NURS 5455 Exam 2 Questions and correct
answers with a mean grade of A plan
A client is being prepared for surgery to have placement of a percutaneous endoscopic
gastrostomy (PEG) tube. The client asks why the PEG tube is preferred over the
existing nasogastric tube that is being used for feedings. Which explanation would the
nurse give for why a PEG tube is preferred for administering a tube feeding?
A. there is less chance of aspiration with a PEG tube
B. the PEG tube does not require a pump
C. self-administration of the tube feeding is possible
D. more tube feeding mixture can be given each time - CORRECT ANSWERS--A. there
is less chance of aspiration with a PEG tube
The nurse is preparing to insert a nasogastric (NG) tube for a client to allow continuous
suction. Which tube would the nurse select?
A. levin
B. dobhoff
C. salem sump
D. gastrostomy - CORRECT ANSWERS--C. salem sump
The nurse provides education to a client who is learning how to self-administer
gastrostomy tube feedings and would include which instruction?
A. administering water after the feeding is completed
B. maintaining the supine position during the feeding
C. heating the feeding solution to slightly above body temperature
D. determining tube placement by instilling water before the feeding - CORRECT
ANSWERS--A. administering water after the feeding is completed
A health care provider prescribes an intermittent enteral tube feeding for a client with a
nasogastric tube. Place the nursing interventions in the order in which they should be
implemented.
A. elevate the head of the bed to at least 30 degrees
B. verify the health care provider's prescription
C. administer the volume of feeding as per the prescription
D. flush the tube with 30 mL of water after the feeding
E. check the volume of residual against the parameters prescribed - CORRECT
ANSWERS--B, A, E, C, D
, A client is receiving intermittent nasogastric (NG) tube feedings to supplement oral
nutritional intake. The nurse administers the feeding over 30 to 60 minutes to reduce
which hazard?
A. distention
B. flatulence
C. indigestion
D. regurgitation - CORRECT ANSWERS--D. regurgitation
Which statement by a client who is receiving total parenteral nutrition (TPN) after
extensive colon surgery indicates effective teaching?
A. "TPN provides supplemental nutrition"
B. "TPN provides short-term nutrition after surgery"
C. "TPN provides total nutrition when gastrointestinal function is questionable"
D. "TPN assists people who are unable to eat but have active gastrointestinal function" -
CORRECT ANSWERS--C. "TPN provides total nutrition when gastrointestinal function
is questionable"
Three days after admission to the hospital for a cerebrovascular accident (CVA), a client
has a nasogastric tube inserted and is receiving continuous tube feedings. Which action
would the nurse take to evaluate whether the feeding is being absorbed?
A. aspirate for a residual volume
B. evaluate the intake in relation to the output
C. instill air into the client's stomach while auscultating
D. comparer the client's body weight with the baseline data - CORRECT ANSWERS--A.
aspirate for a residual volume
Which process would the nurse use to determine the length of tube needed to reach a
client's stomach for nasogastric feeding?
A. the tube is advanced until resistance is met
B. the tube is advanced until gastric contents are aspirated
C. a measurement is made from nose to earlobe and then to the epigastric area
D. a measurement is made from mouth to umbilicus and then half that distance is added
- CORRECT ANSWERS--C. a measurement is made from nose to earlobe and then to
the epigastric area
During a change of shift report, the night nurse indicates that a client cannot tolerate
prescribed intermittent tube feedings. Which action should the receiving nurse take?
A. suggest that an antiemetic be prescribed
B. change the feeding schedule to omit nights
C. request that the type of solution be changed
D. gather more data from the night nurse about the technique used - CORRECT
ANSWERS--D. gather more data from the night nurse about the technique used
A client has a nasogastric feeding tube inserted, and the health care provider prescribes
the feeding to be instituted immediately. Which action would the nurse take first?
A. instill normal saline into the tube to maintain patency
answers with a mean grade of A plan
A client is being prepared for surgery to have placement of a percutaneous endoscopic
gastrostomy (PEG) tube. The client asks why the PEG tube is preferred over the
existing nasogastric tube that is being used for feedings. Which explanation would the
nurse give for why a PEG tube is preferred for administering a tube feeding?
A. there is less chance of aspiration with a PEG tube
B. the PEG tube does not require a pump
C. self-administration of the tube feeding is possible
D. more tube feeding mixture can be given each time - CORRECT ANSWERS--A. there
is less chance of aspiration with a PEG tube
The nurse is preparing to insert a nasogastric (NG) tube for a client to allow continuous
suction. Which tube would the nurse select?
A. levin
B. dobhoff
C. salem sump
D. gastrostomy - CORRECT ANSWERS--C. salem sump
The nurse provides education to a client who is learning how to self-administer
gastrostomy tube feedings and would include which instruction?
A. administering water after the feeding is completed
B. maintaining the supine position during the feeding
C. heating the feeding solution to slightly above body temperature
D. determining tube placement by instilling water before the feeding - CORRECT
ANSWERS--A. administering water after the feeding is completed
A health care provider prescribes an intermittent enteral tube feeding for a client with a
nasogastric tube. Place the nursing interventions in the order in which they should be
implemented.
A. elevate the head of the bed to at least 30 degrees
B. verify the health care provider's prescription
C. administer the volume of feeding as per the prescription
D. flush the tube with 30 mL of water after the feeding
E. check the volume of residual against the parameters prescribed - CORRECT
ANSWERS--B, A, E, C, D
, A client is receiving intermittent nasogastric (NG) tube feedings to supplement oral
nutritional intake. The nurse administers the feeding over 30 to 60 minutes to reduce
which hazard?
A. distention
B. flatulence
C. indigestion
D. regurgitation - CORRECT ANSWERS--D. regurgitation
Which statement by a client who is receiving total parenteral nutrition (TPN) after
extensive colon surgery indicates effective teaching?
A. "TPN provides supplemental nutrition"
B. "TPN provides short-term nutrition after surgery"
C. "TPN provides total nutrition when gastrointestinal function is questionable"
D. "TPN assists people who are unable to eat but have active gastrointestinal function" -
CORRECT ANSWERS--C. "TPN provides total nutrition when gastrointestinal function
is questionable"
Three days after admission to the hospital for a cerebrovascular accident (CVA), a client
has a nasogastric tube inserted and is receiving continuous tube feedings. Which action
would the nurse take to evaluate whether the feeding is being absorbed?
A. aspirate for a residual volume
B. evaluate the intake in relation to the output
C. instill air into the client's stomach while auscultating
D. comparer the client's body weight with the baseline data - CORRECT ANSWERS--A.
aspirate for a residual volume
Which process would the nurse use to determine the length of tube needed to reach a
client's stomach for nasogastric feeding?
A. the tube is advanced until resistance is met
B. the tube is advanced until gastric contents are aspirated
C. a measurement is made from nose to earlobe and then to the epigastric area
D. a measurement is made from mouth to umbilicus and then half that distance is added
- CORRECT ANSWERS--C. a measurement is made from nose to earlobe and then to
the epigastric area
During a change of shift report, the night nurse indicates that a client cannot tolerate
prescribed intermittent tube feedings. Which action should the receiving nurse take?
A. suggest that an antiemetic be prescribed
B. change the feeding schedule to omit nights
C. request that the type of solution be changed
D. gather more data from the night nurse about the technique used - CORRECT
ANSWERS--D. gather more data from the night nurse about the technique used
A client has a nasogastric feeding tube inserted, and the health care provider prescribes
the feeding to be instituted immediately. Which action would the nurse take first?
A. instill normal saline into the tube to maintain patency
