NUR 325 EXAM 2 REVIEW QUESTIONS AND
VALIDATED CORRECT ANSWERS.
Which of the following health conditions would be LEAST likely to cause
fluid and electrolyte imbalances?
a. Vomiting and diarrhea
b. Breaking a leg
c. Renal failure
d. Congestive heart failure (CHF) - CorreCt Answers -B
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. - CorreCt Answers -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. - CorreCt
Answers -A C E
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 - CorreCt Answers
-A B C
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 - CorreCt Answers -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 - CorreCt Answers -A C
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. - CorreCt Answers -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." - CorreCt Answers -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. - CorreCt Answers -C E G H
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. - CorreCt
Answers -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?
VALIDATED CORRECT ANSWERS.
Which of the following health conditions would be LEAST likely to cause
fluid and electrolyte imbalances?
a. Vomiting and diarrhea
b. Breaking a leg
c. Renal failure
d. Congestive heart failure (CHF) - CorreCt Answers -B
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. - CorreCt Answers -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. - CorreCt
Answers -A C E
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 - CorreCt Answers
-A B C
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 - CorreCt Answers -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 - CorreCt Answers -A C
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. - CorreCt Answers -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." - CorreCt Answers -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. - CorreCt Answers -C E G H
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. - CorreCt
Answers -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?
