NCLEX Practice Exam for Patient Tubes (NGT, Chest, and Tracheostomy)

Practice Mode

Welcome to your NCLEX Practice Exam for Patient Tubes (NGT, Chest, and Tracheostomy)! This exam is carefully curated to help you consolidate your knowledge and gain deeper understanding on the topic.

 

Exam Details

  • Number of Questions: 15 items
  • Mode: Practice Mode

Exam Instructions

  1. Practice Mode: This mode aims to facilitate effective learning and review.
  2. Instant Feedback: After each question, the correct answer along with an explanation will be revealed. This is to help you understand the reasoning behind the correct answer, helping to reinforce your learning.
  3. Time Limit: There is no time limit for this exam. Take your time to understand each question and the corresponding choices.

Tips For Success

  • Read each question carefully. Take your time and don't rush.
  • Understand the rationale behind each answer. This will not only help you during this exam, but also assist in reinforcing your learning.
  • Don't be discouraged by incorrect answers. Use them as an opportunity to learn and improve.
  • Take breaks if you need them. It's not a race, and your understanding is what's most important.
  • Keep a positive attitude and believe in your ability to succeed.

Remember, this exam is not just a test of your knowledge, but also an opportunity to enhance your understanding and skills. Enjoy the learning journey!

 

Click 'Start Exam' when you're ready to begin. Best of luck!

💡 Hint

Consider a technique that helps prevent aspiration by temporarily closing the airway during tube removal.

1 / 15

1. Nurse Patel is preparing to remove the nasogastric tube from a stroke patient who has successfully transitioned to a soft diet. What instruction should Nurse Patel give the patient just before removing the tube?

💡 Hint

Consider the most immediate action that secures the airway and prevents further complications.

2 / 15

2. During a tracheostomy care session, Nurse Patel is changing the tapes when the patient suddenly coughs, causing the tracheostomy tube to become dislodged. What should Nurse Patel do first?

💡 Hint

Consider the function of an endotracheal tube and what would allow air to pass through the vocal cords, enabling speech.

3 / 15

3. Nurse Harris is assessing a patient with an endotracheal tube and notices that the patient is able to make verbal sounds. What is the most likely reason for this?

💡 Hint

Think about how to quickly re-establish a seal to prevent air from entering the pleural space.

4 / 15

4. Nurse Adams is caring for a patient with a chest tube when the chest drainage system is accidentally disconnected. What should Nurse Adams do first?

 

💡 Hint

The key to accurate measurement involves ensuring the tube reaches from the nose to the earlobe and then down to the appropriate anatomical landmark in the abdomen.

5 / 15

5. Nurse Taylor, a newly graduated RN, is preparing to insert a nasogastric tube for a patient with Guillain-Barre Syndrome. To accurately measure the length of the tube before insertion, what should Nurse Taylor do?

💡 Hint

Continuous feedings are designed to mimic regular nutrient intake over the course of an entire day.

6 / 15

6. Nurse Simmons is setting up a continuous feeding for a patient through a nasogastric tube. Continuous feedings are typically administered over how many hours?

💡 Hint

Consider the importance of maintaining the patient's gastric balance while also ensuring the feeding is safely administered.

7 / 15

7. Nurse Williams is preparing to feed a patient via a nasogastric tube (NGT) and checks for residual, finding 90 mL of gastric content. What should Nurse Williams do next?

💡 Hint

Consider the basic design of a Levin tube, particularly the number of lumens and its general function.

8 / 15

8. Nurse Adams is reviewing the different types of nasogastric tubes with a new graduate nurse. To ensure accurate knowledge, which of the following statements about nasogastric tubes should Nurse Adams clarify as incorrect?

💡 Hint

Remember that stomach acid typically has a low pH, but certain medications like Omeprazole can raise it slightly.

9 / 15

9. Nurse Stevens is verifying the placement of a nasogastric tube in a patient who is receiving long-term Omeprazole (Prilosec) therapy. After aspirating the stomach contents, what pH level would indicate that the tube is correctly positioned in the stomach?

💡 Hint

The ideal positioning of the endotracheal tube is to ensure it is safely above the carina but still within the trachea for effective ventilation.

10 / 15

10. Nurse Johnson is preparing a patient for a chest x-ray to confirm the placement of an endotracheal tube. How many centimeters above the carina should the tube be positioned?

💡 Hint

Focus on the purpose of the suction control chamber and how it should function under normal circumstances.

11 / 15

11. Nurse Thompson is monitoring a patient with a pneumothorax who has a chest tube in place. She observes continuous gentle bubbling in the suction control chamber. What is the most appropriate action for Nurse Thompson to take?

💡 Hint

Think about the risks associated with creating any loose fibers near a tracheostomy site, which can potentially cause complications.

12 / 15

12. Nurse Carter is supervising a student nurse who is providing tracheostomy care to a patient. Which action by the student should prompt Nurse Carter to intervene?

💡 Hint

Focus on identifying a symptom that could indicate a serious complication following the removal of an endotracheal tube.

13 / 15

13. Nurse Thompson is monitoring a patient who has just had an endotracheal tube removed and is transitioning to a nasal cannula. Which of the following findings should prompt Nurse Thompson to immediately notify the physician?

💡 Hint

Consider the safest method to deliver enteral feeding, especially with regard to preventing complications like aspiration or tube blockage.

14 / 15

14. Nurse Rivera is getting ready to administer a bolus enteral feeding through a nasogastric tube to a comatose patient. Which of the following actions by Nurse Rivera would be inappropriate?

💡 Hint

Consider which finding might indicate a potential concern related to the volume of drainage in a short time frame.

15 / 15

15. Nurse Williams is evaluating the chest tube drainage system of a patient with hemothorax. Which observation should lead Nurse Williams to contact the physician?

Exam Mode

Welcome to your NCLEX Practice Exam for Patient Tubes (NGT, Chest, and Tracheostomy)! This exam is carefully designed to provide you with a realistic test-taking experience, preparing you for the pressures of an actual nursing exam.

 

Exam Details

  • Number of Questions: 15 items
  • Mode: Exam Mode

Exam Instructions

  1. Exam Mode: This mode is intended to simulate the environment of an actual exam. Questions and choices will be presented one at a time.
  2. Time Limit: Each question must be answered within 90 seconds. The entire exam should be completed within 22 minutes and 30 seconds.
  3. Feedback and Grading: Upon completion of the exam, you will be able to see your grade and the correct answers to all questions. This will allow you to evaluate your performance and understand areas for improvement.

Tips For Success

  • Read each question carefully. You have 90 seconds per question, so make sure you understand the question before selecting your answer.
  • Pace yourself. Remember, you have 22 minutes and 30 seconds in total, so try to maintain a steady rhythm.
  • Focus on one question at a time. Try not to worry about the questions to come.
  • Stay calm under pressure. Use your knowledge and trust your instincts.
  • Remember, it's not just about the score, but about the learning process.

This exam is not only a measurement of your current understanding, but also a valuable learning tool to prepare you for your future nursing career. Click 'Start Exam' when you're ready to begin. Good luck!

1 / 15

1. Nurse Stevens is verifying the placement of a nasogastric tube in a patient who is receiving long-term Omeprazole (Prilosec) therapy. After aspirating the stomach contents, what pH level would indicate that the tube is correctly positioned in the stomach?

2 / 15

2. Nurse Thompson is monitoring a patient with a pneumothorax who has a chest tube in place. She observes continuous gentle bubbling in the suction control chamber. What is the most appropriate action for Nurse Thompson to take?

3 / 15

3. Nurse Adams is caring for a patient with a chest tube when the chest drainage system is accidentally disconnected. What should Nurse Adams do first?

 

4 / 15

4. Nurse Williams is evaluating the chest tube drainage system of a patient with hemothorax. Which observation should lead Nurse Williams to contact the physician?

5 / 15

5. Nurse Thompson is monitoring a patient who has just had an endotracheal tube removed and is transitioning to a nasal cannula. Which of the following findings should prompt Nurse Thompson to immediately notify the physician?

6 / 15

6. Nurse Williams is preparing to feed a patient via a nasogastric tube (NGT) and checks for residual, finding 90 mL of gastric content. What should Nurse Williams do next?

7 / 15

7. Nurse Rivera is getting ready to administer a bolus enteral feeding through a nasogastric tube to a comatose patient. Which of the following actions by Nurse Rivera would be inappropriate?

8 / 15

8. During a tracheostomy care session, Nurse Patel is changing the tapes when the patient suddenly coughs, causing the tracheostomy tube to become dislodged. What should Nurse Patel do first?

9 / 15

9. Nurse Johnson is preparing a patient for a chest x-ray to confirm the placement of an endotracheal tube. How many centimeters above the carina should the tube be positioned?

10 / 15

10. Nurse Adams is reviewing the different types of nasogastric tubes with a new graduate nurse. To ensure accurate knowledge, which of the following statements about nasogastric tubes should Nurse Adams clarify as incorrect?

11 / 15

11. Nurse Carter is supervising a student nurse who is providing tracheostomy care to a patient. Which action by the student should prompt Nurse Carter to intervene?

12 / 15

12. Nurse Patel is preparing to remove the nasogastric tube from a stroke patient who has successfully transitioned to a soft diet. What instruction should Nurse Patel give the patient just before removing the tube?

13 / 15

13. Nurse Simmons is setting up a continuous feeding for a patient through a nasogastric tube. Continuous feedings are typically administered over how many hours?

14 / 15

14. Nurse Harris is assessing a patient with an endotracheal tube and notices that the patient is able to make verbal sounds. What is the most likely reason for this?

15 / 15

15. Nurse Taylor, a newly graduated RN, is preparing to insert a nasogastric tube for a patient with Guillain-Barre Syndrome. To accurately measure the length of the tube before insertion, what should Nurse Taylor do?