NURS 171 final Exam Questions with Correct Answers Graded A+
An unlicensed assistive personnel (UAP) could be safely entrusted to perform which type of suctioning? -
Answers Oral cavity suctioning
Turn, cough, deep breath, use of an incentive spriometer and early ambulation are ways to prevent the
post-op complications of atelectasis and pneumonia - Answers true
The nurse finds the client sitting upright and leaning on her arms or elbows, and documents: - Answers
The client has assumed the tripod position
The nurse is choosing a suction catheter for a client with a 6 mm tracheostomy tube in place. What size
suction catheter would be the largest possible choice? - Answers 12 French
When documenting that the client's water seal is fluctuating up and down with each inspiration and
expiration, the nurse uses the proper term, which is - Answers Tidaling
The nasal cannula can deliver __________liters of oxygen per minute - Answers 2 - 6 liters/min
Your patient has a chest tube. The chest tube drainage system contain three chambers.
Which of the following is NOT a function of one of the chambers of a chest tube drainage system? -
Answers Wet or dry Heimlich chamber
3 chambers of the chest tube drainage system - Answers Wet or dry water seal chamber
Wet or dry suction chamber
Collection of drainage chamber
The nurse needs to deliver the highest concentration of oxygen (95-100%). What type of oxygen delivery
device would the nurse choose? - Answers Nonrebreather mask
The nurse knows that the most effective method for suctioning a patient with a tracheostomy tube is to
- Answers Limit the length of suctioning to 10 seconds.
The whistle tipped catheter is less irritating to respiratory tissues - Answers true
When discontinuing the nasogastric tube, the nurse instructs the client to: - Answers Take a deep breath
and hold it.
The nurse is checking the client's nasogastric tube for placement prior to administering a tube feeding.
The most accurate means of assessing placement is - Answers Obtaining an x-ray.
, The nurse is preparing several medications to administer via nasogastric tube. Which of the following
would demonstrate correct technique? - Answers Give one medication at a time, flush the tube with
water, and then administer another medication.
The nurse is administering a bolus tube feeding. Which of the following strategies will be most effective
to reduce the risk of a clogged feeding tube? - Answers Flush tubing with water before and after
feedings and medications.
when deciding if parenteral nutrition should be given peripherally or centrally, the nurse recognizes
which of the following is true? - Answers The maximum percentage of dextrose that can be given
peripherally is 10-12%.
Which of the following clients would the nurse consider a candidate for an enteral access device? Select
all that apply. - Answers -The client who has dysphagia, and is unable to eat orally
-The client who overdosed on an oral medication
-The postoperative client who returns to the unit following bowel resection who is unconscious
secondary to sedation
The nurse working in an oncology clinic is caring for a client diagnosed with breast cancer. The client
reports anorexia and weight loss. The client's serum albumin is low, and there is visible muscle and fat
wasting. The nurse recognizes what this client is exhibiting would best be described as - Answers
Protein-calorie malnutrition
The nurse receives a bag of total Parenteral nutrition (TPN) for the client. Prior to hanging the solution, a
priority nursing action is to: (Select all that apply.) - Answers -Check the expiration date.
-Apply a timing tape to the solution container.
-Check the nutrients in the bag against the order written by the primary care provider with another
licensed nurse.
The nurse has just inserted a nasogastric tube. All of the following methods are acceptable means of
assessing placement except: - Answers Auscultate the epigastium while instilling 60 mL of air
You are caring for a client who has a tube feeding infusing into the small bowel. On what frequency
would you expect this client to be receiving their liquid nutrition? - Answers Continuous feedings
dry gases dry out the mucus membrane such devices are used to restore these membranes - Answers
humidifier
nurse responsibilities when maintaining chest tube - Answers patency of chest drainage system,
facilitating lung re-expansion, preventing complication associated with chest drainage
nasal cannula - Answers 2 to 6 l/min 24-44%
An unlicensed assistive personnel (UAP) could be safely entrusted to perform which type of suctioning? -
Answers Oral cavity suctioning
Turn, cough, deep breath, use of an incentive spriometer and early ambulation are ways to prevent the
post-op complications of atelectasis and pneumonia - Answers true
The nurse finds the client sitting upright and leaning on her arms or elbows, and documents: - Answers
The client has assumed the tripod position
The nurse is choosing a suction catheter for a client with a 6 mm tracheostomy tube in place. What size
suction catheter would be the largest possible choice? - Answers 12 French
When documenting that the client's water seal is fluctuating up and down with each inspiration and
expiration, the nurse uses the proper term, which is - Answers Tidaling
The nasal cannula can deliver __________liters of oxygen per minute - Answers 2 - 6 liters/min
Your patient has a chest tube. The chest tube drainage system contain three chambers.
Which of the following is NOT a function of one of the chambers of a chest tube drainage system? -
Answers Wet or dry Heimlich chamber
3 chambers of the chest tube drainage system - Answers Wet or dry water seal chamber
Wet or dry suction chamber
Collection of drainage chamber
The nurse needs to deliver the highest concentration of oxygen (95-100%). What type of oxygen delivery
device would the nurse choose? - Answers Nonrebreather mask
The nurse knows that the most effective method for suctioning a patient with a tracheostomy tube is to
- Answers Limit the length of suctioning to 10 seconds.
The whistle tipped catheter is less irritating to respiratory tissues - Answers true
When discontinuing the nasogastric tube, the nurse instructs the client to: - Answers Take a deep breath
and hold it.
The nurse is checking the client's nasogastric tube for placement prior to administering a tube feeding.
The most accurate means of assessing placement is - Answers Obtaining an x-ray.
, The nurse is preparing several medications to administer via nasogastric tube. Which of the following
would demonstrate correct technique? - Answers Give one medication at a time, flush the tube with
water, and then administer another medication.
The nurse is administering a bolus tube feeding. Which of the following strategies will be most effective
to reduce the risk of a clogged feeding tube? - Answers Flush tubing with water before and after
feedings and medications.
when deciding if parenteral nutrition should be given peripherally or centrally, the nurse recognizes
which of the following is true? - Answers The maximum percentage of dextrose that can be given
peripherally is 10-12%.
Which of the following clients would the nurse consider a candidate for an enteral access device? Select
all that apply. - Answers -The client who has dysphagia, and is unable to eat orally
-The client who overdosed on an oral medication
-The postoperative client who returns to the unit following bowel resection who is unconscious
secondary to sedation
The nurse working in an oncology clinic is caring for a client diagnosed with breast cancer. The client
reports anorexia and weight loss. The client's serum albumin is low, and there is visible muscle and fat
wasting. The nurse recognizes what this client is exhibiting would best be described as - Answers
Protein-calorie malnutrition
The nurse receives a bag of total Parenteral nutrition (TPN) for the client. Prior to hanging the solution, a
priority nursing action is to: (Select all that apply.) - Answers -Check the expiration date.
-Apply a timing tape to the solution container.
-Check the nutrients in the bag against the order written by the primary care provider with another
licensed nurse.
The nurse has just inserted a nasogastric tube. All of the following methods are acceptable means of
assessing placement except: - Answers Auscultate the epigastium while instilling 60 mL of air
You are caring for a client who has a tube feeding infusing into the small bowel. On what frequency
would you expect this client to be receiving their liquid nutrition? - Answers Continuous feedings
dry gases dry out the mucus membrane such devices are used to restore these membranes - Answers
humidifier
nurse responsibilities when maintaining chest tube - Answers patency of chest drainage system,
facilitating lung re-expansion, preventing complication associated with chest drainage
nasal cannula - Answers 2 to 6 l/min 24-44%
