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13C NRG304 LEC QUIZ 2

Total questions: 30

Worksheet time: 3600secs

Name
Class
Date
1.

As a medical surgical ward nurse you know that gastrointestinal intubation is part of your responsibilities. Which of the following patient are indicated to undergo gastrointestinal intubation? Select all that apply?

a)

Gina who ingested toxins that must be removed

b)

Charlie who is admitted due to gastric bleeding

c)

Albert who needs to be diagnosed for kidney disorder

d)

Bianca who is unwilling to eat due to psychiatric issues

e)

Ryan who is suspected to have gastric ulcer

2.

You are assigned in the ICU and are assisting in the insertion of a nasogastric tube with a 60 year old male who has a diagnosis of stage 4 pancreatic cancer. You know that which of the following is the correct way to measure the tube to be inserted?

a)

Measure the distance from the tip of the nose to the earlobe through the bottom of the xiphoid process

b)

Measure the distance from the tip of the nose to the earlobe through the midway of the xiphoid and umbilicus

c)

Measure the distance from the tip of the nose to the earlobe through the bottom of the umbilicus

d)

Measure the distance from the middle bridge of the nose to the earlobe through the bottom of the xiphoid process

e)

Measure the distance from the tip of the nose to the back of the throat through the bottom of the xiphoid process

3.

NGT insertion is a vital procedure commonly done with patients in the ICU. Which of the following instructions will you tell the patient in order to facilitate NGT insertion?

a)

Take sips of water upon the advancement of the NGT tube

b)

Hold your breath during the insertion of the tube to avoid aspiration

c)

Bend your head backwards to help in the smooth insertion of the tube

d)

Exhale while the tube is advanced into the patients mouth

e)

Be in supine position with pillow supporting on the back of the neck

4.

The doctor ordered the removal of Patient Jake's nasogastric tube. Which of the following instruction will you give Jake upon removal of the tube?

a)

Instruct Jake to exhale while you pull the tube smoothly and continuously

b)

Instruct Jake to bend his head forward Instruct while you pull the tube smoothly and continuously

c)

Instruct Jake to bear down while you pull the tube smoothly and continuously

d)

Instruct Jake to take sips of water while you pull the tube smoothly and continuously

e)

Instruct Jake to open his mouth while you pull the tube smoothly and continuously

5.

You just finished in the insertion of the nasogastric tube. Which of the following is the most accurate way to confirm its placement?

a)

X-ray

b)

Withdrawal of stomach content and check for pH level

c)

Inject 10ml of air and auscultate for gurgling sound in the epigastrium

d)

Immerse tip of the of the NGT into water and observe for bubbling

e)

Aspirate for residual stomach content

6.

You are using a plastic Levin tube for nasogastric intubation. Which of the following preparation should you do?

a)

Place the tube in warm water until the tube is softer to facilitate insertion

b)

Place the tube on ice for 5 to 10 minutes to stiffen the tube and facilitate insertion

c)

No necessary preparations are needed

d)

Open the packaging of the tube and assess for completeness of the tube

e)

Place the tube in the autoclave machine until the tube is softer to facilitate insertion

7.

The doctor ordered NGT insertion for patient Wang. You are using a rubber Levin tube for nasogastric intubation. Which of the following preparation should you do?

a)

Place the tube in warm water until the tube is softer to facilitate insertion

b)

Place the tube on ice for 5 to 10 minutes to stiffen the tube and facilitate insertion

c)

No necessary preparations are needed

d)

Open the packaging of the tube and assess for completeness of the tube

e)

Place the tube in the autoclave machine until the tube is softer to facilitate insertion

8.

You are giving feeding to patient Vicky who has a gastrostomy tube. Which of the following procedure is not necessary?

a)

Place the patient in semi-fowlers position

b)

Flush 30ml of water pre-feeding

c)

Flush 30ml of water post-feeding

d)

Auscultating for gurgling sound

e)

Kinking the tube prior to administration of feeding

9.

You are assessing your fellow nurse on his knowledge of taking care and maintaining tube functin. You ask him, How often should the nasogastric tube be flushed when not in use? The correct answer would be?

a)

Once a day

b)

Twice a day

c)

Every 4 hours

d)

PRN/as needed

10.

A patient with inflammatory bowel disease is receiving TPN. The basic component of TPN solution is most likely to be a dextrose solution which is?

a)

isotonic

b)

hypertonic

c)

hypotonic

d)

colloidal

e)

All of the options are correct

11.

TPN is ordered for a client with Crohn's disease. While administering the TPN. You are aware that TPN solution are used to?

a)

increase cell nutrition

b)

treat metabolic acidosis

c)

for hydration

d)

reverse positive nitrogen balance

e)

provide medication

12.

You are assigned in the ICU and are taking care of a patient with TPN, which of the following should you monitor in order to assess the clients ability to metabolize TPN solution?

a)

tachycardia

b)

hypertension

c)

elevated BUN concentration

d)

elevated WBC

e)

hyperglycemia

13.

The nurse is aware that the side effect of too rapid infusion of TPN solution is which of the following?

a)

negative nitrogen balance

b)

circulatory overload

c)

hypoglycemia

d)

hypokalemia

e)

diarrhea

14.

You are taking care of a patient with TPN, the doctor order to follow up with another TPN however the patient's family is having a hard time procuring the TPN, Which of the following IVF is the best to hook to the patient while waiting for the TPN to arrive?

a)

D10water

b)

D5NSS

c)

PNSS

d)

D5NM

e)

PLR

15.

The physician orders intestinal decompression with a Miller-abbot tube. The purpose of nasoenteric tube is which of the following?

a)

to remove fluid and gas from the intestine

b)

to prevent fluid accumulation in the stomach

c)

too break up intestinal obstruction

d)

to provide an alternative route for drug administration

e)

to provide visualization and diagnosis

16.

You are assessing the patient for possible complications of fluid volume deficit. All of the following are signs and symptoms of fluid volume deficit, EXCEPT?

a)

dry skin

b)

decreased heart rate

c)

hypotension

d)

decrease urinary output

e)

lightheadedness

17.

You are assessing the patient for potential pulmonary complications. All of the following are signs and symptoms of potential pulmonary complications, EXCEPT?

a)

Coughing during administration of food

b)

difficulty clearing the airway

c)

tachypnea

d)

fever

e)

lose of consciousness

18.

You are giving feeding to a patient with Nasogastric tube, which of the following is the appropriate position for the patient?

a)

Supine position

b)

Sim's position

c)

Reverse Trendelenburg position

d)

Trendelenburg position

e)

Knee chest position

19.

In providing feeding to patients with BGT, it is important to know the types of formula you are giving them. Which of the following formula contains only one major nutrient such as protein?

a)

Modular product

b)

Disease specific formula

c)

Polymeric formula

d)

Chemically defined formula

e)

Fiber formula

20.

When giving oral medication medication to patients with nasogastric tube. Which of the following method is appropriate?

a)

Bolus tube feeding

b)

Intermittent gravity drip feeding

c)

Continuous feeding

d)

Cyclic feeding

e)

Intravenous method

21.

You are gonna give enteral feeding to a patient over 8 to 18hrs. which method will be most appropriate to use for the patient?

a)

Bolus tube feeding

b)

Intermittent gravity drip feeding

c)

Continuous feeding

d)

Cyclic feeding

e)

Intravenous method

22.

The doctor ordered TPN 3L @ 100cc/hr. You started the infusion at January 27,2021 1pm. Using your knowledge in TPN and intravenous computations, when is your due time?

a)

January 28, 2021 1pm

b)

January 28, 2021 3pm

c)

January 28, 2021 9ampm

d)

January 28, 2021 12noon

e)

January 28, 2021 10am

23.

Which of the following are strategies to help on preventing dumping syndrome? Select all that apply

a)

Slow the formula installation rate

b)

Administer feeding at room temperature

c)

Advice patient to remain in semi-fowlers position for 1 hour after feeding

d)

Instill minimal amount of water needed to flush the tubing

e)

Administer feeding by continuous drip rather than by bolus

24.

You are giving health teaching to a patient in order to prevent dumping syndrome. All of the following health teachings are correct, EXCEPT? Select all that apply

a)

Eat foods high in simple carbohydrates

b)

Eat protein with meals and snack

c)

Avoid drinking liquid with meals

d)

Eat five to six small meals a day

e)

Lie down for about 15 minutes after eating

25.

You are taking care of a patient with Parenteral nutrition and IVFE. Allof the following is the correct ways to administer them, EXCEPT? Select all that apply

a)

Parenteral nutrition is piggyback into the IVFE

b)

IVFE may be infused simultaneously with Parenteral nutrition through the y port connector close to the infusion site

c)

IVFE should be filtered

d)

A total of 1-3L of solution should be given over a 24hour period

e)

Parenteral nutrition are initiated slowly and advanced gradually each day

26.

As a nurse you should be well aware of the types of central venous access devices or CVADs, Which of the following devices is used in a short term duration for about <6weeks?

a)

Percutaneous Central Catheter

b)

PICC

c)

Surgically Placed Central Catheter

d)

Implanted Vascular Access port

e)

Tunneled Central Catheter

27.

Which of the following Central Catheter is accessed through the cephalic vein above the antecubital space and the catheter is threaded to the superior vena cava?

a)

Percutaneous Central Catheter

b)

PICC

c)

Surgically Placed Central Catheter

d)

Implanted Vascular Access port

e)

Tunneled Central Catheter

28.

Which of the following is contraindicated to do on the extremity of a patient with PICC? Select all that apply

a)

Blood pressure taking

b)

Blood specimen taking

c)

SpO2 checking with pulse oximeter

d)

Checking of pulse rate

e)

Assessing of CRT

29.

Which of the following potential nursing diagnosis would be most appropriate for a patient with TPN?

a)

impaired swallowing

b)

impaired gas exchange

c)

risk for fluid volume excess

d)

ineffective tissue perfusion

e)

risk for injury

30.

Which of the following should the nurse interpret as indication of complication after few days of receiving TPN?

a)

elevated temperature

b)

weight gain of about 1 to 2 lbs

c)

decreased appetite

d)

All of the options are correct

e)

The body uses amino acids for protein synthesis rather than energy