NUR 325 – Exam 2 Review Questions | Nursing Care, Neurological Disorders, Hepatic
Conditions, and Critical Concepts – Question & Answers
You just inserted an NG feeding tube. The physician's order states to administer all meds per
tube and a continuous feeding of Isocal at 30 mL per hour. The order also states to check the
patient's blood glucose every 6 hours. When can you begin to instill feedings, water, or
medications through the feeding tube?
A) Immediately after placement is verified by pH testing
B) When the patient's blood glucose is verified to be within normal limits
C) When tube placement has been verified by x-ray film
D) After administering 30 mL of water, the medications may be given, followed by another 30
mL of water, and then the continuous feeding may be initiated. C
You are attempting to administer medication through a feeding tube but are unable to do so
because of a blockage in the tube. What action(s) should you take? (Select all that apply.)
A) For a newly inserted tube, notify physician and obtain x-ray confirmation of positioning.
B) Clamp the tube and try again at a later time.
C) For an established tube, attempt to flush tube with large-bore syringe and warm water.
D) Soak the end of the tube in warm water.
E) If unable to flush, contact physician for replacement of tube and potential need to reroute
medication.
F) Have the patient place the chin to the chest and swallow. ACE
Identify the appropriate times to verify enteral tube placement by pH testing. (Select all that
apply.)
A) Before each intermittent feeding
B) At least once every 6 hours during continuous feedings
C) Before administration of medications through the tube
D) After administration of medications through the feed ABC
,The nurse is checking the placement of a tube just inserted in a patient before initiating enteral
feedings. Which pH would lead the nurse to suspect that the tube is in the tracheobronchial
tree?
A) 1
B) 3
C) 5
D) 7 D
For safe administration of oral medications through a feeding tube, specific attention must be
paid to: (Select all that apply.)
A) Proper placement of the tube
B) The patient's temperature
C) Whether the medication can be crushed for administration through the tube
D) The patient's electrolyte status AC
The patient begins to cough and choke as the nurse is inserting the NG tube. What is the best
action for the nurse to take at this time?
A) Pull the feeding tube out and start over in the opposite naris.
B) Pull the tube back and attempt to reinsert.
C) Instruct the patient to take small sips of water and swallow.
D) Auscultate over the carina. B
The student nurse is preparing to administer medication through a feeding tube. Which of the
following statements if made by the student nurse indicates correct understanding?
A) "I will perform hand hygiene. Gloves are only necessary for tube insertion, not medication
administration."
B) "The head of the bed should be kept flat during medication administration."
C) "I will aspirate gastric contents to check placement of the feeding tube and residual volume
and then I will dispose of the aspirate properly."
,D) "I will flush with 10 mL of tap water after each medicine and with 30-60 mL of water after
the last medication." D
A patient is receiving a continuous enteral feeding by infusion pump. You enter the patient's
room to verify tube placement and measure residual. You notice that the patient's respirations
are shallow and rapid and that the patient's color is ashen. You find rhonchi upon auscultation,
and the patient appears to be coughing up sputum of a color similar to the formula feeding.
What action(s) should you take? (Select all that apply.)
A) Ask the patient if she feels short of breath.
B) Administer oxygen.
C) Turn off the tube feeding.
D) Have the patient deep breathe and cough.
E) Position the patient in Fowler's position and suction the patient.
F) Position patient on the left side and suction the patient.
G) Notify the physician.
H) Prepare for chest x-ray examination. CEGH
Why is it important to have the tube feeding at room temperature?
A) It is unnecessary to keep the tube feeding cold because it will be hanging at room
temperature anyway.
B) It aids the speed of digestion.
C) Cold formula can cause gastric cramping.
D) Cold formula may lower the patient's body temperature. C
A patient has a nasogastric feeding tube. The nurse is aware of the need to monitor the patient
for potential complications. Which of the following symptoms, if demonstrated by the patient,
would potentially indicate the greatest risk related to tube feedings?
A) Diarrhea
B) Dyspnea
C) Abdominal distention
, D) Throat irritation B
For intestinal placement of a feeding tube, in what position should the nurse place the patient
while waiting for radiological confirmation of correct placement?
A) On the patient's right side
B) In a high-Fowler's position
C) In a left lateral position
D) Lying flat A
The nurse is going to administer a bolus enteral tube feeding of 240 mL. The nurse has obtained
a pH of 4 and 50 mL of gastric aspirate. Based on these findings, what action should the nurse
take?
A) Stop the feeding and recheck the residual in one hour.
B) Reposition the feeding tube under fluoroscopy.
C) Discard the aspirate and continue with the bolus feeding as prescribed.
D) Return the aspirate to the patient's stomach and administer the feeding. D
When should placement of a feeding tube be verified? (Select all that apply.)
A) Before administering formula through the tube
B) Before administering medications through the tube
C) Before administering water through the tube
D) At least once every 6 hours when continuous feedings are given
E) If the patient is complaining of a sore throat
F) Only when the physician orders it ABCD
The nurse is inserting a small-bore nasoenteric tube before starting enteral feedings. What is
the correct order of steps to perform this procedure?
1. Place patient in high-Fowler's position.
Conditions, and Critical Concepts – Question & Answers
You just inserted an NG feeding tube. The physician's order states to administer all meds per
tube and a continuous feeding of Isocal at 30 mL per hour. The order also states to check the
patient's blood glucose every 6 hours. When can you begin to instill feedings, water, or
medications through the feeding tube?
A) Immediately after placement is verified by pH testing
B) When the patient's blood glucose is verified to be within normal limits
C) When tube placement has been verified by x-ray film
D) After administering 30 mL of water, the medications may be given, followed by another 30
mL of water, and then the continuous feeding may be initiated. C
You are attempting to administer medication through a feeding tube but are unable to do so
because of a blockage in the tube. What action(s) should you take? (Select all that apply.)
A) For a newly inserted tube, notify physician and obtain x-ray confirmation of positioning.
B) Clamp the tube and try again at a later time.
C) For an established tube, attempt to flush tube with large-bore syringe and warm water.
D) Soak the end of the tube in warm water.
E) If unable to flush, contact physician for replacement of tube and potential need to reroute
medication.
F) Have the patient place the chin to the chest and swallow. ACE
Identify the appropriate times to verify enteral tube placement by pH testing. (Select all that
apply.)
A) Before each intermittent feeding
B) At least once every 6 hours during continuous feedings
C) Before administration of medications through the tube
D) After administration of medications through the feed ABC
,The nurse is checking the placement of a tube just inserted in a patient before initiating enteral
feedings. Which pH would lead the nurse to suspect that the tube is in the tracheobronchial
tree?
A) 1
B) 3
C) 5
D) 7 D
For safe administration of oral medications through a feeding tube, specific attention must be
paid to: (Select all that apply.)
A) Proper placement of the tube
B) The patient's temperature
C) Whether the medication can be crushed for administration through the tube
D) The patient's electrolyte status AC
The patient begins to cough and choke as the nurse is inserting the NG tube. What is the best
action for the nurse to take at this time?
A) Pull the feeding tube out and start over in the opposite naris.
B) Pull the tube back and attempt to reinsert.
C) Instruct the patient to take small sips of water and swallow.
D) Auscultate over the carina. B
The student nurse is preparing to administer medication through a feeding tube. Which of the
following statements if made by the student nurse indicates correct understanding?
A) "I will perform hand hygiene. Gloves are only necessary for tube insertion, not medication
administration."
B) "The head of the bed should be kept flat during medication administration."
C) "I will aspirate gastric contents to check placement of the feeding tube and residual volume
and then I will dispose of the aspirate properly."
,D) "I will flush with 10 mL of tap water after each medicine and with 30-60 mL of water after
the last medication." D
A patient is receiving a continuous enteral feeding by infusion pump. You enter the patient's
room to verify tube placement and measure residual. You notice that the patient's respirations
are shallow and rapid and that the patient's color is ashen. You find rhonchi upon auscultation,
and the patient appears to be coughing up sputum of a color similar to the formula feeding.
What action(s) should you take? (Select all that apply.)
A) Ask the patient if she feels short of breath.
B) Administer oxygen.
C) Turn off the tube feeding.
D) Have the patient deep breathe and cough.
E) Position the patient in Fowler's position and suction the patient.
F) Position patient on the left side and suction the patient.
G) Notify the physician.
H) Prepare for chest x-ray examination. CEGH
Why is it important to have the tube feeding at room temperature?
A) It is unnecessary to keep the tube feeding cold because it will be hanging at room
temperature anyway.
B) It aids the speed of digestion.
C) Cold formula can cause gastric cramping.
D) Cold formula may lower the patient's body temperature. C
A patient has a nasogastric feeding tube. The nurse is aware of the need to monitor the patient
for potential complications. Which of the following symptoms, if demonstrated by the patient,
would potentially indicate the greatest risk related to tube feedings?
A) Diarrhea
B) Dyspnea
C) Abdominal distention
, D) Throat irritation B
For intestinal placement of a feeding tube, in what position should the nurse place the patient
while waiting for radiological confirmation of correct placement?
A) On the patient's right side
B) In a high-Fowler's position
C) In a left lateral position
D) Lying flat A
The nurse is going to administer a bolus enteral tube feeding of 240 mL. The nurse has obtained
a pH of 4 and 50 mL of gastric aspirate. Based on these findings, what action should the nurse
take?
A) Stop the feeding and recheck the residual in one hour.
B) Reposition the feeding tube under fluoroscopy.
C) Discard the aspirate and continue with the bolus feeding as prescribed.
D) Return the aspirate to the patient's stomach and administer the feeding. D
When should placement of a feeding tube be verified? (Select all that apply.)
A) Before administering formula through the tube
B) Before administering medications through the tube
C) Before administering water through the tube
D) At least once every 6 hours when continuous feedings are given
E) If the patient is complaining of a sore throat
F) Only when the physician orders it ABCD
The nurse is inserting a small-bore nasoenteric tube before starting enteral feedings. What is
the correct order of steps to perform this procedure?
1. Place patient in high-Fowler's position.
