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NCLEX Catheters and Tubing Questions - NCLEX Questions on Catheters and Tubing
Catheters and Tubing NCLEX Practice Questions
Question 1.
Mrs. Tanya has been admitted to the hospital with an acute exacerbation of COPD. She is experiencing difficulty breathing and is unable to eat or drink. The healthcare provider has ordered the insertion of a nasogastric tube to provide nutrition and medication. The nurse explains to Mrs. Ranjan the purpose and procedure of the nasogastric tube insertion and obtains her consent. The nurse prepares to insert the nasogastric tube.
Which of the following is a purpose of a nasogastric tube?
(a) To provide hydration by acting as a temporary IV line
(b) To deliver oxygen to the lungs
(c) To administer medications to clients who are unable to swallow
(d) To promote sleep
(e) To perform a colonoscopy
(f) To remove excess mucus from the lungs
(g) To monitor blood glucose levels
Answer:
(c) To administer medications to clients who are unable to swallow
(e) To perform a colonoscopy
(f) To remove excess mucus from the lungs
Explanation:
Option (a) Nasogastric tubes are not used to provide hydration as they are not an IV line.
Option (b) Nasogastric tubes do not deliver oxygen to the lungs. Oxygen is typically administered through a nasal cannula or face mask.
Option (c) This is a correct answer. Nasogastric tubes can be used to administer medications to clients who are unable to swallow.
Option (d) Nasogastric tubes are not used to promote sleep.
Option (e) This is a correct answer. Nasogastric tubes can be used to perform a colonoscopy.
Option (f) This is a correct answer. Nasogastric tubes can be used to remove excess mucus from the lungs.
Option (g) Nasogastric tubes are not used to monitor blood glucose levels. Blood glucose monitoring is typically done through fmgerstick tests or continuous glucose monitoring devices.
Question 2.
Mr. Miranda, a 67-year-old patient, has been admitted to the hospital for treatment of pneumonia. Due to difficulty swallowing, he has a nasogastric tube in place for medication administration. The healthcare provider has ordered the administration of a crushed medication via the nasogastric tube. The nurse prepares to administer the medication.
Fill in the blanks question:
Before instilling the medication, the nurse should check the ................ and ............... contents.
(a) respiratory rate and oxygen saturation
(b) tube placement and residual
(c) blood pressure and heart rate
(d) temperature and weight
Answer:
(b) tube placement and residual
Explanation:
Option (a) Checking the respiratory rate and oxygen saturation is important for monitoring the patient's respiratory status but is not related to administering medication via a nasogastric tube.
Option (b) This is the correct answer. Before instilling the medication, the nurse should check the tube placement and residual contents to ensure that the medication is being administered to the correct location and to prevent complications such as aspiration.
Option (c) Checking the blood pressure and heart rate is important for monitoring the patient's cardiovascular status but is not related to administering medication via a nasogastric tube.
Option (d) Checking the temperature and weight is important for monitoring the patient's overall health status but is not related to administering medication via a nasogastric tube.
Question 3.
A nurse has been asked to perform the urinary catheterization procedure on a female patient. Which of the following nursing actions should the nurse follow?
(a) Place the client in a supine position.
(b) Wash the perineal area with soap and water using clean gloves.
(c) Spread labia with non-dominant hand while inserting the catheter.
(d) Inflate balloon fully per manufacturer's directions.
Answer:
(b) Wash the perineal area with soap and water using clean gloves.
Explanation:
When performing the urinary catheterization procedure, it is important to follow the proper steps to prevent infection and ensure patient comfort.
Option (a) is incorrect as female clients should be placed in a dorsal recumbent position (supine with knees flexed) while male clients should be placed in a supine position with thighs slightly abducted.
Option (c) is incorrect as the dominant hand should be used to insert the catheter while the non-dominant hand should be used to spread labia.
Option (d) is incorrect as the balloon should be inflated fully, but the manufacturer’s directions should not be followed blindly; rather, the nurse should be familiar with the appropriate amount of fluid to use.
Option (b) is the correct answer, as washing the perineal area with soap and water using clean gloves is an important step in preventing infection during the procedure. This step should be performed before applying a sterile drape and lubricating the catheter, and after removing and discarding gloves, hand hygiene should be performed.
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