NSG 3800 EXAM 3 REVIEW EXAM WITH
CORRECT QUESTIONS AND ANSWERS
2025
A client receiving tube feedings is experiencing diarrhea. The nurse and the health care provider
suspects that the client is experiencing dumping syndrome. What intervention is most
appropriate?
A) Stop the tube feed and aspirate stomach contents.
B) Increase the hourly feed rate so it finishes earlier.
C. Keep the client in semi-Fowler position for 1 hour after feedings
D) Administer fluid replacement by IV. - CORRECT-ANSWERSC. Keep the client in semi-Fowler
position for 1 hour after feedings
A nurse is admitting a client to the postsurgical unit following a gastrostomy. When planning
assessments, the nurse should be aware of what potential postoperative complication of a
gastrostomy?
A) Premature removal of the G tube
B) Bowel perforation
C) Constipation
D) Development of peptic ulcer disease (PUD) - CORRECT-ANSWERSA) Premature removal of the
G tube
A nurse is providing care for a client with a diagnosis of late-stage Alzheimer disease.
The client has just returned to the medical unit to begin supplemental feedings through an NG
tube. Which of the nurse's assessments addresses this client's most significant potential
complication of feeding?
A) Frequent assessment of the client's abdominal girth
B) Assessment for hemorrhage from the nasal insertion site
, C) Frequent lung auscultation
D) Vigilant monitoring of the frequency and character of bowel movements - CORRECT-
ANSWERSC) Frequent lung auscultation
The nurse is caring for a client who has a nasogastric tube that has been in place for 2 days.
Before administering a scheduled feeding, the nurse should
A) ensure that the client has recently voided.
B) administer 30 to 45 mL of water to confirm placement.
C) position the client upright.
D) perform a focused gastrointestinal assessment. - CORRECT-ANSWERSC) position the client
upright
A client's enteral feedings have been determined to be too concentrated based on the client's
development of dumping syndrome. What physiologic phenomenon caused this client's
complication of enteral feeding?
A) Increased gastric secretion of HCl and gastrin because of high osmolality of feeds.
B) Entry of large amounts of water into the small intestine because of osmotic pressure
C) Mucosal irritation of the stomach and small intestine by the high concentration of the feed
D) Acid-base imbalance resulting from the high volume of solutes in the feed - CORRECT-
ANSWERSB) Entry of large amounts of water into the small intestine because of osmotic
pressure
A client with dysphagia is scheduled for percutaneous endoscopic gastrostomy (PEG) tube
insertion and asks the nurse how the tube will stay in place. What is the nurse's best response?
A) Adhesive holds a flange in place against the abdominal skin.
B) A stitch holds the tube in place externally.
C) The tube is stitched to the abdominal skin externally and the stomach wall internally.
D) Internal and external fixation bolsters secure the tube against the stomach wall. - CORRECT-
ANSWERSD) Internal and external fixation bolsters secure the tube against the stomach wall.
A client is postoperative day 1 following gastrostomy. The nurse is planning interventions to
address the nursing diagnosis of Risk for Infection Related to Presence of Wound and Tube.
What intervention is most appropriate?
CORRECT QUESTIONS AND ANSWERS
2025
A client receiving tube feedings is experiencing diarrhea. The nurse and the health care provider
suspects that the client is experiencing dumping syndrome. What intervention is most
appropriate?
A) Stop the tube feed and aspirate stomach contents.
B) Increase the hourly feed rate so it finishes earlier.
C. Keep the client in semi-Fowler position for 1 hour after feedings
D) Administer fluid replacement by IV. - CORRECT-ANSWERSC. Keep the client in semi-Fowler
position for 1 hour after feedings
A nurse is admitting a client to the postsurgical unit following a gastrostomy. When planning
assessments, the nurse should be aware of what potential postoperative complication of a
gastrostomy?
A) Premature removal of the G tube
B) Bowel perforation
C) Constipation
D) Development of peptic ulcer disease (PUD) - CORRECT-ANSWERSA) Premature removal of the
G tube
A nurse is providing care for a client with a diagnosis of late-stage Alzheimer disease.
The client has just returned to the medical unit to begin supplemental feedings through an NG
tube. Which of the nurse's assessments addresses this client's most significant potential
complication of feeding?
A) Frequent assessment of the client's abdominal girth
B) Assessment for hemorrhage from the nasal insertion site
, C) Frequent lung auscultation
D) Vigilant monitoring of the frequency and character of bowel movements - CORRECT-
ANSWERSC) Frequent lung auscultation
The nurse is caring for a client who has a nasogastric tube that has been in place for 2 days.
Before administering a scheduled feeding, the nurse should
A) ensure that the client has recently voided.
B) administer 30 to 45 mL of water to confirm placement.
C) position the client upright.
D) perform a focused gastrointestinal assessment. - CORRECT-ANSWERSC) position the client
upright
A client's enteral feedings have been determined to be too concentrated based on the client's
development of dumping syndrome. What physiologic phenomenon caused this client's
complication of enteral feeding?
A) Increased gastric secretion of HCl and gastrin because of high osmolality of feeds.
B) Entry of large amounts of water into the small intestine because of osmotic pressure
C) Mucosal irritation of the stomach and small intestine by the high concentration of the feed
D) Acid-base imbalance resulting from the high volume of solutes in the feed - CORRECT-
ANSWERSB) Entry of large amounts of water into the small intestine because of osmotic
pressure
A client with dysphagia is scheduled for percutaneous endoscopic gastrostomy (PEG) tube
insertion and asks the nurse how the tube will stay in place. What is the nurse's best response?
A) Adhesive holds a flange in place against the abdominal skin.
B) A stitch holds the tube in place externally.
C) The tube is stitched to the abdominal skin externally and the stomach wall internally.
D) Internal and external fixation bolsters secure the tube against the stomach wall. - CORRECT-
ANSWERSD) Internal and external fixation bolsters secure the tube against the stomach wall.
A client is postoperative day 1 following gastrostomy. The nurse is planning interventions to
address the nursing diagnosis of Risk for Infection Related to Presence of Wound and Tube.
What intervention is most appropriate?
