Questions and Answers (2026) | Latest Exam
Practice Questions | Fully Verified Answers | A+
• What percentage indicates that a student just meets NCLEX minimum
• What is the purpose of the NG tube? -✓✓Gastric decompression, gavage
feeding, medication administration, and gastric lavage.
• What is the gold standard for verifying NG tube placement? -✓✓X-ray
(radiographic confirmation)
• What should be done if a client shows respiratory distress during NG tube
insertion? -✓✓Stop and remove the tube as it may have entered the trachea.
• What is the recommended head of bed (HOB) position during tube feedings? -
✓✓30-45 degrees to reduce aspiration risk.
• What is the most effective infection control measure? -✓✓Hand hygiene
• What should be done before administering a tube feeding? -✓✓Verify tube
placement by aspirating stomach contents and checking pH.
• What are Sequential Compression Devices (SCDs) used for? -✓✓To prevent
DVT post-operatively by mimicking muscle pump action.
,• What is the purpose of anti-embolism stockings? -✓✓To provide graduated
compression from foot to thigh, especially post-op.
• What is the significance of early ambulation for venous return? -✓✓It activates
the calf muscle pump, promoting blood flow back to the heart.
• What are the principles of infection control regarding standard precautions? -
✓✓Apply to all clients, treating all body fluids as potentially infectious.
• When should soap and water be used for hand hygiene? -✓✓When hands are
visibly soiled or after exposure to C. difficile.
• What is the recommended action if a client has a pH greater than 5.5 during NG
tube placement verification? -✓✓It indicates that the tube may not be in the
stomach.
• What is the purpose of dorsiflexion exercises for venous return? -✓✓To activate
the calf pump when ambulation isn't possible.
• What is the role of the nurse in managing a client with an NG tube? -✓✓To
verify placement, assess for complications, and ensure proper care.
• What should be documented regarding NG tube placement? -✓✓The tube length
at the nares.
• What is the recommended action for a client with poor venous return? -
✓✓Elevate legs above heart level to promote blood flow back to the heart.
, • What are the common complications to assess for with an NG tube? -
✓✓Respiratory distress, aspiration, nasal skin breakdown, and nausea.
• What is the ATI test tip for promoting venous return? -✓✓Encourage early
ambulation and apply SCDs when in bed.
• What is the recommended action after administering medications through an NG
tube? -✓✓Flush the tube with 30 mL of water before and after medications.
• What is the significance of recognizing cues in clinical judgment? -✓✓It helps in
identifying patient needs and prioritizing care.
• What percentage indicates a strong performance in generating solutions in
clinical judgment? -✓✓83.3%
• What is the priority action when analyzing cues in clinical judgment? -✓✓To
assess and interpret relevant patient information effectively.
• What type of protection should be used when spraying or splashing is possible? -
✓✓Mask and eye protection
• What is the proper procedure for handling sharps? -✓✓Never recap needles two-
handed; use safety devices and discard in a puncture-resistant sharps container
immediately after use.
• What is the recommended practice for respiratory hygiene? -✓✓Cover
coughs/sneezes with tissue or elbow, practice hand hygiene, and wear a surgical
mask if symptomatic.