MOD 3- NCLEX REVIEW
1.) Your patient has a PEG tube and you are about to administer a
feeding. While checking residual you obtain 95 ml of stomach contents.
What would be your next nursing intervention?
A. Hold the feeding and immediately notify the MD of the
assessed amount of residual
B. Administered the scheduled feeding
C. Wait 30 minutes and reassess residual
D. Skip this scheduled feeding and administer the next feeding due
in 6 hours
If stomach residual is less than 100 cc, the feeding should be
administered. If there was more than 100 cc of residual, the feeding
would be held, and the MD would be notified for further orders.
2.) Which patient would benefit from a Nasogastric Tube?
A. A stroke victim who failed their swallow evaluation
B. A patient with Congestive Heart Failure
C. A patient who had a left leg amputation
D. A patient with a Platelet count of 50
Patients who have suffered a stroke are at risk for aspiration.
Therefore, they are assessed by a speech pathologist for swallowing
abilities. If a patient fails a speech evaluation, they are at risk for
aspiration. A nasogastric tube helps decrease the risk of aspiration.
, 3.) Your patient has a PEG tube and you are about to administer a tube
feeding using the feeding pump. You note that the last feeding tube
hanging on the pole is labeled Aug 16 and today's date is Aug 18. Which
nursing action is correct.
A. Immediately discard the tubing and open a new package of
tubing before proceeding with the feeding
B. Continue to administer the feeding because the tubing is good
for 4 days
C. Change the adapter cap at the end of the tubing
D. Notify the MD for further orders
Tube feeding containers and tubing should always be discarded
after 24 hours. This is because of the risk for the bacterial growth.
4.) You just inserted a Nasogastric tube. Which of the following is not a
correct way to check correct placement of the tube?
A. Administering a 100cc Water flush and assessing for patient
coughing
B. Obtaining a sample of GI contents through the tube by
aspirating
C. Following the MD order for an X-ray to confirm placement
D. Checking pH of GI contents to be at 1 to 3.5
Due to the risk of aspiration, nothing should be flushed through a
NG tube until placement of tube is confirmed.
1.) Your patient has a PEG tube and you are about to administer a
feeding. While checking residual you obtain 95 ml of stomach contents.
What would be your next nursing intervention?
A. Hold the feeding and immediately notify the MD of the
assessed amount of residual
B. Administered the scheduled feeding
C. Wait 30 minutes and reassess residual
D. Skip this scheduled feeding and administer the next feeding due
in 6 hours
If stomach residual is less than 100 cc, the feeding should be
administered. If there was more than 100 cc of residual, the feeding
would be held, and the MD would be notified for further orders.
2.) Which patient would benefit from a Nasogastric Tube?
A. A stroke victim who failed their swallow evaluation
B. A patient with Congestive Heart Failure
C. A patient who had a left leg amputation
D. A patient with a Platelet count of 50
Patients who have suffered a stroke are at risk for aspiration.
Therefore, they are assessed by a speech pathologist for swallowing
abilities. If a patient fails a speech evaluation, they are at risk for
aspiration. A nasogastric tube helps decrease the risk of aspiration.
, 3.) Your patient has a PEG tube and you are about to administer a tube
feeding using the feeding pump. You note that the last feeding tube
hanging on the pole is labeled Aug 16 and today's date is Aug 18. Which
nursing action is correct.
A. Immediately discard the tubing and open a new package of
tubing before proceeding with the feeding
B. Continue to administer the feeding because the tubing is good
for 4 days
C. Change the adapter cap at the end of the tubing
D. Notify the MD for further orders
Tube feeding containers and tubing should always be discarded
after 24 hours. This is because of the risk for the bacterial growth.
4.) You just inserted a Nasogastric tube. Which of the following is not a
correct way to check correct placement of the tube?
A. Administering a 100cc Water flush and assessing for patient
coughing
B. Obtaining a sample of GI contents through the tube by
aspirating
C. Following the MD order for an X-ray to confirm placement
D. Checking pH of GI contents to be at 1 to 3.5
Due to the risk of aspiration, nothing should be flushed through a
NG tube until placement of tube is confirmed.
