1. Nurse Oliver checks for residual before 4. 6.

Question
administering a bolus tube feeding to a Nurse Ryan is assessing for correct
client with a nasogastric tube and obtains placement of a nasogastric tube. The
a residual amount of 150 mL. What is nurse aspirates the stomach contents
the appropriate action for the nurse to and checks the contents for pH. The
take? nurse verifies correct tube placement
if which pH value is noted?
o A. Hold the feeding
o A. 3.5
o B. Reinstill the amount
and continue with o B. 7.0
administering the feeding
o C. 7.35
o C. Elevate the client’s
o D. 7.5
head at least 45 degrees and
administer the feeding
Correct Answer: A. 3.5
o D. Discard the residual
5. 7. Question
amount and proceed with A nurse is preparing to remove a
administering the feeding nasogastric tube from a female client.
The nurse should instruct the client to
Correct do which of the following just before
Correct Answer: A. Hold the the nurse removes the tube?
feeding
o A. Exhale
2. 5. Question
A nurse is inserting a nasogastric tube o B. Inhale and exhale
in an adult male client. During the quickly
procedure, the client begins to cough
o C. Take and hold a deep
and has difficulty breathing. Which of
the following is the appropriate breath
nursing action? o D. Perform a Valsalva
o A. Quickly insert the tube maneuver

o B. Notify the physician Correct Answer: C. Take and hold

immediately a deep breath.
o C. Remove the tube and 6. 8. Question
reinsert when the respiratory Nurse Joy is preparing to administer
distress subsides medication through a nasogastric tube
that is connected to suction. To
o D. Pull back on the tube
administer the medication, the nurse
and wait until the would:
respiratory distress subsides
Correct o A. Position the client
Correct Answer: D. Pull back on supine to assist in medication
the tube and wait until the absorption
respiratory distress subsides
o B. Aspirate the
3. nasogastric tube after
 medication administration to
o A. Palpates the abdomen
maintain patency
for size
o C. Clamp the
o B. Palpates the liver at
nasogastric tube for 30
the right rib margin
minutes following
administration of the o C. Listens to bowel
medication sounds in all four quadrants
o D. Change the suction o D. Percusses the right
setting to low intermittent lower abdominal quadrant
suction for 30 minutes after
medication administration Correct
Correct Answer: C. Listens to
Correct Answer: C. Clamp the bowel sounds in all four quadrants
nasogastric tube for 30 minutes
9. 19. Question
following administration of the
The nurse is monitoring a female
medication.
client with a diagnosis of peptic ulcer.
7. Which assessment findings would
13. Question most likely indicate perforation of the
A female client being seen in a ulcer?
physician’s office has just been o A. Bradycardia
scheduled for a barium swallow the
next day. The nurse writes down o B. Numbness in the legs
which instruction for the client to o C. Nausea and vomiting
follow before the test?
o D. A rigid, board-like
o A. Fast for 8 hours abdomen
before the test
o B. Eat a regular supper Correct
and breakfast Correct Answer: D. A rigid, board-
like abdomen
o C. Continue to take all Perforation of an ulcer is a surgical
oral medications as scheduled emergency and is characterized by
o D. Monitor own bowel sudden,
movement pattern for
constipation 21. Question
The nurse is caring for a female client
Correct Answer: A. Fast for 8 following a Billroth II procedure.
hours before the test. Which postoperative order should the
nurse question and verify?
8. 14. Question
The nurse is performing an abdominal o A. Leg exercises
assessment and inspects the skin of o B. Early ambulation
the abdomen. The nurse performs
which assessment technique next? o C. Irrigating the
nasogastric tube
 o D. Coughing and deep- o A. Diarrhea
breathing exercises
Correct Answer: C. Irrigating the
nasogastric tube. o B. Chronic constipation
10. 22. Question
The nurse is providing discharge o C. Constipation
instructions to a male client following alternating with diarrhea
gastrectomy and instructs the client to
take which measure to assist in o D. Stools constantly
preventing dumping syndrome? oozing from the rectum
o A. Ambulate following a Correct Answer: A. Diarrhea
meal
12. 34. Question
o B. Eat high carbohydrate
The hospital administrator had
foods
undergone percutaneous transhepatic
o C. Limit the fluid taken cholangiography. Which assessment
with meal finding indicates complication after
the operation?
o D. Sit in a high-
Fowler’s position during
meals
Incorrect o A. Fever and chills
Correct Answer: C. Limit the fluid
taken with meals. o B. Hypertension
11. 28. Question
o C. Bradycardia
The nurse is reviewing the record of a
female client with Crohn’s disease.
Which stool characteristics should the o D. Nausea and diarrhea
nurse expect to note documented in Correct
the client’s record? Correct Answer: A. Fever and
chills