NCM 112 midterms E-LEARNING (16 lessons)

LESSON 1
1.9 a) a nursing intervention for asthma is to position
1.1 a) restrictive illness: ascites
the client into a: high fowler’s position
b) obstructive illness: COPD
b) epinephrine hydrochloride is administered: SQ
c) except: phenotypes
c) asthma is best described as: a bronchial
hyperactivity to certain substances
1.2 a) reading of Mantoux test is done in: 48-72 hrs
b) Mantoux test is performed on the: upper 1/3
1.10 a)all of the ff. are possible manifestations of LF:
inner surface of the forearm
JVD
c) sputum examination is performed in: clients with
b) paroxysmal nocturnal dyspnea and
a positive PPD reading
orthopnea are manifestations of: LF
c) peripheral dependent edema is one of the
1.3 a)after a thoracentesis, the nurse should monitor
symptoms of: RHF
the client for all of the following except; ards
b ) the nurse should remove:not more than 1200 ml
1.11 a) except: hyperoxia
of fluid
b) approx. level of oxygen delivery per method
c) prior to thoracentiesis, the nurse should position
should be: cannula- 40%, mask- 60%, rebreather
the client: sitting up on the side of the bed, with the
mask-100%
feet on the floor
c)amount of O2: 3 L

1.4 a) except: give ice when gag reflelx returns

1.12a) tension pneumothorax is due to: trauma such as
b) except: ppd
stabbing
c) position: semi fowler’s
b) pneumothorax is the collection of air in the
pleural space because of a change in pressure with
1.5 A) emphysema clients usually have barrel chests
the: lungs
because: c02 is trapped in their lungs
c) manifestations for spontaneous pneumothorax
B) the nurse should administer: 1 l of o2
may include all of the following except: crepitus
C) because emphysema clients are not able to get
rid of c02, they become: hypoxic
1.13 a)except: expanded lung is empty
b) thoracentesis is performed in clients with tension
1.6 A) emphysema clients usually have barrel chests
pneumothorax to: relieve pressure
because: c02 is trapped in their lungs
c) except: administer humidified air
B) the nurse should administer: 1 l of o2
C) because emphysema clients are not able to get
rid of c02, they become: hypoxic 1.14 a) the closest chamber to the client: collection
chamber
1.7 a) a client with pulmonary emphysema should be
b) the rise and fall of fluid in closed chest drainage
placed in a: semi/high fowler’s position
system with respirations is called: tidaling
b) health teaching except: high carbohydrate diet
c) farthest chamber from the client: suction chamber
c) because clients with pulmonary emphysema are at
high risk for infection, the nurse should instruct them 1.15 a) removal of a chest tube is done at the: end of
to: avoid crowds full ins[iration
b) continuous bubbling in the water seal chamber of a
1.8 A) chronic bronchitis is characterized by: mucous client with chest tube may indicate: a leak
obstruction in the airways c) possible complications except: active TB
B) in chest physiotherapy, the client shouldn’t eat:
1hr before the procedure
1.16 a) hemoptysis
C) all of the ff are stated manifestations of chronic
b) risk factors except: asthma
bronchitis except: eupnea
NCM 112 midterms E-LEARNING (16 lessons)
c) dx tests for TB include sputum exam. For: acid fast
bacillus
1.17 a) trade name for Rifampicin: Rifadin
b) trade name for ethambutol: Myambutol
c) during isoniazid therapy, this should be administered
to decrease peripheral neuritis: Thiamine
1.18 a) TB pt. should take the prescribed drugs: at the
same time of day and on an empty stomach
b) alcoholic clients are at high risk for: hepatoxicity
c) to decrease metabolic demand in a client with TB:
initiate low impact aerobics
1.19 a)pneumonia is best described: inflammation of
the lung parenchyma caused by infectious agents
b)pneumonia cause by streptococcus .aureus may
develop: greenish yellow sputum
c) pneumonia caused by staphylococcus aureus may
develop: bright yellow with bloody streaks sputum
1.20 a) except: greenish yellow sputum
b) after a pneumonectomy, position the client to: dorsal
recumbent or semi fowler’s position
c) pneumonectomy is: removal of an entire lung
1.20 a) postural drainage is: the use of gravity to drain
secretions from segments of the lungs
b)trade name for Isoetharine is: bronkosol
c)trade name for terbutaline: Brethine
1.manifestations of tension pneumothorax except:
diaphoresis
2.client wid chronic bronchitis is: edematous from the
waist down
3.emphysema most specifically refers to: destruction of
alveoli, narrowing bronchioles and trapping of air
resulting in loss of lung elasticity
4.chest physiotherapy: making sure fields are excreting
any secretions trapped inside
5. not an extrinsic etiology of asthma: pathophysiology
conditions within the resp tract
6. human airways are characterized by all of the ff.
except: edematous
7. CO2 narcosis often occurs in client’s with:
emphysema
8. clients who use bronchodilators except: tb clients
9. the only intervention that may help in recover from
pneumothorax is: chest tube procedure
10. all are appropriate interventions for cor pulmonale
except: administration of epinephrine hydrochloride
LESSON 2
2.1 a) normal extracellular level of hco3: 22-29 mEq/l
b) adult male: 60-70% of body wt. is h20
c) infant: 75-80% of body wt. is h2o
2.2 a) regulates f and e by secreting renin: kidney
b) isotonic sol.: 0.9 NaCl
c)this enzyme triggers angiotensin II, w/c can aid in the
retention: renin
2.3 a) the nurse should correct the underlying cause of
dehydration by most specifically: replacing the fluids
and npo
b) common causes except: weight loss
c) urine characteristic except: blood tinged
2.4 a) possible manifestations of fluid excess except:
stupor
b) normal value of pH: 7.35-7.45
c) later signs except: flushed skin
2.5 a) Increase in Respiration – Tachypnea
b) Decrease in Circulation in Lower extremities –
Vasoconstriction
c) Increase in Heart Rate – Tachycardia
2.6 a) metabolic acidosis: increase in hydrogen ion
concentration
b) drug: sodium bicarbonate
c) initial manifestations except: embolism
2.7 a) most common cause of metabolic alkalosis:
vomiting
b) manifestations except: hypotension
c) high risk: clients on gastric suction and clients on long
term diuretic therapy
2.8 a) manifestations except: high grade fever
b)resp alkalosis has an increased: pH
c)normal value of HCO3: 22-26
NCM 112 midterms E-LEARNING (16 lessons)
c) all of the ff. methods to promote venous dilatation
except: stroking the extremity from distal to proximal
2.9 a) resp. alkalosis is characterized by: decreased in
above the proposed venipuncture
hydrogen ion concentration
b) breathing into a paper bag will: slow down
respiration postquiz 3
c) becomes hypoxic, the nurse should: administer O2 1. A client witn IV should be cared for only in a
hosp. setting or long term care facility: FALSE
2. If blood products are going to be infused 19
2.10 a) high Ca indicates: low phosphorous level
gauge needle is preferable : true
b) a client with resp acidosis has an increased: pCO2
3. A peripheral venous catheter and the insertion
and HCO3
site should be changed every 48- 72 hrs: true
c) a client with metabolic alkalosis has an increased: ph,
4. Symptom of infiltrated IV: inflammation
HCO3, pCO2
5. Not a common complication of venous
catheterization: itching
LESSON 3

3.1 a)if large vol. of fluid or blood products are LESSON 4

anticipated to be given: a larger bore (18 or 19 gauge)
4.1 a) a butterfly needle may be necessary if the client’s
b) when starting an IV, the nurse should do all of the
veins are: small or in difficult position to access
following except: suggest the client to wear clothes
b) butterfly needles are not commonly used for: long
without sleeves
term IV therapy
c) in order to decrease the risk of infection for the client
c)all are expected outcomes except: The IV drop rate
except: use puncture resistant containers for sharps
will be properly calculated.

3.2 a)the nurse should place a tourniquet around the

4.2 a) when selecting potential veins to be used for
upper arm close to axilla to: distend the vein and allow
insertion, the nurse should assess the fragility by:
visual tactile examination
palpating the vein
b) should avoid all the ff except: the distal part of the
b) the nurse should avoid wrist or hand because:
vein
bending the wrist or hand increases the risk of
c) to ensure proper placement of the catheter: loosen
infiltration or phlebitis
the stylet and advance into the vein until the hub rests
c) anchor the vein by placing a thumb over the vein and
at the venipuncture
stretching the skin against the direction of insertion 2 to
3 inches distal site in order to: stabilize the vein for ease
3.3 a) age group often has relatively thicker and tougher
of venipuncture
skin: teenagers and young adults
b) document all of the ff except:type and gauge of
needle used 4.3a) the site should be inspected frequently for:
c) elderly clients may develop fluid imbalances more infiltration
rapidly because of: large extracellular fluid volume b) elderly: 5 to 15 degree angle
c) note all the ff except: s/s of filtration

3.4 a) when an IV site is swollen and infiltrated, the

4.4 a) if a client’s veins are too fragile to sustain the
nurse should do all of the ff. except: look for another
passage of an over the needle catheter, re evaluate:
vein more proximal on the opposite arm
the clients needs and the nurse’s approach
b) if the catheter is pulled out after inserting an IV, the
b) if a needle is punctures through a vein during a
nurse should do all of the ff except: push the catheter
insertion, do all the ff except: advance the needle more
back into vein
carefully at a 35 degree to 45 degree angle
NCM 112 midterms E-LEARNING (16 lessons)
c) to avoid damaging the venous valves: always insert
an IV needle in the direction of venous return
LESSON 5
5.1 a) apply pressure: 5 minutes
b) most complicated and requires special assessment
skills and techniques: arterial stick
c) all of the ff histories are at risk for complications
from the venipuncture except: blood transfusion
reactions
5.2 a) when performing venipuncture, to provide
improved visibility of the veins: apply a tourniquet 3 to
4 inches above the venipuncture
b) when performing venipuncture, to help stabilize he
vein during insertion: place thumb or forefinger of the
nondominant hand 1 inch below the site and pull the
skin taut
c) position: supine or semi fowler’s position
5.3 a) most frequently selected venipuncture sites in
children are: dorsal surfaces of the hands and feet
b) elderly clients may need direct pressure, post needle
stick for a longer period of time as they are prone to:
bruising and hematoma development
c) in evaluating a venipuncture, the nurse should have
ensured all of the following except: that the
venipuncture site showed evidence of hematoma
5.4 a) to reduce the chance of piercing through the
other side of the vein during venipuncture: hold the
syringe and needle at 15 to 30 degree angle from the
client’s arm with bevel up
b) understand the specific requirements for collection
of blood specimens to prevent all except: venous
distention
c) when performing venipuncture, avoid any site that
pulsates with palpation as this indicates: artery
LESSON 6
6.1 a)all of the ff are expected outcomes of preparing an
IV bag and tubing except: the iv sol. Will help the client
maintain wt.
b) when assessing for the preparation of an IV bag, do
all the ff. except: assess the initial wt of the pt
c) when administering an IV solution changing the
solution and tubing is necessary in order to: limit the
chance of infection
6.2 a) when preparing an IV bag. You should squeeze
the drip chamber in order to: fill it halfway
b) when preparing an IV bag and tubing all of the ff are
rationales for flushing the tubing except: to prevent
infection
c) when preparing an IV bag you should do all except:
sterilize the spike insertion area with alcohol swab
before spiking
6.3 a) when preparing an IV bag you should remember
all of the ff on pedia clients except: IV fluid rates are
often based on child’s age
b) when documenting after the preparation of an IV bag
and tubing note all of the ff except: no. of times the sol.
Was changed per shift
c) when preparing an IV bag tubing you should
remember all of the ff about older clients except:
infusions should be set to more slower rates
6.4 a) the tubing is contaminated by a needle piercing
through it during an IV piggyback injection you should:
stop the IV piggyback administration and stop the
infusion, then retrieve new tubing and sol. And replace
them using sterile technique
b) failed to :note the dextrose sol. Are not compatible
w/ blood products
c) IV tubing should be changed in all of the ff. situations
except: it was flushed with the solution rather than
sterile
LESSON 7
7.1 A) a vol. control is: a calibrated chamber placed
between the IV bag and the drip chamber
b) an infusion pump: an electronic device used to
deliver prescribed amt. of fluid over a period pf time in
milliliters
c) if an infusion device is used, the nurse should teach
the client that an alarm sounds for all of the ff. except:
on pumping fluid into vein
NCM 112 midterms E-LEARNING (16 lessons)
7.2 a) microdrip: 60 gtts/min
b) formula: ml/hr/60min=ml/min
c) if using a controller when setting the IV flow rate:
Place IV bag 36 inches above the IV site, select the
desired drops per minute
7.3 a) when setting an IV flow rate, this infusion device
is recommended for small children
b) after setting an IV flow rate, the nurse should note all
of the following in the flow sheet except: client’s
response to the IV therapy
c) infusion devices can be used in the long term facility:
an infusion pump
7.4 a) if an infusion cassette is not snapped completely
into place in an infusion pump, it can result in: no fluid
infused and an alarm that sounds wherever the pump is
turned on
b) all are vital in successful administration of IV fluid
except: use of an infusion pump
c) when setting the iV flow rate, the nurse should
consider on the IV bag: having tubing ready to mark the
hrs of infusion on the IV bag
quiz 7
1. For an IV ordered to be given at 100
ml/hr and infusion set that delivers 10
gtts/ml: 16-17 gtts/min
2. Control device should be used for an IV
for a pediatric client: vol. control device
3. Microdrip infusion set has a drop factor
of this many drops per ml: 60
4. Infusion rate for a pediatric client
requiring 30 ml/hr: 30 gtts/min
5. Methods of setting the rate of an
infusion include: all of the ff
LESSON 8
8.1 a) do all the ff except: teach the client how to
maintain the Iv rate per order
b) areas to avoid an IV except: median veins
c) s/s of fluid overload except: inelastic turgor
8.2 a) to ensure the client is receiving the correct
therapy, do all the ff except: that it is the correct
infusion device
b) to ensure that there is no sign of infiltration or
infection at an IV insertion site: check and gauge the IV
dressing hourly be sure it is dry and intact
c) all of the ff. are early s/s of phlebitis of infiltration:
drainage
8.3 a) for clients who must have short term IV infusions
repeated over many months or years, observe all
except: pain
b) this IV insertion site is not frequently chosen for a
long term IV therapy: peripheral
c) in assessing and maintaining an IV insertion site, note
all the ff in flow sheet except: rate of fluid per minute
LESSON 9
9.1 a) to KVO so that an IV medication can be
administered, some clients may require: the IV solution
to be infused slowly
b) all are needed when changing an IV med. Except: an
infusion pump
c) the type of IV sol. In an IV bag depends on: The
client’s need
9.2 a) If air bubbles are present when changing an IV
sol. The nurse should: open the roller clamp then while
stretching the tubing flick the tubing with a finger and
ensure hat the bubbles rise to the drip chamber
b) to reduce clot formation in the vein caused by and
empty IV bag, the nurse should:plan for new bag to be
hung atleast 1 hr before it is needed
c) to prevent fluid drip chamber from emptying while
changing solution, the nurse should: move the roller
clamp to stop flow of fluid
9.3 a) for clients under long term care, the nurse should
monitor the client’s lab. Results so that: adjustments to
the IV solution can be made if needed
b) nurse make entries into all ff. docs. Except: MAR
c) IV pump alarms can often cause both anxiety and fear
in: younger and older children
NCM 112 midterms E-LEARNING (16 lessons)
9.4 a) the nurse should anticipate when a new IV sol.
Will be needed and be sure it is ordered from the
pharmacy to prevent: risk of an IV clotting
b) to be sure that the correct sol. Is given the nurse
should: keep in mind the client’s lab and need of fluid
c) if the tubing is half full of air while changing the IV
sol. The nurse should do all the ff. except: discontinue
the IV
LESSON 10
LESSON 11
11.1 a) a large bore catheter is used for blood
transfusion to prevent: hemolysis
b) the nurse should teach the client to report all of the
ff. s/s of reaction during blood transfusion except:
drowsiness
c) all of the ff. are used for clients with alterations in
blood coagulation except: factor VIII and XI
concentrates

10.1 a) A heplock or saline lock is used to: Cap the IV to

11.2 a) if a transfusion reaction occurs after initiation of
maintain to the vein w/o the necessity of running IV
the transfusion, the nurse should: get a urine specimen
fluids into the body
b) to prevent bacterial growth and destruction of RBC,
b) heplocks are regularly flushed with a heparin sol. Or
the nurse should obtain blood products from the blood
normal saline to prevent:clotting
bank within: 30 mins of initiation
c)all of the ff are needed when discontinuing an IV
c) verify all of the ff, with another nurse when
changing to a saline lock except: sterile needles, 27
administering a blood transfusion except: unit and
gauge
client no.

10.2 a) when inserting a new saline lock, the nurse

11.3 a) all of the ff. are meds used to prevent or
should do all the ff. except: attach the needle/ONC to
manage transfusion complications except:
the IV tubing
Streptomycin
b) the nurse should keep the heparin or saline lock
b) in order to avoid fluid overload in elderly clients:
patent heparin or normal saline every: 8hrs
longer infusion because of decreased cardiac fxn
c) to ensure needle separation when using a spring
c) pediatric blood transfusion doses and rates are
loaded retractable needle system during the insertion
calculated by: body wt.
of new saline lock the nurse should: turn angiocatheter
360 degrees at the hub before inserting the catheter
into the vein 11.4 a) to prevent the blood from backing up into the
bag of normal saline during blood transfusion: clamp
the normal saline bag before the blood bag
10.3 a) the nurse should enter the ff into the MAR: the
b) blood products should not be transfused
sol. Infused everytime the lock is flushed
simultaneously or immediately ff. meds because it can
b) the veins of elderly clients may be more fragile and
cause: allergic type reactions
need more frequent changes of: an IV with a saline lock
c) in gen. it will take this much time to infuse a unit of
c) this device is often more appropriate in these
packed RBC: 2hrs
circumstances: a permanent central line

10.4 a) If the patency of a saline lock is in question, the post q lesson 11

nurse should: handle the problem right away 1. Packed RBC should be given for a client
b) if there is swelling around the needle when flushing a with a low platelet count: false
saline lock, the nurse should do all of the ff.: Make sure 2. If antibiotic is orderd, it can be
the needle is in vein, then attach a new heplock and piggybacked into the line closest to the
flush with saline client and administered at the same
c) some institution no longer flush heplocks with hep time as the blood: false
sol. As some studies suggests that: flushing with normal 3. A nurse can give a transfusion of packed
saline alone will maintain the patency of a heplock RBC but not whole blood w/o a
NCM 112 midterms E-LEARNING (16 lessons)
physicians or qualified practitioner’s
ordered: false
4. Factors VIII and IX are given to clients
w/: hemophilia
5. The schedule best describes the VS
sched. At the beginning of a
transfusion : every 15 mins. For 1 hr
Lesson 12
12.1 a) anaphylactic reaction during a blood transfusion
can be caused by: IgA proteins given to IgA deficient
recipient who has developed IgA antibodies
b) before administering a blood transfusion the nurse
should do all the ff. except: ask the client to write
about previous experiences with transfusions to allay
any fears
c) Acc to the lesson, blood transfusion reactions can be
caused by all of the ff. except: blood components that
are infused too slowly
12.2 a) the nurse should obtain VS including Spo2,
during blood transfusion to: assess client’s
hemodynamic stability
b) to Stimulates alpha receptors and beta receptors in
the sympathetic nervous system and decreases
respiratory distress in anaphylactic reactions.:
epinephrine
c) in case of anaphylaxis during blood transfusion, the
nurse should maintain a patent IV with: normal saline
12.3 a) in relation to blood transfusion clients w/ bone
stores of calcium with osteoporosis or bony tumors or
whose mobility is limited are at risk of: sodium citrate
reaction
b) after responding to a transfusion reaction do all the
except: dates of any prior transfusions
c) citrate reactions can occur in infants receiving:
exchange transfusions
12.4 a) if the name on the blood bag is different from
the medical rec. do all the ff except: recheck the client’s
ID bracelet
b) this transfusion reaction may occur after a few ml of
blood or plasma has been infused and w/o fever;
anaphylactic reaction
c) hemolysis can lead to: DIC and uncontrolled
hemorrhage
LESSON 13
13.1 a) all of the ff statements about central venous
catheters are true except: they are used to study
Anaphy of the cardiovascular system including ACLS
b) in regard to central venous catheters, the CVP
provides info. Regarding: Right heart filling pressures
and vol
c)all of the ff are indications for a central venous
catheters except: JVD
13.2 a)this can be determined of a hemodynamic
monitoring system is used with central venous
catheters: CVP measurement
b) all of the ff are unexpected outcomes of central
venous catheter insertion except: heparin-induced
embolism
13.3 a) a central venous catheter kit is usually supplied
with all of the ff except: stopcock
b) all of the ff supplies are needed for central venous
catheter insertion, except: 1%lidocaine vial with
epinephrine
c) the subclavian approach is to be used in central
venous catheter insertion the nurse should: place a
rolled towel vertically between the scapulae
13.4 a) advancement of the guidewire or catheter into
the heart may induce: cardiac dysrhythmias
b) prior to jugular central venous catheter insertion ,
assist in cleaning the site by: scrubbing the midclavicle
to the opposite border of the sternum and ear to few
inches above the nipple line
c) the 15-25 degree Trendelenburg nay be
contraindicated except: increased spinal column
pressure
13.5 a) abnormal heart or lung sounds after central
venous catheter insertion may indicate all the ff.
except: cardiac dysrhythmias
b) to prevent catheter embolism in central venous
catheter insertion, the physician should:use the
Seldinger insertion technique
c) evidenced by dyspnea, chest pain, muffled breathe
sounds, high glucose level of chest drainage and low
grade fever: hydrothorax
NCM 112 midterms E-LEARNING (16 lessons)
lesson 13 postq
1. If the subclavian approach is to be used
in CVC insertion the nurse should: place
a rolled towel vertically between
scapulae
2. All of the ff are unexpected outcomes of
CVC insertion except: heparin induced
embolism
3. This can be determined if hemodynamic
monitoring system is used with CVCs:
CVP measurement
4. All of the statements are true about
CVC are true except: they are used to
study ANAPHY
5. Prior to jugular vein central venous
catheter insertion, the nurse should
assist in cleaning the site by: scrubbing
the midclavicle to the opposite border
of the sternum and ear to a few inches
above the nipple line
6. in regard to central venous catheters,
the CVP provides info. Regarding: Right
heart filling pressures and vol
LESSON 14
14.1 a) insertion of CVC in all of the ff reduces the risk
for pneumothorax except: internal jugular vein
b) the CVP is commonly elevated during or ff all of the ff
conditions except: R ventricular distention
c) normal CVP value: 2-6 mmHg
14.2 a) unexpected outcome of CVC insertion:
hematoma
b) this is determined after CVC insertion: CVP
measurement
14.3 a) prior to central venous catheter insertion, the
nurse should assess all of the following except:
sternomastoid muscle
b) if the client Is obese: place a towel posteriorly
between the shoulder blades
14.4 a) to avoid the subclavian artery during central
venous catheter insertion, the needle insertion site
should be 1 to2 cm lateral to the: junction of the
middle and medial thirds of the clavicle
b) the internal jugular vein can be located: 3 to 4cm
above the medial clavicle and 1 to 2 cm within the
lateral border of the sternocleidomastoid muscle
c) to prevent pneumothorax during central venous
catheter insertion in the subclavian vein, the physician
should insert the needle at a: 45 degree angle
14. 5 a) if hemodynamic system is used with the
CVC changes in the waveform may indicate:
catheter migration
b) the nurse should immediately perform all the
assessments after CVC insertion except: fluid status
c) abnormal heart/lung sound after CVC insertion may
indicate all of the ff. except: right ventricular failure
14. post q
1. the internal jugular vein can be located: 3 to
4cm above the medial clavicle and 1 to 2 cm
within the lateral border of the
sternocleidomastoid muscle
2. the nurse should immediately perform all the
assessments after CVC insertion except: fluid
status
3. normal CVP value is: 2to6 mmHg
4. this is determined after CVC insertion: CVP
measurement
5. the nurse should assess all of the ff. except:
sternomastoid muscle
6. insertion of CVC in all of the ff reduces the
risk for pneumothorax except: internal jugular
vein
7. if hemodynamic system is used with the CVC
changes in the waveform may indicate:
catheter migration
LESSON 15
15.1 a) to determine the client’s ability to cooperated
during the insertion of a nasogastric. The nurse should:
assess the client’s LOC
b) NGT tubes are commonly used for all of the ff except:
to introduce light into the room
c) all of the ff are possible complications of nasogastric
tube insertion except: dehydration
NCM 112 midterms E-LEARNING (16 lessons)
15.2 a) during the NGT the client usually starts to gag
when the tube reaches the: nasopharynx
b) the nurse should choose the more patent nostril for
NGT tube insertion to” decrease the discomfort and
unnecessary trauma
c) to facilitate NGT tube insertion and prevent back
strain, the nurse should: properly prepare the
environment
15.3 a) after the NGT tube insertion. The nurse should
document all of the ff in the nurse’s notes except[t:
client’s pre-insertion bp
b) in the home care setting, the nurse should
periodically assess the family member’s ability to do all
of the ff except: assess the presence of blood in the
stomach
c) to prevent accidental aspiration in small children, the
nurse should: dispose or securely tape any small parts
such as plastic connectors or plugs
15.4 a) if unable to verify an NG tube position, the nurse
should: instill anything through the tube
b) nurses must be able to evaluate the effectiveness of
all of the ff. regarding NG tube except: movement
c) if iodine allergy is not present, to prep the skin on the
bridge of the nose, the nurse may use: tincture of
benzoin
LESSON 15 postq
1. Length of ngtinsertion should be measured:
from the earlobe to the xiphoid process*
2. The ngt is secured to the client’s gown by: a
rubber band and safety pin
3. One way to check placement of the ngt is to
inject water and listen for the gurgles in the
stomach: False
4. The ff are size of NGT should be used in
adult: 14-18 Fr
5. When inserting a ngt you should wear gloves: true
LESSON 16
16. 1 a) most precise way to verify placement of feeding
tube is: obtain an abdominal xray
b) all are used to assess small bore feeding tube except:
alcohol swabs
c) this color could signify aspiration of tube feeding:
blue
16.2 a)to prevent wasting of feeding solution if the
infusion has already been running, the nurse should:
clamp the tube
b) to allow insetion of air into the feeding tube, the
nurse should: attach the syringe to the proximal end of
the feeding tube
c) if the pH level of the fluid aspirated ranges from 6 to
7, it means the tube is in the: intestine
16.3 a) if migration is suspected or placement cannot be
verified, the nurse should note any interventions
implemented in the: nurse’s notes
b) if older clients have problems with confusion, the
nurse should: secure the tubing well and monitor the
client
c) if a feeding tube has migrated into the pulmonary
tree, the nurse should teach caregivers: what to do and
whom to notify
16.4 a) to prevent aspiration while tube feeding the
nurse should keep the client’s elevated at: 30 degrees
b) the nurse should do all the following to properly
secure a feeding tube except: put a transparent
dressing under the tube on the cheek
c) if unable to verify placement of tubing in stomach or
small intestine,, the nurse should: remove the tube and
replace it
LESSON 16 postq
1. One method of verifying feeding tube
placement is: testing the pH of the aspirate
2. If the feeding tube is d in the stomach, the pH
of the aspirate is:below ph3
3. Most reliable way to verify tube placement is:
abdominal xray
4. Intense coughing can dislodge a feeding tube:
true
5. Feeding tube placement needs to be verified
only once after shift:true or false
NCM 112 midterms E-LEARNING (16 lessons)