Test Questions and Actual Answers.
What would the nurse instruct nursing assistive personnel (NAP) to report while feeding any
patient on aspiration precautions?
a. Amount of food ingested
b. Coughing
c. Poor appetite
d. Food preferences - Answer b. Coughing
What is the most effective way of preventing aspiration?
a. Observe the patient closely for coughing, gagging, choking, and voice alteration.
b. Monitor oxygen saturation with pulse oximetry.
c. Put any at-risk patient on NPO status until a dysphagia evaluation can be conducted by a
speech and language pathologist.
d. Watch for subtle signs that aspiration may have occurred, such as lack of speech, depressed
alertness, wet quality to the voice, difficulty controlling secretions, and absence of a gag reflex. -
Answer c. Put any at-risk patient on NPO status until a dysphagia evaluation can be conducted
by a speech and language pathologist.
A patient is told the home care nurse will be measuring and recording intake and output (I&O)
at home. What will the home care nurse do first?
a. Supply a urine hat.
b. Explain to the patient why I&O has been ordered.
c. Assess the patient's ability to self-monitor and record I&O.
d. Provide the patient's family with instructions. - Answer b. Explain to the patient why I&O
has been ordered.
A patient has consumed three 100-mL cups of ice chips and 4 ounces of ginger ale. What will
nursing assistive personnel (NAP) document as this patient's oral intake?