Registered Nurse RN

Registered Nurse, Free Care Plans, Free NCLEX Review, Nurse Salary, and much more. Join the nursing revolution.

  • RN
    • Nursing Clinical Skills
  • Nursing Videos
  • Blog
  • Nursing School
  • Nursing Care Plans
  • Nursing Quizzes
  • Nursing
  • Nursing Jobs
  • NCLEX Review
  • Store

Chest Tube NCLEX Questions

Chest tube practice questions for the NCLEX exam. Chest tubes are used in the clinical setting to help drain fluid or air from the pleural space of the lungs or after cardiac surgery to help prevent fluid from compressing the heart (which are mediastinal chest tubes).

The nurse is responsible for monitoring and maintaining the chest tube drainage system. This includes recording drainage, monitoring for air leaks or kinks, assessing suction settings, monitoring patient’s respiratory status, and assisting the physician with removal of the chest tube.

After you’re done taking this quiz, don’t forget to take our other free NCLEX quizzes.

Lecture on Chest Tube Care

Chest Tube NCLEX Questions

This quiz will test your knowledge on how to care for a chest tube as a nurse in preparation for the NCLEX exam.

(NOTE: When you hit submit, it will refresh this same page. Scroll down to see your results.)

NCLEX Questions on Chest Tube Care

1. You are providing care to a patient with a chest tube. On assessment of the drainage system, you note continuous bubbling in the water seal chamber and oscillation. Which of the following is the CORRECT nursing intervention for this type of finding?

A. Reposition the patient because the tubing is kinked.

B. Continue to monitor the drainage system.

C. Increase the suction to the drainage system until the bubbling stops.

D. Check the drainage system for an air leak.

2. A patient is receiving positive pressure mechanical ventilation and has a chest tube. When assessing the water seal chamber what do you expect to find?

A. The water in the chamber will increase during inspiration and decrease during expiration.

B. There will be continuous bubbling noted in the chamber.

C. The water in the chamber will decrease during inspiration and increase during expiration.

D. The water in the chamber will not move.

3. What type of chest tube system does this statement describe? This chest drainage system has no water column to control suction but uses a suction monitor bellow that balances the wall suction and you can adjust water suction pressure using the rotary suction dial on the side of the system. It allows for higher suction pressure levels, has no bubbling sounds, and water does not evaporate from it as with other systems.

A. Mediastinal chest tube system

B. Dry suction chest tube system

C. Wet suction chest tube system

D. Dry-Wet suction chest tube system

4. The patient in room 2569 calls on the call light to tell you something is wrong with his chest tube. When you arrive to the room you note that the drainage system has fallen on its side and is leaking drainage onto the floor from a crack in the system. What is your next PRIORITY?

A. Place the patient in supine position and clamp the tubing.

B. Notify the physician immediately.

C. Disconnect the drainage system and get a new one.

D. Disconnect the tubing from the drainage system and insert the tubing 1 inch into a bottle of sterile water and obtain a new system.

5. You’re assessing a patient who is post-opt from a chest tube insertion. On assessment, you note there is 50 cc of serosanguinous fluid in the drainage chamber, fluctuation of water in the water seal chamber when the patient breathes in and out, and bubbling in the suction control chamber. Which of the following is the most appropriate nursing intervention?

A. Document your findings as normal.

B. Assess for an air leak due to bubbling noted in the suction chamber.

C. Notify the physician about the drainage.

D. Milk the tubing to ensure patency of the tubes.

6. A patient is recovering from a pneumothorax and has a chest tube present. Which of the following is an appropriate finding when assessing the chest tube drainage system?

A. Intermittent bubbling may be noted in the water seal chamber.

B. 200 cc of drainage per hour is expected during recovery of a pneumothorax.

C. The chest tube is positioned at the patient’s chest level to facilitate drainage.

D. All of these options are appropriate findings.

7. While helping a patient with a chest tube reposition in the bed, the chest tube becomes dislodged. What is your immediate nursing intervention?

A. Stay with the patient and monitor their vital signs while another nurse notifies the physician.

B. Place a sterile dressing over the site and tape it on three sides and notify the physician.

C. Attempt to re-insert the tube.

D. Keep the site open to air and notify the physician.

8. A patient is about to have their chest tube removed by the physician. As the nurse assisting with the removal, which of the following actions will you perform? Select-all-that-apply:

A. Educate the patient how to take a deep breath out and inhale rapidly while the tube in being removed.

B. Gather supplies needed which will include petroleum gauze dressing per physician preference.

C. Place the patient in Semi-Fowler’s position.

D. Have the patient take a deep breath, exhale, and bear down during removal of the tube.

E. Pre-medicate prior to removal as ordered by the physician.

F. Place the patient is prone position after removal.

9. A patient with a chest tube has no fluctuation of water in the water seal chamber. What could be the cause of this?

A. This is an expected finding.

B. The lung may have re-expanded or there is a kink in the system.

C. The system is broken and needs to be replaced.

D. There is an air leak in the tubing.

Answer Key

1. D
2. C
3. B
4. D
5. A
6. A
7. B
8. B, C, D, E
9. B
More NCLEX Quizzes: Caring for Patients with Tubes

nclex quizzes

Don’t forget to tell your friends about this quiz by sharing it your Facebook, Twitter, and other social media. You can also take more fun nursing quizzes.

*Disclaimer: While we do our best to provide students with accurate and in-depth study quizzes, this quiz/test is for educational and entertainment purposes only. Please refer to the latest NCLEX review books for the latest updates in nursing. This quiz is copyright RegisteredNurseRn.com. Please do not copy this quiz directly; however, please feel free to share a link to this page with students, friends, and others.

Please Share:

  • Click to print (Opens in new window)
  • Click to share on Facebook (Opens in new window)
  • Click to share on Twitter (Opens in new window)
  • Click to share on Pinterest (Opens in new window)
  • More
  • Click to share on Reddit (Opens in new window)
  • Click to share on LinkedIn (Opens in new window)
  • Click to share on WhatsApp (Opens in new window)
  • Click to share on Pocket (Opens in new window)
  • Click to share on Telegram (Opens in new window)
  • Click to share on Skype (Opens in new window)
Nursing Gear

RSS Latest YouTube Videos

  • IV Flow Rates Infusion Drips Hourly Rate mL/hr Dosage Calculations Nursing
  • IV Drip Flow Rates Drop Factor gtts/minute Dosage Calculations Nursing | NCLEX Review
  • Do Nurses Really Need to Know This?
  • This Vein is Going to Roll... Nurse IV Insertion Tips #shorts

Recent Posts

  • IV Flow Hourly Rate mL/hr Dosage Calculations Practice Problems
  • IV Drip Flow Rate Drop Factor gtts/min Dosage Calculations Practice Problems
  • Do Nurses Really Use Dosage Calculations?
  • Sinus Tachycardia ECG/EKG Rhythm Nursing Review
  • Sinus Tachycardia ECG/EKG Rhythm Quiz

Disclosure and Privacy Policy

This website provides entertainment value only, not medical advice or nursing protocols. We strive for 100% accuracy, but nursing procedures and state laws are constantly changing. By accessing any content on this site or its related media channels, you agree never to hold us liable for damages, harm, loss, or misinformation. See our full disclosure and privacy policy. Copyright Notice: Do not copy this site, articles, images, or its contents without permission.

Important Links

  • Advertise
  • Contact Us

Follow Us on Social Media

  • Facebook Nursing
  • Instagram Nursing
  • TikTok Nurse
  • Twitter Nursing
  • YouTube Nursing

Get Free Email Updates:

Enter your email address below and hit "Submit" to receive free email updates and nursing tips.

Copyright © 2022 RegisteredNurseRN.com. All Rights Reserved.