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Question 1 — General preparation before feeding
Arrange the correct order of these actions when preparing for any enteral feeding.
1.Wash hands & put on gloves
2.Explain the procedure to the patient
3.Verify doctor’s order and feeding protocol
4.Position patient in semi-/high-Fowler’s (30–45°)
5.Identify the patient using two identifiers
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Question 2 — NGT feeding (core procedural sequence)
Arrange the steps for a standard NGT feeding session.
1.Flush tube with 30 ml water (pre-feed)
2.Check placement (verify tube mark; aspirate gastric contents and check pH)
3.Check residual volume (aspirate)
4.Administer prescribed feeding slowly
5.Flush again with 30 ml water (post-feed)
6.Keep patient upright 30–45 minutes → Document
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Question 3 — PEG tube feeding (cleaning + feeding)
Arrange the correct order for PEG feeding that includes stoma care.
1.Perform hand hygiene and wear gloves
2.Verify tube placement and patency
3.Clean stoma site with sterile water/saline and check for redness/leakage
4.Flush tube with 30 ml water (pre-feed)
5.Administer prescribed feeding via syringe or feeding bag
6.Flush again with 30 ml water (post-feed) → Keep patient upright ≥45 min → Document
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Question 4 — PEJ feeding (concise order)
Arrange the correct steps for PEJ (jejunostomy) feeding.
1.Confirm doctor’s order and formula type
2.Wash hands and wear gloves
3.Check tube placement mark
4.Flush with 30 ml water (pre-feed)
5.Administer feeding slowly (continuous or bolus)
6.Flush after feeding → Keep patient upright at least 1 hour → Document
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Question 5 — Immediate response when patient coughs during NGT feeding
Arrange the correct immediate actions.
1.Check tube placement
2.Stop feeding immediately
3.Assess for aspiration signs (breathing difficulty, cyanosis)
4.Keep patient upright and suction if ordered
5.Inform the nurse and document
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Complete standard NGT feeding sequence
Arrange these steps into the correct order for a full NGT feeding event
1.Flush tube with 30 ml water (pre-feed)
2.Check tube placement (verify tube mark; aspirate gastric contents and check pH)
3.Administer prescribed feeding slowly (gravity or syringe)
4.Check residual volume (aspirate)
5.Flush again with 30 ml water (post-feed)
6.Keep patient upright 30–45 minutes → Document
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— Pre-feed verification and preparation steps
Arrange the correct order of these pre-feeding checks and preparations.
1.Explain procedure to patient and identify using two identifiers
2.Verify doctor’s order and feeding protocol
3.Ensure patient is in semi-/high-Fowler’s position (30–45°)
4.Wash hands and wear gloves
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— Handling high gastric residual prior to feeding
Arrange the correct sequence when a high gastric residual (e.g., >100 ml) is aspirated before feeding.
1.Document the finding and amount of residual
2.Return aspirate per hospital policy (if applicable)
3.Report the finding to the nurse
4.Stop or hold feeding pending nurse/physician instruction
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Flushing and patency checks around feeding
Place the steps in the correct order related to tube patency and flushing.
1.Flush tube with 30 ml water (pre-feed)
2.Check placement (aspirate/pH)
3.If formula does not flow during feeding, check tube for kinks or blockage and do not force feed
4.Flush again with 30 ml water (post-feed)
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— Immediate actions when patient coughs during NGT feeding
Arrange the immediate actions in correct order.
1.Keep the patient upright and suction if ordered
2.Stop feeding immediately
3.Check tube placement
4.Assess for aspiration signs (breathing difficulty, cyanosis) and inform nurse → Document
Feedback
Correct answer:
Rationale: The file lists verifying the doctor’s order first, then identifying the patient, explaining the procedure, performing hand hygiene and donning gloves, and ensuring the semi-/high-Fowler’s position.
Correct answer:
Rationale: The procedure in the file specifies: check placement (aspirate/pH), check residual, flush pre-feed, administer feeding, flush post-feed, keep upright and document.
Correct answer:
Rationale: The file lists hand hygiene/gloves first, then verify placement/patency, clean and inspect stoma, flush pre-feed, administer feeding, flush post-feed, keep patient upright for at least 45 minutes, and document.
Correct answer:
Rationale: The uploaded material instructs: wash hands/gloves, confirm order and formula, check tube mark, flush pre-feed with 30 ml, administer slowly, flush after feeding, keep upright at least 1 hour, and document.
Correct answer:
Rationale: The file instructs that if patient coughs during administration, stop feeding immediately, check tube placement, assess for aspiration signs, keep patient upright and suction if ordered, then report to the nurse and document.
Correct answer:
Rationale: According to the file, first verify placement (aspirate/pH), then check residual volume; next flush pre-feed, administer the formula slowly, flush post-feed, keep the patient upright 30–45 minutes, and document.
Correct answer:
Rationale: The file lists: verify the doctor’s order first, identify/explain to the patient, ensure appropriate position (semi-/high-Fowler’s), then perform hand hygiene and don gloves before procedure.
Correct answer:
Rationale: The recommended action in the file: stop feeding (hold), return aspirate if policy allows, report to the nurse, and document the residual and actions taken.
Correct answer:
Rationale: Confirm placement first, then flush pre-feed to confirm patency, if flow problems occur during feeding check for kinks/blockages and never force feed, then flush post-feed. These steps are consistent with the file’s guidance.
Correct answer:
Rationale: The file instructs to stop feeding immediately if coughing occurs, check tube placement, assess for aspiration signs and report to the nurse, and keep the patient upright and suction as ordered; then document.
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