CCII Exam 3
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1. A nurse is caring for a patient who is receiving B
continuous enteral feedings via a nasogastric (NG)
tube. Which of the following actions should the
nurse take to prevent aspiration?
A. Administer the feedings at room temperature.
B. Elevate the head of the bed to at least 30 de-
grees.
C. Check the residual volume every 8 hours.
D. Flush the NG tube with 30 mL of water every 4
hours.
2. A patient is receiving enteral nutrition through a C
gastrostomy tube. The nurse notes that the pa-
tient's abdomen is distended and the patient is
complaining of nausea. What is the nurse's priority
action?
A. Administer an antiemetic medication.
B. Decrease the rate of the enteral feeding.
C. Check the residual volume.
D. Notify the healthcare provider.
3. Which of the following signs would indicate that a A
patient is not tolerating an enteral feeding?
A. Diarrhea and abdominal cramping
B. Weight gain of 1 pound over a week
C. Increased urine output
D. Stable vital signs
4. The nurse is preparing to administer medications C
through a patient's enteral feeding tube. Which
of the following steps should the nurse take to
ensure safe administration?
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A. Mix all medications together with the enteral
feeding formula.
B. Crush all medications and administer them at
once.
C. Flush the tube with 30 mL of water before and
after medication administration.
D. Administer medications without flushing to pre-
vent fluid overload.
5. A nurse is providing discharge teaching to a pa- A
tient who will be receiving home enteral nutrition
through a percutaneous endoscopic gastrostomy
(PEG) tube. Which of the following instructions
should the nurse include?
A. Clean the tube insertion site with soap and wa-
ter daily.
B. Rotate the PEG tube 360 degrees daily.
C. Check for tube placement by aspirating stom-
ach contents daily.
D. Only administer bolus feedings.
6. A patient with a nasogastric (NG) tube for enteral D
feeding begins to experience diarrhea. What is the
most appropriate action for the nurse to take?
A. Increase the feeding rate.
B. Dilute the feeding solution.
C. Administer an anti-diarrheal medication.
D. Notify the healthcare provider.
7. A nurse is caring for a patient receiving total par- B
enteral nutrition (TPN). Which of the following is
the most important assessment to prevent com-
, CCII Exam 3
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plications?
A. Monitor daily weights.
B. Check blood glucose levels regularly.
C. Monitor serum electrolyte levels.
D. Assess for signs of infection at the catheter
insertion site.
8. A patient receiving parenteral nutrition through a B
central venous catheter (CVC) develops a fever and
chills. What should the nurse do first?
A. Slow the rate of the infusion.
B. Notify the healthcare provider.
C. Administer an antipyretic medication.
D. Change the infusion tubing.
9. Which of the following laboratory values should C
the nurse monitor to evaluate the effectiveness of
total parenteral nutrition (TPN)?
A. Hemoglobin and hematocrit levels
B. Blood urea nitrogen (BUN) and creatinine levels
C. Serum albumin and prealbumin levels
D. White blood cell (WBC) count
10. A nurse is preparing to administer total parenteral D
nutrition (TPN) to a patient. Which of the following
actions is appropriate to minimize the risk of infec-
tion?
A. Use clean technique when changing the TPN
dressing.
B. Change the TPN solution and tubing every 72
hours.
C. Infuse the TPN solution through a peripheral IV
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line.
D. Use strict aseptic technique when handling the
TPN solution and tubing.
11. The nurse is caring for a patient who is receiving C and see if tube is placed cor-
total parenteral nutrition (TPN) through a central rectly with chest x-ray
venous catheter. The patient suddenly develops
shortness of breath, chest pain, and a rapid pulse.
What is the nurse's priority action?
A. Check the TPN infusion rate.
B. Obtain a chest x-ray.
C. Administer oxygen and notify the healthcare
provider.
D. Discontinue the TPN infusion.
12. A nurse is providing discharge instructions to a pa- A
tient who will be receiving parenteral nutrition at
home. Which of the following statements indicates
a need for further teaching?
A. "I will change the dressing around the catheter
insertion site every week."
B. "I will use a pump to infuse the parenteral nu-
trition."
C. "I will monitor my blood sugar levels as direct-
ed."
D. "I will wash my hands thoroughly before han-
dling the catheter."
13. The nurse is reviewing the laboratory results of B
a patient receiving parenteral nutrition. Which of
the following results should the nurse report to
the healthcare provider immediately?
Study online at https://quizlet.com/_fd8144
1. A nurse is caring for a patient who is receiving B
continuous enteral feedings via a nasogastric (NG)
tube. Which of the following actions should the
nurse take to prevent aspiration?
A. Administer the feedings at room temperature.
B. Elevate the head of the bed to at least 30 de-
grees.
C. Check the residual volume every 8 hours.
D. Flush the NG tube with 30 mL of water every 4
hours.
2. A patient is receiving enteral nutrition through a C
gastrostomy tube. The nurse notes that the pa-
tient's abdomen is distended and the patient is
complaining of nausea. What is the nurse's priority
action?
A. Administer an antiemetic medication.
B. Decrease the rate of the enteral feeding.
C. Check the residual volume.
D. Notify the healthcare provider.
3. Which of the following signs would indicate that a A
patient is not tolerating an enteral feeding?
A. Diarrhea and abdominal cramping
B. Weight gain of 1 pound over a week
C. Increased urine output
D. Stable vital signs
4. The nurse is preparing to administer medications C
through a patient's enteral feeding tube. Which
of the following steps should the nurse take to
ensure safe administration?
, CCII Exam 3
Study online at https://quizlet.com/_fd8144
A. Mix all medications together with the enteral
feeding formula.
B. Crush all medications and administer them at
once.
C. Flush the tube with 30 mL of water before and
after medication administration.
D. Administer medications without flushing to pre-
vent fluid overload.
5. A nurse is providing discharge teaching to a pa- A
tient who will be receiving home enteral nutrition
through a percutaneous endoscopic gastrostomy
(PEG) tube. Which of the following instructions
should the nurse include?
A. Clean the tube insertion site with soap and wa-
ter daily.
B. Rotate the PEG tube 360 degrees daily.
C. Check for tube placement by aspirating stom-
ach contents daily.
D. Only administer bolus feedings.
6. A patient with a nasogastric (NG) tube for enteral D
feeding begins to experience diarrhea. What is the
most appropriate action for the nurse to take?
A. Increase the feeding rate.
B. Dilute the feeding solution.
C. Administer an anti-diarrheal medication.
D. Notify the healthcare provider.
7. A nurse is caring for a patient receiving total par- B
enteral nutrition (TPN). Which of the following is
the most important assessment to prevent com-
, CCII Exam 3
Study online at https://quizlet.com/_fd8144
plications?
A. Monitor daily weights.
B. Check blood glucose levels regularly.
C. Monitor serum electrolyte levels.
D. Assess for signs of infection at the catheter
insertion site.
8. A patient receiving parenteral nutrition through a B
central venous catheter (CVC) develops a fever and
chills. What should the nurse do first?
A. Slow the rate of the infusion.
B. Notify the healthcare provider.
C. Administer an antipyretic medication.
D. Change the infusion tubing.
9. Which of the following laboratory values should C
the nurse monitor to evaluate the effectiveness of
total parenteral nutrition (TPN)?
A. Hemoglobin and hematocrit levels
B. Blood urea nitrogen (BUN) and creatinine levels
C. Serum albumin and prealbumin levels
D. White blood cell (WBC) count
10. A nurse is preparing to administer total parenteral D
nutrition (TPN) to a patient. Which of the following
actions is appropriate to minimize the risk of infec-
tion?
A. Use clean technique when changing the TPN
dressing.
B. Change the TPN solution and tubing every 72
hours.
C. Infuse the TPN solution through a peripheral IV
, CCII Exam 3
Study online at https://quizlet.com/_fd8144
line.
D. Use strict aseptic technique when handling the
TPN solution and tubing.
11. The nurse is caring for a patient who is receiving C and see if tube is placed cor-
total parenteral nutrition (TPN) through a central rectly with chest x-ray
venous catheter. The patient suddenly develops
shortness of breath, chest pain, and a rapid pulse.
What is the nurse's priority action?
A. Check the TPN infusion rate.
B. Obtain a chest x-ray.
C. Administer oxygen and notify the healthcare
provider.
D. Discontinue the TPN infusion.
12. A nurse is providing discharge instructions to a pa- A
tient who will be receiving parenteral nutrition at
home. Which of the following statements indicates
a need for further teaching?
A. "I will change the dressing around the catheter
insertion site every week."
B. "I will use a pump to infuse the parenteral nu-
trition."
C. "I will monitor my blood sugar levels as direct-
ed."
D. "I will wash my hands thoroughly before han-
dling the catheter."
13. The nurse is reviewing the laboratory results of B
a patient receiving parenteral nutrition. Which of
the following results should the nurse report to
the healthcare provider immediately?
