NCLEX Practice Questions Quiz for Patients with Tubes

This NCLEX practice question test was designed to test your knowledge on how to care for various tubes you may encounter in the nursing setting. As the nurse, you will be responsible for knowing how to manage and take care of serious situations that may arise from these types of tubes.

This NCLEX quiz test your ability to care for: Feeding Tubes (PEG), Nasogastric, Nephrostomy, Chest Tubes, Sengstaken-Blakemore tube and endotracheal tubes. Once you are done taking the quiz you will be able to see what you got right and wrong with rationales.

NCLEX Practice Questions for Patients with Tubes | Nasogastric, PEG, Feeding, Endotracheal, Tracheostomy, Chest, Nephrostomy Tubes

This NCLEX Practice quiz will test your nursing knowledge on how to take care of a patient with a tube. In the nursing field, you will encounter many different types of tubes and you will be required to know how to take of them. This NCLEX test will test your knowledge about:

NG tubes
GI feeding tubes
Gastrostomy Tubes
Sengstaken-Blakemore tube
Urinary, and Renal Tubes
Endotracheal
Chest Tubes etc.

1.) Your patient has a PEG tube and you are about to administer a feeding. While checking residual you obtain 95 ml of stomach contents. What would be your next nursing intervention?*
- Skip this scheduled feeding and administer the next feeding due in 6 hours
- Administered the scheduled feeding
- Wait 30 minutes and reassess residual
- Hold the feeding and immediately notify the MD of the assessed amount of residual
2.) Which patient would benefit from a Nasogastric Tube?*
- A patient with Congestive Heart Failure
- A patient who had a left leg amputation
- A patient with a Platelet count of 50
- A stroke victim who failed their swallow evaulation
3.) Your patient has a PEG tube and you are about to administer a tube feeding using the feeding pump. You note that the last feeding tube hanging on the pole is labeled Aug 16 and today's date is Aug 18. Which nursing action is correct.*
- Notify the MD for further orders
- Continue to administer the feeding because the tubing is good for 4 days
- Change the adapter cap at the end of the tubing
- Immediately discard the tubing and open a new package of tubing before proceeding with the feeding
4.) You just inserted a Nasogastric tube. Which of the following is not a correct way to check correct placement of the tube?*
- Following the MD order for an X-ray to confirm placement
- Obtaining a sample of GI contents through the tube by aspirating
- Checking pH of GI contents to be at 1 to 3.5
- Administering a 100cc Water flush and assessing for patient coughing
5.) You are receiving report from a nurse at another hospital who will be transferring a patient to your ICU. The patient has a Sengstaken-Blackmore Tube. Which of the following statement is incorrect about this tubing?*
- Scissors are kept at the beside at all times with this tubing type
- It is used in patient's with esophageal varices
- A NG tube is inserted in the opposite nare to collect secretions
- It is a four-lumen gastric tube
6.) You are caring for a patient with a nephrostomy tube. What nursing intervention would you include in your plan of care?*
- Keep tube in a vertical position at all times
- Maintain patency of the tube
- Clamp the tube every 6 hours for 1 hour intervals
- Irrigate as prescribed by the MD using sterile water
7.) Your patient has an endotracheal tube. You are assessing placement by listening to the lung sounds and you notice that the breath sounds and chest wall movement are absent on the left side? What is usually the cause of this?*
- The tube is not above the carina and must be re-inserted
- The tube may be displaced in the right main stem bronchus
- The incorrect size tubing was used
- A pneumothorax may be developing and a STAT chest x-ray should be ordered
8.) You patient is ordered a chest x-ray to confirm endotracheal tube placement. The tube should be how many cm above the carina?*
- 1-2 cm
- 1-4 cm
- 0.5-1.5 cm
- 2-3 cm
9.) You are assessing your patient with an endotracheal tube and note that the patient is able to make verbal sounds. What is the most likely cause?*
- None of the above. This is normal,
- The tube is displaced.
- There is a leak.
- There is an occlusion.
10.) A patient with a tracheostomy needs to be suctioned. What would you do first before suctioning the patient?*
- Have the patient bear down
- Assist the patient into Sim's position
- Hyperoxygenate the patient before suctioning
- Disconnect pulse oximetry
11.) Your patient has a chest tube. Your assessing the water seal chamber and you note that the water moves up as the patient inhales and then moves down when the patient exhales. What may be causing this to happen?*
- The water seal suction should be increased 2-5 mmHG.
- The left chest tube is occluded.
- The chest tube has a leak.
- This is normal and expected.
12.) A patient with a pneumothorax has a chest tube present. The water seal chamber has continuous bubbling. What intervention would you take?*
- Notify the MD because there is a leak in the system.
- This is normal and expected because the patient has a pneumothorax.
- None of the above are correct.
- Increase the suction 2-5 mmHg until bubbling stops.
13.) During the morning assessment of your patient with a chest tube, you note that there is no fluctuation in the water seal chamber. The patient does not appear to be in respiratory distress. What could have caused this ceasing of fluctuation?*
- The water in the seal chamber is inadequate.
- The collection chamber is full.
- The dry suction is turned on high.
- The lung may have re-expanded.
14.) Your outside the patient's room when you hear a "thud". You run into the room and the patient has fallen and the patient's chest tube was accidentally pulled out. You quickly do the following?*
- Tell the patient to take a deep breath and hold it, apply a dry sterile dressing with petroleum gauze dressing with tape, and notify the MD
- Pinch the skin opening together, apply an occlusive sterile dressing, cover the dressing with 2 inch tape and notify the MD.
- Turn the patient on the affected side and call for help
- Clamp the tubing, cover with a Kerlix and tape, and notify the MD
15.) You are assisting a MD with the removal of a chest tube. What activity may the MD have the patient perform while the chest tube is being removed?*
- Huff Cough Techniqure
- Chest Physiotherapy
- Leopold Maneuver
- Valsalva Maneuver

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NCLEX Practice Questions Quiz for Patients with Tubes

NCLEX Practice Questions for Patients with Tubes | Nasogastric, PEG, Feeding, Endotracheal, Tracheostomy, Chest, Nephrostomy Tubes

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