NUR 165 ECPI FINAL EXAM NEWEST 2025 ACTUAL
EXAM TEST BANK| ECPI NUR165 FINAL EXAM REVIEW
WITH 350 REAL EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS/ ALREADY GRADED A+ (BRAND
NEW!!)
Q1. Percutaneous endoscopic gastrostomy (PEG) tube is placed
in which anatomical location?
A) Jejunum
B) Duodenum
C) Stomach
D) Esophagus
Correct Answer: C
Rationale: A PEG tube is endoscopically placed directly into the
stomach through the abdominal wall for long-term enteral
feeding. The "gastrostomy" indicates stomach placement .
Q2. A jejunostomy tube (J-tube) is placed in which location?
A) Stomach
B) Jejunum
C) Duodenum
D) Ileum
1
,Correct Answer: B
Rationale: A J-tube is surgically placed directly into the jejunum
(the second part of the small intestine), bypassing the stomach
entirely. This is used when gastric feeding is not tolerated or
aspiration risk is high .
Q3. A patient requires long-term enteral feeding (>6 weeks)
and has a high risk of aspiration. Which type of feeding tube is
most appropriate?
A) Nasogastric tube (NG tube)
B) Nasojejunal tube (NJ tube)
C) Percutaneous endoscopic gastrostomy (PEG) tube
D) Jejunostomy tube (J-tube)
Correct Answer: D
Rationale: A J-tube is placed directly into the jejunum, bypassing
the stomach, which significantly reduces aspiration risk. Long-term
feeding warrants a surgically or endoscopically placed tube
rather than a nasal tube .
Q4. A nurse is caring for a patient with a J-tube. Which nursing
responsibilities are appropriate? (Select all that apply)
A) Assess skin integrity at the insertion site
B) Check tube placement
2
,C) Assess bowel sounds
D) Check gastric residual volume
Correct Answer: A, B, C
Rationale: Nursing responsibilities for J-tubes include assessing
skin integrity, verifying tube placement, auscultating bowel
sounds, monitoring abdomen, assessing gastric residual (though
less common than with gastric tubes), monitoring weight, and
tracking I&O. Gastric residual checks are more critical for gastric
tubes .
Q5. A patient with a J-tube has a gastric residual volume of 250
mL. What is the most appropriate nursing action?
A) Continue the feeding as ordered
B) Hold the feeding and notify the provider
C) Flush the tube with 30 mL of water
D) Increase the feeding rate
Correct Answer: B
Rationale: High gastric residual volumes (generally >200-250
mL) suggest delayed gastric emptying and increased aspiration
risk, especially problematic with J-tubes since feedings bypass
the stomach. The provider should be notified .
3
, Q6. Unabsorbed gastric feedings can lead to which serious
complication?
A) Diarrhea
B) Constipation
C) Aspiration
D) Hyperglycemia
Correct Answer: C
Rationale: When gastric feedings are not properly absorbed,
stomach contents accumulate. This increases the risk of
regurgitation and subsequent aspiration into the lungs, which can
cause aspiration pneumonia .
Q7. Before administering a tube feeding, the nurse must always
check which parameter first?
A) Blood glucose level
B) Residual gastric volume
C) Patient's weight
D) Bowel movement frequency
Correct Answer: B
Rationale: Residual gastric volume must be checked before each
feeding or at regular intervals for continuous feedings to assess
gastric emptying and prevent aspiration .
4
EXAM TEST BANK| ECPI NUR165 FINAL EXAM REVIEW
WITH 350 REAL EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS/ ALREADY GRADED A+ (BRAND
NEW!!)
Q1. Percutaneous endoscopic gastrostomy (PEG) tube is placed
in which anatomical location?
A) Jejunum
B) Duodenum
C) Stomach
D) Esophagus
Correct Answer: C
Rationale: A PEG tube is endoscopically placed directly into the
stomach through the abdominal wall for long-term enteral
feeding. The "gastrostomy" indicates stomach placement .
Q2. A jejunostomy tube (J-tube) is placed in which location?
A) Stomach
B) Jejunum
C) Duodenum
D) Ileum
1
,Correct Answer: B
Rationale: A J-tube is surgically placed directly into the jejunum
(the second part of the small intestine), bypassing the stomach
entirely. This is used when gastric feeding is not tolerated or
aspiration risk is high .
Q3. A patient requires long-term enteral feeding (>6 weeks)
and has a high risk of aspiration. Which type of feeding tube is
most appropriate?
A) Nasogastric tube (NG tube)
B) Nasojejunal tube (NJ tube)
C) Percutaneous endoscopic gastrostomy (PEG) tube
D) Jejunostomy tube (J-tube)
Correct Answer: D
Rationale: A J-tube is placed directly into the jejunum, bypassing
the stomach, which significantly reduces aspiration risk. Long-term
feeding warrants a surgically or endoscopically placed tube
rather than a nasal tube .
Q4. A nurse is caring for a patient with a J-tube. Which nursing
responsibilities are appropriate? (Select all that apply)
A) Assess skin integrity at the insertion site
B) Check tube placement
2
,C) Assess bowel sounds
D) Check gastric residual volume
Correct Answer: A, B, C
Rationale: Nursing responsibilities for J-tubes include assessing
skin integrity, verifying tube placement, auscultating bowel
sounds, monitoring abdomen, assessing gastric residual (though
less common than with gastric tubes), monitoring weight, and
tracking I&O. Gastric residual checks are more critical for gastric
tubes .
Q5. A patient with a J-tube has a gastric residual volume of 250
mL. What is the most appropriate nursing action?
A) Continue the feeding as ordered
B) Hold the feeding and notify the provider
C) Flush the tube with 30 mL of water
D) Increase the feeding rate
Correct Answer: B
Rationale: High gastric residual volumes (generally >200-250
mL) suggest delayed gastric emptying and increased aspiration
risk, especially problematic with J-tubes since feedings bypass
the stomach. The provider should be notified .
3
, Q6. Unabsorbed gastric feedings can lead to which serious
complication?
A) Diarrhea
B) Constipation
C) Aspiration
D) Hyperglycemia
Correct Answer: C
Rationale: When gastric feedings are not properly absorbed,
stomach contents accumulate. This increases the risk of
regurgitation and subsequent aspiration into the lungs, which can
cause aspiration pneumonia .
Q7. Before administering a tube feeding, the nurse must always
check which parameter first?
A) Blood glucose level
B) Residual gastric volume
C) Patient's weight
D) Bowel movement frequency
Correct Answer: B
Rationale: Residual gastric volume must be checked before each
feeding or at regular intervals for continuous feedings to assess
gastric emptying and prevent aspiration .
4
