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WorksheetsEnternal Feeding
Total questions: 27
Worksheet time: 14mins
What is the first thing you do when administering a tube feeding?
Check the MAR for type, amount, frequency of tube feeding.
Raise the head of the bed
Put on gloves
Perform an abdominal assessment
How many milliliters to you use to flush a tube feeding?
20-40 ml
10 ml
30-60 ml
100ml
What is the normal pH of stomach contents?
7
9
5.5 or below
8
After checking the stomach contents, you should dispose them in a biohazard container?
True
False
What does PEG stand for?
Providing External Gut
Passive Enteral Graphic
Percutaneous Endoscopic Gastrostomy
Potential Excessive Gurgitation
What is enteral nutrition?
Fluid administered through a needle inserted into a vein
Nutrients sent into the gastrointestinal tract through a feeding tube
An opening in the stomach
A tube inserted through the nose into the stomach
Which structure is located between the pharynx and the stomach?
Tonge
Jejunum
Salivary Glands
Esophagus
The client starts coughing immediately after the tube feed is completed. The nurse knows that the coughing could be a sign of which of the following?
Aspiration
Flatus
Influenza
Allergic Reaction
What is the definition of aspiration?
A swallowing disorder
Flushing the feeding tube with water
Back flow of stomach contents into the mouth
Inhaling fluid or an object into the lungs
Why does the nurse keep the client in a semi-Fowler's position after an enteral feed?
To improve oxygenation
To promote mobility
To reduce an enlarged abdomen
To prevent regurgitation
David is a nurse and he is about to insert a nasogastric tube for his patient, Zoe. What is the first step David should take in measuring the length of the nasogastric tube?
Measure from the tip of Zoe's nose to her chin
Measure from the tip of Zoe's nose, around her ear
Measure from Zoe's ear to the back of her head
Measure from Zoe's ear to her shoulder
David is a nurse trying to help his patient, Daniel, who is unable to swallow water or ice. What should David do to help passage of the tube?
Ask Daniel to cough
Ask Daniel to breathe deeply
Ask Daniel to remain still
Ask Daniel to try to help passage of the tube by swallowing
Aria, Charlotte, and Liam are practicing tube insertion for a medical procedure. If the tube is going into the trachea and lungs during insertion, what should they do?
Remove the tube immediately
Rotate the tube to force it into the trachea
Continue to push the tube further
Hold the tube still and observe the patient's breathing
Priya is a nurse and she just inserted a tube into a patient. What should she do next to ensure the tube is in the right place?
Inject air into the tube and listen with a stethoscope
Get an x-ray to confirm placement
All of the above
Withdraw gastric acid and put it on paper
Samuel is a nurse and he is about to insert a nasogastric tube into his patient, Arjun. Why should Samuel secure the nasogastric tube to Arjun's nose?
To prevent gastric distension in Arjun
To prevent the tube from being accidentally pulled out
To allow easy removal of the tube when needed
To make Arjun feel comfortable
Noah, Oliver, and Lily are studying for their nursing exam. They come across a question about the purpose of using an anti-reflux valve with the nasogastric tube. They are confused and turn to you for help. What would you tell them?
To prevent the drainage from going all over the bed
To measure the amount of gastric juice
To regulate the flow of gastric acid
To prevent the tube from getting clogged
Sophia, a nurse, is preparing to administer medication to a patient via a nasogastric tube. What is the essential step she must take before proceeding?
Get an x-ray to confirm placement
Withdraw gastric acid and put it on paper
Inject air into the tube and listen with a stethoscope
None of the above
David is a nurse taking care of a patient with a nasogastric tube. Emma and Olivia, his colleagues, are also on the same shift. What should David do to ensure the nasogastric tube is not causing discomfort to the patient?
Inject air into the tube and listen with a stethoscope
Check the tape securing the tube every shift
Rotate the tube to force it into the trachea
Use a larger basin in front of the patient
Which of the following is a common complication associated with enteral tube feeding?
Hypertension
Diarrhea
Hyperglycemia
Bradycardia
Before starting a tube feeding, what is the most important assessment the nurse should perform?
Check the patient's temperature
Assess tube placement
Ask about food preferences
Measure blood pressure
Which action helps prevent clogging of a nasogastric feeding tube?
Flushing the tube with water before and after medication administration
Leaving the tube open to air
Using only thickened formulas
Feeding the patient in a supine position
Which of the following is the best method to confirm correct placement of a nasogastric tube after insertion?
Ask the patient if they feel comfortable
Listen for air sounds in the stomach after injecting air
Check for bubbling at the end of the tube
Obtain an x-ray of the abdomen
What is the primary reason for flushing a feeding tube with water before and after administering medication?
To dilute the medication
To check tube placement
To increase the patient's fluid intake
To prevent tube blockage
Which of the following signs may indicate a complication during enteral tube feeding?
Patient experiences sudden shortness of breath
Patient reports mild hunger
Patient requests water
Patient falls asleep
Which of the following is the best way to minimize the risk of aspiration during tube feeding?
Keep the patient in a supine position
Administer the feed rapidly
Elevate the head of the bed to at least 30 degrees
Clamp the tube immediately after feeding
What should a nurse do if resistance is met while flushing a feeding tube?
Apply more pressure to the syringe
Stop and assess for tube blockage
Remove the tube immediately
Continue flushing with hot water
Which of the following is an appropriate action when administering multiple medications through a nasogastric tube?
Crush all medications together and mix with water
Mix medications with tube feeding formula
Administer medications without flushing
Flush the tube with water between each medication
