Which of the following actions by the nurse is appropriate when inserting a nasogastric tube?

10 Questions  |  By Santepro | Last updated: Mar 22, 2022 | Total Attempts: 11755

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All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.

  • 1. 

    Which of the following is not true regarding the types of a nasogastric tube?

    • A. 

      Cantor tube is a single-lumen long tube with a small inflatable bag at the distal end.

    • B. 

      Miller-Abbott tube is a long double-lumen used to drain and decompress the small intestine.

    • C. 

      Levin tube is a double lumen nasogastric tube with an air vent.

    • D. 

      Sengstaken-Blakemore tube is a three-lumen tube.

  • 2. 

    A newly RN nurse is about to insert a nasogastric tube to a client with Guillain-Barre Syndrome. To determine the accurate measurement of the length of the tube be inserted. the nurse should:

    • A. 

      Place the tube at the tip of the nose. and measure by extending the tube to the earlobe and then down to the top of the sternum.

    • B. 

      Place the tube at the tip of the nose. and measure by extending the tube to the earlobe and then down to the xiphoid process.

    • C. 

      Place the tube at the tip of the nose. and measure by extending the tube down to the chin and then down to the top of the xiphoid process.

    • D. 

      Place the tube at the base of the nose. and measure by extending the tube to the earlobe and then down to the top of the sternum.

  • 3. 

    A stroke client who was initially on NGT feeding was able to tolerate soft diet so the physician ordered for the removal of it. The nurse would instruct the client to do which of the following before he removes the tube?

    • A. 

      Inhale and exhale simultaneously.

    • B. 

      Take a long breath and hold it.

    • C. 

      Do a Valsalva maneuver.

    • D. 

      Blow the nose.

  • 4. 

    The nurse is preparing to give bolus enteral feedings via a nasogastric tube to a comatose client. Which of the following actions is an inappropriate practice by the nurse?

    • A. 

      If bowel sounds are absent. hold the feeding and notify the physician.

    • B. 

      Assess tube placement by aspirating gastric content and check the PH level.

    • C. 

      Warm the feeding to room temperature to prevent the occurrence of diarrhea and cramps.

    • D. 

      Elevate the head of the bed to 45 degrees and maintains for 30 minutes after instillation of feeding.

  • 5. 

    A nurse is checking the nasogastric tube position of a client receiving a long term therapy of Omeprazole [Prisolec] by aspirating the stomach contents to check for the PH level. The nurse proves that correct tube placement if the PH level is?

    • A. 

      7.75.

    • B. 

      7.5.

    • C. 

      6.5.

    • D. 

      5.5.

  • 6. 

    Before feeding a client via NGT. the nurse checks for residual and obtains a residual amount of 90ml. What is the appropriate action for the nurse to take?

    • A. 

      Discard the residual amount.

    • B. 

      Hold the due feeding.

    • C. 

      Skip the feeding and administer the next feeding due in 4 hours.

    • D. 

      Reinstill the amount and continue with administering the feeding.

  • 7. 

    Continuous type of feedings is administered over a __ hour period.? 

    • A. 

      4

    • B. 

      12

    • C. 

      24

    • D. 

      36

  • 8. 

    A client is subjected to undergo a chest x-ray to confirm the endotracheal tube placement. The tube should be how many centimeters above the carina?

    • A. 

      2-4 cm.

    • B. 

      1.5-3 cm.

    • C. 

      1-2 cm.

    • D. 

      0.5-1 cm.

  • 9. 

    After the client had tolerated the weaning process. the physician ordered the removal of the endotracheal tube and will be shifted into a nasal cannula. Which of the following findings after the removal requires immediate intervention by the physician?

    • A. 

      Sore throat.

    • B. 

      Hoarseness of the voice.

    • C. 

      Coughing out blood.

    • D. 

      Neck discomfort.

  • 10. 

    The nurse is assessing a client with an endotracheal tube and observes that the client can make verbal sounds. What is the most likely cause of this?

    • A. 

      This is a normal finding.

    • B. 

      There is a leak.

    • C. 

      There is an occlusion.

    • D. 

      The endotracheal tube is displaced.


Questions: 10  |  Attempts: 10915   |  Last updated: Mar 22, 2022

  • Sample Question

    While changing the tapes on a tracheostomy tube. the client coughs and the tube is dislodged. Which is the initial nursing action?

    Call a respiratory therapist to reinsert the tracheotomy.

    Cover the tracheostomy site with a sterile dressing.

    Call the physician to reinsert the tracheotomy.

    Grasp the retention sutures to spread the opening.

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  • Sample Question

    An American nurse tries to speak with aKorean client who cannot understand the English language. To effectively communicate to a client with a different language. which of the following should the nurse implement?

    Have an interpreter to translate.

    Speak slowly.

    Speak loudly and closely to the client.

    Speak to the client and family together.

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What the nurse should do when inserting a nasogastric tube?

Hand the patient a glass of water with a straw and ask him to extend his neck backward. Insert the tube and gently advance it toward his nasopharynx with the curved end pointing downward. When the end just passes the nasopharynx, have the patient flex his head forward and swallow sips of water.

What are the steps for nasogastric tube insertion?

Once you reach the desired nasogastric tube insertion length, fix the NG tube to the nose with a dressing..
Lubricate the tip of the NG tube..
Gently insert the NG tube into the nostril..
Advance the NG tube to the desired length..
Inspect patient's mouth for evidence of coiling..
Secure the NG tube..

What action should the nurse perform to definitively check placement of the nasogastric tube?

Nurses can verify the placement of the tube by performing two of the following methods: ask the patient to hum or talk [ coughing or choking means the tube is properly placed]; use an irrigation syringe to aspire gastric contents; chest X-ray; lower the open end of the NG tube into a cup of water [ bubbles indicate ...

What should the nurse review prior to inserting a nasogastric tube into a patient?

Nasogastric Tube/Orogastric Tube- Checking the Position Prior to accessing a NGT/OGT for any reason nursing staff members must ensure that the tube is located in the stomach. Coughing, vomiting and movement can move the tube out of the correct position.

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