NUR 3227C Exam 2 Questions with Answers
1. A client with dementia is discharged home with a percutaneous endoscopic gastrostomy (PEG)
tube in place. A family members receives instructions about how to care for the tube. Which action
observed by the home health nurse indicates that the family member is effectively managing the
client's care?
A. keeps the empty feeding bag attached to the tubing
B. flushes the tube with air after medication is given
C. replaces the tube on a weekly basis
D. elevates the head of the bed after the feeding: D. elevates the head of the bed after the feeding
2. The nurse is preparing to administer a nasogastric tube feeding. List the steps of the procedure
in the order in which they should be performed.
A. instill the prescribed solution
B. monitor the client's output on a regular basis
C. verify the solution to be administered
D. document the client's response to the procedure
E. aspirate the contents of the stomach: C, E, A, D, B
3. The nurse is teaching a student nurse about how to administer percu- taneous enterostomal
gastrostomy (PEG) tube feeding. Which information would the nurse include? SATA.
A. keep the head of the client's bed elevated at least 10 degrees
B. connect the tube feeding bag to the client and feeding pump
,C. flush with warm water before feeding
D. check the prescription for the correct formula
E. set the correct rate and initiate the pump
F. check for diarrhea: B, C, D, E, F
4. A client is being prepared for surgery to have placement of a percutaneous endoscopic
gastrostomy (PEG) tube. The client asks why the PEG tube is preferred over the existing nasogastric
tube that is being used for feedings. Which explanation would the nurse give for why a PEG tube is
preferred for administering a tube feeding?
A. there is less chance of aspiration with a PEG tube
B. the PEG tube does not require a pump
C. self-administration of the tube feeding is possible
D. more tube feeding mixture can be given each time: A. there is less chance of aspiration with a
PEG tube
5. The nurse is preparing to insert a nasogastric (NG) tube for a client to allow continuous suction.
Which tube would the nurse select?
A. levin
B. dobhoff
C. salem sump
D. gastrostomy: C. salem sump
6. The nurse provides education to a client who is learning how to self-admin- ister gastrostomy tube
feedings and would include which instruction?
, A. administering water after the feeding is completed
B. maintaining the supine position during the feeding
C. heating the feeding solution to slightly above body temperature
D. determining tube placement by instilling water before the feeding: A. admin- istering water after
the feeding is completed
7. A health care provider prescribes an intermittent enteral tube feeding for a client with a
nasogastric tube. Place the nursing interventions in the order in which they should be implemented.
A. elevate the head of the bed to at least 30 degrees
B. verify the health care provider's prescription
C. administer the volume of feeding as per the prescription
D. flush the tube with 30 mL of water after the feeding
E. check the volume of residual against the parameters prescribed: B, A, E, C, D
8. A client is receiving intermittent nasogastric (NG) tube feedings to supple- ment oral nutritional
intake. The nurse administers the feeding over 30 to 60 minutes to reduce which hazard?
A. distention
B. flatulence
C. indigestion
D. regurgitation: D. regurgitation
9. Which statement by a client who is receiving total parenteral nutrition (TPN) after extensive colon
surgery indicates effective teaching?
A. "TPN provides supplemental nutrition"
1. A client with dementia is discharged home with a percutaneous endoscopic gastrostomy (PEG)
tube in place. A family members receives instructions about how to care for the tube. Which action
observed by the home health nurse indicates that the family member is effectively managing the
client's care?
A. keeps the empty feeding bag attached to the tubing
B. flushes the tube with air after medication is given
C. replaces the tube on a weekly basis
D. elevates the head of the bed after the feeding: D. elevates the head of the bed after the feeding
2. The nurse is preparing to administer a nasogastric tube feeding. List the steps of the procedure
in the order in which they should be performed.
A. instill the prescribed solution
B. monitor the client's output on a regular basis
C. verify the solution to be administered
D. document the client's response to the procedure
E. aspirate the contents of the stomach: C, E, A, D, B
3. The nurse is teaching a student nurse about how to administer percu- taneous enterostomal
gastrostomy (PEG) tube feeding. Which information would the nurse include? SATA.
A. keep the head of the client's bed elevated at least 10 degrees
B. connect the tube feeding bag to the client and feeding pump
,C. flush with warm water before feeding
D. check the prescription for the correct formula
E. set the correct rate and initiate the pump
F. check for diarrhea: B, C, D, E, F
4. A client is being prepared for surgery to have placement of a percutaneous endoscopic
gastrostomy (PEG) tube. The client asks why the PEG tube is preferred over the existing nasogastric
tube that is being used for feedings. Which explanation would the nurse give for why a PEG tube is
preferred for administering a tube feeding?
A. there is less chance of aspiration with a PEG tube
B. the PEG tube does not require a pump
C. self-administration of the tube feeding is possible
D. more tube feeding mixture can be given each time: A. there is less chance of aspiration with a
PEG tube
5. The nurse is preparing to insert a nasogastric (NG) tube for a client to allow continuous suction.
Which tube would the nurse select?
A. levin
B. dobhoff
C. salem sump
D. gastrostomy: C. salem sump
6. The nurse provides education to a client who is learning how to self-admin- ister gastrostomy tube
feedings and would include which instruction?
, A. administering water after the feeding is completed
B. maintaining the supine position during the feeding
C. heating the feeding solution to slightly above body temperature
D. determining tube placement by instilling water before the feeding: A. admin- istering water after
the feeding is completed
7. A health care provider prescribes an intermittent enteral tube feeding for a client with a
nasogastric tube. Place the nursing interventions in the order in which they should be implemented.
A. elevate the head of the bed to at least 30 degrees
B. verify the health care provider's prescription
C. administer the volume of feeding as per the prescription
D. flush the tube with 30 mL of water after the feeding
E. check the volume of residual against the parameters prescribed: B, A, E, C, D
8. A client is receiving intermittent nasogastric (NG) tube feedings to supple- ment oral nutritional
intake. The nurse administers the feeding over 30 to 60 minutes to reduce which hazard?
A. distention
B. flatulence
C. indigestion
D. regurgitation: D. regurgitation
9. Which statement by a client who is receiving total parenteral nutrition (TPN) after extensive colon
surgery indicates effective teaching?
A. "TPN provides supplemental nutrition"
