Final Exam -246 Enteral nutrition Test
Questions with Correct Answers.
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? - Answer B. Dyspnea
Rationale
Aspiration, generally from tube displacement, is the greatest risk related to tube feedings.
Diarrhea may be an unexpected outcome, and abdominal distention may be an indication of
intolerance of the formula feedings. A patient with an NG or Naso intestinal (NI) tube may
complain of throat irritation from the presence of the tube in the nasopharynx, but this does
not pose a risk.
The nurse is inserting an NG feeding tube. Which step in the procedure is inaccurate, indicating
further instruction is needed? - Answer Perform hand hygiene and place patient in left lateral
position. Determine length of tube from the xyphoid process to the tip of the patient's nose,
Insert stylet into feeding tube. Inspect nares. Dip end of tube in ice water.
The nurse just inserted an NG feeding tube. The health care provider'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 the nurse begin to instill feedings, water, or medications through the feeding tube? -
Answer When tube placement has been verified by x-ray film.
When should placement of a feeding tube be verified? (Select all that apply.) - Answer * At
least once every 6 hours when continuous feedings are given.
*Before administering water through the tube.
*13 Before administering medications through the tube.
*Before administering formula through the tube.
Which of the following may be delegated to nursing assistive personnel (NAP)? - Answer
Administering a tube feeding.
Questions with Correct Answers.
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? - Answer B. Dyspnea
Rationale
Aspiration, generally from tube displacement, is the greatest risk related to tube feedings.
Diarrhea may be an unexpected outcome, and abdominal distention may be an indication of
intolerance of the formula feedings. A patient with an NG or Naso intestinal (NI) tube may
complain of throat irritation from the presence of the tube in the nasopharynx, but this does
not pose a risk.
The nurse is inserting an NG feeding tube. Which step in the procedure is inaccurate, indicating
further instruction is needed? - Answer Perform hand hygiene and place patient in left lateral
position. Determine length of tube from the xyphoid process to the tip of the patient's nose,
Insert stylet into feeding tube. Inspect nares. Dip end of tube in ice water.
The nurse just inserted an NG feeding tube. The health care provider'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 the nurse begin to instill feedings, water, or medications through the feeding tube? -
Answer When tube placement has been verified by x-ray film.
When should placement of a feeding tube be verified? (Select all that apply.) - Answer * At
least once every 6 hours when continuous feedings are given.
*Before administering water through the tube.
*13 Before administering medications through the tube.
*Before administering formula through the tube.
Which of the following may be delegated to nursing assistive personnel (NAP)? - Answer
Administering a tube feeding.
