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
- Hold the feeding and immediately notify the MD of the assessed amount of residual
- Wait 30 minutes and reassess residual
2.) Which patient would benefit from a Nasogastric Tube?*
- A patient with a Platelet count of 50
- A patient with Congestive Heart Failure
- A patient who had a left leg amputation
- 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.*
- 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
- Continue to administer the feeding because the tubing is good for 4 days
- Notify the MD for further orders
4.) You just inserted a Nasogastric tube. Which of the following is not a correct way to check correct placement of the tube?*
- Administering a 100cc Water flush and assessing for patient coughing
- Obtaining a sample of GI contents through the tube by aspirating
- Checking pH of GI contents to be at 1 to 3.5
- Following the MD order for an X-ray to confirm placement
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?*
- It is used in patient's with esophageal varices
- It is a four-lumen gastric tube
- Scissors are kept at the beside at all times with this tubing type
- A NG tube is inserted in the opposite nare to collect secretions
6.) You are caring for a patient with a nephrostomy tube. What nursing intervention would you include in your plan of care?*
- Maintain patency of the tube
- Clamp the tube every 6 hours for 1 hour intervals
- Keep tube in a vertical position at all times
- 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?*
- A pneumothorax may be developing and a STAT chest x-ray should be ordered
- The incorrect size tubing was used
- The tube is not above the carina and must be re-inserted
- The tube may be displaced in the right main stem bronchus
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
- 2-3 cm
- 0.5-1.5 cm
- 1-4 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?*
- There is a leak.
- The tube is displaced.
- None of the above. This is normal,
- There is an occlusion.
10.) A patient with a tracheostomy needs to be suctioned. What would you do first before suctioning the patient?*
- Assist the patient into Sim's position
- Have the patient bear down
- 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.
- This is normal and expected.
- The chest tube has a leak.
12.) A patient with a pneumothorax has a chest tube present. The water seal chamber has continuous bubbling. What intervention would you take?*
- This is normal and expected because the patient has a pneumothorax.
- Increase the suction 2-5 mmHg until bubbling stops.
- Notify the MD because there is a leak in the system.
- None of the above are correct.
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 collection chamber is full.
- The lung may have re-expanded.
- The dry suction is turned on high.
- The water in the seal chamber is inadequate.
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
- Clamp the tubing, cover with a Kerlix and 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
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?*
- Valsalva Maneuver
- Huff Cough Techniqure
- Leopold Maneuver
- Chest Physiotherapy

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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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