Knowledge in Oral and Nasal Suctioning

C. The maximum time of suctioning should not exceed 15 seconds.

I. Encircle the best answer. No erasure. D. Allow 30 seconds interval between suctioning.

1. What is the primary goal of suctioning? Knowledge in Female and Male Catheterization
A. Remove secretions
B. Facilitate cerebral perfusion II. Encircle the best answer. No erasure.
C. Promote airway
D. Decrease respiratory effort 1. What is the purpose of female catheterization?
A. To obtain a sterile urine specimen for diagnostic evaluation.
2. What is the main purpose of doing a suctioning? B. To empty bladder content when the patient is able to void.
A. Oxygen must be humidified and will be drawn every 4 hrs to assess C. To measure residual of blood after urination.
flow rate. D. To strictly monitor the urinary output and fluid balance of a
B. To assist in the removal of bronchial secretions that cannot be healthy patient.
expectorated by the patient spontaneously.
C. Increase CO2 which stimulates breathing. 2. Which of the following is not true about
D. Prolonging inspiration and shouting expiration. contraindication of catheterization?
A. Presence of urethral trauma.
3. What is the most important action the nurse should do before and B. If one finds blood at the meatus of the urethra.
after suctioning a client: C. In patients with multisystem injuries.
A. Placing the client in a supine position D. Caffeine-containing beverages should be monitored to
B. Making sure that suctioning takes only 10-15 seconds prevent excess intake.
C. Evaluating for clear breath sounds
D. Hyperventilating the client with 100% oxygen 3. Which is the best indication of catheterization?
A. Enabling you to drain bladder contents.
4. What is the position of a conscious client during suctioning: B. Results may be altered if a sample is left standing at room
A. Fowler’s position temperature for a long time.
B. Supine position C. Decompress the liver.
C. Side-lying position D. Obtain a fecal matter.
D. Prone position
5. Before doing your suctioning, you should fill the container with: 4. It is the universal precautions when doing a catheterization:
A. Sterile water or normal saline A. The potential for contact with a patient's blood/body fluids
B. Normal saline & lactated ringers while starting a catheter is present and increases with the
C. Lactated ringers only inexperience of the oprator.
D. Salty water B. Gloves must be not worn while starting the Foley, not
only to protect the user, but also to prevent infection in the
6. When doing a nasal suctioning you should always prepare a: patient.
A. A glass of water C. Doesn’t encouraging a generous fluid intake if not
B. Oxygen source contraindicated by the patient’s condition.
C. Catheter D. Trauma protocol calls for all team members not to wear
D. Flashlight gloves, face and eye protection and gowns.
7. When suctioning the newborn with a bulb syringe, which should be 5. Which is the best example of complication of catheterization?
suctioned first? A. The male urethra is less vulnerable to injury during insertion.
A. Mouth B. Renal inflammation
B. Nose C. Hypertension
C. Throat D. Diarrhea
D. None of the above
6. Which of the following represents the appropriate nursing
8. You are about to suction a new born, as a nursing student you are management of a client wearing a condom catheter?
taught that the proper duration when suctioning a newborn is: A. Ensure that the tip of the penis fits snugly against the end of
A. 5 – 10 seconds the condom.
B. 7 – 11 seconds B. Check the penis for adequate circulation 30 minutes after
C. 1 – 5 seconds applying.
D. 10 – 15 seconds C. Change the condom every 8 hours.
D. Tape the collecting tubing to the lower abdomen.
9. Which of the following represents proper
nasopharyngeal/nasotracheal suctioning? 7. The following are the standard technique for catheter
A. Lubricate the suction catheter with petroleum jelly before and insertion except:
between insertions. A. Explain the procedure to the patient, position the patient and
B. Apply suction intermittently while inserting the suction catheter. ensure privacy and good lighting.
C. Rotate the catheter while applying suction. B. Wash hands remove outer tray wrapper and put on sterile
D. Hyperoxygenate with 100% oxygen for 30 minutes before and after gloves before opening the sterile inner packet.
suctioning C. Cleanse the labia according to established guidelines and
10. Which of the following, if done by the nurse, indicates identify the urethral meatus.
incompetence during suctioning an unconscious client? D. If the catheter is accidentally inserted into the vagina or the
A. Measure the length of the suction catheter to be inserted by tip is contaminated, do not discard it and continue with the
measuring from the tip of the nose, to the earlobe, to the xiphoid procedure.
process.
B. Use KY Jelly if suctioning nasopharyngeal secretion.
 8. A nurse is inserting an indwelling urinary catheter into the urethra of
a male client. As the nurse inflates the balloon, the client complains of
discomfort. The most appropriate nursing action is to
A. Remove the syringe from the balloons; discomfort is normal and
temporary
B. Aspirate the fluid, advance the catheter farther and reinflate the
balloon
C. Aspirate the fluid, withdraw the catheter slightly, and reinflate the
ballon
D. Aspirate the fluid, remove the catheter and insert a new catheter
9. During the straight catheterization of a female client, if the catheter
slips into the vagina, the nurse should:
A. Leave the catheter in place and get a new sterile catheter.
B. Leave the catheter in place and ask another nurse to attempt the
procedure.
C. Remove the catheter and redirect it to the urinary meatus.
D. Remove the catheter, wipe it with sterile gauze, and redirect it to the
urinary meatus.
10. A nurse is inserting an indwelling urinary catheter into a male client.
As the catheter is inserted into the urethra, urine begins to flow into the
tubing. At this point, the nurse
A. Immediately inflates the balloon
B. Withdraws the catheter about 1 inch and inflates the balloon
C. Inserts the catheter until resistance is met and inflates the balloon
D. Inserts the catheter 2.5 cm to 5 cm and inflates the balloon
Knowledge in Nasogastric Tube Feeding
III. Encircle the best answer. No erasure.
1. What is the main purpose of nasogastric tube feeding?
A. Drinking more than 2,000 ml of fluid per day will cause fluid retention.
B. The healthy adult should drink four to six 8-ounce glasses of water
per day.
C. Children need fewer reminders to drink because of greater thirst
sensitivity.
D. To feed the patient with fluid diet via a nasogastric tube
2. Which of the following is incorrect about nasogastric tube feeding?
A. A nasogastric (NG) tube is a small tube .that goes into the stomach
through the nose.
B. Breast milk, formula, or liquid food is given through the tube directly
into the stomach
C. The external meatus requires cleaning with antiseptic soap
D. The type of tube, how often it needs to be changed, type and amount
of formula, and length of feeding time will be decided by the
doctor and dietitian, depending patient’s needs.
6. Which of the following steps should the nurse take first when
preparing to insert a nasogastric tube?
A. Wash hands.
B. Apply sterile gloves.
C. Apply a mask and gown.
D. Open necessary kits and tubings.
7. .Which of the following represents proper technique with
NGT feeding?
A. Nurse administers the next feeding only if there is less than
25ml of residual volume from the previous feeding.
B. Client is placed in the left lateral position to promote feeding
flow into the intestines.
C. Feeding is administered at refrigerated temperature to
reduce bacterial growth during feeding.
D. Feeding bag is hanging 1 foot higher than the tubes
insertion point in the client.
8. Positioning is one of the fundamentals in nasogastric tube
feeding. As a student nurse, you know that the proper time
you can re-position your client after nasogastric tube feeding
is:
A. 30 minutes – 60 minutes
B. 20 minutes – 25 minutes
C. 2 hours – 3 hours
D. 1 ½ hours
9. The most accurate method for bed side confirmation of
NGT placement is:
A. Auscultation.
B. X-ray confirmation.
C. pH testing for gastric content.
D. Confirmation of distal mark on feeding tube.
10. Saline Solution is used to irrigate a nasogastric tube used
for decompression based on which rationale?
A. Irrigating with water is a contaminated procedure
B. Saline solution is a hypertonic solution
C. Saline solution replaces electrolytes lost through
nasogastric suction
D. Saline solution is less irritating to the gastric mucosa

3. Which of the following is wrong regarding nasogastric tube feeding?

A. Decrease and highly concentrated tubing.
B. You should ensure correct tube placement.
C. It is placed through the nose into stomach.
D. It is used in feeding the client.

4. What is the best position when giving nasogastric tube feeding?

A. Having client in prone position.
B. Having client in fowler’s position.
C. Having client in supine position.
D. Having client in semi-fowlers position.

5. Which of the following is the best indication of proper placement of a

nasogastric tube in the stomach?
A. Client is unable to speak.
B. Client gags during insertion.
C. pH of the aspirate is less than 5.
D. Fluid is easily instilled into the tube.