ATI/ NCLEX . REVIEW. NG and NI Tubes: Insertion and Safety

Which of the following actions should the nurse perform first after obtaining the supplies for NG tube insertion?

A nurse is preparing to insert a nasogastric tube into an adult client. Which of the following positions is most appropriate for the client initially?

When measuring the length of the NG tube to be inserted, what anatomical landmarks are used for the NEX measurement?

During NG tube insertion, the client begins to gag and cough excessively. What is the most appropriate nursing intervention?

Which of the following pH values of aspirated gastric contents best indicates correct placement of an NG tube in the stomach?

A nurse is caring for a client who has a newly inserted NG tube. What is the priority nursing intervention?

The nurse is preparing to administer medication through a nasogastric tube. Which action is most important to perform before administering the medication?

Which of the following tasks associated with NG tube care cannot be delegated to assistive personnel (AP)?

A client with an NG tube is complaining of a sore throat. Which of the following interventions is most appropriate?

What is the primary reason for using a water-based lubricant during NG tube insertion?

The nurse is preparing to insert an NI tube. How much longer should the NI tube measurement be compared to the NG tube measurement?

During the insertion of an NG tube, the nurse instructs the client to flex their head forward. What is the primary purpose of this action?

A client with a basilar skull fracture requires an NG tube. What special consideration should the nurse implement during insertion?

The nurse has just inserted an NG tube and obtained a gastric aspirate. Which finding would best indicate that the tube is correctly placed in the stomach?

A nurse is caring for a client receiving intermittent feedings via NG tube. Before each feeding, the nurse checks for residual volume. Which action should the nurse take next if the residual volume is 250 mL?

Which of the following is the most reliable method to confirm correct placement of a newly inserted NG tube?

After confirming the placement of an NG tube, how should the nurse secure it to prevent dislodgement?

What should the nurse do to ensure client safety after inserting an NG tube and before leaving the room?

What is the primary rationale for labeling the NG tube per facility policy after insertion?

When should the nurse consider consulting with the surgeon before inserting an NG tube?

In which phase of the nursing process is determining whether the client has any allergies?

What is the rationale for the nursing intervention to discuss findings with the client after the procedure?

Which nursing action ensures client safety before leaving the room after NG tube insertion?

What should the nurse do immediately if, during NG tube insertion, the client is unable to make any sound?

A registered nurse (RN) is delegating tasks to a licensed practical nurse (LPN) on a medical unit. Which of these tasks related to nasogastric (NG) tubes is appropriate for the RN to delegate to the LPN?

The nurse is preparing to perform a guaiac test on gastric contents aspirated from a client's NG tube. What is the primary purpose of this test?

The provider orders the nurse to discontinue the client's NG tube. After confirming the order, what is the next nursing action?

During NG tube insertion, the nurse notes that the client's oxygen saturation is decreasing. Which action should the nurse take first?

The home health nurse is visiting a client with a newly placed NG tube for continuous feeds. Which statement made by the client indicates a need for further teaching?

A nurse is preparing to instill 60 mL of medication through a client's NG tube. Which syringe size should the nurse select?

A client is ordered to have a nasointestinal tube inserted for medication administration as the client is unable to tolerate feedings. Which is the primary indication of a nasointestinal tube?

Which action should the nurse implement to promote comfort to a client with a nasogastric tube?

A client with a newly inserted NG tube begins to exhibit signs of respiratory distress, including cyanosis and difficulty breathing. What is the priority action?

The nursing instructor is discussing the nursing process as it applies to the insertion of NG tubes. Which statement accurately describes the dynamic nature of the nursing process during skill performance?

The nurse documents the NG tube insertion in the client's medical record. Which item is most important for the nurse to include?

A client with a history of gastrointestinal surgeries is ordered to receive an NG tube. What special consideration should the nurse undertake?

What is the purpose of using skin prep before applying tape?

NG/NI Tube Insertion

Purpose of NG tube

Purpose of NI tube

Who can insert NG/NI tubes?

Why check allergies before?

Why verify client ID?

Why use standard precautions?

Stethoscope for NG tube

Water-based lubricant use

Tongue blade use

Syringe use

Hypoallergenic tape use

Skin prep use

Emesis basin use

Tissues/cotton swabs use

Cup of water use

Towel or absorbent pad use

pH strip/paper use

Permanent marker use

Safety pin use

Reviewing the client’s medical record

NEX Measurement

Head position for Insertion

Swallowing during insertion

Gastric pH

Documentation post Insertion

Surgical Considerations

Skull Fracture Consideration

Respiratory distress during insertion