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Fundamentals of Nursing - Chapter 44,
Nutrition
Which action is initially taken by the nurse to verify correct position of a newly placed
small-bore feeding tube?
A. Placing an order for x-ray film examination to check position
B. Confirming the distal mark on the feeding tube after taping
C. Testing the pH of the gastric contents and observing the color
D. Auscultating over the gastric area as air is injected into the tube
A
The nurse is caring for a patient experiencing dysphagia. Which interventions help
decrease the risk of aspiration during feeding? (Select all that apply.)
A. Sit the patient upright in a chair.
B. Give liquids at the end of the meal.
C. Place food in the strong side of the mouth.
D. Provide thin foods to make it easier to swallow.
E. Feed the patient slowly, allowing time to chew and swallow.
F. Encourage patient to lie down to rest for 30 minutes after eating.
A, C, E
The nurse suspects that the patient receiving parenteral nutrition (PN) through a
central venous catheter (CVC) has an air embolus. What action does the nurse need
to take first?
A. Raise head of bed to 90 degrees
B. Turn patient to left lateral decubitus position
C. Notify health care provider immediately
D. Have patient perform the Valsalva maneuver
B
Which action is initially taken by the nurse to verify correct position of a newly placed
small-bore feeding tube?
A. Placing an order for x-ray film examination to check position
B. Confirming the distal mark on the feeding tube after taping
C. Testing the pH of the gastric contents and observing the color
D. Auscultating over the gastric area as air is injected into the tube
A
The catheter of the patient receiving parenteral nutrition (PN) becomes occluded.
Place the steps for caring for the occluded catheter in the order in which the nurse
would perform them.
A. Attempt to aspirate a clot.
B. Temporarily stop the infusion.
C. Flush the line with saline or heparin.
D. Use a thrombolytic agent if ordered or per protocol.
B, C, A, D
Based on knowledge of peptic ulcer disease (PUD), the nurse anticipates the
presence of which bacteria when reviewing the laboratory data for a patient
suspected of having PUD?
A.Micrococcus
B.Staphylococcus
, 12/02/2025 08:23:05
C.Corynebacterium
D.Helicobacter pylori
D
Which statement made by an adult patient demonstrates understanding of healthy
nutrition teaching?
A. I need to stop eating red meat.
B. I will increase the servings of fruit juice to four a day.
C. I will make sure that I eat a balanced diet and exercise regularly.
D. I will not eat so many dark green vegetables and eat more yellow vegetables.
C
The nurse teaches a patient who has had surgery to increase which nutrient to help
with tissue repair?
A. Fat
B. Protein
C. Vitamin
D. Carbohydrate
B
The nurse is assessing a patient receiving enteral feedings via a small-bore
nasogastric tube. Which assessment findings need further intervention?
A. Gastric pH of 4.0 during placement check
B. Weight gain of 1 pound over the course of a week
C. Active bowel sounds in the four abdominal quadrants
D. Gastric residual aspirate of 350 mL for the second consecutive time
D
The nurse suspects that the patient receiving parenteral nutrition (PN) through a
central venous catheter (CVC) has an air embolus. What action does the nurse need
to take first?
A. Raise head of bed to 90 degrees
B. Turn patient to left lateral decubitus position
C. Notify health care provider immediately
D. Have patient perform the Valsalva maneuver
B
The home care nurse is seeing the following patients. Which patient is at greatest
risk for experiencing inadequate nutrition?
A. A 55-year-old obese man recently diagnosed with diabetes mellitus
B. A recently widowed 76-year-old woman recovering from a mild stroke
C. A 22-year-old mother with a 3-year-old toddler who had tonsillectomy surgery
D. A 46-year-old man recovering at home following coronary artery bypass surgery
B
Which statement made by a patient of a 2-month-old infant requires further
education?
A. I'll continue to use formula for the baby until he is a least a year old.
B. I'll make sure that I purchase iron-fortified formula.
C. I'll start feeding the baby cereal at 4 months.
D. I'm going to alternate formula with whole milk starting next month.
D
The nurse is checking feeding tube placement. Place the steps in the proper
sequence.
A. Draw 5-10 mL gastric aspirate into syringe.
Fundamentals of Nursing - Chapter 44,
Nutrition
Which action is initially taken by the nurse to verify correct position of a newly placed
small-bore feeding tube?
A. Placing an order for x-ray film examination to check position
B. Confirming the distal mark on the feeding tube after taping
C. Testing the pH of the gastric contents and observing the color
D. Auscultating over the gastric area as air is injected into the tube
A
The nurse is caring for a patient experiencing dysphagia. Which interventions help
decrease the risk of aspiration during feeding? (Select all that apply.)
A. Sit the patient upright in a chair.
B. Give liquids at the end of the meal.
C. Place food in the strong side of the mouth.
D. Provide thin foods to make it easier to swallow.
E. Feed the patient slowly, allowing time to chew and swallow.
F. Encourage patient to lie down to rest for 30 minutes after eating.
A, C, E
The nurse suspects that the patient receiving parenteral nutrition (PN) through a
central venous catheter (CVC) has an air embolus. What action does the nurse need
to take first?
A. Raise head of bed to 90 degrees
B. Turn patient to left lateral decubitus position
C. Notify health care provider immediately
D. Have patient perform the Valsalva maneuver
B
Which action is initially taken by the nurse to verify correct position of a newly placed
small-bore feeding tube?
A. Placing an order for x-ray film examination to check position
B. Confirming the distal mark on the feeding tube after taping
C. Testing the pH of the gastric contents and observing the color
D. Auscultating over the gastric area as air is injected into the tube
A
The catheter of the patient receiving parenteral nutrition (PN) becomes occluded.
Place the steps for caring for the occluded catheter in the order in which the nurse
would perform them.
A. Attempt to aspirate a clot.
B. Temporarily stop the infusion.
C. Flush the line with saline or heparin.
D. Use a thrombolytic agent if ordered or per protocol.
B, C, A, D
Based on knowledge of peptic ulcer disease (PUD), the nurse anticipates the
presence of which bacteria when reviewing the laboratory data for a patient
suspected of having PUD?
A.Micrococcus
B.Staphylococcus
, 12/02/2025 08:23:05
C.Corynebacterium
D.Helicobacter pylori
D
Which statement made by an adult patient demonstrates understanding of healthy
nutrition teaching?
A. I need to stop eating red meat.
B. I will increase the servings of fruit juice to four a day.
C. I will make sure that I eat a balanced diet and exercise regularly.
D. I will not eat so many dark green vegetables and eat more yellow vegetables.
C
The nurse teaches a patient who has had surgery to increase which nutrient to help
with tissue repair?
A. Fat
B. Protein
C. Vitamin
D. Carbohydrate
B
The nurse is assessing a patient receiving enteral feedings via a small-bore
nasogastric tube. Which assessment findings need further intervention?
A. Gastric pH of 4.0 during placement check
B. Weight gain of 1 pound over the course of a week
C. Active bowel sounds in the four abdominal quadrants
D. Gastric residual aspirate of 350 mL for the second consecutive time
D
The nurse suspects that the patient receiving parenteral nutrition (PN) through a
central venous catheter (CVC) has an air embolus. What action does the nurse need
to take first?
A. Raise head of bed to 90 degrees
B. Turn patient to left lateral decubitus position
C. Notify health care provider immediately
D. Have patient perform the Valsalva maneuver
B
The home care nurse is seeing the following patients. Which patient is at greatest
risk for experiencing inadequate nutrition?
A. A 55-year-old obese man recently diagnosed with diabetes mellitus
B. A recently widowed 76-year-old woman recovering from a mild stroke
C. A 22-year-old mother with a 3-year-old toddler who had tonsillectomy surgery
D. A 46-year-old man recovering at home following coronary artery bypass surgery
B
Which statement made by a patient of a 2-month-old infant requires further
education?
A. I'll continue to use formula for the baby until he is a least a year old.
B. I'll make sure that I purchase iron-fortified formula.
C. I'll start feeding the baby cereal at 4 months.
D. I'm going to alternate formula with whole milk starting next month.
D
The nurse is checking feeding tube placement. Place the steps in the proper
sequence.
A. Draw 5-10 mL gastric aspirate into syringe.
