Question 1

Which of the following is the most common IV site?&#10;A)The jugular vein&#10;B)The basilic vein&#10;C)The subclavian vein&#10;D)A vein on the back of the hand

Accepted Answer

A vein on the back of the hand is the most common IV site, as it is easily accessible, visible, and can accommodate a small gauge catheter. The other options listed (jugular, basilic, and subclavian veins) are not typically used as they are more invasive and carry a higher risk of complications.

Question 2

The client has just completed a tube feeding.How long should the client be positioned in semi-Fowler's position after enteral feed?&#10;A)15 minutes&#10;B)About 30 minutes&#10;C)45 minutes&#10;D)1 to 2 hours

Accepted Answer

The client should be positioned in a semi-Fowler's position for 1 to 2 hours after enteral feeding to reduce the risk of aspiration and promote proper digestion.

Question 3

The risk of regurgitation is less with which of the following feeding tubes?&#10;A)Nasogastric tubes&#10;B)PEG tubes&#10;C)Jejunostomy tubes&#10;D)Gastrostomy tubes

Accepted Answer

Jejunostomy tubes bypass the stomach and deliver food directly into the small intestine, reducing the risk of regurgitation compared to nasogastric and gastrostomy tubes which deliver food into the stomach. PEG tubes also deliver food into the stomach and therefore have a higher risk of regurgitation.

Question 4

What is the correct term for a feeding tube that is inserted through the nose into the small intestine?&#10;A)A nasogastric tube&#10;B)A PEG tube&#10;C)A nasointestinal tube&#10;D)A TPN tube

Accepted Answer

A nasointestinal tube is a feeding tube that is inserted through the nose and down the throat, and then through the stomach and into the small intestine. It is used for patients who cannot tolerate feedings in the stomach due to issues such as nausea or vomiting. A nasogastric tube (A) is inserted through the nose and into the stomach, and is used for short-term feedings or medication administration. A PEG tube (B) is inserted through the abdominal wall directly into the stomach and is used for long-term feedings or when a patient cannot tolerate the nasogastric/nasointestinal route. A TPN tube (D) is not a feeding tube, but rather a method of delivering nutrients directly into the bloodstream intravenously.

Question 5

A cannula or catheter is which of the following?&#10;A)A plastic tubing threaded over a needle&#10;B)A tube feeding&#10;C)Another name for a PEG tube&#10;D)A gastro-jejunostomy tube

Accepted Answer

A cannula or catheter is a thin tube made of plastic, rubber, or silicone that is threaded over a needle and inserted into a vein or other body part to deliver medication, fluids, or to withdraw blood.

Question 6

What is a jejunostomy tube?&#10;A)An opening in the stomach&#10;B)A feeding tube inserted into a surgically created opening in the jejunum of the small intestine&#10;C)A tube inserted into the stomach through a surgically created opening&#10;D)A tube inserted through the nose and into the stomach

Accepted Answer

A jejunostomy tube is a feeding tube that is inserted surgically into the jejunum, which is the second part of the small intestine, through an opening in the abdominal wall. It is used to provide nutrition when there is a blockage or other issue preventing food from reaching the stomach, or when the stomach cannot tolerate food.

Question 7

What do clients with feeding tubes need frequently?&#10;A)Perineal care&#10;B)Catheter care&#10;C)Oral hygiene&#10;D)Oral fluids

Accepted Answer

Clients with feeding tubes do not intake oral fluids or food, so they require frequent oral hygiene to prevent infection and maintain oral health.

Question 8

A client, Mr.Uyenaka, is receiving intravenous therapy.Which of the following best describes this?&#10;A)Giving nutrients through the gastro-intestinal system&#10;B)A tube feeding&#10;C)Giving fluids through a needle or catheter inserted into a vein.&#10;D)The many processes involved in the ingestion, digestion, absorption, and use of food and fluids by the body.

Accepted Answer

Intravenous therapy involves giving fluids or medications through a needle or catheter inserted into a vein. It is a common method for delivering medications, blood, or other substances to a patient's body when oral intake of medications or fluids is not possible, for example, in cases of dehydration or severe illness.

Question 9

Which of the following is the correct definition of the term aspiration?&#10;A)The loss of appetite&#10;B)Breathing fluid or an object into the lungs&#10;C)The backward flow of stomach contents into the mouth&#10;D)The swelling of body tissues with water

Accepted Answer

Aspiration refers to the inhalation of fluid or an object into the lungs, which can potentially lead to respiratory distress, pneumonia, or other complications. The other options listed are incorrect definitions of medical terms: A) anorexia is the loss of appetite, C) reflux is the backward flow of stomach contents into the mouth, and D) edema is the swelling of body tissues with water.

Question 10

Which of the following health care team members checks tube placement before a tube feeding is given?&#10;A)A nurse&#10;B)A physiotherapist&#10;C)A dietitian&#10;D)A support worker

Accepted Answer

Checking tube placement is within the scope of practice and responsibilities of a nurse. Physiotherapists, dietitians, and support workers may be involved in supporting tube feeding, but they do not typically check tube placement.

Question 11

A doctor inserts this type of feeding tube with an endoscope.&#10;A)PEG tube&#10;B)NG tube&#10;C)Jejunostomy tube&#10;D)Nasoduodenal tube

Accepted Answer

The answer of A doctor inserts this type of feeding...

Question 12

What is enteral nutrition?&#10;A)An opening in the stomach&#10;B)Fluid administered through a needle inserted into a vein&#10;C)Sending nutrients into the gastro-intestinal tract through a feeding tube&#10;D)A tube inserted through the nose into the stomach

Accepted Answer

The answer of What is enteral nutrition?&#10;A)An opening in the...

Question 13

Shortness of breath is an example of which of the following?&#10;A)A complication resulting from loss of vitamins and minerals&#10;B)A complication of IV therapy&#10;C)A side effect of nasogastric feeding&#10;D)A side effect of diarrhea

Accepted Answer

The answer of Shortness of breath is an example of...

Question 14

What does the term gavage mean?&#10;A)The process of giving a tube feeding&#10;B)A container used to measure fluid&#10;C)A tube inserted through the nose and into the stomach&#10;D)Giving nutrients through the gastro-intestinal system

Accepted Answer

The answer of What does the term gavage mean?&#10;A)The process...

Question 15

A client has continuous enteral nutrition.The nurse asks the support worker to add ice chips around the container.Why is this done?&#10;A)So that formula is given chilled&#10;B)To prevent the growth of microbes&#10;C)To prevent aspiration.&#10;D)To prevent regurgitation

Accepted Answer

The answer of A client has continuous enteral nutrition.The nurse...

Question 16

A tube holder can be used to prevent nasogastric and nasointestinal tubes from causing irritation and pressure on the:&#10;A)Nose&#10;B)Face&#10;C)Mouth&#10;D)Ear

Accepted Answer

The answer of A tube holder can be used to...

Question 17

The support worker notices bleeding from an IV insertion site.Which of the following actions is correct?&#10;A)Telling your supervisor at once&#10;B)Applying a dressing over the needle or catheter&#10;C)Clamping the IV tubing&#10;D)Discontinuing the IV

Accepted Answer

The answer of The support worker notices bleeding from an...

Question 18

What is the backflow of stomach contents into the mouth is called?&#10;A)Dysphagia&#10;B)Regurgitation&#10;C)Gavage&#10;D)Emesis

Accepted Answer

The answer of What is the backflow of stomach contents...

Question 19

Which of the following is the correct definition of a gastrostomy tube?&#10;A)An opening in the stomach&#10;B)An opening into the middle part of the small intestine&#10;C)A tube inserted through a surgically created opening in the stomach&#10;D)A tube inserted through the nose and into the stomach

Accepted Answer

The answer of Which of the following is the correct...

Question 20

What is nasogastric tube?&#10;A)An opening in the stomach&#10;B)An opening into the middle part of the small intestine&#10;C)A feeding tube inserted through the nose and into the small intestine&#10;D)A feeding tube inserted through the nose and into the stomach

Accepted Answer

The answer of What is nasogastric tube?&#10;A)An opening in the...

Question 21

Regurgitation can cause which of the following?&#10;A)Diarrhea&#10;B)Aspiration&#10;C)Gavage&#10;D)Phlebitis

Accepted Answer

The answer of Regurgitation can cause which of the following?&#10;A)Diarrhea&#10;B)Aspiration&#10;C)Gavage&#10;D)Phlebitis...

Question 22

Dana, the support worker, is checking on a home care client with an IV.Dana observed that the catheter has become dislodged and the site is bleeding.What should Dana do?&#10;A)Apply splints or restraints to prevent movement of the extremity.&#10;B)Apply pressure with sterile gauze, according to Standard Practices, and contact your supervisor immediately.&#10;C)Assist the client with turning and repositioning.&#10;D)Restrain your client.

Accepted Answer

The answer of Dana, the support worker, is checking on...

Question 23

Why does the nurse measure the pH of gastro-intestinal secretions before every tube feeding? The pH readings will indicate:&#10;A)Which type of nutrients the client needs&#10;B)When the last feeding was administered&#10;C)If the tube has moved&#10;D)The appropriate time for the next feeding

Accepted Answer

The answer of Why does the nurse measure the pH...

Deck 29: Enteral Nutrition and Intravenous Therapy