Uhhcs Ngt, Chest And Tracheostomy (January 2019) Quiz
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- 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 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.
- 3.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.
- 4.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?
- A.
Increase the suction pressure so that the bubbling becomes vigorous.
- B.
Do nothing since this is an expected finding.
- C.
Immediately clamp the chest tube and notify the physician.
- D.
Check for an air leak because the bubbling should be intermittent.
- 5.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?
- A.
Fluctuation of water in the tube in the water seal chamber during inhalation and exhalation.
- B.
Drainage system maintained below the client’s chest.
- C.
Drainage amount of 100ml in the drainage collection chamber.
- D.
Occlusive dressing in place over the chest tube insertion site.
- 6.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?
- A.
Secure the chest tube using a tape.
- B.
Clamp the chest tube immediately.
- C.
Place the end of the chest tube in a container of normal sterile saline.
- D.
Apply an occlusive dressing and notify the physician.
- 7.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.
- 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.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.
- 10.While changing the tapes on a tracheostomy tube, the client coughs and the tube is dislodged. Which is the initial nursing action?
- A.
Call a respiratory therapist to reinsert the tracheotomy.
- B.
Cover the tracheostomy site with a sterile dressing.
- C.
Call the physician to reinsert the tracheotomy.
- D.
Grasp the retention sutures to spread the opening.
- 11.A nurse is checking a family member who is performing tracheostomy care for a client. Which of the following actions by the family member should the nurse intervene?
- A.
Removing the inner cannula and cleaning using universal precaution.
- B.
Suctioning the tracheostomy tube before performing tracheostomy care.
- C.
Changing the old tracheotomy ties and securing the tube in place.
- D.
Replacing the inner cannula and cleaning the site of the stoma.
- 12.Continuous type of feedings is administered over a __ hour period.?
- A.
4
- B.
12
- C.
24
- D.
36
- 13.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.
- 14.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.
- 15.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.
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