9-The student nurse is aware that the position of the patient
when giving nasogastric feeding is at least 45 degrees or as near
normal position to: Select one:
a. Prevent flexion of the neck.
b. Facilitate entry of food thru gravity.
c. Make patient comfortable.
d. Prevent aspiration.
10-What is the best position of the patient when inserting a
nasogastric tube? Select one:
a. high Fowler's position for optimal neck/ stomach
b. 10- 15 degrees if unable to maintain an upright
c. prone position if unable to do the upright position d. Left
11-Which of the following is the correct technique in blood
extraction? Select one:
a. when using vacutainer, the long end of the needle is used
to puncture the blood tube and the short end enters the vein.
b. advance the needle into the vein while collecting
C. syringe needle or vacutainer at 5 15 degrees angle from the
skin with the bevel up.
d. hold the syringe and gently pull back on the syringe
plunger and look for blood return.
12-The patient asks the student nurse why topical analgesic to
nostril & oropharynx (preferably 2% Xylocaine) is applied
before inserting the nasogastric tube. Which of the following is
the best response of the student nurse? Select one:
a. to decrease patient anxiety.
b. To allow swallowing of small sips of water.
C. To numb the area to depress the gag reflex.
d. For smoother insertion of the nasogastric tube.
13-Which of the following is the best site in obtaining blood
samples when monitoring blood glucose using a glucometer? Select
a. preference site of the nurse and patient.
b. central tip of the finger.
c. any site of the finger.
d. the lateral side of the finger.
14-Which of the following is the correct technique in
verifying the placement of a gastrostomy tube? Select one:
a. Attach syringe in the gastrostomy tube and auscultate for
b. Attach syringe and aspirate 5 to 10 mL of gastric
secretions; observe their appearance and check pH.
c. Draw up 10 to 30 mL of air into the syringe. Connect to the
end of the feeding tube. Flush tube with air. Pull back slowly to
aspirate the total amount of gastric contents.
d. Aspirate intestinal secretions, observe their appearance
and check pH.
15-The patient asks the student nurse, "why should I need to
hold my breath before removing the nasogastric tube?". How does the
student nurse respond to the question of the patient? Select
a. This technique will prevent the back flow of gastric
b. This technique will facilitate easier removal of the.
C. This technique will help to maintain asepsis.
d. This technique prevents spread to bacteria.
16-How many ml of blood will you extract if the patient is for
blood culture? Select one:
a. 5 to 10 ml of venous blood by venipuncture from each
b. 10 to 15 ml of venous blood by venipuncture from each
C. 20 to 25 ml of venous blood by venipuncture from each
d. 15 to 20 ml of venous blood by venipuncture from each
17-When are you going to hold the nasogastric tube feeding of
the patient? Select one.
a. If the amount of residual does not exceed the policy of the
b. If no gastric residual.
c. When the patient requested it.
d. If the gastric residual is more than 30 cc.
18-Which of the following is the correct procedure in
inserting a nasogastric tube?
1. Measure distance to insert the tube by placing the tip of
the tube at the patient's nostril & extending to the tip of
earlobe & then to the tip of the xiphoid process
2. Instruct patient to flex his chin towards his chest
3. Encourage him or her to sip water through a straw or to
swallow even if no fluids are permitted
4. Lubricate the tip of tube (at least 1-2 inches of the tube)
with water-soluble lubricant
5. Apply topical analgesic to nostril & oropharynx
(preferably 2% Xylocaine) or ask the patient to hold ice chips in
his or her mouth for several minutes
6. Advance tube in a downward- &- backward direction when
the patient swallows determine that the tube is in the patient's
stomach Select one:
a. 1,4, 5, 2. 3, 6, 7 .
b. 1, 4, 2, 3. 5, 6, 7 .
c. 1.4, 5, 6. 2, 3, 7 .
d. 1. 4.3.2, 6. 5, 7.
19-Which of the following is a correct step in collecting
blood for glucose monitoring using a glucometer?
1. Remove the cap from the lancet device and insert a new
2. Twist off the protective disk on the tip of the lancet.
Replace the cap of the lancet device.
3. * the lancet device, adjusting the proper puncture
4. Wipe finger or forearm lightly with an alcohol swab. Choose
a vascular area for puncture site 5. Hold the tip of the lancet
device against the area of skin chosen for a test site. Press the
release button on the device.
6. Bring the test strip in the meter to the drop of blood. The
blood will be wicked onto the test strip.
7.Read the glucose test result that will appear on the screen
a. 3, 4. 5. 1. 2, 6, 7
b. 2, 3, 1.4 5 6. 7
c.1, 2, 3.4. 5. 6, 7
d. 4, 1, 2, 3. 5 6, 7