Patient Tubes: NGT, Chest, And Tracheostomy Practice Quiz 1

Patient Tubes: NGT, Chest, and Tracheostomy |

February 18, 2021

Patient Tubes: NGT, Chest, and Tracheostomy Practice Quiz 1

Is your knowledge about the foundation of nursing well and sound? This quiz will question your ability to handle different nursing procedures, and other concepts covered by Fundamentals of Nursing.

Topics

Topics or concepts included in this exam are:

Nasogastric Tubes
Tracheostomy Tubes
Endotracheal Tubes
Guillain-Barre Syndrome
Stroke
Hemothorax
Pneumothorax

Guidelines

To make the most out of this exam, follow the guidelines below:

Read each question carefully and choose the best answer.
You are given one minute per question. Spend your time wisely!
Answers and rationales (if any) are given below. Be sure to read them.
If you need more clarifications, please direct them to the comments section.

Patient Tubes: NGT, Chest, and Tracheostomy

Patient Tubes: NGT, Chest, and Tracheostomy Practice Quiz 1

1 / 15

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?

0.5-1 cm.

1.5-3 cm.

2-4 cm.

1.5-3 cm.

2 / 15

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

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.

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.

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.

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.

3 / 15

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

12.

24.

36.

4 / 15

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?

Coughing out blood.

Sore throat.

Hoarseness of the voice.

Neck discomfort.

5 / 15

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?

7.75.

5.5.

6.5.

7.5.

6 / 15

A nurse is supervising a student nurse who is performing tracheostomy care for a client. Which of the following actions by the student should the nurse intervene?

Suctioning the tracheostomy tube before performing tracheostomy care.

Replacing the inner cannula and cleaning the site of the stoma.

Changing the old tracheotomy ties and securing the tube in place.

Removing the inner cannula and cleaning using universal precaution.

7 / 15

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?

Inhale and exhale simultaneously.

Take a long breath and hold it.

Blow the nose.

Do a Valsalva maneuver.

8 / 15

The nurse caring for a client with a pneumothorax and who has had a chest tube inserted notes continuous gentle bubbling in the suction control chamber. What action is most appropriate of the nurse?

Do nothing since this is an expected finding.

Immediately clamp the chest tube and notify the physician.

Check for an air leak because the bubbling should be intermittent.

Increase the suction pressure so that the bubbling becomes vigorous.

9 / 15

The nurse is assessing the functioning of a chest tube drainage system in a client with hemothorax. Which of the following findings should prompt the nurse to notify the physician?

Drainage system maintained below the client’s chest.

Occlusive dressing in place over the chest tube insertion site.

Fluctuation of water in the tube in the water seal chamber during inhalation and exhalation.

Drainage amount of 100ml in the drainage collection chamber.

10 / 15

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?

This is a normal finding.

There is a leak.

The endotracheal tube is displaced.

There is an occlusion.

11 / 15

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?

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

Discard the residual amount.

Hold the due feeding.

Reinstill the amount and continue with administering the feeding.

12 / 15

The nurse is handling a client with a chest tube. Suddenly, the chest drainage system is accidentally disconnected, what is the most appropriate action for the nurse to take?

Apply an occlusive dressing and notify the physician.

Place the end of the chest tube in a container of normal sterile saline.

Secure the chest tube using a tape.

Clamp the chest tube immediately.

13 / 15

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?

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

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

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

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

14 / 15

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

Grasp the retention sutures to spread the opening.

Cover the tracheostomy site with a sterile dressing.

Call the physician to reinsert the tracheotomy.

Call a respiratory therapist to reinsert the tracheotomy.

15 / 15

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

Sengstaken-Blakemore tube is a three-lumen tube.

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

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

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

Your score is

The average score is 75%

Q.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.

Patient Tubes: NGT, Chest, and Tracheostomy Practice Quiz 1

Topics

Guidelines

Q.1 Which of the following is not true regarding the types of a nasogastric tube?

Q.2 A newly RN nurse is about to insert a nasogastric tube to a client with Guillan Barre Syndrome. To determine the accurate measurement of the length of the tube be inserted, the nurse should:

Q.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?

Q.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?

Q.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?

Q.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?

Q.7 Continuous type of feedings is administered over a __ hour period.?

Q.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?

Q.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?

Q.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?

Q.11 While changing the tapes on a tracheostomy tube, the client coughs and the tube is dislodged. Which is the initial nursing action?

Q.12 The nurse caring for a client with a pneumothorax and who has had a chest tube inserted notes continuous gentle bubbling in the suction control chamber. What action is most appropriate of the nurse?

Q.13 The nurse is assessing the functioning of a chest tube drainage system in a client with hemothorax. Which of the following findings should prompt the nurse to notify the physician?

Q.14 A nurse is supervising a student nurse who is performing tracheostomy care for a client. Which of the following actions by the student should the nurse intervene?

Q.15 The nurse is handling a client with a chest tube. Suddenly, the chest drainage system is accidentally disconnected, what is the most appropriate action for the nurse to take?

Question Details: