Comprehensive ECPI Test Bank with Clinical
Scenarios, Rationales, and NCLEX-Style
Questions, Ace your exams with this A+ NUR
165 ECPI Test bank
Percutaneous endoscopic gastrostomy (PEG Tube) is placed in the - Answer- Stomach
Jejunostomy tube or J-tube is placed in the - Answer- Jejunum
Feeding tubes are required for? - Answer- Patients requiring long-term feedings that have
surgical endoscopic placement of a percutaneous feeding tube
Unabsorbed gastric feedings can cause what? - Answer- Aspiration
What are the nursing responsibilities for a J tube? - Answer- Access the placement, perform
assessment of skin integrity, access for gastric residual.
What are some factors which may impeded the advancement of a diet? - Answer- Nausea,
complains of indigestion, smoking, hypoactive bowel sounds
Before administering a tube feeding you must? - Answer- Check the residual gastric volume
that remains in the stomach from the previous feeding
How do you check the residual gastric volume? - Answer- Aspirate contents through the
tube until the stomach is empty
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,-if the residual amount is greater than the syringe can hold, measure the aspirate volume
using a graduated container
Jejunostomy tube (J-tube) or 3-tube is placed where? - Answer- The jejunum
Commercial products for aspiration? - Answer- Thickens: Honey, nectar and etc
What are HAIs? - Answer- Hospital acquired infections. Example: central line-associated
bloodstream infections, catheter-associated urinary tract infections, and ventilator-
associated pneumonia
Nasogastric tubes are safe to use when? - Answer- For patients who are unable to tolerate
oral intake. Used for short periods of time
When irrigating (flush) a NG Tube, you are? - Answer- Checking the pH of the stomach
contents. It has to be between one and five.
NG Tube irrigation steps: - Answer- 1. Inject 20 ml of air and listen to the stomach
2. Pull up (aspirate) stomach contents
3. Check pH of stomach contents (between 1 and 5)
4. For irrigation, take 20 ml of solution and push it in and then draw it back out
What is the most common pain scale? - Answer- 0-10
If the patient’s pain is on a scale of 0-5, how many Tylenols should you give? - Answer- 1
If the patient’s pain is on a scale of 5-10, how many Tylenols should you give? - Answer- 2
What is the systolic blood pressure of someone who has hypotension? - Answer- Less than
90
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,What are the steps for bed bath? - Answer- 1. Hand hygiene
2. Don gloves
3. Verify yourself
4. Privacy
5. Gather equipment
6. Check water
7. Start from bottom to top (venous return)
Wakefulness - Answer- Time of mental activity and energy expenditure
Sleep - Answer- State of rest accompanied by altered consciousness and relative inactivity.
Rest - Answer- Concept that is used in many disciplines a condition in which the body is in a
decreased in which the body is in a decreased state of activity.
Lipids - Answer- Provide energy
Protein - Answer- Are building blocks
Carbohydrate - Answer- Provides the body with glucose which then is converted into
energy
What are healthy carbs? - Answer- Fruits, whole grain, vegetables. Which produces energy
and fibber
Water is used for? - Answer- Hydration
Minerals are? - Answer- Electrolytes
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, What is necessary for metabolism? - Answer- Vitamins
Florence Nightingale - Answer- Established sanitary nursing care units, founder of modern
nursing, began professional education of nursing.
Dysphagia is? What type of diet should a patient with dysphagia be on? - Answer- Difficulty
swallowing. Needs to be on a mechanical soft diet
What is a therapeutic diet? - Answer- Modification of a normal diet for a health reason such
as diabetic, calorie-restricted, sodium-restricted, fat-restricted
What does NPO stand for - Answer- Non per os nothing by mouth. Patient is restricted
from oral intake of food or fluid including water
After NPO, a patient can be on what diet? - Answer- Clear diet
What is a regular diet? - Answer- No restrictions unless specified
What is a clear liquid diet? - Answer- Anything that is clear or see through. Ex: water, broth,
tea without milk
If a patient can tolerate clear liquids, what diet would they be advanced to? - Answer- Full
liquid diet
What is a full liquid diet? - Answer- Foods liquid at room temperature or that melt at body
temperature
What are some examples of a full liquid diet? - Answer- Milk, pudding, ice cream
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