NSG 320 EXAM 3 /NSG320 Exam 3 Actual Exam
Newest 2025/2026 With Complete Questions And
Correct Answers |Already Graded A+||Brand New
Version!|
Total parenteral nutrition (TPN) -
....ANSWER.....✓✓entire nutrition is inside an IV bag and
goes right into the blood
Central line - ....ANSWER.....✓✓TPN is given through a
CENTRAL LINE! Not peripheral IV
Indication for central line feeding -
....ANSWER.....✓✓usually given to a client who is NPO
(patients with pancreatitis and Crohn's)
Administration of TPN - ....ANSWER.....✓✓start and stop
SLOW and GRADUALLY
Risk for patients receiving TPN - ....ANSWER.....✓✓at
high risk for hyper or hypoglycemia
,2|Page
TPN tubing change frequency - ....ANSWER.....✓✓every
24 hours
Action if TPN bag is almost empty -
....ANSWER.....✓✓Hang 10% dextrose water (to help
avoid hypoglycemia)
Nursing care for TPN - ....ANSWER.....✓✓daily weights,
monitor electrolytes and I&Os, monitor GLUCOSE
LEVELS
Signs of hyperglycemia - ....ANSWER.....✓✓Polydipsia,
polyuria, polyphagia, nausea, HA, abdominal pain
Enteral feeding - ....ANSWER.....✓✓Nutrients supplied to
the gastrointestinal tract orally or by feeding tube (NGT,
PEG, G-Tube)
Complications of enteral feeding - ....ANSWER.....✓✓tube
displacement, clogged tubes, aspiration, abdominal
distention
Refeeding syndrome - ....ANSWER.....✓✓happens within
24-48 hours of starting enteral or parenteral nutrition;
giving too much nutrition in a short amount of time
,3|Page
Refeeding Syndrome S/S - ....ANSWER.....✓✓24-48hrs
of therapy d/t fluid shifts: bradypnea, lethargy,
confusion, weakness
Avoiding refeeding syndrome - ....ANSWER.....✓✓give
GRADUALLY, increase calories SLOWLY
Gastritis - ....ANSWER.....✓✓inflammation/irritation of
the lining of the stomach
GERD - ....ANSWER.....✓✓esophageal irritation by
stomach acid that travels into the esophagus
Consequences of untreated GERD -
....ANSWER.....✓✓can lead to Barrett's esophagus
Peptic Ulcer Disease - ....ANSWER.....✓✓open
sores/ulcers in the lining of stomach or small intestine
Gastric vs duodenal ulcers - ....ANSWER.....✓✓Gastric =
ulcer in the stomach; Duodenal = ulcer in the small
intestine
, 4|Page
S/S of GERD - ....ANSWER.....✓✓dyspepsia 'heartburn'
Diet considerations for GERD and PUD -
....ANSWER.....✓✓avoid eating fried and fatty foods,
citrus, dairy, chocolate, peppermint/spearmint, caffeine
(coffee), spicy food, alcohol, caffeine, cigarettes
GERD - ....ANSWER.....✓✓Gastroesophageal reflux
disease, a chronic digestive condition.
Common treatment for GERD -
....ANSWER.....✓✓Antacids, H2 blockers, PPIs.
Antacid administration teaching -
....ANSWER.....✓✓Always take 1 hour before or after
other medications, NEVER TOGETHER.
When should H2 blockers and PPIs be taken? -
....ANSWER.....✓✓Take 30 minutes before meals.
Diagnostic assessment for LES function -
....ANSWER.....✓✓Upper GI endoscopy.