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NSG 3800 EXAM 3 2026/2027 | NURSING PRACTICE
– ADULT HEALTH II | 40 VERIFIED Q&A | DETAILED
RATIONALES | PASS GUARANTEED – A+ GRADED
SECTION 1: GASTROINTESTINAL & NUTRITIONAL DISORDERS – Questions 1-15
Q1: Dumping Syndrome Intervention
A client receiving tube feedings is experiencing diarrhea. The nurse and the health care provider
suspect 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
Rationale: Dumping syndrome occurs when hypertonic feedings enter the small intestine rapidly,
drawing large amounts of water into the intestinal lumen by osmotic pressure . Keeping the client in
semi-Fowler position for 1 hour after feedings slows gastric emptying and reduces the risk of
dumping syndrome. Stopping the feed and aspirating stomach contents (A) is not the most
appropriate intervention for this complication. Increasing the hourly feed rate (B) would worsen the
condition. IV fluid replacement (D) may be needed for severe cases but is not the primary
intervention .
Q2: Gastrostomy Postoperative Complication
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
Rationale: Premature removal of the G tube is a potential postoperative complication of
gastrostomy. The tube must remain in place until the tract heals (typically 4-6 weeks) to prevent
leakage of gastric contents into the peritoneum. Bowel perforation (B) is not a typical complication
of gastrostomy. Constipation (C) and PUD (D) are not directly related to gastrostomy placement .
Q3: NG Tube Feeding Positioning
, 2
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
Rationale: Before administering an NG tube feeding, the nurse should position the client upright (at
least 30-45 degrees) to prevent aspiration. Voiding (A) is not relevant to NG tube feeding.
Administering water to confirm placement (B) is not a reliable method for verifying tube placement.
A focused GI assessment (D) is important but positioning is the priority safety intervention before
feeding .
Q4: Dumping Syndrome Mechanism
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
Rationale: Dumping syndrome occurs when hypertonic feedings enter the small intestine rapidly,
drawing large amounts of water into the intestinal lumen by osmotic pressure . This causes fluid
shifts, leading to symptoms like diarrhea, nausea, and hypotension. Options A, C, and D do not
accurately describe the mechanism of dumping syndrome .
Q5: PEG Tube Fixation
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
Rationale: A PEG tube is secured by internal and external fixation bolsters . The internal bolster
(bumper) rests against the stomach wall, and the external bolster secures the tube against the
abdominal skin, preventing migration. Options A, B, and C do not accurately describe PEG tube
fixation .
NSG 3800 EXAM 3 2026/2027 | NURSING PRACTICE
– ADULT HEALTH II | 40 VERIFIED Q&A | DETAILED
RATIONALES | PASS GUARANTEED – A+ GRADED
SECTION 1: GASTROINTESTINAL & NUTRITIONAL DISORDERS – Questions 1-15
Q1: Dumping Syndrome Intervention
A client receiving tube feedings is experiencing diarrhea. The nurse and the health care provider
suspect 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
Rationale: Dumping syndrome occurs when hypertonic feedings enter the small intestine rapidly,
drawing large amounts of water into the intestinal lumen by osmotic pressure . Keeping the client in
semi-Fowler position for 1 hour after feedings slows gastric emptying and reduces the risk of
dumping syndrome. Stopping the feed and aspirating stomach contents (A) is not the most
appropriate intervention for this complication. Increasing the hourly feed rate (B) would worsen the
condition. IV fluid replacement (D) may be needed for severe cases but is not the primary
intervention .
Q2: Gastrostomy Postoperative Complication
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
Rationale: Premature removal of the G tube is a potential postoperative complication of
gastrostomy. The tube must remain in place until the tract heals (typically 4-6 weeks) to prevent
leakage of gastric contents into the peritoneum. Bowel perforation (B) is not a typical complication
of gastrostomy. Constipation (C) and PUD (D) are not directly related to gastrostomy placement .
Q3: NG Tube Feeding Positioning
, 2
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
Rationale: Before administering an NG tube feeding, the nurse should position the client upright (at
least 30-45 degrees) to prevent aspiration. Voiding (A) is not relevant to NG tube feeding.
Administering water to confirm placement (B) is not a reliable method for verifying tube placement.
A focused GI assessment (D) is important but positioning is the priority safety intervention before
feeding .
Q4: Dumping Syndrome Mechanism
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
Rationale: Dumping syndrome occurs when hypertonic feedings enter the small intestine rapidly,
drawing large amounts of water into the intestinal lumen by osmotic pressure . This causes fluid
shifts, leading to symptoms like diarrhea, nausea, and hypotension. Options A, C, and D do not
accurately describe the mechanism of dumping syndrome .
Q5: PEG Tube Fixation
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
Rationale: A PEG tube is secured by internal and external fixation bolsters . The internal bolster
(bumper) rests against the stomach wall, and the external bolster secures the tube against the
abdominal skin, preventing migration. Options A, B, and C do not accurately describe PEG tube
fixation .
