi-Fowler position for 1 hour after feedings
D) Administer fluid replacement by IV. - CORRECT ANSWER C. Keep the client in semi-
Fowler position for 1 hour after feedings
A nurse is admitting a client to the postsurgical unit following a gastrostomy. When planning
assessments, the nurse should be aware of what potential postoperative complication of a
gastrostomy?
A) Premature removal of the G tube
B) Bowel perforation
C) Constipation
D) Development of peptic ulcer disease (PUD) - CORRECT ANSWER A) Premature removal
of the G tube
A nurse is providing care for a client with a diagnosis of late-stage Alzheimer disease.
The client has just returned to the medical unit to begin supplemental feedings through an NG tube.
Which of the nurse's assessments addresses this client's most significant potential complication of
feeding?
A) Frequent assessment of the client's abdominal girth
B) Assessment for hemorrhage from the nasal insertion site
C) Frequent lung auscultation
D) Vigilant monitoring of the frequency and character of bowel movements - CORRECT ANSWER
C) Frequent lung auscultation
, The nurse is caring for a client who has a nasogastric tube that has been in place for 2 days. Before
administering a scheduled feeding, the nurse should
A) ensure that the client has recently voided.
B) administer 30 to 45 mL of water to confirm placement.
C) position the client upright.
D) perform a focused gastrointestinal assessment. - CORRECT ANSWER C) position the
client upright
A client's enteral feedings have been determined to be too concentrated based on the client's
development of dumping syndrome. What physiologic phenomenon caused this client's complication
of enteral feeding?
A) Increased gastric secretion of HCl and gastrin because of high osmolality of feeds.
B) Entry of large amounts of water into the small intestine because of osmotic pressure
C) Mucosal irritation of the stomach and small intestine by the high concentration of the feed
D) Acid-base imbalance resulting from the high volume of solutes in the feed - CORRECT ANSWER
B) Entry of large amounts of water into the small intestine because of osmotic pressure
A client with dysphagia is scheduled for percutaneous endoscopic gastrostomy (PEG) tube insertion
and asks the nurse how the tube will stay in place. What is the nurse's best response?
A) Adhesive holds a flange in place against the abdominal skin.
B) A stitch holds the tube in place externally.
C) The tube is stitched to the abdominal skin externally and the stomach wall internally.
D) Internal and external fixation bolsters secure the tube against the stomach wall. - CORRECT
ANSWER D) Internal and external fixation bolsters secure the tube against the stomach wall.
A client is postoperative day 1 following gastrostomy. The nurse is planning interventions to address
the nursing diagnosis of Risk for Infection Related to Presence of Wound and Tube. What intervention
is most appropriate?
A) Administer antibiotics via the tube as prescribed.
B) Wash the area around the tube with soap and water daily.
C) Cleanse the skin within 2 cm of the insertion site with hydrogen peroxide once per shift.
D) Irrigate the skin surrounding the insertion site with normal saline before each use. - CORRECT
ANSWER B) Wash the area around the tube with soap and water daily.
