A nurse is performing a nasogastric intubation. Which of the following actions should the nurse take immediately after inserting the tube to the predetermined length? -inspect the oropharynx with a penlight and a tongue blade -obtain an x-ray examination of the chest and abdomen -tape the tube secu...
a nurse is caring for a patient who has a newly in
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NUR 139 Exam 2 ATI Questions and
Correct Answers
A nurse is performing a nasogastric intubation. Which of the following actions should the
nurse take immediately after inserting the tube to the predetermined length?
-inspect the oropharynx with a penlight and a tongue blade
-obtain an x-ray examination of the chest and abdomen
-tape the tube securely in place with a tube holder device
-aspirate gastric contents ✅-inspect the oropharynx with a penlight an a tongue blade
A nurse is caring for a patient who has a newly inserted nasogastric tube. Which of the
following methods is appropriate for verifying the initial placement?
-x ray examination of the chest and abdomen
-auscultation of injected air
-ph measurement of gastric aspirate ✅-x ray examination of the chest and abdomen
A patient recovering from gastric surgery remains NPO and has a nasogastric tube
connected to suction. Which of the following actions should the nurse take to prevent
dry mucous membranes?
-allow the patient to such on ice chips
-provide frequent mouth care
-apply petroleum jelly to the patient's naris ✅-provide frequent mouth care
When checking for nasogastric tube placement, the nurse should conduct which of the
following procedures?
-instill 20 ml of air into the tube and listen for a whooshing sound
-aspirate stomach contents and check the ph
-aspirate stomach contents and check their color ✅-aspirate stomach contents and
check the ph
During a report, a nurse is informed that a patient has a nasogastric tube connected to
continuous suction. The nurse should recognize that this patient must have which of the
following types of tube?
-Levin
-sengstaken-blakemore
-salem sump ✅-salem sump
A nurse should recognize that nasogastric intubation is indicated to relieve gastric
distention for which of the following patients?
-a 6 year old child who drank a toxic substance
-a 60 year old patient admitted with gastrointestinal hemorrhage
-a 40 year old patient with a postoperative bowel obstruction ✅-a 40 year old patient
with a postoperative bowel obstruction
, A nurse is caring for a patient who has a nasogastric tube connected to suction. Which
of the following should indicate to the nurse that the tube has become occuluded?
-active bowel sounds
-passing flatus
-increase in gastric secretions
-patients report of nausea ✅-patients report of nausea
A nurse is documenting data about a healing wound on a patients lower leg. The
predominant exudate in the wound is watery in consistency and light red in color. The
nurse should document this exudate as...
-serosanguineous
-sanguineous
-serous
-purulent ✅-serosanguineous
A nurse is caring for a patient who has a heavily draining wound that continues to show
evidence of bleeding. Which of the following types of dressings should the nurse select
to help promote hemostasis?
-transparent
-hydrofiber
-alginate
-biologic ✅-alginate (removal does not cause further bleeding)
A nurse is caring for a patient who has developed a stage 1 pressure ulcer in the area
of the right ischial tuberosity. Which of the following should the nurse plan to apply to
the ulcer?
-zinc oxide
-nystatin
-papain-urea ✅-zinc oxide (prevention)
A nurse is caring for a patient who has multiple sclerosis and has a chronic nonhealing
wound. The nurse should recognize that which of the following types of medications is
known to delay wound healing?
-tricyclic antidepressants
-corticosteroids
-beta blockers
-antichollnergics ✅-corticosteroids (suppress the immune system=delay)
A nurse is caring for a patient who is admitted with multiple wounds sustained in a
motor vehicle cash. Understanding the patients specific needs during this initial stage of
wound healing, the nurse should incorporate which of the following into the patients plan
of care to prevent a prolongation of this phase?
-leave nonbleeding wounds open to the air
-administer 325 mg aspirin PO as needed for pain
-initiate mechanical debridement
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