NCLEX-RN
Fundamental of Nursing NCLEX RN Practice Questions Questions
Extract:
Question 1 of 5
A nurse is caring for a client with a suspected bowel obstruction who requires a nasogastric (NG) tube insertion. Place the following actions in the order in which they need to be performed, starting from first to last.
Order the Items
Source Container
Begin inserting the tube. Have the client relax and flex their head toward their chest after the tube has passed through the nasopharynx.
Verify tube placement with a radiograph. Check agency policy for specific guidelines.
Encourage the client to swallow by taking small sips of water when possible. Then advance the tube as the client swallows.
Determine the length of the tube to be inserted. Measure the distance from the tip of the nose to the earlobe to the xiphoid process (NEX) of the sternum.
Temporarily anchor the tube to the nose with a small piece of tape.
Educate the client on what is going to take place. Instruct client to relax and breathe normally while occluding one naris. Then repeat this action for the other nare. Select the nostril with greater airflow.
Advance the tube each time the client swallows until you reach the desired length.
Correct Answer: F,D,A,C,G,E,B
Rationale: The correct order is: educate the client (F), measure tube length (
D), begin insertion (
A), encourage swallowing (
C), advance to desired length (G), anchor the tube (E), verify placement with radiograph (
B). This sequence ensures safe and effective NGT insertion.
Question 2 of 5
Correct Answer:
Rationale:
Question 3 of 5
Correct Answer:
Rationale:
Question 4 of 5
Correct Answer:
Rationale:
Question 5 of 5
Correct Answer:
Rationale: